Table 3.
Events | Pembrolizumab Plus Chemotherapy n = 65 | Placebo Plus Chemotherapy n = 60 | ||
---|---|---|---|---|
Treatment-related AE, n (%) | 65 (100.0) | 60 (100.0) | ||
Grades 3–5 | 53 (81.5) | 49 (81.7) | ||
Leading to treatment discontinuation | ||||
Any treatment | 8 (12.3) | 1 (1.7) | ||
All treatmentsa | 1 (1.5) | 1 (1.7) | ||
Led to deathb | 1 (1.5) | 1 (1.7) | ||
Treatment-related AEs occurring in ≥20% of patients in either treatment group, n (%) | Any grade | Grades 3–5 | Any grade | Grades 3–5 |
Decreased white blood cell count | 51 (78.5) | 23 (35.4) | 42 (70.0) | 12 (20.0) |
Alopecia | 50 (76.9) | 0 | 39 (65.0) | 0 |
Decreased neutrophil count | 50 (76.9) | 40 (61.5) | 43 (71.7) | 34 (56.7) |
Anemia | 39 (60.0) | 3 (4.6) | 42 (70.0) | 6 (10.0) |
Hypesthesia | 29 (44.6) | 0 | 22 (36.7) | 0 |
Decreased appetite | 24 (36.9) | 0 | 18 (30.0) | 1 (1.7) |
Increased alanine aminotransferase | 23 (35.4) | 0 | 15 (25.0) | 1 (1.7) |
Nausea | 23 (35.4) | 0 | 10 (16.7) | 0 |
Arthralgia | 19 (29.2) | 1 (1.5) | 11 (18.3) | 0 |
Increased aspartate aminotransferase | 17 (26.2) | 0 | 11 (18.3) | 1 (1.7) |
Decreased platelet count | 16 (24.6) | 5 (7.7) | 22 (36.7) | 4 (6.7) |
Rash | 16 (24.6) | 0 | 3 (5.0) | 0 |
Immune-mediated AEs and infusion reactions, n (%) | 22 (33.8) | 5 (7.7)c | 6 (10.0) | 1 (1.7)c |
Hyperthyroidism | 11 (16.9) | 0 | 1 (1.7) | 0 |
Hypothyroidism | 9 (13.8) | 1 (1.5) | 1 (1.7) | 0 |
Pneumonitis | 6 (9.2) | 0 | 1 (1.7) | 0 |
Type 1 diabetes mellitus | 3 (4.6) | 3 (4.6) | 0 | 0 |
Infusion reactions | 2 (3.1) | 0 | 2 (3.3) | 1 (1.7) |
Thyroiditis | 2 (3.1) | 0 | 0 | 0 |
Colitis | 1 (1.5) | 1 (1.5) | 0 | 0 |
Myositis | 0 | 0 | 1 (1.7) | 0 |
AE, adverse event.
Includes patients who discontinued pembrolizumab or placebo, carboplatin, and paclitaxel owing to an AE.
AEs leading to death that were attributed to the study treatment by the investigator(s) were pneumonia (n = 1) in the pembrolizumab–chemotherapy group and gastrointestinal perforation (n = 1) in the placebo–chemotherapy group.
There were no deaths owing to immune-mediated AEs and infusion reactions.