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Solid TumorPhase 1NCT06308263

Tuvusertib (M1774) Human Mass Balance and Absolute Bioavailability Study (DDRIVER Solid Tumors 303)

A Phase 1 study testing Tuvusertib [14C]Tuvusertib microtracer, Tuvusertib and Tuvusertib + [14C]Tuvusertib microdose bolus injection in people with Solid Tumor, run by Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany at 1 site in Hungary.

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

This is a single sequence 2-period open label study in participants with advanced solid tumors. The purpose of Period 1 of this study is to assess the mass balance to determine drug-related entities present in circulation and excreta and provide a comprehensive understanding of biotransformation pathways and clearance… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor
What is being tested?
Tuvusertib [14C]Tuvusertib microtracer, Tuvusertib and Tuvusertib + [14C]Tuvusertib microdose bolus injection
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
1 siteHungary
Study dates
25 Mar 2024to 14 Apr 2026
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

  • Are histologically proven advanced solid tumors that are considered appropriate for treatment in Period 2 of this study, for which no effective standard therapy exists, or standard therapy has failed or cannot be tolerated
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) less than or equal to 1 (<=) 1
  • Have evaluable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 at Screening
  • Are capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and this protocol
  • Other protocol defined inclusion criteria could apply

Who cannot join

  • Uncontrolled or poorly controlled arterial hypertension, symptomatic congestive heart failure (New York Heart Association Classification more than equal to (>=) Class III), uncontrolled cardiac arrhythmia, calculated Corrected QT interval (QTc) average using the QT Interval Corrected Using Fridericia's Formula (QTcF) more than (>) 480 msec; unstable angina pectoris, myocardial infarction, or a coronary revascularization procedure, cerebral vascular accident, transient ischemic attack, or any other significant vascular disease within 180 days of study intervention start
  • Presence of toxicities due to prior anticancer therapies (e.g. radiotherapy, chemotherapy, immunotherapies, Et cetera (etc.)) that do not recover to (<=) Grade 1 with the exception of toxicities that do not pose a safety risk to the participant in the judgment of the Investigator (e.g. ongoing Grade 2 alopecia)
  • Treatment with live or live attenuated vaccine within 30 days of dosing (non-replicating vector vaccines are permitted)
  • Participation in a study involving administration of 14C-labeled compound(s) within last 6 months prior to start of study intervention
  • Other protocol defined exclusion criteria could apply

Trial locations and contacts

1 site in 1 country.

Hungary1 site
  • Pharmaceutical Research Associates Magyarország Kutatás - Fejlesztési Kft., Klinikai Farmakológiai Vizsgálóhely

    Budapest

Other trials in Hungary

About this study

Official title: Phase 1 Study to Evaluate the Mass Balance, Pharmacokinetics, Metabolism, Excretion and Absolute Bioavailability of Tuvusertib (M1774) Containing Microtracer 14C Tuvusertib in Participants With Advanced Solid Tumors (DDRIVER Solid Tumors 303)

This is a single sequence 2-period open label study in participants with advanced solid tumors. The purpose of Period 1 of this study is to assess the mass balance to determine drug-related entities present in circulation and excreta and provide a comprehensive understanding of biotransformation pathways and clearance mechanisms in participants with advanced solid tumors. The purpose of Period 1a is to assess the extent of ABA of tuvusertib and the mass balance, PK, metabolism, and elimination of 14C-tuvusertib after iv dosing in participants with advanced solid tumors. After either Period 1 or Period 1a; participants may enter an optional extension phase (Period 2) where participants will receive tuvusertib until disease progression or other criteria for study intervention discontinuation are met.

Conditions
Solid Tumor
Being tested
Tuvusertib [14C]Tuvusertib microtracer, Tuvusertib, Tuvusertib + [14C]Tuvusertib microdose bolus injection
Keywords
Ataxia telangiectasia mutated and Rad3-related (ATR) inhibitor, ADME, Tuvusertib (M1774)
Medical subject headings
Hereditary Sensory and Autonomic Neuropathies

What participants receive

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

  • Tuvusertib [14C]Tuvusertib microtracerDrug

    Also called M1774

    Participants will receive single oral dose of Tuvusertib containing a [14C] Tuvusertib microtracer solution on Day 1 of period 1 under fasted conditions.

  • TuvusertibDrug

    Also called M1774

    Participants will also receive a single oral dose of Tuvusertib on Day 1 of Period 1 or Period 1a, and daily single oral dose of Tuvusertib for 2 weeks in 21 days cycle of Period 2.

  • Tuvusertib + [14C]Tuvusertib microdose bolus injectionDrug

    Also called M1774

    In Period 1a, participants will receive on Day 1 of Period 1 a single oral dose of tuvusertib and an intravenous (IV) (14C) tuvusertib microdose as bolus injection.

Study groups in NCT06308263
Study groupRoleWhat they receive
Period 1: Mass Balance: Tuvusertib + [14C]Tuvusertib microtracerExperimentalNot described
Receives: Drug: Tuvusertib [14C]Tuvusertib microtracer; Drug: Tuvusertib
Period 1a: Absolute Bioavailability: Tuvusertib + [14C]Tuvusertib microdose bolus injectionExperimentalNot described
Receives: Drug: Tuvusertib; Drug: Tuvusertib + [14C]Tuvusertib microdose bolus injection
Period 2: TuvusertibExperimentalNot described
Receives: Drug: Tuvusertib

What is being measured

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

  1. Period 1: Percent Urinary Recovery (feurine) Of Total Radioactivity (TRA) Over the Entire Period Of Collection

    Measured: Pre-dose up to 312-336 hours post dose

  2. Period 1: Percent Fecal Recovery (fefeces) Of TRA Over the Entire Period Of Collection

    Measured: Pre-dose up to 312-336 hours post-dose

  3. Period 1: Percent Total Recovery in Urine and Feces (fetotal) Of TRA Over the Entire Period of Collection

    Measured: Pre-dose up to 312-336 hours post-dose

  4. Period 1 and 1a: Maximum Observed Plasma Concentration (Cmax) Of Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  5. Period 1 and 1a: Time to Reach Maximum Plasma Concentration (Tmax) Of Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  6. Period 1 and 1a: Area Under the Plasma Concentration-Time Curve from Time Zero to the Time of the Last Quantifiable Concentration (AUC0-tlast) Of Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  7. Period 1 and 1a: Area Under the Plasma Concentration-Time Curve (AUC) from Time Zero Extrapolated to Infinity (AUC0-inf) Of Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  8. Period 1 and 1a: Apparent Terminal Half-Life (t1/2) Of Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  9. Period 1 and 1a: Apparent Total Body Clearance (CL/F) Of Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  10. Period 1 and 1a: Apparent Volume of Distribution (Vz/F) Of Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  11. Period 1: Maximum Observed Concentration (Cmax) of TRA in Plasma and Whole Blood

    Measured: Pre-dose up to 336 hours post-dose

  12. Period 1: Time to Reach Maximum Concentration (tmax) of TRA in Plasma and Whole blood

    Measured: Pre-dose up to 336 hours post-dose

  13. Period 1: Area Under Concentration-Time Curve from Time Zero to the Time of the Last Quantifiable Concentration (AUC0-tlast) of TRA in Plasma and Whole Blood

    Measured: Pre-dose up to 336 hours post-dose

  14. Period 1: Area Under the Concentration-Time Curve from Time Zero Extrapolated to Infinity (AUC0-inf) of TRA in Plasma and Whole Blood

    Measured: Pre-dose up to 336 hours post-dose

  15. Period 1: Apparent Terminal Half-Life (t1/2) of TRA in Plasma and Whole Blood

    Measured: Pre-dose up to 336 hours post-dose

  16. Period 1a: Ratio of Dose Normalized AUC0-infinity of Tuvusertib and 14C Tuvusertib in Plasma

    Measured: Pre-dose up to 336 hours post-dose

  17. Period 1a: Initial Concentration (C0) at Time Zero After Bolus Intervention Administration of 14[C] Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  18. Period 1a: Maximum Observed Concentration (Cmax) at Intravenous Administration of 14 [C] Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  19. Period 1a: Total Body Clearance (CL) Following at Intravenous Administration of 14[C] Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  20. Period 1a: Volume of Distribution (Vz) during the terminal phase following intravenous administration of 14[C] Tuvusertib

    Measured: Pre-dose upto 336 hours post-dose

  21. Period 1a: Volume of Distribution at Steady State (Vss) Following at Intravenous Administration of 14[C] Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  22. Period 1a: Area Under the Plasma Concentration-Time Curve from Time Zero to the Time of the Last Quantifiable Concentration (AUC0-tlast) at Intravenous Administration of 14[C] Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  23. Period 1a: Area Under the Plasma Concentration-Time Curve (AUC) from Time Zero Extrapolated to Infinity (AUC0-inf) at Intravenous Administration of 14[C] Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

  24. Period 1a: Apparent Terminal Half-Life (t1/2) at Intravenous Administration of 14[C] Tuvusertib

    Measured: Pre-dose up to 336 hours post-dose

Secondary outcomes (1)
  1. Period 1,1a,2: Number of Participants with Treatment-Emergent Adverse Events (TEAEs), Treatment-Related AEs, Abnormal Laboratory Parameters, abnormal Vital Signs and abnormal 12-Lead Electrocardiogram (ECG) Findings

    Measured: Baseline up to safety follow up (assessed up to approximately 21 months)

Timeline

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

  1. First posted13 Mar 2024
  2. Study start25 Mar 2024
  3. Primary completion14 Apr 2026
  4. Study completion14 Apr 2026

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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06308263
Sponsor's protocol ID
MS201924_0003
Other IDs
2022-502940-10-00
Status last verified
Apr 2026
First submitted
6 Mar 2024
Last updated
23 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tuvusertib [14C]Tuvusertib microtracer, Tuvusertib and Tuvusertib + [14C]Tuvusertib microdose bolus injection in people with Solid Tumor, run by Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany at 1 site in Hungary.

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 5 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 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Hungary. 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?

Period 1: Percent Urinary Recovery (feurine) Of Total Radioactivity (TRA) Over the Entire Period Of Collection (time frame: Pre-dose up to 312-336 hours post dose). The study lists 24 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 23 Apr 2026; AzTrials last refreshed its copy on 31 Oct 2026.

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