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Advanced Solid TumorPhase 1NCT05076396

PM14 Administered Intravenously to Patients With Advanced Solid Tumors

A Phase 1 study testing PM14 in people with Advanced Solid Tumor, run by PharmaMar at 9 sites in 3 countries.

Completed

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

Official record
Search all trials

Trial summary

Despite recent advances in the treatment of solid tumors in general, advanced (metastatic) disease remains mostly incurable and there is an urgent need to develop new therapeutic options for these patients, particularly investigational drugs with novel mechanisms of action. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumor
What is being tested?
PM14
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
126 participants
Where
9 sitesin 3 countries
Study dates
6 Sep 2017to 21 Aug 2025
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

  • Voluntarily signed and dated written informed consent (IC), obtained prior to any specific study procedure.
  • Age ≥18 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1
  • For the Dose escalation phase:
  • Patients with pathologically confirmed diagnosis of advanced solid tumors for whom no curative standard therapy exists.
  • For the Expansion phase:
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  • Patients with pathologically confirmed diagnosis of one of the following malignancies, for whom the standard of care therapies have failed, or are intolerant to standard of care therapies that are known to provide clinical benefit:
  • Gastrointestinal tumors: colorectal cancer, gastric cancer.
  • Sarcomas: liposarcoma, leiomyosarcoma, synovial sarcoma, Ewing's sarcoma.
  • Tumors with deleterious germline BRCA mutation: epithelial ovarian cancer (including primary peritoneal and fallopian tube cancer), breast cancer, pancreatic cancer, prostate cancer, or any other malignancies.
  • Epithelial ovarian cancer (including primary peritoneal and fallopian tube cancer) with no deleterious germline BRCA mutations or with unknown BRCA status.
  • Adrenocortical carcinoma.
  • Patients included in the Expansion phase need to meet the following requirements regarding the maximum number of prior chemotherapy regimens (no limit for biological therapies):
  • Gastrointestinal tumors: no more than three prior chemotherapy lines for colorectal cancer; and no more than two prior chemotherapy lines for gastric cancer.
  • Sarcomas: no more than two prior chemotherapy lines for liposarcoma, leiomyosarcoma and synovial sarcoma; and no more than three prior chemotherapy lines for Ewing's sarcoma.
  • Tumors with deleterious germline BRCA mutation: no more than three prior chemotherapy lines for breast cancer; and no more than two prior chemotherapy lines for prostate cancer, ovarian cancer, pancreatic cancer, gastric carcinoma, or any other malignancies.
  • Epithelial ovarian cancer with unknown BRCA status or no deleterious germline BRCA mutations: no more than three prior chemotherapy lines.
  • Adrenocortical cancer: no more than one prior chemotherapy line (excluding mitotane as single agent or associated with no chemotherapeutic agents).
  • Note: for the purpose of this criterion, the following situations will be considered as one chemotherapy line:
  • Adjuvant chemotherapy; neoadjuvant chemotherapy; both adjuvant and neoadjuvant chemotherapy (except if time to relapse was >12 months, in which case it will not be considered as one line); and
  • Change of chemotherapy due to reasons other than PD, such as toxicity (in this case, the two lines will count as a single line).
  • Life expectancy ≥3 months.
  • Patients with measurable or non-measurable disease according to the RECIST v.1.1 are eligible during the dose escalation phase.
  • Patients included in the Expansion phase must have:
  • Measurable disease according to the RECIST v.1.1 and/or evaluable disease by serum markers in case of prostate and ovarian cancer (according to the PSAWGR and the GCIG specific criteria, respectively).
  • Confirmed progressive disease after last therapy at study entry.
  • Recovery to grade ≤1 from drug-related AEs of previous treatments, excluding alopecia and grade 1/2 asthenia or fatigue, according to the NCI-CTCAE v.4.
  • Laboratory values within seven days prior to first infusion:
  • ANC ≥1.5 x 10^9/L, platelet count ≥100 x 10^9/L and hemoglobin ≥9 g/dL (patients may be transfused for anemia as clinically indicated prior to study entry).
  • AST and ALT ≤3.0 x ULN.
  • Total bilirubin ≤ULN (up to 1.5 x ULN for patients with Gilbert's syndrome).
  • Creatinine clearance ≥30 mL/min (calculated using the Cockcroft and Gault's formula).
  • Serum albumin ≥3 g/dL.
  • Wash-out periods:
  • At least three weeks since the last chemotherapy (six weeks if therapy included nitrosoureas or systemic mitomycin C).
  • At least four weeks since the last monoclonal antibody (MAb)-containing therapy or curative radiotherapy (RT).
  • At least two weeks since the last biological/investigational single-agent therapy (excluding MAbs) and/or palliative RT (≤10 fractions or ≤30 Gy total dose).
  • In patients with hormone-sensitive breast cancer progressing while on hormone therapy (except for luteinizing hormone-releasing hormone (LHRH) analogues in pre-menopausal women or megestrol acetate), all other hormonal therapies must be stopped at least one week before study treatment start.
  • Castrate-resistant prostate cancer (CRPC) patients may continue receiving hormone therapy prior to and during study treatment.

Who cannot join

  • Concomitant diseases/conditions:
  • Increased cardiac risk:
  • Uncontrolled arterial hypertension despite optimal management (≥160/100 mmHg).
  • Presence of clinically relevant valvular disease.
  • History of long QT syndrome.
  • Corrected QT interval (QTcF, Fridericia correction) ≥450 msec on screening electrocardiogram (ECG).
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  • History of ischemic heart disease, including myocardial infarction, angina, coronary arteriography or cardiac stress testing with findings consistent with coronary occlusion or infarction ≤6 months prior to study entry.
  • History of heart failure or left ventricular dysfunction (left ventricular ejection fraction [LVEF] below normal values) by multiple-gated acquisition scan (MUGA) or echocardiography (ECHO).
  • ECG abnormalities, including any of the following: left bundle branch block, right bundle branch block with left anterior hemiblock, second (Mobitz II) or third degree atrioventricular block.
  • Symptomatic arrhythmia (excluding anemia-related sinusal tachycardia grade ≤2) or any arrhythmia requiring ongoing treatment, and/or prolonged QT-QTc grade ≥2; or presence of unstable atrial fibrillation. Patients with stable atrial fibrillation on treatment are allowed provided they do not meet any other cardiac or prohibited drug exclusion criterion.
  • Clinically significant resting bradycardia (<50 beats per minute).
  • Concomitant medication with risk of inducing torsades de pointes, which cannot be discontinued or switched to an alternative drug prior to start PM14 dosing.
  • Use of a cardiac pacemaker.
  • Active infection requiring systemic treatment.
  • Known human immunodeficiency virus (HIV) or known hepatitis C virus (HCV) infection or active hepatitis B.
  • Any other major illness that, in the Investigator's judgment, will substantially increase the risk associated with the patient's participation in this study (e.g., COVID-19).
  • Symptomatic, high dose steroid-requiring, and progressing central nervous system (CNS) disease. Exceptions will be made for (i) patients who have completed radiotherapy at least four weeks prior to inclusion (asymptomatic, non-progressing patients taking steroids in the process of already being tapered within two weeks prior to inclusion), and (ii) patients with asymptomatic brain metastasis without need for radiotherapy or steroids.
  • Patients with carcinomatous meningitis regardless of clinical stability.
  • Prior bone marrow or stem cell transplantation, or radiation therapy in more than 35% of bone marrow.
  • Prior treatment with trabectedin or Lurbinectedin (PM01183) within six months prior to onset of study treatment.
  • Use of (strong or moderate) inhibitors or strong inducers of CYP3A4 activity within two weeks prior to the first infusion of PM14.
  • Known hypersensitivity to any of the components of the drug product
  • Limitation of the patient's ability to comply with the treatment or to follow the protocol procedures.
  • Pregnant or lactating women. Women of childbearing potential (WOCBP) must agree to use an effective contraception method to avoid pregnancy during trial treatment and for at least six months after the last infusion. Fertile male patients must agree to refrain from fathering a child or donating sperm and to use an effective contraception method during treatment and for four months after the last infusion. WOCBP who are partners of fertile male patients must use an effective contraception method during the patients' treatment and for four months after the last infusion.

Trial locations and contacts

9 sites in 3 countries.

9 sites in 3 countries

Spain6 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, Catalonia, 08035

  • Hospital General Universitario Gregorio Marañón

    Madrid, Madrid, 28007

  • Clinica Universidad de Navarra

    Madrid, Madrid, 28027

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, Madrid, 28040

  • Hospital Universitario 12 de Octubre

    Madrid, Madrid, 28041

  • Hospital Universitario Madrid Sanchinarro

    Madrid, Madrid, 28050

Other trials in Spain

United States2 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • MD Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

France1 site
  • Gustave Roussy

    Villejuif, París, 94805

Other trials in France

About this study

Official title: Phase I, Open-label, Dose-escalating, Clinical and Pharmacokinetic Study of PM14 Administered Intravenously to Patients With Advanced Solid Tumors

Despite recent advances in the treatment of solid tumors in general, advanced (metastatic) disease remains mostly incurable and there is an urgent need to develop new therapeutic options for these patients, particularly investigational drugs with novel mechanisms of action. The investigation of new combination regimens of non-crossresistant agents with acceptable-and not completely overlapping-toxicities has been a major way to improve response rate and outcome of patients with advanced solid tumors.

Read the detailed description

First-in-human, open-label, dose-finding, phase I trial, using a classical 3+3 design followed by a continual reassessment method (CRM).

Patients will be included in cohorts of a minimum of three or six patients to receive PM14 at successively increasing dose levels, starting at 0.25 mg/m^2 for the Days 1 and 8 schedule. For the Day 1 schedule, the starting dose will be 4.5 mg/m^2. Dose escalation will proceed only after all the patients fully evaluable for DLT included at one dose level have completed the first cycle (i.e., three weeks). Once the RD has been determined, expansion cohorts will be included to have a minimum of 20 fully evaluable patients per indication (tumor type) treated in the Expansion phase (regardless of the schedule administered), and thus have an adequate number of patients to assess safety. The indications of these patients will be chosen depending on the efficacy data obtained during dose escalation. Patients treated at the expansion cohorts will be evaluable by the Response Evaluation Criteria in Solid Tumors (RECIST v.1.1) and/or by serum markers only in patients with prostate cancer (prostate specific-antigen [PSA]) or ovarian cancer (carbohydrate antigen-125 [CA-125]) according to the Prostate-Specific Antigen Working Group Recommendations (PSAWGR) and the Gynecologic Cancer Intergroup (GCIG) specific criteria, respectively.

Being tested
PM14
Keywords
Advanced Solid Tumor, PharmaMar, Cancer, PM14
Medical subject headings
Neoplasms

What participants receive

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

  • PM14Drug

    PM14 drug product is provided as a sterile lyophilized powder for concentrate for solution for infusion with a strength of 5.0 mg of the active moiety. Patients will receive PM14 as an i.v. infusion in a total volume of 100 mL of 0.9% sodium chloride at the first three dose escalation levels. Thereafter, the volume of infusion can be increased to 250 mL.

Study groups in NCT05076396
Study groupRoleWhat they receive
PM14ExperimentalPatients will receive PM14 as an i.v. infusion in a total volume of 100 mL of 0.9% sodium chloride at the first three dose escalation levels. Thereafter, the volume of infusion can be increased to 250 mL.
Receives: Drug: PM14

What is being measured

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

  1. Patients with dose limiting toxicities

    To identify the dose limiting toxicities (DLTs), and to determine the maximun tolerated dose (MTD) and the recommended dose (RD) of PM14 administered i.v. on two days (Day 1 and Day 8) or on Day 1 only, both every three weeks (q3wk) over three hours to patients with advanced solid tumors.

    Measured: At cycle 2 (21-days cycle)

  2. Overall response rate

    To confirm the recommended dose (RD) determined during the Dose escalation phase, and to evaluate the antitumor activity of PM14 in terms of overall response rate (ORR), according to the Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1, and/or serum markers as appropriate, in patients with selected advanced solid tumors.

    Measured: At cycle 2 (21-days cycle)

  3. Overall response rate

    To confirm the recommended dose (RD) determined during the Dose escalation phase, and to evaluate the antitumor activity of PM14 in terms of overall response rate (ORR), according to the Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1, and/or serum markers as appropriate, in patients with selected advanced solid tumors.

    Measured: At cycle 4 (21-days cycle)

  4. Overall response rate

    To confirm the recommended dose (RD) determined during the Dose escalation phase, and to evaluate the antitumor activity of PM14 in terms of overall response rate (ORR), according to the Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1, and/or serum markers as appropriate, in patients with selected advanced solid tumors.

    Measured: At cycle 6 (21-days cycle)

  5. Overall response rate

    To confirm the recommended dose (RD) determined during the Dose escalation phase, and to evaluate the antitumor activity of PM14 in terms of overall response rate (ORR), according to the Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1, and/or serum markers as appropriate, in patients with selected advanced solid tumors.

    Measured: Through study completion up to Cycle 9

Secondary outcomes (10)
  1. Clinical Benefit Rate

    Clinical benefit rate in each tumor type is defined as the percentage of patients with a confirmed response (either complete response or partial response) according to the RECIST v.1.1 and/or by serum markers or with stable disease (SD) ≥4 months

    Measured: Through study completion up to Cycle 9

  2. Progression-free Survival

    Progression-free survival (PFS) is defined as the time from the date of first infusion of study treatment to the date of documented progression or death (due to any cause). If progression or death has not occurred at the time of the analysis, the PFS will be censored on the date of last tumor evaluation.

    Measured: From the date of first infusion of study treatment to the date of first documented progression or date of death from any cause, assessed up to 72 months

  3. Duration of Response

    Duration of response (DoR) is defined as the time between the date of first documentation of response to the date of documented progression or death.

    Measured: From the date of the first documentation of response to the date of first PD or further therapy or death, assessed up to 72 months

  4. Incidence of Treatment-Emergent Adverse Events

    Patients will be evaluable for safety if they have received at least one partial infusion of PM14. Adverse events (AEs) will be graded according to the NCI-CTCAE v.4. Additionally, treatment related discontinuations and treatment compliance (dose reduction, skipped doses and/or treatment delays due to AEs) will be described.

    Measured: From the date of first infusion of study treatment to the date of study termination, assessed up to 72 months

  5. Pharmacokinetic: Maximum Plasma Concentration (Cmax)

    Pharmacokinetic analyses will be evaluated in plasma and urine by standard noncompartmental analysis. Compartmental modeling may be performed if appropriate.

    Measured: At the end of Cycle 1 (each cycle is 21 days)

  6. Pharmacokinetic: Area Under The Concentration-time Curve (AUC)

    Pharmacokinetic analyses will be evaluated in plasma and urine by standard noncompartmental analysis. Compartmental modeling may be performed if appropriate.

    Measured: At the end of Cycle 1 (each cycle is 21 days)

  7. Pharmacogenetic

    To evaluate Pharmacogenetic (PGt) in germline DNA by the presence or absence of PGt polymorphisms in genes relevant for PM14 disposition

    Measured: At the end of Cycle 1 (each cycle is 21 days)

  8. Pharmacogenomic: Number of patients with RNA/protein expression

    To conduct an exploratory Pharmacogenomic analysis in tumor tissue samples and ctDNA of patients treated with PM14. Quantitation of mRNA expression of selected genes involved in DNA repair mechanisms or related to the mechanism of action of PM14 by qRT-PCR. Quantitation of protein expression of these genes by IHC, in tumor tissue samples.

    Measured: At the end of Cycle 1 (each cycle is 21 days)

  9. Pharmacogenomic: Number of patients with Polymorphisms

    To conduct an exploratory Pharmacogenomic analysis in tumor tissue samples and ctDNA of patients treated with PM14.

    Evaluate the presence or absence of polymorphisms in genes relevant for PM14 disposition

    Measured: At the end of Cycle 1 (each cycle is 21 days)

  10. Pharmacogenomic: Number of patients with Mutations

    To conduct an exploratory Pharmacogenomic analysis in tumor tissue samples and ctDNA of patients treated with PM14. The mutational status of genes wil also be analyzed

    Measured: At the end of Cycle 1 (each cycle is 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 posted13 Oct 2021
  2. Study start6 Sep 2017
  3. Primary completion21 Aug 2025
  4. Study completion21 Aug 2025

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
Allocation
Not applicable
Intervention model
Single group
Model description
First-in-human, open-label, dose-finding, phase I trial, using a classical 3+3 design followed by a continual reassessment method (CRM)
Masking
None (open label)
Enrolment
126 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05076396
Sponsor's protocol ID
PM14-A-001-17
Other IDs
2017-001118-27, 2017
Status last verified
May 2026
First submitted
2 Jul 2021
Last updated
11 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PM14 in people with Advanced Solid Tumor, run by PharmaMar at 9 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 39 inclusion and 24 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 11 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Spain, United States, France. 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?

Patients with dose limiting toxicities (time frame: At cycle 2 (21-days cycle)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 May 2026.

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