Study of Tuvusertib (M1774) in Combination With DNA Damage Response Inhibitor or Immune Checkpoint Inhibitor (DDRiver Solid Tumors 320)
An Open-label, Multicenter Phase Ib Study of the Safety, Tolerability, and Pharmacokinetic/Pharmacodynamic Profile of the ATR Inhibitor Tuvusertib (M1774) in Combination With DNA Damage Response Inhibitors or Immune Checkpoint Inhibitors in Patients With Metastatic or Locally Advanced Unresectable Solid Tumors (DDRiver Solid Tumors 320)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: US Medical Information
- Phone Number: 888-275-7376
- Email: eMediUSA@emdserono.com
Study Contact Backup
- Name: Communication Center
- Phone Number: +49 6151 72 5200
- Email: service@emdgroup.com
Study Locations
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St Leonards, Australia
- Royal North Shore Hospital
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Waratah, Australia
- Calvary Mater Newcastle - PARENT
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Toronto, Canada, M5G 2C1
- Princess Margaret Cancer Centre
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Seongnam-si, South Korea, 13620
- Seoul National University Bundang Hospital
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Seoul, South Korea, 05505
- Asan Medical Center
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Seoul, South Korea, 06351
- Samsung Medical Center
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Seoul, South Korea, 06591
- The Catholic University of Korea, Seoul St. Mary's Hospital
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Seoul, South Korea, 08308
- Korea University Guro Hospital
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Seoul, South Korea, 03722
- Severance Hospital, Yonsei University Health System - Division of Infectious Diseases
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Barcelona, Spain
- Hospital Clinic de Barcelona - Servicio de Oncologia
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Barcelona, Spain, 08023
- Hospital QuironSalud Barcelona - Next Oncology
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Madrid, Spain, 28050
- Centro Integral Oncologico Clara Campal - Unidad de Fase I-Oncologica
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Madrid, Spain, 28223
- Hospital Universitario Quironsalud Madrid - NEXT Oncology
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Madrid, Spain
- Hospital Universitario Fundacion Jimenez Diaz - START Madrid FJD - Oncology Phase I
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California
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Santa Rosa, California, United States, 95403
- Providence Medical Foundation
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Florida
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Miami, Florida, United States, 33136
- University of Miami School of Medicine
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Georgia
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Augusta, Georgia, United States, 30912
- Augusta University - formerly Georgia Regents University
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Kansas
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Kansas City, Kansas, United States, 66205
- The University of Kansas Medical Center Research Institute, Inc.
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South Carolina
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Myrtle Beach, South Carolina, United States, 29572
- Carolina Urologic Research Center
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Texas
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Dallas, Texas, United States, 75230
- Mary Crowley Cancer Research Centers
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Houston, Texas, United States, 77030
- University of Texas M. D. Anderson Cancer Center - Partner
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San Antonio, Texas, United States, 78229
- NEXT Oncology
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Parts A1, A1.1, A1.2, A2, A3, and A2/3: Participants with metastatic or locally advanced unresectable solid tumors refractory to standard therapy or for which no standard therapy is judged appropriate by the Investigator, which may convey clinical benefit, or who cannot tolerate standard of care treatment
- Parts A1.1 and A1.2: Triple negative breast cancer, epithelial ovarian cancer, castrate resistant prostate cancer, urothelial cancer, endometrial cancer, and colorectal cancer independent of mutation status.
- Part A2: Participants with advanced prostate cancer whose tumor carries a genetic loss of function (LoF) mutation(s) in the gene ataxia telangiectasia mutated (ATM). No more than 3 prior lines of therapy for castrate resistant disease. Prior therapy must have included a taxane and a novel antiandrogen (example [e.g.] enzalutamide).
- Part A3: Participants with advanced endometrial cancer whose tumor carries a genetic LoF mutation(s) in the gene AT-rich interaction domain 1A (ARID1A). Prior therapy must have included a platinum agent. Prior therapy must also have included a checkpoint inhibitor if the participant has mismatch repair (MMR)-deficient endometrial cancer. Note for Parts A2/A3: Participants with ATM LoF mutated prostate cancer and ARID1A LoF mutated endometrial cancer should be prioritized to the respective expansion arms instead of being enrolled in Part A1.1. The presence of ATM and ARID1A LoF mutations will be determined according to historic data collected prior to prescreening, generated by an assay with appropriate regulatory status, in either tumor or liquid biopsy. The Sponsor will confirm that mutations certified by historic data fulfil this definition.
- Participants with eastern Cooperative Oncology Group (ECOG) performance status 0 or 1, with estimated life expectancy of at least 3 months
- Adequate hematological, hepatic, and renal function as defined in the protocol
- Other protocol defined inclusion criteria could apply
Exclusion Criteria:
- Participants with any condition, including any uncontrolled disease state other than with metastatic or locally advanced unresectable solid tumors, that in the Investigator's opinion constitutes an inappropriate risk or a contraindication for participation in the study or that could interfere with the study objectives, conduct, or evaluation
- Participants with a known additional malignancy that is progressing and/or requires active treatment
- Participants with carcinomatous meningitis are excluded regardless of clinical stability
- Participants with serious gastrointestinal bleeding within 3 months, refractory nausea and vomiting, uncontrolled diarrhea, known malabsorption, significant small bowel resection or gastric bypass surgery, use of feeding tubes, other chronic gastrointestinal disease, and/or other situations that may preclude adequate absorption of oral medications
- Participants with organ transplantation, including allogeneic stem cell transplant
- Other protocol defined exclusion criteria could apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Part A1: Tuvusertib and Lartesertib
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Tuvusertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, and Part B1 until disease progression, death, discontinuation, or end of study.
Other Names:
Lartesertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, until disease progression, death, discontinuation, or end of study.
Other Names:
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Experimental: Part A1.1: Tuvusertib and Lartesertib
Assessment of the Effect of Food (Low-fat Meal) on the PK of M4076 Monotherapy Followed by Treatment with M1774 in Combination with M4076
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Tuvusertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, and Part B1 until disease progression, death, discontinuation, or end of study.
Other Names:
Lartesertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, until disease progression, death, discontinuation, or end of study.
Other Names:
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Experimental: Part A1.2: Tuvusertib and Lartesertib
Relative Bioavailability Assessment of Tuvusertib Tablet (TF1) vs Capsule Followed by Treatment with Tuvusertib in Combination with Lartesertib
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Tuvusertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, and Part B1 until disease progression, death, discontinuation, or end of study.
Other Names:
Lartesertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, until disease progression, death, discontinuation, or end of study.
Other Names:
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Experimental: Part A2: Tuvusertib and Lartesertib
ATM in prostate cancer (Part A2)
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Tuvusertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, and Part B1 until disease progression, death, discontinuation, or end of study.
Other Names:
Lartesertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, until disease progression, death, discontinuation, or end of study.
Other Names:
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Experimental: Part A3: Tuvusertib and Lartesertib
ARID1A in endometrial cancer
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Tuvusertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, and Part B1 until disease progression, death, discontinuation, or end of study.
Other Names:
Lartesertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, until disease progression, death, discontinuation, or end of study.
Other Names:
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Experimental: Part A2/A3: Tuvusertib and Lartesertib
Tablet formulation (TF1, test) compared to a capsule formulation (reference)
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Tuvusertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, and Part B1 until disease progression, death, discontinuation, or end of study.
Other Names:
Lartesertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, until disease progression, death, discontinuation, or end of study.
Other Names:
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Experimental: Part B1: Tuvusertib and Avelumab
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Avelumab will be administered by intravenous infusion once a day over a defined period of time in Part B1 until disease progression, death, discontinuation, or end of study.
Tuvusertib will be administered orally once daily over a defined period of time in Part A1, A1.1, A1.2, A2, A3, A2/A3, and Part B1 until disease progression, death, discontinuation, or end of study.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part B1: Number of Participants with Dose-Limiting Toxicities (DLTs) During the DLT Evaluation Period
Time Frame: Day 1 up to Day 28
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Day 1 up to Day 28
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Part A1: Number of Participants With Dose-Limiting Toxicities (DLTs) During the DLT Evaluation Period
Time Frame: Day 1 up to Day 28
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Day 1 up to Day 28
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Part A1: Number of Participants With Adverse Events (AEs) and Treatment-Related AEs
Time Frame: Baseline up to 18 months
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Baseline up to 18 months
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Part B1: Number of Participants with AEs and Treatment-Related AEs
Time Frame: Baseline up to 18 months
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Baseline up to 18 months
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Part A1: Change From Baseline in Pharmacodynamic (PD) Biomarker
Time Frame: Pre-dose up to approximately 1 month
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The PD biomarker of histone variant will be measured by flow cytometry.
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Pre-dose up to approximately 1 month
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Part B1: Change From Baseline in PD Biomarker
Time Frame: Pre-dose up to approximately 1 month
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The PD biomarker of histone variant will be measured by flow cytometry.
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Pre-dose up to approximately 1 month
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Part A2/A3: Objective Response according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as assessed by Investigator
Time Frame: Up to 18 months after first dose administration
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Up to 18 months after first dose administration
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Part A2/A3: Number of Participants With AEs and Treatment-Related AEs
Time Frame: Baseline up to 18 months
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Baseline up to 18 months
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Part A1.1: PK Plasma Concentration of Lartesertib Under Fed and Fasted Conditions
Time Frame: Day -1 up to Period 1 Day 1
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Day -1 up to Period 1 Day 1
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Part A1.2: Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero Extrapolated to Infinity [Frel(AUC0-inf)] of Tuvusertib Test Treatment Compared to Tuvusertib Reference Treatment
Time Frame: Day -4 up to Period 1 Day 1
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Day -4 up to Period 1 Day 1
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Part A1.2: Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero to Last Quantifiable Concentration [Frel(AUC0-t)] of Tuvusertib Test Treatment Compared to Tuvusertib Reference Treatment
Time Frame: Day -4 up to Period 1 Day 1
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Day -4 up to Period 1 Day 1
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Part A1.2: Ratio Maximum Observed Plasma Concentration (Ratio[Cmax]) of Tuvusertib Test Treatment Compared to Tuvusertib Reference Treatment
Time Frame: Day -4 up to Period 1 Day 1
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Day -4 up to Period 1 Day 1
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Part A2/A3: Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero Extrapolated to Infinity [Frel(AUC0-inf)] of Tuvusertib Test Treatment Compared to Tuvusertib Reference Treatment
Time Frame: Day -4 up to Period 1 Day 1
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Day -4 up to Period 1 Day 1
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Part A2/A3: Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero to Last Quantifiable Concentration [Frel(AUC0-t)] of Tuvusertib Test Treatment Compared to Tuvusertib Reference Treatment
Time Frame: Day -4 up to Period 1 Day 1
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Day -4 up to Period 1 Day 1
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Part A2/A3: Ratio Maximum Observed Plasma Concentration (Ratio[Cmax]) of Tuvusertib Test Treatment Compared to Tuvusertib Reference Treatment
Time Frame: Day -4 up to Period 1 Day 1
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Day -4 up to Period 1 Day 1
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Part A1 and B1: Number of Participants with Clinically Significant Abnormalities in Digital Electrocardiogram (ECG) Measures
Time Frame: Baseline up to 18 months
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Baseline up to 18 months
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Part A1 and B1: Objective Response (OR) According to Response Evaluation Criteria in Solid Tumor (RECIST) v1.1
Time Frame: Up to 18 months after first dose administration
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Up to 18 months after first dose administration
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Part B1: Pharmacokinetic (PK) Serum Concentration of Avelumab
Time Frame: Pre-dose up to approximately 18 months
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Pre-dose up to approximately 18 months
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Part B1: Number of Participants with Any Positive Anti-Drug Antibody (ADA) of Avelumab
Time Frame: Baseline up to 18 months
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Baseline up to 18 months
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Part A2/A3: Duration of Response according to RECIST v1.1
Time Frame: Up to 18 months after first dose administration
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Up to 18 months after first dose administration
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Part A2/A3: Clinical benefit (either OR or stable disease for 6 months or more) according to RECIST v1.1.
Time Frame: Up to 18 months after first dose administration
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Up to 18 months after first dose administration
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Part A2/A3: Progression Free Survival according to RECIST v1.1 modified according to the Prostate Cancer Working Group 3 (PCWG-3), assessed by Investigator
Time Frame: Up to 18 months after first dose administration
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Up to 18 months after first dose administration
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Part A1: Pharmacokinetic (PK) Plasma Concentration of Tuvusertib and Lartesertib
Time Frame: Pre-dose up to approximately 6 months
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Pre-dose up to approximately 6 months
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Parts A1.2 and B1: Pharmacokinetic (PK) Plasma Concentration of Tuvusertib
Time Frame: Pre-dose up to approximately 6 months
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Pre-dose up to approximately 6 months
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Parts A1.1, A1.2 and A2/3: Number of Participants With AEs and Treatment-Related AEs
Time Frame: Baseline up to 18 months
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Baseline up to 18 months
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Part A1.1: PK Plasma and Urine Concentration of Lartesertib Under Fed and Fasted Conditions
Time Frame: Day -1 up to Period 1 Day 1
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Day -1 up to Period 1 Day 1
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Part A2/A3: Time to Reach Maximum Plasma Concentration (tmax) of Tuvusertib
Time Frame: Day -4 up to Period 1 Day 1
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Day -4 up to Period 1 Day 1
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Medical Responsible, Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MS201924_0020
- 2022-500287-35-00 (Other Identifier: EU Trial Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD will not be shared for Phase I interventional or observational studies.
Further information on how to request data can be found on our website bit.ly/IPD21.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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