Evidence map›Paper›PMID 41122636›Full record

ArticleFrontiers in oncology2025

Health-related quality of life outcomes from KEYNOTE-412: chemoradiotherapy with or without pembrolizumab in participants with head and neck squamous cell carcinoma.

J-P Machiels, Y Tao, L Licitra, B Burtness, M Tahara, D Rischin, G V Alves, I P F Lima, B G M Hughes, Y Pointreau and 18 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03040999 (A Randomized Phase III Study of Pembrolizumab Given Concomitantly With Chemoradiation and as Maintenance Therapy Versus Chemoradiation Alone in Subjects With Locally Advanced Head and Neck Squamous Cell Carcinoma), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03040999 phase3completednot on this map

A Randomized Phase III Study of Pembrolizumab Given Concomitantly With Chemoradiation and as Maintenance Therapy Versus Chemoradiation Alone in Subjects With Locally Advanced Head and Neck Squamous Cell Carcinoma (KEYNOTE-412)

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2017 to 2024Enrolled804ConditionsHead and Neck NeoplasmsArmsPembrolizumab, Placebo, Cisplatin, Accelerated Fractionation (AFX) Radiotherapy, Standard Fractionation (SFX) Radiotherapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

J-P MachielsDepartment of Medical Oncology, Cliniques Universitaires Saint-Luc and Institut de Recherche Expérimentale et Clinique (Pole MIRO), UCLouvain, Brussels, Belgium.
Y TaoDepartment of Radiation Oncology, Gustave Roussy, Villejuif, France.
L LicitraHead and Neck Cancer Medical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori and University of Milan, Milan, Italy.
B BurtnessYale University School of Medicine and Yale Cancer Center, New Haven, CT, United States.
M TaharaDivision of Head and Neck Medical Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
D RischinMedical Oncology, Peter MacCallum Cancer Centre and the University of Melbourne, Melbourne, VIC, Australia.
G V AlvesMedical Oncology, Centro Integrado de Pesquisa em Oncología, Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil.
I P F LimaDepartment of Oncology, CRIO Centro Regional Integrado de Oncología, Fortaleza, Brazil.
B G M HughesRoyal Brisbane and Women's Hospital and University of Queensland, Brisbane, QLD, Australia.
Y PointreauDepartment of Radiation Oncology, Centre Jean Bernard Institut Inter-régionaL de Cancérologie, Centre de Cancérologie de la Sarthe, Le Mans, France.
S AksoyDepartment of Medical Oncology, Hacettepe University Cancer Institute, Ankara, Türkiye.
S LabanHead & Neck Cancer Center of the Comprehensive Cancer Center Ulm, Ulm University Medical Center, Ulm, Germany.
R GreilDepartment of Internal Medicine, Paracelsus Medical University, Salzburg Cancer Research Institute, and Cancer Cluster Salzburg, Salzburg, Austria.
M BurianKrankenhaus der Barmherzigen Schwestern Linz, Linz, Austria.
M HetnalAndrzej Frycz Modrzewski Krakow University, Amethyst Radiotherapy Center, Rydygier Hospital, Krakow, Poland.
J-P DelordEuropean Cancer Organisation, Brussels, Belgium.
R MesiaMedical Oncology Department, Catalan Institute of Oncology - Badalona, B-ARGO group, CARE program, IGTP, Badalona, Spain.
M TabernaSavana, Madrid, Spain.
J WaldronDepartment of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON, Canada.
C SimonDepartment of Otolaryngology-Head and Neck Surgery, University Medical Center Vaud (CHUV) - Lausanne University Hospital, Lausanne, Switzerland.
V GregoireRadiation Oncology Department, Léon Bérard Cancer Center, Lyon, France.
K HarringtonThe Institute of Cancer Research, London, United Kingdom.
C M BlackMerck & Co., Inc., Rahway, NJ, United States.
J M NorquistMerck & Co., Inc., Rahway, NJ, United States.
A WangMerck & Co., Inc., Rahway, NJ, United States.
B GumuscuMerck & Co., Inc., Rahway, NJ, United States.
B BidadiMerck & Co., Inc., Rahway, NJ, United States.
L L SiuDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The health-related quality of life (HRQoL) of patients with locally advanced head and neck squamous cell carcinoma (LA HNSCC) is impacted by both disease- and treatment-related factors. Treatments that preserve and maximize HRQoL in this setting represent a substantial unmet need. Methods: KEYNOTE-412 (NCT03040999) was a randomized, double-blind, placebo-controlled phase 3 study of pembrolizumab plus chemoradiotherapy (CRT) versus placebo plus CRT for maintenance therapy in participants with treatment-naïve LA HNSCC. Patient-reported outcomes (PROs) assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and EORTC QLQ Head and Neck 35 (H&N35) were pre-specified secondary endpoints and administered at baseline and throughout the study. Least squares mean (LSM) change from baseline was assessed using a constrained longitudinal data analysis model. No formal statistical significance testing was performed. Results: The PRO analysis population included 395 participants randomized to receive pembrolizumab plus CRT and 397 to receive placebo plus CRT. Completion rates for all assessed PROs were >95% at baseline and >66% at week 45. LSM change from baseline to week 45 was similar between groups across EORTC QLQ-C30 and QLQ-H&N35 subscale scores. There were no notable differences in empirical mean change or the proportion of participants with improvement, stability, or deterioration from baseline to week 45 between treatment groups. Conclusion: The addition of pembrolizumab to CRT did not meaningfully impact HRQoL in participants with LA HNSCC.

Indexed as

chemoradiotherapyhead and neck cancerhealth-related quality of lifeimmunotherapypatient reported outcomespembrolizumab

Identifiers

PMID41122636
PMCPMC12535876

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.