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Advanced Solid TumorsPhase 1NCT02316197

Clinical Phase I Study Investigating MSC2490484A, an Inhibitor of a DNA-dependent Protein Kinase, in Advanced Solid Tumors or Chronic Lymphocytic Leukemia

A Phase 1 study testing MSC2490484A (M3814) in people with Advanced Solid Tumors and Chronic Lymphocytic Leukemia, run by Merck KGaA, Darmstadt, Germany at 7 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

MSC2490484A is an investigational drug that is being evaluated for the treatment of subjects with advanced solid tumors or chronic lymphocytic leukemia (CLL) that likely differs from other cancers in how it repairs damaged DNA (genetic material). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
MSC2490484A (M3814)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
31 participants
Where
7 sitesin 3 countries
Study dates
31 Dec 2014to 29 Jun 2017
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Advanced solid tumors likely to have alterations in DNA repair mechanisms, such as the BRCA and ATM pathways, or CLL, with no other standard surgical, radiation, or systemic anticancer therapies available. Subjects with CLL will be enrolled in 1 of the RP2D expansion cohorts only
  • Tumor accessible for biopsies and agree to pretreatment tumor biopsy
  • Measurable or evaluable disease in accordance with RECIST v 1.1 for solid tumors or Cheson´s criteria for CLL
  • Male or female subjects at least 18 years of age who sign written informed consent.
  • Other protocol-defined criteria could apply

Who cannot join

  • Eastern Cooperative Oncology Group performance status > 1
  • Prior treatment with chemotherapy, immunotherapy, hormonal therapy, with the exception of luteinizing hormone releasing hormone (LHRH) analogs, biologic therapy, any other anticancer therapy, or any other investigational agent within 28 days of the first dose of MSC2490484A (6 weeks for nitrosoureas or mitomycin C)
  • Extensive prior radiotherapy on more than 30% of bone marrow reserves or prior bone marrow/stem cell transplantation within 5 years of study start. The extent of previous radiotherapy to the bone marrow will be determined by the investigator.
  • Receiving medications or herbal supplements that are known to be potent inhibitors of cytochrome P450 3A4 or inducers of cytochrome P450 3A4.
  • Not recovered from toxicity due to prior therapy to baseline or an AE CTCAE Grade of 1 or less (except alopecia)
  • Poor vital organ function as defined in the protocol
Show all 9Show fewer
  • Significant cardiac conduction abnormalities as defined in the protocol
  • Central nervous system metastases unless previously radiotherapy treated, stable by computerized tomography (CT) scan for at least 3 months without evidence of cerebral edema, and no requirements for corticosteroids or anticonvulsants
  • Other protocol-defined criteria could apply

Trial locations and contacts

7 sites in 3 countries.

7 sites in 3 countries

Netherlands3 sites
  • Antoni van Leeuwenhoek Ziekenhuis

    Amsterdam

  • VU Medisch Centrum - Dept of Medical Oncology

    Amsterdam

  • Erasmus Medisch Centrum - Parent

    Rotterdam

Other trials in Netherlands

Belgium2 sites
  • Institut Jules Bordet

    Brussels

  • UZ Leuven

    Leuven

Other trials in Belgium

Denmark2 sites
  • Rigshospitalet - Onkologisk KFE

    Copenhagen

  • Herlev Hospital University of Copenhagen

    Herlev

Other trials in Denmark

About this study

Official title: A Multicenter, Open-Label, Dose-Escalating Phase I Trial of the DNA-PK Inhibitor MSC2490484A in Subjects With Advanced Solid Tumors or Chronic Lymphocytic Leukemia

MSC2490484A is an investigational drug that is being evaluated for the treatment of subjects with advanced solid tumors or chronic lymphocytic leukemia (CLL) that likely differs from other cancers in how it repairs damaged DNA (genetic material). This is a first-in-man Phase I study, which means that it is the first time the study drug is being used in humans. The main purpose is to determine the highest dose that does not cause unacceptable side effects. The second is to determine the appropriate dose to use in future research for subjects with cancer. Othergoals of the study are to learn about the drug's safety and side effects, how it affects the tumor, and how the body processes the drug.

Read the detailed description

This is a Phase I, first-in-human, open-label, dose escalation, and dose expansion trial designed to explore the safety, tolerability, PK and PD profiles, and clinical activity of MSC2490484A administered daily as a single agent to subjects with advanced solid tumors or CLL likely to have alterations in DNA repair mechanisms.

Dose Escalation : Subjects will receive MSC2490484A continuously at the starting dose of 100 mg once daily. Sequential treatment cohorts will receive ascending doses of MSC2490484A once daily or twice daily (if determined to be appropriate by the Safety Monitoring Committee [SMC]) following a standard "3+3" design. The SMC will make dose escalation decisions based on review of available safety, tolerability, Pharmacokinetic (PK), and Pharmacodynamic (PD) data. Once the maximum tolerated dose (MTD) has been established, an Recommended Phase II Dose (RP2D) will be defined by the SMC, either at the MTD level or another dose level, depending on the available data on safety, efficacy, PK, and PD observed in the trial. The SMC may decide to stop dose escalation at any time during the trial.

Up to 12 subjects will be enrolled at the RP2D/Optimal biologic dose (OBD) to confirm safety and tolerability and explore the PK and PD profile of MSC2490484A.

Expansion cohorts: Once subjects have been evaluated at the RP2D, additional subjects will be enrolled into 2 or more expansion cohorts (20 evaluable subjects per expansion cohort) to evaluate clinical efficacy in tumors likely to have alterations in the DNA repair mechanism (eg, CLL and other tumor types). Subjects are evaluable for efficacy if they have received at least 1 dose of study drug and have radiographic baseline. Subjects who are not evaluable for efficacy will be replaced.

Being tested
MSC2490484A (M3814)
Keywords
DNA-PK Inhibitor, Advanced solid tumors, Chronic lymphocytic Leukemia, Phase I, first-in-human, Dose escalation, Dose expansion, Safety profile, Tolerability, PK, Antitumor activity, Maximum tolerated dose, M3814
Medical subject headings
Leukemia, Lymphocytic, Chronic, B-Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MSC2490484A (M3814)Drug

    Also called M3814, Peposertib

    Participants received MSC2490484A capsules at escalated dose from 100 mg to 400 mg orally from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.

Study groups in NCT02316197
Study groupRoleWhat they receive
MSC2490484A 100 mg QDExperimentalParticipants received MSC2490484A capsules 100 milligram (mg) orally, once daily (QD) from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.
Receives: Drug: MSC2490484A (M3814)
MSC2490484A 200 mg QDExperimentalParticipants received MSC2490484A capsules 200 mg orally, QD from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.
Receives: Drug: MSC2490484A (M3814)
MSC2490484A 150 mg BIDExperimentalParticipants received MSC2490484A capsules 150 mg orally, twice daily (BID) from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.
Receives: Drug: MSC2490484A (M3814)
MSC2490484A 200 mg BIDExperimentalParticipants received MSC2490484A capsules 200 mg orally, BID from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.
Receives: Drug: MSC2490484A (M3814)
MSC2490484A 300 mg BIDExperimentalParticipants received MSC2490484A capsules 300 mg orally, BID from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.
Receives: Drug: MSC2490484A (M3814)
MSC2490484A 400 mg BIDExperimentalParticipants received MSC2490484A capsules 400 mg orally, BID from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.
Receives: Drug: MSC2490484A (M3814)
MSC2490484A 400 mg BID RP2DExperimentalParticipants received MSC2490484A capsules 400 mg recommended Phase II dose (RP2D) orally, BID from Day 1 to Day 21 of each treatment cycle until disease progression, unacceptable toxicity, withdrawal of consent, and/or occurrence of any criterion for withdrawal from study or M3814.
Receives: Drug: MSC2490484A (M3814)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Dose limiting toxicities (DLTs) occurring in Cycle 1

    Measured: up to Day 21 of Cycle 1

Secondary outcomes (20)
  1. Maximum Observed Plasma Concentration (Cmax)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  2. Time to Maximum Observed Plasma Concentration (tmax)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  3. Minimum Observed Plasma Concentration During a Complete Dosing Interval (Cmin)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  4. Average Observed Plasma Concentration (Cavg)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  5. Fluctuation Index

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  6. Area Under the Concentration-Time Curve From Time Zero To 24 Hours (AUC0-24)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  7. Area Under the Concentration-Time Curve From Time Zero To 12 Hours (AUC0-12)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  8. Area Under the Concentration-Time Curve From Time Zero To the Time of Last Quantifiable Concentration (AUC0-t)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  9. Area Under the Concentration-Time Curve From Time Zero Extrapolated To Infinity (AUC0-inf)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  10. Area Under the Concentration-Time Curve From Time Zero to Time tau at Steady State (AUCtau)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  11. Apparent Terminal Half-Life (t1/2)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  12. Terminal Rate Constant (λz)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  13. Oral Clearance (CL/f)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  14. Apparent Volume of Distribution During Terminal Phase (Vz/f)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  15. Apparent Volume of Distribution at Steady State (Vss/f)

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  16. Accumulation Ratio for Area Under The Concentration-Time Curve (Racc[AUC])

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  17. Accumulation Ratio for Maximum Concentration (Racc[Cmax])

    Measured: Day 1 of Cycle 1 (cycle length = 21 days)

  18. Best overall response rate

    Measured: Time from first dose to disease progression or death, whichever occurs first, assessed until 12 weeks after last patient treated

  19. Clinical benefit rate defined as the proportion of subjects with CR, PR, or stable disease at Week 12

    Measured: Week 12

  20. Progression-free survival time (PFS)

    Measured: Time from first dose to disease progression or death, whichever occurs first, assessed until 12 weeks after last patient treated

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Dec 2014 (estimated)
  2. Study start31 Dec 2014
  3. Primary completion29 Jun 2017
  4. Study completion29 Jun 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
31 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02316197
Sponsor's protocol ID
EMR100036-001
Other IDs
2014-003099-22, 2014
Status last verified
Apr 2020
First submitted
10 Dec 2014
Last updated
28 Apr 2020
Results posted
No
Data monitoring committee
No

Publications

  • van Bussel MTJ, Awada A, de Jonge MJA, Mau-Sorensen M, Nielsen D, Schoffski P, Verheul HMW, Sarholz B, Berghoff K, El Bawab S, Kuipers M, Damstrup L, Diaz-Padilla I, Schellens JHM. A first-in-man phase 1 study of the DNA-dependent protein kinase inhibitor peposertib (formerly M3814) in patients with advanced solid tumours. Br J Cancer. 2021 Feb;124(4):728-735. doi: 10.1038/s41416-020-01151-6. Epub 2020 Nov 24.

    PubMed 33230210

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MSC2490484A (M3814) in people with Advanced Solid Tumors and Chronic Lymphocytic Leukemia, run by Merck KGaA, Darmstadt, Germany at 7 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Netherlands, Belgium, Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Dose limiting toxicities (DLTs) occurring in Cycle 1 (time frame: up to Day 21 of Cycle 1). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02316197, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Apr 2020.

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