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. 2023 May 4;2023(5):CD013798. doi: 10.1002/14651858.CD013798.pub2

NCT03260894.

Study name KEYNOTE‐679/ECHO‐302
Methods Study type: RCT, phase III
Blinding: no, open‐label
Accrual period: December 7, 2017 ‐ February 8, 2022 (estimated study completion date)
Countries: multicentre (140 study locations)
Cross‐over study: no
Status: Active, not recruiting (as of February 28, 2022)
Participants Estimated enrolment: N = 129
Inclusion criteria:
  • histologic confirmation of locally advanced or metastatic RCC with a clear‐cell component with or without sarcomatoid features

  • must not have received any prior systemic therapy for their mRCC

  • measurable disease based on RECIST v1.1

  • archival tumour tissue sample or newly obtained core or excisional biopsy of a tumour lesion as required

  • Karnofsky performance status ≥ 70%

  • adequate organ function per protocol‐defined criteria


Exclusion criteria:
  • use of protocol‐defined prior/concomitant therapy

  • currently receiving or has received an investigational treatment as part of a study of an investigational agent or has used an investigational device within 4 weeks before randomisation

  • history of severe hypersensitivity reaction to study treatments or their excipients

  • active autoimmune disease that has required systemic treatment in past 2 years

  • known additional malignancy that has progressed or has required active treatment in the last 3 years

  • known active central nervous system metastases and/or carcinomatous meningitis

  • history of (noninfectious) pneumonitis that required steroids or current pneumonitis

  • history or presence of an abnormal electrocardiogram that, in the investigator's opinion, is clinically meaningful

  • significant cardiac event within 12 months before Cycle 1 Day 1

Interventions Experimental arm: pembrolizumab + epacadostat
Control arm: sunitinib or Pazopanib
Outcomes Primary outcome(s):
Secondary outcome(s):
  • Safety and tolerability (AEs) (time frame: data reported from start of study to data cutoff 28‐Feb‐2019, up to 15 months)


Relevant to this review but not reported: SAEs, OS, PFS, QoL, TFST, number of patients who discontinued treatment
Other outcomes (not relevant to this review): ORR
Starting date 07.12.2017
Contact information Mark Jones, MD
Notes Funding sources: Incyte Corporation, Merck Sharp & Dohme Corp.