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Study of Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy for HR+/HER2- Locally Recurrent Inoperable or Metastatic Breast Cancer (MK-3475-B49/KEYNOTE-B49)
NCT04895358 · View on ClinicalTrials.gov ↗
Study Summary
The safety and efficacy of pembrolizumab plus the investigator's choice of chemotherapy will be assessed compared to placebo plus the investigator's choice of chemotherapy in the treatment of chemotherapy-candidate hormone receptor-positive, human epidermal growth factor receptor 2-negative (HR+/HER2-) locally recurrent inoperable or metastatic breast cancer. The primary hypotheses are that the combination of pembrolizumab and chemotherapy is superior to placebo and chemotherapy in regards to Progression-Free Survival (PFS) in participants with programmed cell death-ligand 1 (PD-L1) combined positive score (CPS) ≥1. Prior to protocol amendment 7, participants who discontinued pembrolizumab/placebo with SD or better and subsequently experienced disease progression may have been eligible for up to 17 additional administrations of pembrolizumab if, upon unblinding, they were found to have received pembrolizumab, at the same dose and schedule used for the initial treatment period.
Conditions Studied
Interventions
- BIOLOGICAL pembrolizumab
- DRUG nab-paclitaxel
- DRUG paclitaxel
- DRUG liposomal doxorubicin
- DRUG capecitabine
Study Locations (20)
Illinois
- University of Illinois at Chicago ( Site 0061) — Chicago
- Edward-Elmhurst Healthcare, Elmhurst Hospital-Nancy W. Knowles Cancer Center ( Site 0067) — Elmhurst
- Edward-Elmhurst Healthcare, Edward Hospital-Edward Cancer Center ( Site 0066) — Naperville
- Edward-Elmhurst Healthcare, Edward Hospital - Plainfield-Edward Cancer Center - Plainfield ( Site 00 — Plainfield
- Orchard Healthcare Research Inc. ( Site 0037) — Skokie
Florida
- Baptist MD Anderson Cancer Center ( Site 0013) — Jacksonville
- Miami Cancer Institute at Baptist Health, Inc. ( Site 0070) — Miami
- Miami Cancer Institute - Plantation ( Site 0076) — Plantation
California
- Pacific Cancer Care ( Site 0023) — Monterey
- UCSF Medical Center at Mission Bay ( Site 0043) — San Francisco
District of Columbia
- Georgetown University Medical Center-Department of Medicine and Oncology ( Site 0026) — Washington D.C.
- MedStar Washington Hospital Center ( Site 0063) — Washington D.C.
Georgia
- University Cancer & Blood Center, LLC ( Site 0032) — Athens
- Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital-Research ( Site 0028) — Marietta
Louisiana
- Louisiana State University Health Sciences Shreveport ( Site 0072) — Shreveport
- CHRISTUS Highland-Oncology Research ( Site 0073) — Shreveport
Alabama
- University of Alabama at Birmingham-Medicine ( Site 0065) — Birmingham
Arizona
- Arizona Oncology Associates-Arizona Oncology ( Site 0049) — Tucson
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 340 participants |
| Start Date | 2021-06-18 |
| Est. Completion | 2027-12-18 |
| Phase | Phase 3 |
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Full Details on ClinicalTrials.gov ↗What the Registry Record Tells You About NCT04895358
The ClinicalTrials.gov registry entry for NCT04895358 describes a study currently listed as active not recruiting. It is categorized as Phase 3, which is the standard way researchers label where a study sits along the investigational pathway from early safety work through later efficacy and post-marketing evaluation. The registered enrollment target is 340 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is Merck Sharp & Dohme, which has 741 total studies on file at ClinicalTrials.gov, and sponsors are the parties responsible for study design, oversight, and regulatory filings.
The record links to 1 condition, with Breast Neoplasms appearing as the primary indexed condition, and to 5 interventions — of which pembrolizumab is the first listed. Interventions can include drugs, devices, procedures, behavioral programs, or observational arms, and each is tracked as a separate registry field so that downstream queries can filter accurately. When a trial lists multiple interventions, it usually reflects a multi-arm design or a comparison protocol rather than a single treatment being tested in isolation. The brief summary published in the registry is the clearest source of protocol intent and should be read before drawing conclusions from any sidebar tags.
Geographic footprint matters for practical reasons: NCT04895358 reports 20 study locations spanning 10 distinct geographic areas — top geographies include Illinois, Florida, California. A larger site network tends to correlate with broader recruitment capacity, but it does not imply anything about study quality, and site-level enrollment status can diverge from the overall registry status shown above. Every data point on this page comes from the public ClinicalTrials.gov dataset and is reproduced here for reference only; it is not a medical recommendation, an endorsement of the sponsor, or an invitation to enroll. Verify current status, eligibility criteria, and contact details directly at ClinicalTrials.gov, and discuss any participation decision with your own healthcare provider.
Frequently Asked Questions
What is clinical trial NCT04895358 about?
NCT04895358 is a clinical study titled "Study of Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy for HR+/HER2- Locally Recurrent Inoperable or Metastatic Breast Cancer (MK-3475-B49/KEYNOTE-B49)". The safety and efficacy of pembrolizumab plus the investigator's choice of chemotherapy will be assessed compared to placebo plus the investigator's choice of chemotherapy in the treatment of chemotherapy-candidate hormone receptor-positive, human epidermal growth factor receptor 2-negative (HR+/HER...
What is the current status of trial NCT04895358?
This trial is currently active not recruiting. It is a Phase 3 study. The enrollment target is 340 participants. The study started on 2021-06-18. Estimated completion is 2027-12-18.
What conditions does trial NCT04895358 study?
This clinical trial studies the following conditions: Breast Neoplasms. These conditions were identified from the trial registry and reflect the primary focus areas of the research.
What interventions are being tested in trial NCT04895358?
The interventions under investigation include: pembrolizumab (BIOLOGICAL), nab-paclitaxel (DRUG), paclitaxel (DRUG), liposomal doxorubicin (DRUG), capecitabine (DRUG). Each intervention is being evaluated for safety and efficacy as part of this clinical study.
Who is sponsoring clinical trial NCT04895358?
This trial is sponsored by Merck Sharp & Dohme, which has 741 total clinical trials registered on ClinicalTrials.gov. The sponsor is responsible for the study's design, funding, and regulatory compliance.
Where is trial NCT04895358 being conducted?
This trial has 20 study locations across Alabama, Arizona, California, District of Columbia, Florida. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.
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