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Triple-negative Breast CancerPhase 2NCT04504916

A Study of Zilovertamab Vedotin (MK-2140/VLS-101) in Participants With Solid Tumors (MK-2140-002)

A Phase 2 study testing Zilovertamab vedotin in people with Triple-negative Breast Cancer and Non-squamous Non-small-cell Lung Cancer, run by VelosBio Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 14 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a study evaluating the efficacy, safety, and pharmacokinetics of zilovertamab vedotin in participants with metastatic solid tumors including previously treated cancers of triple-negative breast cancer (TNBC), non-TNBC human epidermal growth factor receptor 2 (HER2)-negative breast cancer, non-squamous… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Zilovertamab vedotin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
102 participants
Where
14 sitesin 2 countries
Study dates
7 Oct 2020to 12 Jun 2023
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Has a confirmed diagnosis of solid tumor for one of the following types of cancer: previously treated cancers of triple-negative breast cancer (TNBC), non-TNBC HER2-negative breast cancer, non-squamous non-small-cell lung cancer (NSCLC), gastric cancer, pancreatic cancer, or platinum-resistant ovarian cancer.
  • Has metastatic disease that has progressed during or following previous treatment appropriate for the disease type
  • Presence of radiographically measurable disease.
  • Is willing to provide tumor tissue
  • Has adequate organ function
  • Has a negative test or adequate therapy for human immunodeficiency virus (HIV), hepatitis B, and/or hepatitis C.
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  • Has completed all prior therapy.
  • Female subjects of childbearing potential must have a negative serum pregnancy test.
  • Both male and female subjects must be willing to use adequate contraception.

Who cannot join

  • Has peripheral neuropathy of Grade >1.
  • Has a malignancy involving the central nervous system.
  • Has another major cancer.
  • Has an uncontrolled ongoing infection.
  • Has significant cardiovascular disease.
  • Has a known diagnosis of liver cirrhosis.
Show all 10Show fewer
  • Is pregnant or breastfeeding.
  • Has had major surgery within 4 weeks before the start of study therapy.
  • Has known tumor resistance or intolerance to a prior MMAE-containing drug.
  • Is concurrently participating in another therapeutic or imaging clinical trial.

Trial locations and contacts

14 sites in 2 countries.

14 sites in 2 countries

United States8 sites
  • Massachusetts General Hospital ( Site 0017)

    Boston, Massachusetts, 02114

  • John Theurer Cancer Center at Hackensack University Med Ctr ( Site 0002)

    Hackensack, New Jersey, 07601

  • Memorial Regional Hospital-Memorial Cancer Institute ( Site 0005)

    Hollywood, Florida, 33021

  • MD Anderson ( Site 0001)

    Houston, Texas, 77030

  • Memorial Sloan Kettering Cancer Center ( Site 0007)

    New York, New York, 10021

  • AdventHealth Orlando ( Site 0003)

    Orlando, Florida, 32804

  • The University of Texas Health Science Center at San Antonio ( Site 0004)

    San Antonio, Texas, 78229

  • Swedish Medical Center ( Site 0008)

    Seattle, Washington, 98104

Other trials in United States

Canada6 sites
  • Cross Cancer Institute ( Site 0012)

    Edmonton, Alberta, T6G 1Z2

  • Centre intégré de cancérologie du CHUM ( Site 0016)

    Montreal, Quebec, H2X 0A9

  • Jewish General Hospital ( Site 0013)

    Montreal, Quebec, H3T 1E2

  • Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0

    Québec, Quebec, G1J 1Z4

  • Princess Margaret Cancer Centre ( Site 0006)

    Toronto, Ontario, M5G 2M9

  • BC Cancer Vancouver ( Site 0011)

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

About this study

Official title: A Phase 2 Study of VLS-101 in Patients With Solid Tumors

This is a study evaluating the efficacy, safety, and pharmacokinetics of zilovertamab vedotin in participants with metastatic solid tumors including previously treated cancers of triple-negative breast cancer (TNBC), non-TNBC human epidermal growth factor receptor 2 (HER2)-negative breast cancer, non-squamous non-small-cell lung cancer (NSCLC), gastric cancer, pancreatic cancer, and platinum-resistant ovarian cancer. The study will evaluate a null hypothesis that the objective response rate (ORR) is ≤5% against the alternative hypothesis that it is ≥20%.

Read the detailed description

Participants enrolled prior to Amendment 3 will receive zilovertamab vedotin at 2.5 mg/kg given intravenously on Day 1 of repeated 21-day cycles. Participants enrolled after Amendment 3 will receive zilovertamab vedotin at 1.75 mg/kg given intravenously on Day 1 and Day 8 of repeated 21-day cycles. Treatment will continue until progressive disease or discontinuation.

Being tested
Zilovertamab vedotin
Medical subject headings
Triple Negative Breast Neoplasms, Stomach Neoplasms, Pancreatic Neoplasms

What participants receive

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

  • Zilovertamab vedotinDrug

    Also called MK-2140, VLS-101

    Intravenous infusion

Study groups in NCT04504916
Study groupRoleWhat they receive
Zilovertamab VedotinExperimentalParticipants will receive intravenous (IV) zilovertamab vedotin 2.5 mg/kg on Day 1 of each repeated 21-day cycle (Q1/3W) or 1.75 mg/kg on Day 1 and Day 8 of each 21-day cycle (Q2/3W). Treatment will continue until progressive disease or discontinuation
Receives: Drug: Zilovertamab vedotin

What is being measured

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

  1. Objective Response Rate (ORR)- Blinded Independent Central Review (BICR)

    The percentage of participants who achieved a Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: a ≥30% decrease in the sum of diameters [SOD] of target lesions) using per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 by BICR was reported.

    Measured: Up to ~18 months

Secondary outcomes (26)
  1. ORR- Investigator Assessed

    The percentage of participants who achieved a CR (disappearance of all target lesions) or PR (≥30% decrease in the sum of diameters [SOD] of target lesions) per RECIST, Version 1.1 by investigator was reported.

    Measured: Up to ~18 months

  2. Time to Response (TTR)- BICR

    TTR, defined as the time from the start of study treatment to the first documentation of objective tumor response per RECIST, Version 1.1 by BICR was reported.

    Measured: Up to ~30 months

  3. Duration of Response (DOR)- BICR

    DOR, defined as the interval from the first documentation of objective tumor response to the earlier of the first documentation of disease progression or death from any cause per RECIST, Version 1.1 by BICR was reported.

    Measured: Up to ~30 months

  4. Progression-free Survival (PFS)- BICR

    PFS, defined as the interval from the start of study treatment to the earlier of the first documentation of disease progression or death from any cause per RECIST, Version 1.1 by BICR was reported.

    Measured: Up to ~30 months

  5. Time to Treatment Failure (TTF)- BICR

    TTF, defined as the time from the start of study treatment to the earliest of the first documentation of disease progression, the permanent cessation of study drug due to an AE, or death from any cause per RECIST, Version 1.1 by BICR was reported.

    Measured: Up to ~30 months

  6. Overall Survival (OS)

    OS, defined as the interval from the start of study treatment to death from any cause will be reported.

    Measured: Up to ~30 months

  7. Number of Participants Who Experienced an Adverse Event (AE)

    An AE was any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. The number of participants who experienced an AE was reported.

    Measured: Up to ~30 months

  8. Number of Participants Who Discontinued Study Treatment Due to an AE

    An AE was any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. The number of participants who discontinued study treatment due to an AE was reported.

    Measured: Up to ~11 months

  9. Maximum Plasma Concentration (Cmax) of Zilovertamab Vedotin-Q1/3W Dosing Schedule

    Cmax of zilovertamab vedotin determined by blood samples collected pre-dose and at designated timepoints post-dose were reported. Per protocol the Zilovertamab vedotin Q2/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI); and 2 and 4 hours after EOI)], Day 8 (168 hr), Day 15 (336 hr), and Cycle 2 Day 1 (predose); each cycle=21 days

  10. Cmax of Total Antibody-Q1/3W Dosing Schedule

    Cmax of total antibody determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Total Antibody was defined as total zilovertamab vedotin plus any antibody that was not conjugated to monomethyl auristatin E (MMAE). Per protocol the Zilovertamab vedotin Q2/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI); and 2 and 4 hours after EOI)], Day 8 (168 hr), Day 15 (336 hr), and Cycle 2 Day 1 (predose); each cycle=21 days

  11. Cmax of MMAE-Q1/3W Dosing Schedule

    Cmax of MMAE determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Per protocol the Zilovertamab vedotin Q2/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI); and 2 and 4 hours after EOI)], Day 8 (168 hr), Day 15 (336 hr), and Cycle 2 Day 1 (predose); each cycle=21 days

  12. Area Under the Plasma Concentration-time Curve (AUC) 0-504hrs of Zilovertamab Vedotin- Q1/3W Dosing Schedule

    AUC0-504hrs of Zilovertamab Vedotin determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Per protocol the Zilovertamab vedotin Q2/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI); and 2 and 4 hours after EOI)], Day 8 (168 hr), Day 15 (336 hr), and Cycle 2 Day 1 (predose); each cycle=21 days

  13. AUC0-504hrs of Total Antibodies-Q1/3W Dosing Schedule

    AUC0-504hrs of total antibody determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Total Antibody was defined as total zilovertamab vedotin plus any antibody that was not conjugated to monomethyl auristatin E (MMAE). Per protocol the Zilovertamab vedotin Q2/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI); and 2 and 4 hours after EOI)], Day 8 (168 hr), Day 15 (336 hr), and Cycle 2 Day 1 (predose); each cycle=21 days

  14. AUC0-504hrs of MMAE-Q1/3W Dosing Schedule

    AUC0-504hrs of MMAE by blood collected pre-dose and at designated timepoints post-dose was reported. Per protocol the Zilovertamab vedotin Q2/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI); and 2 and 4 hours after EOI)], Day 8 (168 hr), Day 15 (336 hr), and Cycle 2 Day 1 (predose); each cycle=21 days

  15. Cmax of Zilovertamab Vedotin-Q2/3W Dosing Schedule: Day 1

    Cmax of zilovertamab vedotin determined by blood samples collected pre-dose and at designated timepoints post-dose were reported. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI)], Day 8 (predose); each cycle=21 days

  16. Cmax of Total Antibody-Q2/3W Dosing Schedule: Day 1

    Cmax of total antibody determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Total Antibody was defined as total zilovertamab vedotin plus any antibody that was not conjugated to monomethyl auristatin E (MMAE). Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI)], Day 8 (predose); each cycle=21 days

  17. Cmax of MMAE-Q2/3W Dosing Schedule: Day 1

    Cmax of MMAE determined by blood samples collected pre-dose and at designated timepoints post-dose were reported. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI)], Day 8 (predose); each cycle=21 days

  18. Cmax of Zilovertamab Vedotin-Q2/3W Dosing Schedule: Day 8

    Cmax of zilovertamab vedotin determined by blood samples collected pre-dose and at designated timepoints post-dose were reported. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 8 [(predose; end of infusion (EOI)], Day 15 (168 hr), Cycle 2 Day 1 Predose; each cycle=21 days

  19. Cmax of Total Antibody-Q2/3W Dosing Schedule: Day 8

    Cmax of total antibody determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Total Antibody was defined as total zilovertamab vedotin plus any antibody that was not conjugated to monomethyl auristatin E (MMAE). Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 8 [(predose; end of infusion (EOI)], Day 15 (168 hr), Cycle 2 Day 1 Predose; each cycle=21 days

  20. Cmax of MMAE-Q2/3W Dosing Schedule: Day 8

    Cmax of MMAE determined by blood samples collected pre-dose and at designated timepoints post-dose were reported. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 8 [(predose; end of infusion (EOI)], Day 15 (168 hr), Cycle 2 Day 1 Predose; each cycle=21 days

  21. AUC0-168hrs of Zilovertamab Vedotin -Q2/3W Dosing Schedule: Day 1

    AUC0-168hrs of zilovertamab vedotin determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI)], Day 8 (predose); each cycle=21 days

  22. AUC0-168hrs of Total Antibody-Q2/3W Dosing Schedule: Day 1

    AUC0-168hrs of total antibody determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Total Antibody was defined as total zilovertamab vedotin plus any antibody that is not conjugated to monomethyl auristatin E (MMAE). Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI)], Day 8 (predose); each cycle=21 days

  23. AUC0-168 hr of MMAE-Q2/3W Dosing Schedule: Day 1

    AUC0-168hrs of MMAE determined by blood samples collected pre-dose and at designated timepoints post-dose were reported. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 1 [(predose; end of infusion (EOI)], Day 8 (predose); each cycle=21 days

  24. AUC168-336hrs of Zilovertamab Vedotin-Q2/3W Dosing Schedule: Day 8

    AUC168-336 hrs of zilovertamab vedotin determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 8 [(predose; end of infusion (EOI)], Day 15 (168hr), Cycle 2 Day 1 Predose; each cycle=21 days

  25. AUC168-336 Hrs of Total Antibody-Q2/3W Dosing Schedule: Day 8

    AUC168-336hrs of total antibody determined by blood samples collected pre-dose and at designated timepoints post-dose was reported. Total Antibody was defined as total zilovertamab vedotin plus any antibody that was not conjugated to MMAE. Per protocol the Zilovertamab vedotin Q1/3W Dosing Group was not included in this analysis.

    Measured: Day 8 [(predose; end of infusion (EOI)], Day 15 (168hr), Cycle 2 Day 1 Predose; each cycle=21 days

  26. AUC168-336 hr of MMAE-Q2/3W Dosing Schedule: Day 8

    AUC168-336 of MMAE determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.

    Measured: Day 8 [(predose; end of infusion (EOI)], Day 15 (168hr), Cycle 2 Day 1 Predose; each cycle=21 days

Timeline

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

  1. First posted7 Aug 2020
  2. Study start7 Oct 2020
  3. Primary completion12 Jun 2023
  4. Study completion12 Jun 2023

Why it stopped: Business reasons

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04504916
Sponsor's protocol ID
2140-002
Other IDs
VLS-101-0003, MK-2140-002
Status last verified
Oct 2025
First submitted
4 Aug 2020
Last updated
10 Nov 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pd

Publications

  • Meric-Bernstam F, Gutierrez M, Sanz-Garcia E, Villa D, Zhang J, Friedmann J, Yan F, Socinski MA, Sarantopoulos J, Raez LE, Chu QS, Chenard-Poirier M, Chatterjee MS, Ren H, Liu Q, Levine DA, Jhaveri KL. Phase 2 Study of Zilovertamab Vedotin in Participants with Metastatic Solid Tumors. Cancer Res Commun. 2025 Sep 1;5(9):1664-1673. doi: 10.1158/2767-9764.CRC-25-0019.

    PubMed 40762544
  • Kipps TJ. Mining the Microenvironment for Therapeutic Targets in Chronic Lymphocytic Leukemia. Cancer J. 2021 Jul-Aug 01;27(4):306-313. doi: 10.1097/PPO.0000000000000536.

    PubMed 34398557

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Zilovertamab vedotin in people with Triple-negative Breast Cancer and Non-squamous Non-small-cell Lung Cancer, run by VelosBio Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 14 sites in 2 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 9 inclusion and 10 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: stopped early, as of the sponsor's last update on 10 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Canada. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Objective Response Rate (ORR)- Blinded Independent Central Review (BICR) (time frame: Up to ~18 months). 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 NCT04504916, which also lists 2 linked publications.

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 10 Nov 2025.

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