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CompletedNCT03834506Updated Jul 18, 2025Results posted

Study of Pembrolizumab (MK-3475) Plus Docetaxel Versus Placebo Plus Docetaxel in Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-3475-921/KEYNOTE-921)

A Phase 3 interventional study of Pembrolizumab and Docetaxel in Prostatic Neoplasms, sponsored by Merck Sharp & Dohme LLC. Completed at 215 sites in 21 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-18.

Sponsored by Merck Sharp & Dohme LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,030
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

The purpose of this study is to assess the efficacy and safety of the combination of pembrolizumab (MK-3475) and docetaxel in the treatment of men with metastatic castration-resistant prostate cancer (mCRPC) who have not received chemotherapy for mCRPC but have progressed on or are intolerant to Next Generation Hormonal Agent (NHA).

There are two primary study hypotheses.

Hypothesis 1: The combination of pembrolizumab plus docetaxel plus prednisone is superior to placebo plus docetaxel plus prednisone with respect to Overall Survival (OS).

Hypothesis 2: The combination of pembrolizumab plus docetaxel plus prednisone is superior to placebo plus docetaxel plus prednisone with respect to Radiographic Progression-free Survival (rPFS) per Prostate Cancer Working Group (PCWG)-modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by blinded independent central review.

Read the detailed description

With Amendment 6 (effective date: 29-Sep-2022), all participants will be unblinded and placebo treatment will be stopping. Participants who are deemed to be deriving clinical benefit from treatment may continue at the discretion of the investigator.

The global study for MK-3475-921 enrolled 1030 participants. Of the 1030 total participants enrolled in the global study, 21 were also enrolled in the China extension study for MK-3475-921 (NCT04907227).

02

Conditions studied

  • Prostatic Neoplasms

Keywords

  • Programmed Cell Death 1 (PD 1, PD-1)
  • Programmed Cell Death 1 Ligand 1 (PDL 1, PD-L1)
  • Programmed Cell Death 1 Ligand 2 (PDL 2, PD-L2)
03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's enrollment of 1,030 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 132 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

The main inclusion and exclusion criteria include but are not limited to the following:

Inclusion criteria

Inclusion Criteria:

  • Has histologically- or cytologically-confirmed adenocarcinoma of the prostate without small cell histology
  • Has prostate cancer progression while on androgen deprivation therapy (or post bilateral orchiectomy) within 6 months prior to screening
  • Has current evidence of metastatic disease documented by either bone lesions on bone scan and/or soft tissue disease by computed tomography/magnetic resonance imaging (CT/MRI)
  • Has received prior treatment with one (but not more than one) NHA (eg, abiraterone acetate, enzalutamide, apalutamide, or darolutamide) for metastatic hormone-sensitive prostate cancer (mHSPC) or castration-resistant prostate cancer (CRPC) and either a) progressed through treatment OR b) has become intolerant of the drug
  • Has ongoing androgen deprivation with serum testosterone \<50 ng/dL (\<2.0 nM)
  • Participants receiving bone resorptive therapy (including, but not limited to, bisphosphonate or denosumab) must have been on stable doses prior to randomization
  • Participants must agree to the following during the study treatment period and for at least 120 days after the last dose of pembrolizumab or for at least 180 days after the last dose of docetaxel (whichever is longer): Refrain from donating sperm PLUS Use contraception unless confirmed to be azoospermic (vasectomized or secondary to medical cause)
  • Participants must agree to use male condom when engaging in any activity that allows for passage of ejaculate to another person of any sex
  • Has provided newly obtained core or excisional biopsy (obtained within 12 months of screening) from soft tissue not previously irradiated (samples from tumors progressing in a prior site of radiation are allowed). Participants with bone only or bone predominant disease may provide a bone biopsy sample
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 assessed within 7 days of randomization

Exclusion criteria

Exclusion Criteria:

  • Has a known additional malignancy that is progressing or has required active treatment in the last 3 years
  • Has an active autoimmune disease that has required systemic treatment in past 2 years
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
  • Has undergone major surgery including local prostate intervention (excluding prostate biopsy) within 28 days prior to randomization and not recovered adequately from the toxicities and/or complications
  • Has a gastrointestinal disorder affecting absorption or is unable to swallow tablets/capsules
  • Has an active infection (including tuberculosis) requiring systemic therapy
  • Has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis
  • Has known active human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Has severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients
  • Has symptomatic congestive heart failure (New York Heart Association Class III or IV heart disease)
  • Has had a prior anti-cancer monoclonal antibody (mAb) prior to randomization or who has not recovered (i.e., Grade ≤1 or at baseline) from AEs due to mAbs
  • Has used herbal products that may have hormonal anti-prostate cancer activity and/or are known to decrease PSA levels (e.g. saw palmetto) prior to randomization
  • Has received prior treatment with radium or other therapeutic radiopharmaceuticals for prostate cancer
  • Has received prior therapy with an anti-programmed cell death-1 (anti-PD-1), anti-programmed cell death-ligand 1 (anti-PD-L1), or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated protein 4 [CTLA-4], OX-40, CD137)
  • Has received prior treatment with docetaxel or another chemotherapy agent for mCRPC
  • Has hypersensitivity to docetaxel or polysorbate 80
  • Is currently receiving either strong or moderate inhibitors of cytochrome P450 (CYP)3A4 that cannot be discontinued for the duration of the study
  • Has received prior targeted small molecule therapy or abiraterone acetate, enzalutamide, apalutamide, or darolutamide within 4 weeks prior to the first dose of study treatment, or has not recovered (i.e., Grade ≤1 or at baseline) from AEs due to a previously administered agent
  • Has received prior radiotherapy to within 2 weeks of start of study treatment. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis
  • Has received a live vaccine within 30 days prior to randomization
  • Has received treatment with 5α reductase inhibitors (eg, finasteride or dutasteride), estrogens, and/or cyproterone within 4 weeks prior to randomization
  • Has received prior treatment with ketoconazole for prostate cancer
  • Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment
  • Has a "superscan" bone scan
  • Is expecting to conceive or father children within the projected duration of the study, starting with the screening visit through 120 days after the last dose of study treatment
  • Has had an allogenic tissue/solid organ transplant
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
1,030 participants (actual)

Study arms

  • Experimental
    Pembrolizumab+Docetaxel

    Participants receive pembrolizumab 200 mg by intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) for up to a maximum of 35 cycles (approximately 2 years) PLUS docetaxel 75 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle (Q3W) for a maximum of 10 cycles (approximately 7 months). Participants also concomitantly receive dexamethasone 8 mg by oral tablets at 12 hours, 3 hours, and 1 hour prior to docetaxel administration and prednisone 5 mg by oral tablets twice daily during each 21-day docetaxel cycle.

    Biological: Pembrolizumab · Drug: Docetaxel · Drug: Prednisone · Drug: Dexamethasone

  • Placebo comparator
    Placebo+Docetaxel

    Participants receive placebo by IV infusion on Day 1 of each 21-day cycle (Q3W) for up to a maximum of 35 cycles (approximately 2 years) PLUS docetaxel 75 mg/m\^2 by IV infusion on Day 1 of each 21-day cycle (Q3W) for a maximum of 10 cycles (approximately 7 months). Participants also concomitantly receive dexamethasone 8 mg by oral tablets at 12 hours, 3 hours, and 1 hour prior to docetaxel administration and prednisone 5 mg by oral tablets twice daily during each 21-day docetaxel cycle.

    Drug: Docetaxel · Drug: Prednisone · Drug: Placebo · Drug: Dexamethasone

Interventions

  • BiologicalPembrolizumab

    IV infusion

    Also known as: MK-3475, KEYTRUDA®

  • DrugDocetaxel

    IV infusion

    Also known as: TAXOTERE®

  • DrugPrednisone

    Oral tablets

  • DrugPlacebo

    IV infusion

    Also known as: Normal saline or dextrose infusion

  • DrugDexamethasone

    Oral tablets

    Also known as: DECADRON®

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    OS was defined as the time from randomization to death due to any cause. The OS was calculated using the product-limit Kaplan-Meier (K-M) method for censored data. Participants without documented death at the time of the analysis were censored at the date of the last follow-up.

    Time frame: Up to 36.5 months

  2. Radiographic Progression-free Survival (rPFS) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

    rPFS was defined as the time from randomization to occurrence of: radiological tumor progression using RECIST 1.1 as assessed by BICR; progression of bone lesions using PCWG criteria; or death due to any cause. Radiological progression as per RECIST 1.1 was ≥20% increase in sum of diameters of target lesions and progression of existing non-target lesions. Progression of bone lesions by PCWG criteria was the appearance of ≥2 new bone lesions on bone scan, that have been confirmed to not represent tumor flare, and was persistent for ≥6 weeks. The rPFS was calculated using the product-limit K-M method for censored data. Participants without a rPFS event were censored at the date of last disease assessment.

    Time frame: Up to approximately 28 months

Secondary outcomes

  1. Time to Initiation of the First Subsequent Anti-cancer Therapy (TFST)

    TFST was defined as the time from randomization to initiation of the first subsequent anti-cancer therapy or death; whichever occurred first. The TFST was calculated using the product-limit K-M method for censored data. Any participant not known to have further subsequent therapy or death was censored at the last known time that no subsequent new anti-cancer therapy was received.

    Time frame: Up to approximately 28 months

  2. Prostate-specific Antigen (PSA) Response Rate

    The Prostate-specific Antigen (PSA) response rate was the percentage of participants who had PSA response defined as a reduction in the PSA level from baseline by ≥50%. The reduction in PSA level was confirmed by an additional PSA evaluation performed ≥3 weeks from the original response. The analysis was performed on participants who had baseline PSA measurements.

    Time frame: Up to 36.5 months

  3. Objective Response Rate (ORR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

    ORR was defined as the percentage of participants with complete response (CR: disappearance of all target lesions per RECIST 1.1; and no evidence of disease (NED) on bone scan per PCWG) or partial response (PR: at least a 30% decrease in the sum of diameters of target lesions per RECIST 1.1; and non-progressive disease, non-evaluable \[NE\], or NED on bone scan or CR with non-progressive disease or NE bone scan per PCWG).

    Time frame: Up to 36.5 months

  4. Duration of Response (DOR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

    DOR was the time from first documented evidence of complete response (CR: disappearance of all target lesions per RECIST 1.1; and no evidence of disease \[NED\] on bone scan per PCWG) or partial response (PR: ≥30% decrease in the sum of diameters of target lesions per RECIST 1.1; and non-progressive disease, non-evaluable \[NE\], or NED on bone scan or CR with non-progressive disease or NE bone scan per PCWG) until progressive disease (PD) or death. PD per RECIST 1.1 was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm. PD per PCWG was the appearance of ≥2 new bone lesions on bone scan, that have been confirmed to not represent tumor flare and were persistent for ≥6 weeks. The DOR was calculated using the product-limit K-M method for censored data. If a participant had not progressed, the participant was censored at the date of last disease assessment.

    Time frame: Up to 36.5 months

  5. Time to Pain Progression (TTPP) as Assessed by Brief Pain Inventory-Short Form (BPI-SF) Item 3 ("Worst Pain in 24 Hours") and Opiate Analgesic Use Assessed by the Analgesic Quantification Algorithm (AQA) Score

    TTPP was the time from randomization to pain progression (PP) based on BPI-SF Item 3 and AQA score. BPI-SF assesses pain intensity; for item 3, participant responses to "Please rate your pain at its worst in the last 24 hours" are scored from 0 (no pain) to 10 (worst pain). A higher score indicates greater pain. AQA captures the intensity of analgesic use in pain management, scored from 0 (no analgesic) to 7 (strong opioid use). A higher score indicates higher intensity of analgesic use. For participants asymptomatic at baseline, PP was ≥2-point change from baseline in BPI-SF item 3 score OR initiation of opioid use. For participants symptomatic at baseline, PP was ≥2-point change from baseline in the BPI-SF Item 3 score, a score of ≥4 and no decrease in average opioid use OR any increase in opioid use (e.g., 1 point change in AQA score). TTPP was assessed by product-limit K-M method. Participants with \>2 consecutive unevaluable visits were censored at the last evaluable assessment.

    Time frame: Up to 36.5 months

  6. Time to First Symptomatic Skeletal-related Event (SSRE)

    SSRE was the time from randomization to the first symptomatic skeletal-related event defined as: 1. Use of external-beam radiation therapy (EBRT) to prevent or relieve skeletal symptoms 2. Occurrence of new symptomatic pathologic bone fracture (vertebral or non-vertebral) 3. Occurrence of spinal cord compression 4. Tumor-related orthopedic surgical intervention, whichever occurs first. The SSRE was calculated using the product-limit K-M method for censored data. Participants without symptomatic skeletal-related events were censored at the last evaluable assessment.

    Time frame: Up to 36.5 months

  7. Time to Prostate-specific Antigen (PSA) Progression

    The time to PSA progression was the time from randomization to PSA progression. The PSA progression date was defined as the date of: 1. ≥25% increase and ≥2 ng/mL above the nadir, confirmed by a second value ≥3 weeks later if there was PSA decline from baseline; OR 2. ≥25% increase and ≥2 ng/mL increase from baseline beyond 12 weeks if there was no PSA decline from baseline Time to PSA progression was calculated using the product-limit K-M method for censored data. Participants without PSA progression were censored at the last evaluable assessment.

    Time frame: Up to 36.5 months

  8. Time to Radiographic Soft Tissue Progression Per Soft Tissue Rules of Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

    The time to radiographic soft tissue progression was defined as the time from randomization to radiographic soft tissue progression per soft tissue rules of PCWG-modified RECIST 1.1 as assessed by BICR. Progression was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered progression. Time to radiographic soft tissue progression was calculated using the product-limit K-M method for censored data. Participants without radiographic soft tissue progression were censored at the last evaluable assessment.

    Time frame: Up to 36.5 months

  9. Number of Participants Who Experienced an Adverse Event (AE)

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who experienced an AE is presented.

    Time frame: Up to approximately 30 months

  10. Number of Participants Who Discontinued Study Treatment Due To an Adverse Event (AE)

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinued study treatment due to an AE is presented.

    Time frame: Up to approximately 27 months

07

Results

Posted Jun 18, 2023

Participant flow

Participant flow — Overall Study
MilestonePembrolizumab + DocetaxelPlacebo + Docetaxel
Started515515
Treated514514
Completed00
Not completed515515
Withdrew: Death336326
Withdrew: Withdrawal by parent/guardian11
Withdrew: Withdrawal by subject108
Withdrew: Sponsor decision165178
Withdrew: Physician decision31
Withdrew: Lost to follow-up01

Outcome measures

PrimaryOverall Survival (OS)

OS was defined as the time from randomization to death due to any cause. The OS was calculated using the product-limit Kaplan-Meier (K-M) method for censored data. Participants without documented death at the time of the analysis were censored at the date of the last follow-up.

Time frame:
Up to 36.5 months
Reported as:
Median · Months
Overall Survival (OS)
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Overall Survival (OS)19.6 (18.2 to 20.9)19.0 (17.9 to 20.9)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Log Rank · p = 0.1677 (One-sided p-value based on log-rank test stratified by prior treatment with a NHA (abiraterone acetate) and type of metastases at baseline.) · Hazard ratio (hr): 0.92 · 95% CI 0.78 to 1.09HR based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by prior treatment with a NHA (abiraterone acetate) and type of metastases at baseline.
PrimaryRadiographic Progression-free Survival (rPFS) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

rPFS was defined as the time from randomization to occurrence of: radiological tumor progression using RECIST 1.1 as assessed by BICR; progression of bone lesions using PCWG criteria; or death due to any cause. Radiological progression as per RECIST 1.1 was ≥20% increase in sum of diameters of target lesions and progression of existing non-target lesions. Progression of bone lesions by PCWG criteria was the appearance of ≥2 new bone lesions on bone scan, that have been confirmed to not represent tumor flare, and was persistent for ≥6 weeks. The rPFS was calculated using the product-limit K-M method for censored data. Participants without a rPFS event were censored at the date of last disease assessment.

Time frame:
Up to approximately 28 months
Reported as:
Median · Months
Radiographic Progression-free Survival (rPFS) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Radiographic Progression-free Survival (rPFS) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)8.6 (8.3 to 10.2)8.3 (8.2 to 8.5)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Log Rank · p = 0.0335 (One-sided p-value based on log-rank test stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.) · Hazard ratio (hr): 0.85 · 95% CI 0.71 to 1.01HR based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.
SecondaryTime to Initiation of the First Subsequent Anti-cancer Therapy (TFST)

TFST was defined as the time from randomization to initiation of the first subsequent anti-cancer therapy or death; whichever occurred first. The TFST was calculated using the product-limit K-M method for censored data. Any participant not known to have further subsequent therapy or death was censored at the last known time that no subsequent new anti-cancer therapy was received.

Time frame:
Up to approximately 28 months
Reported as:
Median · Months
Time to Initiation of the First Subsequent Anti-cancer Therapy (TFST)
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Time to Initiation of the First Subsequent Anti-cancer Therapy (TFST)10.7 (10.4 to 11.1)10.4 (9.7 to 11.1)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Log Rank · p = 0.0331 (One-sided p-value based on log-rank test stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.) · Hazard ratio (hr): 0.86 · 95% CI 0.74 to 1.01HR based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.
SecondaryProstate-specific Antigen (PSA) Response Rate

The Prostate-specific Antigen (PSA) response rate was the percentage of participants who had PSA response defined as a reduction in the PSA level from baseline by ≥50%. The reduction in PSA level was confirmed by an additional PSA evaluation performed ≥3 weeks from the original response. The analysis was performed on participants who had baseline PSA measurements.

Time frame:
Up to 36.5 months
Reported as:
Number · Percentage of participants
Prostate-specific Antigen (PSA) Response Rate
Percentage of participantsPembrolizumab + DocetaxelPlacebo + Docetaxel
Prostate-specific Antigen (PSA) Response Rate44.5 (40.0 to 49.1)45.7 (41.2 to 50.2)
SecondaryObjective Response Rate (ORR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

ORR was defined as the percentage of participants with complete response (CR: disappearance of all target lesions per RECIST 1.1; and no evidence of disease (NED) on bone scan per PCWG) or partial response (PR: at least a 30% decrease in the sum of diameters of target lesions per RECIST 1.1; and non-progressive disease, non-evaluable \[NE\], or NED on bone scan or CR with non-progressive disease or NE bone scan per PCWG).

Time frame:
Up to 36.5 months
Reported as:
Number · Percentage of participants
Objective Response Rate (ORR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
Percentage of participantsPembrolizumab + DocetaxelPlacebo + Docetaxel
Objective Response Rate (ORR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)33.5 (27.0 to 40.4)35.3 (29.0 to 42.0)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Miettinen & Nurminen method · p = 0.6545 (Based on Miettinen \& Nurminen method stratified by prior treatment with a NHA (abiraterone acetate) and type of metastases at baseline.) · Percent difference: -1.8 · 95% CI -10.7 to 7.1Based on Miettinen \& Nurminen method stratified by prior treatment with a NHA (abiraterone acetate) and type of metastases at baseline.
SecondaryDuration of Response (DOR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

DOR was the time from first documented evidence of complete response (CR: disappearance of all target lesions per RECIST 1.1; and no evidence of disease \[NED\] on bone scan per PCWG) or partial response (PR: ≥30% decrease in the sum of diameters of target lesions per RECIST 1.1; and non-progressive disease, non-evaluable \[NE\], or NED on bone scan or CR with non-progressive disease or NE bone scan per PCWG) until progressive disease (PD) or death. PD per RECIST 1.1 was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 mm. PD per PCWG was the appearance of ≥2 new bone lesions on bone scan, that have been confirmed to not represent tumor flare and were persistent for ≥6 weeks. The DOR was calculated using the product-limit K-M method for censored data. If a participant had not progressed, the participant was censored at the date of last disease assessment.

Time frame:
Up to 36.5 months
Reported as:
Median · Months
Duration of Response (DOR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Duration of Response (DOR) Per Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)6.3 (6.1 to 7.8)6.2 (6.2 to 6.4)
SecondaryTime to Pain Progression (TTPP) as Assessed by Brief Pain Inventory-Short Form (BPI-SF) Item 3 ("Worst Pain in 24 Hours") and Opiate Analgesic Use Assessed by the Analgesic Quantification Algorithm (AQA) Score

TTPP was the time from randomization to pain progression (PP) based on BPI-SF Item 3 and AQA score. BPI-SF assesses pain intensity; for item 3, participant responses to "Please rate your pain at its worst in the last 24 hours" are scored from 0 (no pain) to 10 (worst pain). A higher score indicates greater pain. AQA captures the intensity of analgesic use in pain management, scored from 0 (no analgesic) to 7 (strong opioid use). A higher score indicates higher intensity of analgesic use. For participants asymptomatic at baseline, PP was ≥2-point change from baseline in BPI-SF item 3 score OR initiation of opioid use. For participants symptomatic at baseline, PP was ≥2-point change from baseline in the BPI-SF Item 3 score, a score of ≥4 and no decrease in average opioid use OR any increase in opioid use (e.g., 1 point change in AQA score). TTPP was assessed by product-limit K-M method. Participants with \>2 consecutive unevaluable visits were censored at the last evaluable assessment.

Time frame:
Up to 36.5 months
Reported as:
Median · Months
Time to Pain Progression (TTPP) as Assessed by Brief Pain Inventory-Short Form (BPI-SF) Item 3 ("Worst Pain in 24 Hours") and Opiate Analgesic Use Assessed by the Analgesic Quantification Algorithm (AQA) Score
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Time to Pain Progression (TTPP) as Assessed by Brief Pain Inventory-Short Form (BPI-SF) Item 3 ("Worst Pain in 24 Hours") and Opiate Analgesic Use Assessed by the Analgesic Quantification Algorithm (AQA) Score21.1 (13.7 to NA)NA (13.8 to NA)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Log Rank · p = 0.6178 · Hazard ratio (hr): 1.05 · 95% CI 0.77 to 1.43HR based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.
SecondaryTime to First Symptomatic Skeletal-related Event (SSRE)

SSRE was the time from randomization to the first symptomatic skeletal-related event defined as: 1. Use of external-beam radiation therapy (EBRT) to prevent or relieve skeletal symptoms 2. Occurrence of new symptomatic pathologic bone fracture (vertebral or non-vertebral) 3. Occurrence of spinal cord compression 4. Tumor-related orthopedic surgical intervention, whichever occurs first. The SSRE was calculated using the product-limit K-M method for censored data. Participants without symptomatic skeletal-related events were censored at the last evaluable assessment.

Time frame:
Up to 36.5 months
Reported as:
Median · Months
Time to First Symptomatic Skeletal-related Event (SSRE)
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Time to First Symptomatic Skeletal-related Event (SSRE)NA (NA to NA)NA (NA to NA)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Log Rank · p = 0.9788 · Hazard ratio (hr): 1.54 · 95% CI 1.01 to 2.33HR based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.
SecondaryTime to Prostate-specific Antigen (PSA) Progression

The time to PSA progression was the time from randomization to PSA progression. The PSA progression date was defined as the date of: 1. ≥25% increase and ≥2 ng/mL above the nadir, confirmed by a second value ≥3 weeks later if there was PSA decline from baseline; OR 2. ≥25% increase and ≥2 ng/mL increase from baseline beyond 12 weeks if there was no PSA decline from baseline Time to PSA progression was calculated using the product-limit K-M method for censored data. Participants without PSA progression were censored at the last evaluable assessment.

Time frame:
Up to 36.5 months
Reported as:
Median · Months
Time to Prostate-specific Antigen (PSA) Progression
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Time to Prostate-specific Antigen (PSA) Progression6.9 (6.2 to 7.6)7.0 (6.3 to 7.6)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Log Rank · p = 0.2970 · Hazard ratio (hr): 0.96 · 95% CI 0.82 to 1.12HR based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.
SecondaryTime to Radiographic Soft Tissue Progression Per Soft Tissue Rules of Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)

The time to radiographic soft tissue progression was defined as the time from randomization to radiographic soft tissue progression per soft tissue rules of PCWG-modified RECIST 1.1 as assessed by BICR. Progression was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered progression. Time to radiographic soft tissue progression was calculated using the product-limit K-M method for censored data. Participants without radiographic soft tissue progression were censored at the last evaluable assessment.

Time frame:
Up to 36.5 months
Reported as:
Median · Months
Time to Radiographic Soft Tissue Progression Per Soft Tissue Rules of Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)
MonthsPembrolizumab + DocetaxelPlacebo + Docetaxel
Time to Radiographic Soft Tissue Progression Per Soft Tissue Rules of Prostate Cancer Working Group (PCWG)-Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR)12.4 (10.7 to 14.9)11.2 (10.4 to 12.5)
Statistical analysis
  • Pembrolizumab + Docetaxel vs Placebo + Docetaxel · Log Rank · p = 0.2876 · Hazard ratio (hr): 0.95 · 95% CI 0.78 to 1.15HR based on Cox regression model with Efron's method of tie handling with treatment as a covariate stratified by prior treatment with NHA (abiraterone acetate) and type of metastases at baseline.
SecondaryNumber of Participants Who Experienced an Adverse Event (AE)

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who experienced an AE is presented.

Time frame:
Up to approximately 30 months
Reported as:
Count of participants · Participants
Number of Participants Who Experienced an Adverse Event (AE)
ParticipantsPembrolizumab + DocetaxelPlacebo + Docetaxel
Number of Participants Who Experienced an Adverse Event (AE)508505
SecondaryNumber of Participants Who Discontinued Study Treatment Due To an Adverse Event (AE)

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinued study treatment due to an AE is presented.

Time frame:
Up to approximately 27 months
Reported as:
Count of participants · Participants
Number of Participants Who Discontinued Study Treatment Due To an Adverse Event (AE)
ParticipantsPembrolizumab + DocetaxelPlacebo + Docetaxel
Number of Participants Who Discontinued Study Treatment Due To an Adverse Event (AE)150115

Adverse events

Collected over Up to approximately 48 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pembrolizumab + Docetaxel343/515 (66.6%)212/514 (41.2%)496/514 (96.5%)
Placebo + Docetaxel329/515 (63.9%)197/514 (38.3%)488/514 (94.9%)
Most frequent serious events
Showing 10 of 268
Most frequent serious events
EventPembrolizumab + DocetaxelPlacebo + Docetaxel
Febrile neutropeniaBlood and lymphatic system disorders28/51422/514
PneumonitisRespiratory, thoracic and mediastinal disorders15/5146/514
PneumoniaInfections and infestations14/51412/514
DiarrhoeaGastrointestinal disorders13/5149/514
Urinary tract infectionInfections and infestations8/5147/514
HaematuriaRenal and urinary disorders8/5144/514
Pulmonary embolismRespiratory, thoracic and mediastinal disorders6/5148/514
NeutropeniaBlood and lymphatic system disorders6/5147/514
Cardiac failureCardiac disorders6/5140/514
PyrexiaGeneral disorders6/5144/514
Most frequent other events
Showing 10 of 46
Most frequent other events
EventPembrolizumab + DocetaxelPlacebo + Docetaxel
DiarrhoeaGastrointestinal disorders209/514184/514
AlopeciaSkin and subcutaneous tissue disorders182/514193/514
FatigueGeneral disorders183/514184/514
AnaemiaBlood and lymphatic system disorders147/514126/514
NauseaGastrointestinal disorders124/514135/514
AstheniaGeneral disorders132/514128/514
Peripheral sensory neuropathyNervous system disorders132/514100/514
ConstipationGastrointestinal disorders110/51485/514
Decreased appetiteMetabolism and nutrition disorders107/51498/514
Oedema peripheralGeneral disorders95/514106/514

Baseline characteristics

The baseline analysis population consisted of all randomized participants.

Age, Continuous
Age, Continuous(Years)Pembrolizumab + DocetaxelPlacebo + DocetaxelTotal
Mean69.9 ± 7.970.4 ± 7.170.1 ± 7.5
Sex: Female, Male
Sex: Female, Male(Participants)Pembrolizumab + DocetaxelPlacebo + DocetaxelTotal
Female000
Male5155151030
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Pembrolizumab + DocetaxelPlacebo + DocetaxelTotal
Hispanic or Latino7977156
Not Hispanic or Latino402393795
Unknown or Not Reported344579
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Pembrolizumab + DocetaxelPlacebo + DocetaxelTotal
American Indian or Alaska Native6814
Asian7876154
Native Hawaiian or Other Pacific Islander101
Black or African American131326
White401399800
More than one race151833
Unknown or Not Reported112
Prior Treatment with a Next Generation Hormonal Agent (NHA): Abiraterone Acetate
Prior Treatment with a Next Generation Hormonal Agent (NHA): Abiraterone Acetate(Participants)Pembrolizumab + DocetaxelPlacebo + DocetaxelTotal
Yes278277555
No237238475
Type of Metastases at Baseline
Type of Metastases at Baseline(Participants)Pembrolizumab + DocetaxelPlacebo + DocetaxelTotal
Bone only268239507
Liver343367
Other213243456
Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)
Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)(Participants)Pembrolizumab + DocetaxelPlacebo + DocetaxelTotal
ECOG = 0298286584
ECOG = 1212227439
ECOG = 2000
ECOG = 3000
ECOG = 4101
ECOG = 5000
Missing426
08

Study locations

215 sites
  • University of South Alabama, Mitchell Cancer Institute ( Site 0065)
    Mobile, Alabama 36604, United States
  • St. Joseph Heritage Healthcare ( Site 0069)
    Fullerton, California 92835, United States
  • University of Southern California Norris Comprehensive Cancer Center ( Site 0061)
    Los Angeles, California 90033, United States
  • USC Norris Oncology Hematology Newport Beach ( Site 0093)
    Newport Beach, California 92663, United States
  • University of California San Francisco ( Site 0023)
    San Francisco, California 94158, United States
  • University of Colorado Cancer Center ( Site 0022)
    Aurora, Colorado 80045, United States
  • Yale Cancer Center ( Site 0038)
    New Haven, Connecticut 06510, United States
  • Moffitt Cancer Center ( Site 0080)
    Tampa, Florida 33612, United States
  • Georgia Cancer Center at Augusta University ( Site 0026)
    Augusta, Georgia 30912, United States
  • Mount Sinai Hospital Medical Center ( Site 0042)
    Chicago, Illinois 60608, United States
  • Methodist Hospital- Merriillville ( Site 0008)
    Merrillville, Indiana 46410, United States
  • Karmanos Cancer Institute ( Site 0077)
    Detroit, Michigan 48201, United States
  • Henry Ford Health System ( Site 0039)
    Detroit, Michigan 48202-2608, United States
  • Cancer & Hematology Centers of Western Michigan ( Site 0013)
    Grand Rapids, Michigan 49503, United States
  • Washington University School of Medicine ( Site 0057)
    St Louis, Missouri 63110, United States
  • St. Vincent Frontier Cancer Center ( Site 0016)
    Billings, Montana 59102, United States
  • Nebraska Cancer Specialists ( Site 0034)
    Omaha, Nebraska 68130, United States
  • Comprehensive Cancer Centers of Nevada ( Site 0092)
    Las Vegas, Nevada 89169, United States
  • John Theurer Cancer Center at Hackensack University Medical Center ( Site 0004)
    Hackensack, New Jersey 07601, United States
  • Associated Medical Professionals of NY ( Site 0060)
    Syracuse, New York 13210, United States
  • Duke Cancer Center ( Site 0010)
    Durham, North Carolina 27710, United States
  • W. G. Bill Hefner VA Medical Center ( Site 0029)
    Salisbury, North Carolina 28144, United States
  • University Hospitals Cleveland Medical Center ( Site 0036)
    Cleveland, Ohio 44106, United States
  • Oregon Health Sciences University ( Site 0031)
    Portland, Oregon 97239, United States
  • Carolina Urologic Research Center ( Site 0070)
    Myrtle Beach, South Carolina 29572, United States
  • Inova Schar Cancer Institute ( Site 0006)
    Fairfax, Virginia 22031-4867, United States
  • Virginia Cancer Institute ( Site 0052)
    Richmond, Virginia 23230, United States
  • Blue Ridge Cancer Care ( Site 0086)
    Roanoke, Virginia 24014, United States
  • Centro de Oncologia e Investigacion Buenos Aires COIBA ( Site 1013)
    Berazategui, Buenos Aires B1884BBF, Argentina
  • Instituto de Investigaciones Clinicas ( Site 1000)
    Mar del Plata, Buenos Aires B7600FZN, Argentina
  • Centro de Diagnostico Urologico ( Site 1008)
    Buenos Aires, Buenos Aires F.D. C1120AAT, Argentina
  • Hospital Britanico de Buenos Aires ( Site 1006)
    Buenos Aires, Buenos Aires F.D. C1280AEB, Argentina
  • Sanatorio Parque ( Site 1002)
    Rosario, Santa Fe Province S2000DSV, Argentina
  • Instituto de Investigaciones Metabolicas [Buenos Aires, Argentina] ( Site 1011)
    Buenos Aires, C1012AAR, Argentina
  • Hospital Aleman ( Site 1004)
    Buenos Aires, C1118AAT, Argentina
  • Instituto Medico Alexander Fleming ( Site 1010)
    Buenos Aires, C1426ANZ, Argentina
  • CEMAIC ( Site 1014)
    Córdoba, X5008HHW, Argentina
  • St George Hospital ( Site 0157)
    Kogarah, New South Wales 2217, Australia
  • Macquarie University ( Site 0151)
    Macquarie University, New South Wales 2109, Australia
  • Port Macquarie Base Hospital ( Site 0153)
    Port Macquarie, New South Wales 2444, Australia
  • Calvary Mater Newcastle ( Site 0148)
    Waratah, New South Wales 2298, Australia
  • Redcliffe Hospital ( Site 0161)
    Redcliffe, Queensland 4020, Australia
  • John Flynn Hospital & Medical Centre ( Site 0164)
    Tugun, Queensland 4224, Australia
  • Hollywood Private Hospital ( Site 0163)
    Nedlands, Western Australia 6009, Australia
  • Medizinische Universitat Graz ( Site 0374)
    Graz, Styria 8036, Austria
  • Ordensklinikum Linz GmbH Elisabethinen ( Site 0373)
    Linz, Upper Austria 4020, Austria
  • SCRI-CCCIT GesmbH ( Site 0371)
    Salzburg, 5020, Austria
  • Medizinische Universitaet Wien ( Site 0375)
    Vienna, 1090, Austria
  • Hospital de Caridade de Ijui ( Site 1038)
    Ijuí, Rio Grande do Sul 98700-000, Brazil
  • Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da Pucrs ( Site 1021)
    Porto Alegre, Rio Grande do Sul 90610-000, Brazil
  • Centro de Novos Tratamentos Itajai - Clinica de Neoplasias Litoral ( Site 1035)
    Itajaí, Santa Catarina 88301-215, Brazil
  • Hospital de Base de Sao Jose de Rio Preto ( Site 1022)
    São José do Rio Preto, São Paulo 15090-000, Brazil
  • A.C. Camargo Cancer Center ( Site 1026)
    São Paulo, 01509-900, Brazil
  • Nova Scotia Health Authority QEII-HSC ( Site 0114)
    Halifax, Nova Scotia B3H 2Y9, Canada
  • Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0116)
    Hamilton, Ontario L8V5C2, Canada
  • Grand River Hospital ( Site 0120)
    Kitchener, Ontario N2G 1G3, Canada
  • Lakeridge Health ( Site 0117)
    Oshawa, Ontario L1G 2B9, Canada
  • Sunnybrook Research Institute ( Site 0108)
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Cancer Centre ( Site 0107)
    Toronto, Ontario M5G 2M9, Canada
  • CHU de Quebec-Universite Laval-Hotel Dieu de Quebec ( Site 0103)
    Québec, Quebec G1R 2J6, Canada
  • CIUSSS du Bas Saint Laurent - Hopital Regional de Rimouski ( Site 0102)
    Rimouski, Quebec G5L 5T1, Canada
  • CIUSSS de l Estrie - CHUS - Centre Hosp. Univ. Sherbrooke ( Site 0105)
    Sherbrooke, Quebec J1H 5N4, Canada
  • Centro Investigación del Cáncer James Lind ( Site 1041)
    Temuco, Araucania 4780000, Chile
  • Rey y Oreilly Limitada ( Site 1048)
    Temuco, Araucania 4810148, Chile
  • Fundacion Arturo Lopez Perez ( Site 1049)
    Santiago, Region M. de Santiago 7500921, Chile
  • Pontificia Universidad Catolica de Chile ( Site 1047)
    Santiago, Region M. de Santiago 8330032, Chile
  • Bradford Hill Centro de Investigaciones Clinicas ( Site 1044)
    Santiago, Region M. de Santiago 8420383, Chile
  • Centro de Investigaciones Clinicas Vina del Mar ( Site 1042)
    Viña del Mar, Valparaiso 2540488, Chile
  • Peking University First Hospital ( Site 1303)
    Beijing, Beijing Municipality 100034, China
  • The Fifth Medical Center of PLA General Hospital ( Site 1307)
    Beijing, Beijing Municipality 100071, China
  • Beijing Cancer Hospital ( Site 1305)
    Beijing, Beijing Municipality 100142, China
  • The First Affiliated Hospital of Xiamen University ( Site 1319)
    Xiamen, Fujian 361003, China
  • Sun Yat Sen Memorial Hospital ( Site 1323)
    Guangzhou, Guangdong 510220, China
  • The First Affiliated Hospital of Guangzhou Medical University ( Site 1330)
    Guangzhou, Guangdong 510230, China
  • Harbin Medical University Cancer Hospital ( Site 1326)
    Harbin, Heilongjiang 150081, China
  • Henan Cancer Hospital ( Site 1321)
    Zhengzhou, Henan 450008, China
  • Hubei Cancer Hospital ( Site 1329)
    Wuhan, Hubei 430079, China
  • Hunan Cancer Hospital ( Site 1320)
    Changsha, Hunan 410013, China
  • Nanjing Drum Tower Hospital ( Site 1312)
    Nanjing, Jiangsu 210008, China
  • Fudan University Shanghai Cancer Center ( Site 1300)
    Shanghai, Shanghai Municipality 200032, China
  • Zhongshan Hospital Fudan University ( Site 1301)
    Shanghai, Shanghai Municipality 200032, China
  • The Second Affiliated Hospital of Zhejiang University School of Medicine ( Site 1309)
    Hangzhou, Zhejiang 310009, China
  • Zhejiang Provincial People's Hospital ( Site 1310)
    Hangzhou, Zhejiang 310014, China
  • Hospital Pablo Tobon Uribe ( Site 1066)
    Medellín, Antioquia 050034, Colombia
  • Biomelab S A S ( Site 1067)
    Barranquilla, Atlántico 080002, Colombia
  • Clinica de la Costa Ltda. ( Site 1073)
    Barranquilla, Atlántico 080020, Colombia
  • Instituto Nacional de Cancerologia E.S.E ( Site 1061)
    Bogotá, Bogota D.C. 110321, Colombia
  • Clinica Colsanitas S.A. Sede Clinica Universitaria Colombia ( Site 1062)
    Bogotá, Bogota D.C. 111321, Colombia
  • Sociedad de Oncología Y Hematología del Cesar S.A.S. ( Site 1068)
    Valledupar, Cesar Department 200001, Colombia
  • Oncomedica S.A. ( Site 1057)
    Montería, Departamento de Córdoba 230002, Colombia
  • Oncologos del Occidente S.A. ( Site 1072)
    Pereira, Risaralda Department 660001, Colombia
  • Centro Medico Imbanaco de Cali S.A ( Site 1064)
    Cali, Valle del Cauca Department 760042, Colombia
  • Hemato Oncologos S.A. ( Site 1065)
    Cali, Valle del Cauca Department 760042, Colombia
  • C.H. de Saint Quentin ( Site 0481)
    Saint-Quentin, Aisne 02321, France
  • Clinique Sainte Anne ( Site 0431)
    Strasbourg, Alsace 67000, France
  • Centre Jean Perrin ( Site 0434)
    Clermont-Ferrand, Auvergne 63011, France
  • Centre Leon Berard ( Site 0422)
    Lyon, Auvergne 69373, France
  • Institut Paoli Calmettes. ( Site 0419)
    Marseille, Bouches-du-Rhone 13009, France
  • CHU Jean Minjoz ( Site 0423)
    Besançon, Doubs 25000, France
  • CHU de Brest -Site Hopital Morvan ( Site 0441)
    Brest, Finistere 29200, France

Showing the first 100 of 215 sites across 21 countries.

09

References and documents

Publications

  • Petrylak DP, Ratta R, Matsubara N, Korbenfeld E, Gafanov R, Mourey L, Todenhofer T, Gurney H, Kramer G, Bergman AM, Zalewski P, De Santis M, Armstrong AJ, Gerritsen W, Pachynski R, Byun SS, Retz M, Levesque E, McDermott R, Bracarda S, Manneh R, Levartovsky M, Li XT, Schloss C, Poehlein CH, Fizazi K. Pembrolizumab Plus Docetaxel Versus Docetaxel for Previously Treated Metastatic Castration-Resistant Prostate Cancer: The Randomized, Double-Blind, Phase III KEYNOTE-921 Trial. J Clin Oncol. 2025 May 10;43(14):1638-1649. doi: 10.1200/JCO-24-01283. Epub 2025 Mar 5. PubMed 40043230 ↗
  • Petrylak DP, Ratta R, Gafanov R, Facchini G, Piulats JM, Kramer G, Flaig TW, Chandana SR, Li B, Burgents J, Fizazi K. KEYNOTE-921: Phase III study of pembrolizumab plus docetaxel for metastatic castration-resistant prostate cancer. Future Oncol. 2021 Sep;17(25):3291-3299. doi: 10.2217/fon-2020-1133. Epub 2021 Jun 8. PubMed 34098744 ↗

Study documents

  • Protocol and statistical analysis plan · Sep 29, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03834506
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Feb 8, 2019
Start date
May 2, 2019
Primary completion
Jun 20, 2022
Completion
Jul 18, 2023
Results posted
Jun 18, 2023
Last update
Jul 18, 2025

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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