A Study of Ifinatamab Deruxtecan in Pediatric Participants With Relapsed or Refractory Solid Tumors (MK-9999-01D/LIGHTBEAM-U01)
LIGHTBEAM-U01 Substudy 01D: A Phase 1b/2 Substudy to Evaluate the Safety and Efficacy of Ifinatamab Deruxtecan in Pediatric Participants With Relapsed or Refractory Solid Tumors
Researchers are looking for new ways to treat children with relapsed or refractory solid tumors:
- Relapsed means the cancer came back after treatment
- Refractory means the cancer did not respond (get smaller or go away) to treatment
- Solid tumors are cancers mostly in body organs and tissues, not in the blood or other body liquids
The study treatment I-DXd (also known as MK-2400 or ifinatamab deruxtecan) is an antibody-drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. The goals of this study are to learn:
- About the safety of I-DXd and if children younger than 12 years old tolerate it
- How many children who receive I-DXd have the cancer get smaller or go away
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Toll Free Number
- Telefonnummer: 1-888-577-8839
- E-mail: Trialsites@msd.com
Studiesteder
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Oost-Vlaanderen
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Ghent, Oost-Vlaanderen, Belgien, 9000
- Rekruttering
- UZ Gent ( Site 4428)
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Kontakt:
- Study Coordinator
- Telefonnummer: +32 9 332 16 53
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Capital Region
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Copenhagen, Capital Region, Danmark, DK-2100
- Rekruttering
- Rigshospitalet ( Site 4467)
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Kontakt:
- Study Coordinator
- Telefonnummer: +4535455002
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California
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Los Angeles, California, Forenede Stater, 90027
- Rekruttering
- Children's Hospital Los Angeles ( Site 4006)
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Kontakt:
- Study Coordinator
- Telefonnummer: 323-361-2121
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Colorado
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Aurora, Colorado, Forenede Stater, 80045
- Rekruttering
- Children's Hospital Colorado-Center for Cancer and Blood Disorders ( Site 4016)
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Kontakt:
- Study Coordinator
- Telefonnummer: 720-777-6740
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Iowa
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Iowa City, Iowa, Forenede Stater, 52242
- Rekruttering
- University of Iowa Hospitals ( Site 4017)
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Kontakt:
- Study Coordinator
- Telefonnummer: 319-356-2296
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02215
- Rekruttering
- Dana Farber Cancer Center ( Site 4013)
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Kontakt:
- Study Coordinator
- Telefonnummer: 617-632-4580
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Michigan
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Grand Rapids, Michigan, Forenede Stater, 49503
- Rekruttering
- Corewell Health ( Site 4001)
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Kontakt:
- Study Coordinator
- Telefonnummer: 616-486-0746
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New Jersey
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New Brunswick, New Jersey, Forenede Stater, 08901
- Rekruttering
- Rutgers Cancer Institute of New Jersey ( Site 4008)
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Kontakt:
- Study Coordinator
- Telefonnummer: 732-235-2465
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New York
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New York, New York, Forenede Stater, 10065
- Rekruttering
- Memorial Sloan Kettering Cancer Center ( Site 4010)
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Kontakt:
- Study Coordinator
- Telefonnummer: 888-492-8401
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Valhalla, New York, Forenede Stater, 10595
- Rekruttering
- New York Medical College ( Site 4023)
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Kontakt:
- Study Coordinator
- Telefonnummer: 914-614-4270
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North Dakota
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Fargo, North Dakota, Forenede Stater, 58102
- Rekruttering
- Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 4003)
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Kontakt:
- Study Coordinator
- Telefonnummer: 701-234-2000
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- Rekruttering
- Children's Hospital of Philadelphia (CHOP) ( Site 4021)
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Kontakt:
- Study Coordinator
- Telefonnummer: 267-425-5544
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South Dakota
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Sioux Falls, South Dakota, Forenede Stater, 57105
- Rekruttering
- Sanford Children's Hospital ( Site 4015)
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Kontakt:
- Study Coordinator
- Telefonnummer: 605-312-1000
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Texas
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- University of Texas M.D. Anderson Cancer Center ( Site 4007)
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Kontakt:
- Study Coordinator
- Telefonnummer: 713-792-5410
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Utah
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Salt Lake City, Utah, Forenede Stater, 84113
- Rekruttering
- Intermountain - Primary Children's Hospital ( Site 4014)
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Kontakt:
- Study Coordinator
- Telefonnummer: 801-662-4700
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Aquitaine
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Bordeaux, Aquitaine, Frankrig, 33076
- Rekruttering
- Bordeaux University Hospital - Pellegrin ( Site 4105)
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Kontakt:
- Study Coordinator
- Telefonnummer: +33 5 56 79 56 79
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Loire-Atlantique
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Nantes, Loire-Atlantique, Frankrig, 44093
- Rekruttering
- Centre Hospitalier Universitaire de Nantes - Hôpital Femme-Enfant-Adolescent Chu De Nantes ( Site 4104)
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Kontakt:
- Study Coordinator
- Telefonnummer: +33240087805
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Rhone
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Lyon, Rhone, Frankrig, 69373
- Rekruttering
- CENTRE LEON BERARD ( Site 4100)
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Kontakt:
- Study Coordinator
- Telefonnummer: +33469166572
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Haifa, Israel, 3109601
- Rekruttering
- Rambam Health Care Campus ( Site 4674)
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Kontakt:
- Study Coordinator
- Telefonnummer: +97247776755
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Ramat Gan, Israel, 5265601
- Rekruttering
- Sheba Medical Center ( Site 4675)
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Kontakt:
- Study Coordinator
- Telefonnummer: +97235302996
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Barcelona, Spanien, 08035
- Rekruttering
- Hospital Universitari Vall d Hebron ( Site 4716)
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Kontakt:
- Study Coordinator
- Telefonnummer: +34934893093
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Barcelona
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Esplugues de Llobregat, Barcelona, Spanien, 8950
- Rekruttering
- Hospital Sant Joan de Déu ( Site 4717)
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Kontakt:
- Study Coordinator
- Telefonnummer: +34671600093
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Madrid, Comunidad de
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Madrid, Madrid, Comunidad de, Spanien, 28009
- Rekruttering
- Hospital Niño Jesús ( Site 4715)
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Kontakt:
- Study Coordinator
- Telefonnummer: +34915035900
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Västra Götaland County
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Gothenburg, Västra Götaland County, Sverige, 416 85
- Rekruttering
- Sahlgrenska Universitetssjukhuset ( Site 4634)
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Kontakt:
- Study Coordinator
- Telefonnummer: +46313435865
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Seoul, Sydkorea, 03080
- Rekruttering
- Seoul National University Hospital-Pediatrics ( Site 4972)
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Kontakt:
- Study Coordinator
- Telefonnummer: 82220723304
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Seoul, Sydkorea, 05505
- Rekruttering
- Asan Medical Center-Pediatrics - Pedicatric Oncology ( Site 4973)
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Kontakt:
- Study Coordinator
- Telefonnummer: 82230105994
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
Tager imod sunde frivillige
Beskrivelse
The main inclusion criteria include but are not limited to the following:
- In Part 1, participant has recurrent or relapsed, refractory solid tumors (excluding primary central nervous system (CNS)); and in Part 2, participant has recurrent or relapsed, refractory and histologically confirmed diagnosis of osteosarcoma (OST), neuroblastoma (NBL), rhabdomyosarcoma (RMS), or Wilms tumor (WT). All participants must meet the following criteria: Has documented radiological disease progression after at least 1 line of prior therapy in the locally advanced/metastatic setting and who has no satisfactory alternative treatment option (ie, is ineligible for other standard treatment regimens).
- Is an individual of any sex/gender, ≥1 month to <12 years of age for Part 1 and ≥1 month to <18 years for Part 2 at the time of providing the informed consent or assent, as applicable
- Participants who have AEs due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline. Participants with endocrine-related AEs who are adequately treated with hormone replacement or participants who have ≤Grade 2 neuropathy are eligible.
The main exclusion criteria include but are not limited to the following:
- Has clinically significant corneal disease
- Has a history of cerebrovascular accident, transient ischemic attack, or another arterial thromboembolic event within 6 months before screening
- Has uncontrolled or significant cardiovascular disease, including conduction abnormalities, hypertension, ischemic heart disease, heart failure, and peripheral vascular disease
- Has any history of interstitial lung disease (ILD)/pneumonitis, irrespective of steroid use, except for a history of radiation pneumonitis that did not require steroids, current ILD, or Clinical or radiographic suspicion of ILD for which the diagnosis of ILD cannot be ruled out
- Has clinically severe respiratory compromise resulting from intercurrent pulmonary illnesses
- Has an active, known or suspected autoimmune disease.
- Has history of solid organ transplant.
- Has history of allogeneic stem cell transplant (SCT).
- Has known active CNS metastases and/or carcinomatous meningitis/leptomeningeal disease/spinal cord compression. Participants with untreated and asymptomatic brain metastases or previously treated brain metastases may participate provided they are radiologically stable, (i.e, without evidence of progression) for at least 4 weeks
- Has history of human immunodeficiency virus (HIV) infection.
- Has known additional malignancy that is progressing or has required active treatment within the past 1 year.
- Has active infection requiring systemic therapy
- Has known hypersensitivity or contraindication to either the study intervention substance or inactive ingredients in the study intervention product
- Participants who have not adequately recovered from major surgery or have ongoing surgical complications
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Ifinatamab Deruxtecan
Participants receive ifinatamab deruxtecan via intravenous (IV) infusion on day 1 of each 3-week cycle until discontinuation or progression
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IV infusion
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Part 1: Number of Participants From ≥1 Month to <12 Years Who Experience a Dose-limiting Toxicity (DLT)
Tidsramme: Cycle 1 (up to approximately 21 days); each cycle is 21 days
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A DLT is any of a prespecified list of adverse events (AEs) that occur during Cycle 1 (up to 21 days) if attributed to the study treatment and not attributed to any other clearly identifiable cause.
The percentage of participants who experience DLTs will be reported.
Each cycle is 21 days.
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Cycle 1 (up to approximately 21 days); each cycle is 21 days
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Part 1: Number of Participants From ≥1 Month to <12 Years Who Experience One or More Adverse Events (AEs)
Tidsramme: Up to approximately 5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.
The percentage of participants who experience AEs will be reported.
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Up to approximately 5 years
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Part 1: Number of Participants From ≥1 Month to <12 Years Who Discontinue Study Intervention Due to an AE
Tidsramme: Up to approximately 5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.
The percentage of participants who discontinue study treatment due to an AE will be reported.
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Up to approximately 5 years
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Part 1: Number of Participants From ≥1 Month to <12 Years Who Receive Dose Modifications Due to AEs
Tidsramme: Up to approximately 5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.
The percentage of participants who receive dose modification due to an AE will be reported.
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Up to approximately 5 years
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Part 1 and Part 2: Objective Response Rate (ORR) for Participants with neuroblastoma (NBL), rhabdomyosarcoma (RMS), and Wilms tumor (WT)
Tidsramme: Up to approximately 5 years
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ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions).
The percentage of participants who experience CR or PR as assessed by the investigator will be presented.
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Up to approximately 5 years
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Part 1 and Part 2: Disease Control Success at 4 Months (DCS-4) for Participants with osteosarcoma (OST)
Tidsramme: Up to 4 Months
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DCS-4 is defined as no occurrence of disease progression per disease specific criteria as assessed by investigator or death due to any cause by Month 4 following the first administration of study intervention for participants with OST.
Participants who discontinue from study for any reason prior to completing the third post baseline (or at least 16 weeks) response assessments will be considered disease control failures.
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Up to 4 Months
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Del 1 og del 2: Samlet overlevelse (OS)
Tidsramme: Op til cirka 5 år
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OS defineres som tid fra den første dosis af studiebehandling til død på grund af enhver årsag.
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Op til cirka 5 år
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Part 1 and Part 2: Duration of Response (DOR) For Participants With NBL, RMS, WT, or OST
Tidsramme: Up to approximately 5 years
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For participants who demonstrate a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until PD or death.
PD is defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm.
Note: The appearance of one or more new lesions is also considered PD.
DOR as assessed by the investigator will be presented.
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Up to approximately 5 years
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Part 1 and Part 2: Disease Control Rate (DCR) For Participants With NBL, RMS, WT, or OST
Tidsramme: Up to approximately 5 years
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DCR is defined, per RECIST 1.1, as the percentage of participants who have a CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) or Stable Disease (SD).
SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm).
Note: The appearance of one or more new lesions is also considered PD.
The time from the first dose until the date of SD must be greater than or equal to 6 weeks.
The DCR as assessed by the investigator will be presented.
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Up to approximately 5 years
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Part 1 and Part 2: Time to Response (TTR) For Participants With NBL, RMS, WT, or OST
Tidsramme: Up to approximately 5 years
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For participants who demonstrate a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, TTR is defined as the time from the first dose to the first documented evidence of a CR or PR.
The TTR as assessed by the investigator will be presented.
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Up to approximately 5 years
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Part 1 and Part 2: Progression-free Survival (PFS) For Participants With NBL, RMS, WT, or OST
Tidsramme: Up to approximately 5 years
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PFS is defined as the time from randomization to the first documented PD or death due to any cause, whichever occurs first as assessed by RECIST 1.1.
PD is defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm.
Note: The appearance of one or more new lesions is also considered PD.
PFS as assessed by the investigator will be presented.
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Up to approximately 5 years
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Part 1 and Part 2: ORR For participants with OST
Tidsramme: Up to approximately 5 years
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ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions).
The percentage of participants with OST who experience CR or PR as assessed by the investigator will be presented.
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Up to approximately 5 years
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Part 1 and Part 2: Number of Participants With NBL, RMS, WT, or OST Who Experience an AE
Tidsramme: Up to approximately 5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.
The percentage of participants who experience AEs will be reported.
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Up to approximately 5 years
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Part 1 and Part 2: Number of Participants With NBL, RMS, WT, or OST Who Discontinue Study Treatment Due to an AE
Tidsramme: Up to approximately 5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.
The percentage of participants who discontinue study treatment due to an AE will be reported.
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Up to approximately 5 years
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Part 1 and Part 2: Number of Participants With NBL, RMS, WT, or OST Who Receive Dose Modification Due to an AE
Tidsramme: Up to approximately 5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.
The percentage of participants who receive dose modification due to an AE will be reported.
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Up to approximately 5 years
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Part 1 and Part 2: Maximum Plasma Concentration (Cmax) of I-Dxd
Tidsramme: At designated timepoints (up to approximately 5 years)
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Blood samples will be collected at specified intervals to determine the Cmax of I-Dxd.
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At designated timepoints (up to approximately 5 years)
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Part 1 and Part 2: Area under the concentration time curve from Time 0 to the End of the Dosing Period (AUCtau) of I-Dxd
Tidsramme: At designated timepoints (up to approximately 5 years)
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Blood samples will be collected at specified intervals to determine the AUCtau of I-Dxd.
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At designated timepoints (up to approximately 5 years)
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Part 1 and Part 2: Plasma Trough Concentration (Ctrough) of I-Dxd
Tidsramme: At designated timepoints (up to approximately 5 years)
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Blood samples will be collected at specified intervals to determine the Ctrough of I-Dxd.
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At designated timepoints (up to approximately 5 years)
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Part 1 and Part 2: Maximum Plasma Concentration (Cmax) of released drug payload (Dxd)
Tidsramme: At designated timepoints (up to approximately 5 years)
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Blood samples will be collected at specified intervals to determine the Cmax of Dxd.
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At designated timepoints (up to approximately 5 years)
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Part 1 and Part 2: Area under the concentration time curve from Time 0 to the End of the Dosing Period (AUCtau) of Dxd
Tidsramme: At designated timepoints (up to approximately 5 years)
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Blood samples will be collected at specified intervals to determine the AUCtau of Dxd.
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At designated timepoints (up to approximately 5 years)
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Part 1 and Part 2: Plasma Trough Concentration (Ctrough) of Dxd
Tidsramme: At designated timepoints (up to approximately 5 years)
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Blood samples will be collected at specified intervals to determine the Ctrough of Dxd.
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At designated timepoints (up to approximately 5 years)
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Part 1 and Part 2: Number of Participants with antidrug antibodies (ADA) against I-Dxd
Tidsramme: At designated timepoints (up to approximately 5 years)
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Blood samples will be collected at specified intervals to assess I-Dxd immunogenicity by determining the incidence of ADA of I-Dxd.
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At designated timepoints (up to approximately 5 years)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Studieleder: Medical Director, Merck Sharp & Dohme LLC
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 9999-01D
- 2025 (U.S. NIH-bevilling/kontrakt: Faculty of Social Sciences Scientific Grant at the University of Gdańsk)
- LIGHTBEAM-U01 (Anden identifikator: MSD)
- U1111-1322-6561 (Registry Identifier: UTN)
- 2025-522339-32-00 (Registry Identifier: EU CT)
- MK-9999-01D (Anden identifikator: MSD)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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