MSC2015103B in Solid Tumors

This study is currently recruiting participants.
Verified December 2012 by EMD Serono
Sponsor:
Information provided by (Responsible Party):
EMD Serono
ClinicalTrials.gov Identifier:
NCT01453387
First received: September 9, 2011
Last updated: December 12, 2012
Last verified: December 2012

September 9, 2011
December 12, 2012
September 2011
April 2014   (final data collection date for primary outcome measure)
  • Proportion of subjects experiencing dose-limiting toxicities (DLT), evaluated over the first cycle of treatment by using the National Cancer Institute, Common Terminology Criteria for Adverse Events (NCI CTCAE) V4.0. [ Time Frame: 20 months ] [ Designated as safety issue: Yes ]
  • Number of subjects experiencing dose-limiting toxicities (DLT), evaluated over the first cycle of treatment by using the National Cancer Institute, Common Terminology Criteria for Adverse Events (NCI CTCAE) V4.0. [ Time Frame: 20 months ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT01453387 on ClinicalTrials.gov Archive Site
  • Proportion of subjects experiencing any treatment emergent adverse event. [ Time Frame: 20 months ] [ Designated as safety issue: Yes ]
  • Pharmacokinetic parameters (AUC) of MSC2015103B measured in plasma will be calculated for each cohort using non-compartmental methods. [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Pharmacokinetic parameters (Cmax) of MSC2015103B measured in plasma will be calculated for each cohort using non-compartmental methods. [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Pharmacokinetic parameters (tmax) of MSC2015103B measured in plasma will be calculated for each cohort using non-compartmental methods. [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • At the end of the trial MSC2015103B pharmacokinetics (AUC) will be calculated using non-compartmental methods [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Proportion of subjects experiencing clinically significant changes in a laboratory parameter and /or vital signs judged to be related to the trial medication [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Proportion of subjects with overall response as defined by confirmed Complete Response (CR) or Partial Response (PR) (using RECIST v1.0) during treatment [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Proportion of subjects with clinical benefit as defined by confirmed CR, PR or Stable Disease (SD) lasting at least 6 weeks (using RECIST v1.0) during treatment [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • ERK phosphorylation levels will be assessed in peripheral blood mononuclear cells (PBMC) during the dose escalation. [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Number of subjects experiencing clinically significant changes in a laboratory parameter and /or vital signs judged to be related to the trial medication [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Number of subjects experiencing any treatment emergent adverse event. [ Time Frame: 20 months ] [ Designated as safety issue: Yes ]
  • Number of subjects with overall response as defined by confirmed Complete Response (CR) or Partial Response (PR) (using RECIST v1.0) during treatment [ Time Frame: 20 months ] [ Designated as safety issue: No ]
  • Number of subjects with clinical benefit as defined by confirmed CR, PR or Stable Disease (SD) lasting at least 6 weeks (using RECIST v1.0) during treatment [ Time Frame: 20 months ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
MSC2015103B in Solid Tumors
A Phase I Dose-Escalation First-In-Human Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of the Oral MEK Inhibitor MSC2015103B Administered With Two Different Treatment Schedules in Subjects With Advanced Solid Tumors

The main purpose of this study is to test the experimental drug, MSC2015103B (Pimasertib) at different dose levels and on different treatment schedules, to see whether it is safe and can be tolerated when given to subjects once a day one day per week over a 21-day period or once a day three times per week over a 21-day period. The investigators would also like to find out how MSC2015103B is broken down by the body.

Additional purposes of the trial are to assess side effects of MSC2015103B and to find out whether MSC2015103B has anti-cancer effects. In addition, the investigators would like to explore pharmacokinetics.

Not Provided
Interventional
Phase 1
Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Advanced Solid Tumor
  • Drug: MSC2015103B

    Once weekly administration schedule: Days 1, 8, and 15 of a 21-day cycle (Schedule 1) dosing will begin at 150 mcg

    Three times weekly administration schedule: Days 1, 3, 5, 8, 10, 12, 15, 17 and 19 of a 21-day cycle (Schedule 2) dosing will begin at 150 mcg

    Other Name: Pimasertib
  • Drug: MSC2015103B
    An Expansion Cohort at the MTD or any other suitable dose level may be utilized to further characterize the safety profile and pharmacodynamics of the drug.
    Other Name: Pimasertib
  • Experimental: Part 1 - MSC2015103B (Schedule 1 & 2)
    Intervention: Drug: MSC2015103B
  • Experimental: Part 2 - MSC2015103B
    Intervention: Drug: MSC2015103B
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
90
Not Provided
April 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. Pathologically confirmed solid tumor preferably, but not exclusively, including pancreatic, thyroid, colorectal, non-small cell lung, endometrial, renal, breast, ovarian carcinoma, or melanoma which is locally advanced or metastatic, and either refractory after standard therapy for the disease or for which no effective standard therapy is available.
  2. Eastern Cooperative Oncology Group Performance Status (ECOG PS) of ≤ 1.
  3. Has read and understands the informed consent form and is willing and able to give informed consent. Fully understands requirements of and willing to comply with all trial visits and assessments.
  4. Evidence of measurable disease at trial entry as per Response Evaluation Criteria In Solid Tumors (RECIST) v1.0.
  5. Willing to provide archival tissue samples for molecular analysis.

Other inclusion criteria also apply.

Exclusion Criteria:

  1. Bone marrow impairment as evidenced by hemoglobin < 9.0 g/dL, neutrophil count < 1.5 x 10^9/L, and/or platelets < 100 x 10^9/L.
  2. Renal impairment as evidenced by serum creatinine > 1.5 x ULN (upper limit of normal) and/or calculated creatinine clearance < 50 mL/min (Cockcroft-Gault formula).
  3. Liver function and liver cell integrity abnormality as defined by total bilirubin> 1.5 x ULN, or aspartate aminotransferase/alanine aminotransferase (AST/ALT) > 2.5 x ULN, for subjects with liver involvement AST/ALT > 5 x ULN. Subjects with albumin < 2.5 g/dL are also excluded.
  4. History of central nervous system (CNS) metastases..
  5. History of difficulty of swallowing, malabsorption, or other chronic gastrointestinal disease or conditions that may hamper compliance and/or absorption of the tested product.
  6. Chronic diarrhea that is ≥ Grade 2 in severity
  7. Clinically significant cardiac conduction abnormalities.
  8. A left ventricular ejection fraction of < 45%.
  9. A history of stroke or myocardial infarction within the past year.
  10. A history of uveitis and scleritis.
  11. Retinal pathology beyond normal age-related processes.
  12. Evidence of a retinal vein occlusion on fluorescein angiogram or a history of retinal vein occlusion.

    Subjects are also excluded if their ophthalmologist finds that their optic disc is at risk for a central retinal vein occlusion.

  13. History of glaucoma.
  14. Subjects requiring daily and/or chronic systemic steroids.
  15. Pregnant or nursing females.

Other exclusion criteria also apply.

Both
18 Years and older
No
Contact: Gretchen Moufflet 781-681-2763 Gretchen.Moufflet@emdserono.com
United States
 
NCT01453387
EMR 200064-001
No
EMD Serono
EMD Serono
Not Provided
Study Director: Narmyn Rejeb, MD Merck Serono S.A., Geneva
EMD Serono
December 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP