Sicherheit und Wirksamkeit von MK-1200 bei Teilnehmern mit fortgeschrittenen soliden Tumoren
Eine offene Phase-1/2-Studie zur Bewertung der Sicherheit und Wirksamkeit von MK-1200 bei Teilnehmern mit fortgeschrittenen soliden Tumoren
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 2
- Phase 1
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Toll Free Number
- Telefonnummer: 1-888-577-8839
- E-Mail: Trialsites@msd.com
Studienorte
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Victoria
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Melbourne, Victoria, Australien, 3004
- The Alfred Hospital ( Site 0103)
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Region M. de Santiago
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Santiago, Region M. de Santiago, Chile, 8420383
- Bradfordhill-Clinical Area ( Site 0301)
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100142
- Beijing Cancer hospital-Digestive Oncology ( Site 0401)
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Fujian
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Fuzhou, Fujian, China, 350000
- Fujian Cancer Hospital-oncology department ( Site 0409)
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Jiangsu
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Huai'an, Jiangsu, China, 223300
- First Huai'an Hospital Affiliated to Nanjing Medical University ( Site 0415)
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Haifa, Israel, 3109601
- Rambam Health Care Campus-Oncology Division ( Site 0602)
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Jerusalem, Israel, 9112001
- Hadassah Medical Center ( Site 0604)
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Petah Tikva, Israel, 4941492
- Rabin Medical Center-Oncology ( Site 0603)
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Ramat Gan, Israel, 5265601
- Sheba Medical Center ( Site 0605)
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Tel Aviv, Israel, 6423906
- Sourasky Medical Center ( Site 0601)
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Seoul, Südkorea, 06351
- Samsung Medical Center-Division of Hematology/Oncology ( Site 1003)
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Kentucky
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Louisville, Kentucky, Vereinigte Staaten, 40202
- The University of Louisville, James Graham Brown Cancer Center ( Site 0004)
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Michigan
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Grand Rapids, Michigan, Vereinigte Staaten, 49546
- START Midwest ( Site 0014)
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Texas
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San Antonio, Texas, Vereinigte Staaten, 78229
- South Texas Accelerated Research Therapeutics (START) ( Site 0005)
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Utah
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West Valley City, Utah, Vereinigte Staaten, 84119
- START Mountain Region ( Site 0015)
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Virginia
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Charlottesville, Virginia, Vereinigte Staaten, 22908
- University of Virginia Health System-Hematology-Oncology ( Site 0009)
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Einschlusskriterien:
- Bestätigter fortgeschrittener (nicht resezierbarer und/oder metastasierender) solider Tumor: Magenkrebs (einschließlich Krebs des gastroösophagealen Übergangs), Speiseröhrenkrebs, Gallengangskrebs oder duktales Adenokarzinom der Bauchspeicheldrüse
- Teilnehmer, bei denen aufgrund früherer Krebstherapien unerwünschte Ereignisse (UE) auftraten, müssen sich auf < Grad 1 oder den Ausgangswert erholt haben
- Mit dem humanen Immundefizienzvirus (HIV) infizierte Teilnehmer müssen HIV unter antiretroviraler Therapie gut unter Kontrolle haben
- Teilnehmer mit positivem Hepatitis-B-Oberflächenantigen (HBsAg) sind teilnahmeberechtigt, wenn sie mindestens 4 Wochen lang eine antivirale Therapie mit dem Hepatitis-B-Virus (HBV) erhalten haben und eine nicht nachweisbare HBV-Viruslast aufweisen
- Teilnehmer mit einer Vorgeschichte einer Hepatitis-C-Virus (HCV)-Infektion sind teilnahmeberechtigt, wenn die HCV-Viruslast nicht nachweisbar ist
- Erhalten und Fortschritte nach oder nach 1 oder 2 vorherigen Therapielinien
Ausschlusskriterien:
- Aktive schwere Verdauungserkrankung
- Vorgeschichte schwerer Herz-Kreislauf-Erkrankungen
- Vorgeschichte eines akuten Myokardinfarkts; instabile Angina pectoris; Schlaganfall oder vorübergehender ischämischer Anfall innerhalb von 6 Monaten vor der ersten Dosis der Studienintervention
- Einsatz von Herzschrittmachern
- Diabetes oder Bluthochdruck, der nicht durch Medikamente kontrolliert werden kann
- HIV-infizierte Teilnehmer mit einer Vorgeschichte von Kaposi-Sarkom und/oder multizentrischer Castleman-Krankheit
- Erhielt innerhalb von 4 Wochen vor der Studienintervention eine vorherige systemische Krebstherapie einschließlich Prüfpräparaten
- Hat innerhalb von 2 Wochen nach Beginn der Studienintervention eine vorherige Strahlentherapie erhalten oder weist strahlenbedingte Toxizitäten auf, die Kortikosteroide erfordern
- Bekannte zusätzliche bösartige Erkrankung, die fortschreitet oder innerhalb der letzten 2 Jahre eine aktive Behandlung erforderte
- Bekannte Metastasen im aktiven Zentralnervensystem (ZNS) und/oder karzinomatöse Meningitis
- Aktive Infektion, die eine systemische Therapie erfordert
- Sie haben sich von einer größeren Operation nicht ausreichend erholt oder haben anhaltende chirurgische Komplikationen
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Teil 1: MK-1200
In Teil 1 erhalten die Teilnehmer alle zwei Wochen (Q2W) steigende Dosen von MK-1200 über eine intravenöse (IV) Infusion, bis alle Abbruchkriterien erfüllt sind.
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IV-Infusion
Ein oder mehrere prophylaktische(s) Antiemetikum(e) (z.B.
5-HT3-Rezeptorantagonisten, Dexamethason, Neurokinin-1-Rezeptorantagonisten usw.) können basierend auf der vorherigen Reaktion der Teilnehmer auf antiemetische Medikamente und individuellen Faktoren ausgewählt werden und werden vor der MK-1200-Infusion gemäß dem zugelassenen Produktetikett verabreicht
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Experimental: Part 2: MK-1200 Cohort A
In Part 2, participants in Cohort A will receive either Dose 1 or Dose 2 of MK-1200 (determined from Part 1) via IV infusion Q2W until any discontinuation criteria are met.
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IV-Infusion
Ein oder mehrere prophylaktische(s) Antiemetikum(e) (z.B.
5-HT3-Rezeptorantagonisten, Dexamethason, Neurokinin-1-Rezeptorantagonisten usw.) können basierend auf der vorherigen Reaktion der Teilnehmer auf antiemetische Medikamente und individuellen Faktoren ausgewählt werden und werden vor der MK-1200-Infusion gemäß dem zugelassenen Produktetikett verabreicht
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Experimental: Part 2: MK-1200 Cohort B
In Part 2, participants in Cohort B will receive Dose 1 of MK-1200 (determined from Part 1) via IV infusion Q2W until any discontinuation criteria are met.
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IV-Infusion
Ein oder mehrere prophylaktische(s) Antiemetikum(e) (z.B.
5-HT3-Rezeptorantagonisten, Dexamethason, Neurokinin-1-Rezeptorantagonisten usw.) können basierend auf der vorherigen Reaktion der Teilnehmer auf antiemetische Medikamente und individuellen Faktoren ausgewählt werden und werden vor der MK-1200-Infusion gemäß dem zugelassenen Produktetikett verabreicht
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Number of Participants Who Experience One or More Dose-Limiting Toxicities (DLTs) - Part 1
Zeitfenster: During the first two 14-day cycles (Up to approximately 28 days)
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The occurrence of any of the following toxicities within 28 days after the first dose of study intervention were considered a DLT, if assessed by the investigator to be possibly, probably, or definitely related to study intervention administration:
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During the first two 14-day cycles (Up to approximately 28 days)
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Number of Participants Who Experience One or More Adverse Events (AEs) - Part 1 & Part 2
Zeitfenster: Up to approximately 12 months
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An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
The number of participants who experienced an AE is reported for each arm.
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Up to approximately 12 months
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Number of Participants Who Discontinue Study Intervention Due to an AE - Part 1 & Part 2
Zeitfenster: Up to approximately 9 months
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An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
The number of participants who discontinued study intervention due to an AE is reported for each arm.
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Up to approximately 9 months
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Objective Response Rate (ORR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) - Part 2 Cohort A
Zeitfenster: Up to approximately 13 months
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ORR was defined as the percentage of participants who have achieved confirmed Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1 as assessed by blinded independent central review (BICR).
As pre-specified by the protocol, this analysis was to only include all participants randomized to Part 2 Cohort A who received at least 1 dose of study intervention.
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Up to approximately 13 months
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ORR Per RECIST 1.1 as Assessed by Investigator - Part 1 & Part 2 Cohort B
Zeitfenster: Up to approximately 13 months
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ORR was defined as the percentage of participants who have achieved confirmed Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1 as assessed by the investigator.
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Up to approximately 13 months
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Area Under the Concentration Versus Time Curve From Time 0 to 336 Hours (AUC0-336) of MK-1200-Antibody-Drug Conjugate (ADC) - Parts 1 and 2
Zeitfenster: Cycle 1 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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AUC0-336 was defined as the area under the concentration versus time curve of MK-1200-ADC from time 0 to 336 Hours.
Blood samples were collected at pre-specified timepoints to determine the AUC0-336 of the MK-1200-ADC.
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Cycle 1 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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AUC0-336 of the Conjugated Toxin Payload (KL610023) - Parts 1 and 2
Zeitfenster: Cycle 1 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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AUC0-336 was defined as the area under the concentration versus time curve of KL610023 from time 0 to 336 Hours.
Blood samples were collected at pre-specified timepoints to determine AUC0-336 of KL610023.
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Cycle 1 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Area Under the Concentration Versus Time Curve From Time 0 to the End of the Dosing Period (AUC0-tau) of MK-1200-ADC - Parts 1 and 2
Zeitfenster: Cycle 4 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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AUC0-tau was defined as the area under the concentration versus time curve of MK-1200-ADC from time 0 to the end of the 14-day dosing period (Cycle 4, 336 hours post-dose).
Blood samples were collected at pre-specified timepoints to determine AUC0-tau of the MK-1200-ADC.
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Cycle 4 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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AUC0-tau of KL610023 - Parts 1 and 2
Zeitfenster: Cycle 4 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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AUC0-tau is defined as the area under the concentration versus time curve of KL610023 from time 0 to the end of the 14-day dosing period (Cycle 4, 336 hours post-dose).
Blood samples were collected at pre-specified timepoints to determine AUC0-tau of KL610023.
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Cycle 4 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Minimum Concentration (Cmin) of MK-1200-ADC - Part 1 & Part 2
Zeitfenster: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Cmin was defined as the minimum concentration of MK-1200-ADC observed in plasma after its administration and just prior to administration of a subsequent dose.
Blood samples were collected at pre-specified timepoints to determine Cmin of the MK-1200-ADC.
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Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Cmin of KL610023 - Part 1 & Part 2
Zeitfenster: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Cmin was defined as the minimum concentration of KL610023 observed in plasma after its administration and just prior to administration of a subsequent dose.
Blood samples were collected at pre-specified timepoints to determine Cmin of KL610023.
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Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Maximum Concentration (Cmax) of MK-1200-ADC - Part 1 & Part 2
Zeitfenster: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Cmax was defined as the maximum or 'peak' concentration of MK-1200-ADC observed after its administration.
Blood samples were collected at pre-specified timepoints to determine Cmax of the MK-1200-ADC.
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Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Cmax of KL610023 - Part 1 & Part 2
Zeitfenster: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Cmax was defined as the maximum or 'peak' concentration of KL610023 observed after its administration.
Blood samples were collected at pre-specified timepoints to determine Cmax of KL610023.
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Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.
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Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR - Part 2 Cohort A
Zeitfenster: Up to approximately 13 months
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For participants demonstrating 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 was defined as the time from the first documented evidence of a CR or a PR until Progressive Disease (PD) or death due to any cause, whichever occurred first.
Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm.
The appearance of one or more new lesions was also considered PD.
As pre-specified by the protocol, DOR for Part 2 Cohort A was planned to be assessed by BICR and was to include all participants randomized to Part 2 Cohort A who received at least one dose of study intervention.
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Up to approximately 13 months
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DOR Per RECIST 1.1 as Assessed by Investigator - Part 1 & Part 2 Cohort B
Zeitfenster: Up to approximately 13 months
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For participants demonstrating 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 the first documented evidence of a CR or a PR until PD or death due to any cause, whichever occurs first.
Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm.
The appearance of one or more new lesions is also considered PD.
The DOR as assessed by the investigator is reported.
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Up to approximately 13 months
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Progression-Free Survival (PFS) Per RECIST 1.1 as Assessed by BICR - Part 2 Cohort A
Zeitfenster: Up to approximately 13 months
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PFS was defined as the time from randomization to the first documented PD by BICR or death due to any cause, whichever occurs first.
Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm.
The appearance of one or more new lesions was also considered PD.
As pre-specified by the protocol, PFS for Part 2 Cohort A was planned to be assessed by BICR and was to only include all participants randomized to Part 2 Cohort A who received at least one dose of study intervention.
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Up to approximately 13 months
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PFS Per RECIST 1.1 as Assessed by Investigator - Part 1 & Part 2 Cohort B
Zeitfenster: Up to approximately 13 months
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PFS was defined as the time from randomization to the first documented PD by investigator or death due to any cause, whichever occurs first.
Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm.
The appearance of one or more new lesions was also considered PD.
PFS as assessed by the investigator is reported.
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Up to approximately 13 months
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Overall Survival (OS) - Part 1 & Part 2
Zeitfenster: Up to approximately 13 months
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OS was defined as the time from randomization to death due to any cause.
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Up to approximately 13 months
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Medical Director, Merck Sharp & Dohme LLC
Publikationen und hilfreiche Links
Nützliche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 1200-002
- U1111-1298-7820 (Registrierungskennung: UTN)
- MK-1200-002 (Andere Kennung: MSD)
- 2023-508684-68-00 (Registrierungskennung: EU CT)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
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Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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