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MK-3475

Phase 2

Cancer of Head and Neck | Monoclonal antibody | Oncology |Merck & Company, Inc.|Last Updated: May 8, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment67
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02296684Immunotherapy With MK-3475 in Surgically Resectable Head and Neck Squamous Cell CarcinomaPHASE2 COMPLETED 67Mar 25, 2015Jul 21, 2025May 8, 20263 United States
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Study Endpoints
Primary Endpoints
Locoregional Recurrence Rates in Cohorts 1 and 2
Within 1 year of surgery (surgery occurred within 13-22 days after neoadjuvant MK-3475 dose)

-The percentage of participants who developed local-regional recurrence within one year of surgery

Distant Failure Rate in Cohorts 1 and 2
Within 1 year of surgery (surgery occurred within 13-22 days after neoadjuvant MK-3475 dose)

-The percentage of participants who developed distant failure within one year of surgery. Distant disease is cancer that is found in another part of the body that is far away from where the original (primary) tumor first formed.

Rate of Major Pathologic Treatment Effect in Cohort 1
At the time of surgery (surgery occurred within 13-22 days after neoadjuvant MK-3475 dose)

* Major pathologic treatment effect=pathologic tumor response (pTR). * pTR was defined as the presence of tumor cell necrosis and keratinous debris with giant cell/histiocytic reaction, quantified as a percentage of the overall tumor bed (area pathologic response/area pathologic response plus viable tumor): pTR-0 (\>10%), pTR-1 (10-49%), and pTR-2 (≥50%).

Rate of Major Pathologic Treatment Effect in Cohort 2
At the time of surgery (surgery occurred within 13-22 days after last neoadjuvant MK-3475 dose)

* Major pathologic treatment effect=pathologic tumor response (pTR). * pTR was defined as the presence of tumor cell necrosis and keratinous debris with giant cell/histiocytic reaction, quantified as a percentage of the overall tumor bed (area pathologic response/area pathologic response plus viable tumor): pTR-0 (\>10%), pTR-1 (10-49%), and pTR-2 (≥50%).

Secondary Endpoints
Number of Participants in Cohort 1 and 2 Who Experienced Reportable Adverse Events
Through 30 days after last dose of MK-3475
Number of Surgical Complications and/or Delays in Cohorts 1 and 2
At the time of surgery (approximately 2-3 weeks after registration)
Locoregional Recurrence Rates in Cohorts 1 and 2
Through completion of follow-up (estimated to be 5 years after treatment)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1: Neoadjuvant MK-3475 and Adjuvant MK-3475EXPERIMENTAL* MK-3475 will be given intravenously once approximately 2-3 weeks prior to standard of care surgery. * Adjuvant therapy will be dictated by surgical pathology and occurs after standard of care surgery and will consist of: * risk-based intensity modulated radiation therapy consisting of 60 Gy in 2 Gy once-daily fraction size (total of 30 fractions)once-daily fraction size (total of 30 fractions) * optional image-guided radiation therapy * risk-based cisplatin administered intravenously on Days 1, 22, and 43 of treatment course * MK-3475 will be given intravenously once every 3 weeks for a maximum of 6 doses if participant is considered high-risk based surgical pathology from standard of care surgery. These doses of MK-3475 will be given after surgery and after all acute toxicities of post-operative standard of care chemotherapy and radiation have resolved to grade 1 or less.
Cohort 2: Neoadjuvant MK-3475EXPERIMENTAL-MK-3475 will be given once intravenously and then given again 21 days after dose 1 (14-24 days before standard of care surgery)
Interventions
NameTypeDescription
MK-3475 (neoadjuvant)BIOLOGICAL -
SurgeryPROCEDUREStandard of care
Intensity modulated radiation therapyRADIATIONRecommended, standard of care
Image-guided radiation therapyRADIATIONRecommended, standard of care
CisplatinDRUGStandard of care
MK-3475 (adjuvant)BIOLOGICAL -
Peripheral bloodPROCEDURE-Baseline, time of surgery (between day 14-24 inclusive), 3 months post surgery, 6 months post surgery, 9 months post surgery, 12 months post surgery
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Histologically or cytologically confirmed stage III or IV HNSCC oral cavity, hypopharynx, oropharynx, larynx (excluding p16 or HPV-positive oropharynx primaries and sinonasal primaries). * Measurable disease defined as lesions that can be accurately measured in at least one di...

Countries:United States
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Recent Changes (Last 90 Days)
MEDIUMJun 8, 2026NCT02296684TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT02296684TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT02296684TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT02296684TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT02296684TRIAL_REMOVED: changed
LOWMay 24, 2026NCT02296684studyFirstPostDate: changed