Trial of MEK Inhibitor and PI3K/mTOR Inhibitor in Subjects With Locally Advanced or Metastatic Solid Tumors
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ClinicalTrials.gov Identifier: NCT01390818 |
Recruitment Status :
Completed
First Posted : July 11, 2011
Results First Posted : March 7, 2017
Last Update Posted : March 7, 2017
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Sponsor:
EMD Serono
Collaborator:
Sanofi
Information provided by (Responsible Party):
EMD Serono
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Single Group Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Locally Advanced Solid Tumor Metastatic Solid Tumor Breast Cancer Non Small Cell Lung Cancer Melanoma Colorectal Cancer |
Interventions |
Drug: MSC1936369B (pimasertib) Drug: SAR245409 (PI3K and mTOR inhibitor) |
Enrollment | 146 |
Participant Flow
Recruitment Details | First subject (informed consent): May 2011. Study completion date: Apr 2015. A total of 192 subjects were screened and 146 subjects entered the trial and received the investigational medicinal product (IMP). |
Pre-assignment Details | Study had a 4-day Drug-Drug Interaction (DDI) period, within 1 week prior to Day 1 Cycle 1, to assess possible interaction only in selected subjects where in SAR245409 and Pimasertib were administered alone on Day 1 and Day 3, respectively. |
Arm/Group Title | Pimasertib (MSC1936369B) 15mg and SAR245409 30mg Once Daily | Pimasertib (MSC1936369B) 30mg and SAR245409 30mg Once Daily | Pimasertib (MSC1936369B) 15mg and SAR245409 50mg Once Daily | Pimasertib (MSC1936369B) 30mg and SAR245409 50mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 50mg Once Daily | Pimasertib (MSC1936369B) 30mg and SAR245409 70mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 70mg Once Daily | Pimasertib (MSC1936369B) 90mg and SAR245409 70mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 90mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 30mg Twice Daily | Pimasertib (MSC1936369B) 45mg and SAR245409 50mg Twice Daily | TNBC: Pimasertib 60mg and SAR245409 70mg Once Daily | NSCLC: Pimasertib 60mg and SAR245409 70mg Once Daily | CRC: Pimasertib 60mg and SAR245409 70mg Once Daily | MEL: Pimasertib 60mg and SAR245409 70mg Once Daily |
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Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 15 milligram (mg) along with single oral dose of 30 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (Dose Escalation [DE] cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 30 mg along with single oral dose of 30 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 15 mg along with single oral dose of 50 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 30 mg along with single oral dose of 50 mg SAR245409 capsule on Day 1 of each 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 60 mg along with single oral dose of 50 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 30 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 90 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 60 mg along with single oral dose of 90 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered twice orally at a dose of 60 mg along with twice oral dose of 30 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered twice orally at a dose of 45 mg along with twice oral dose of 50 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Subjects with relapsed or refractory metastatic triple negative breast cancer (TNBC) defined as estrogen, progesterone, and human epidermal growth factor receptor 2 (HER2) negative carcinoma of the breast with no approved therapies in disease specific expansion (DSE) cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of each 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. | Subjects with a histologically confirmed diagnosis of relapsed or refractory metastatic non-small cell lung cancer (NSCLC) in disease specific expansion (DSE) cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. | Subjects with relapsed or refractory metastatic colorectal carcinoma/cancer (CRC) in DSE cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. | Subjects with relapsed or refractory metastatic melanoma (MEL) in DSE cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. |
Period Title: Overall Study | |||||||||||||||
Started | 3 | 3 | 3 | 4 | 4 | 3 | 19 | 14 | 3 | 3 | 4 | 26 | 24 | 18 | 15 |
Completed | 3 | 3 | 3 | 4 | 4 | 3 | 19 | 14 | 3 | 3 | 4 | 26 | 24 | 18 | 15 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Pimasertib (MSC1936369B) 15mg and SAR245409 30mg Once Daily | Pimasertib (MSC1936369B) 30mg and SAR245409 30mg Once Daily | Pimasertib (MSC1936369B) 15mg and SAR245409 50mg Once Daily | Pimasertib (MSC1936369B) 30mg and SAR245409 50mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 50mg Once Daily | Pimasertib (MSC1936369B) 30mg and SAR245409 70mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 70mg Once Daily | Pimasertib (MSC1936369B) 90mg and SAR245409 70mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 90mg Once Daily | Pimasertib (MSC1936369B) 60mg and SAR245409 30mg Twice Daily | Pimasertib (MSC1936369B) 45mg and SAR245409 50mg Twice Daily | TNBC: Pimasertib 60mg and SAR245409 70mg Once Daily | NSCLC: Pimasertib 60mg and SAR245409 70mg Once Daily | CRC: Pimasertib 60mg and SAR245409 70mg Once Daily | MEL: Pimasertib 60mg and SAR245409 70mg Once Daily | Total | |
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Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 15 milligram (mg) along with single oral dose of 30 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 30 mg along with single oral dose of 30 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 15 mg along with single oral dose of 50 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 30 mg along with single oral dose of 50 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 60 mg along with single oral dose of 50 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 30 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 90 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered at a single oral dose of 60 mg along with single oral dose of 90 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered twice orally at a dose of 60 mg along with twice oral dose of 30 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Pimasertib (MSC1936369B) capsule was administered twice orally at a dose of 45 mg along with twice oral dose of 50 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject (DE cohort). | Subjects with relapsed or refractory metastatic triple negative breast cancer (TNBC) defined as estrogen, progesterone, and human epidermal growth factor receptor 2 (HER2) negative carcinoma of the breast with no approved therapies in disease specific expansion (DSE) cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of each 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. | Subjects with a histologically confirmed diagnosis of relapsed or refractory metastatic non-small cell lung cancer (NSCLC) in disease specific expansion (DSE) cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. | Subjects with relapsed or refractory metastatic colorectal carcinoma/cancer (CRC) in DSE cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. | Subjects with relapsed or refractory metastatic melanoma (MEL) in DSE cohort received Pimasertib (MSC1936369B) capsule at a single oral dose of 60 mg along with single oral dose of 70 mg SAR245409 capsule on Day 1 of 21 days cycle until disease progression, intolerable toxicity, Investigator's decision to discontinue treatment, or withdrawal of consent by the subject. | Total of all reporting groups | |
Overall Number of Baseline Participants | 3 | 3 | 3 | 4 | 4 | 3 | 19 | 14 | 3 | 3 | 4 | 26 | 24 | 18 | 15 | 146 | |
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The Safety analysis set (SAF) included subjects who received at least one (non-zero) administration of the trial IMPs (pimasertib and/or SAR245409).
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 3 participants | 3 participants | 3 participants | 4 participants | 4 participants | 3 participants | 19 participants | 14 participants | 3 participants | 3 participants | 4 participants | 26 participants | 24 participants | 18 participants | 15 participants | 146 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Between 18 and 65 years |
2 66.7%
|
1 33.3%
|
1 33.3%
|
2 50.0%
|
1 25.0%
|
2 66.7%
|
16 84.2%
|
12 85.7%
|
3 100.0%
|
2 66.7%
|
2 50.0%
|
22 84.6%
|
16 66.7%
|
12 66.7%
|
13 86.7%
|
107 73.3%
|
|
>=65 years |
1 33.3%
|
2 66.7%
|
2 66.7%
|
2 50.0%
|
3 75.0%
|
1 33.3%
|
3 15.8%
|
2 14.3%
|
0 0.0%
|
1 33.3%
|
2 50.0%
|
4 15.4%
|
8 33.3%
|
6 33.3%
|
2 13.3%
|
39 26.7%
|
|
Gender
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 3 participants | 3 participants | 3 participants | 4 participants | 4 participants | 3 participants | 19 participants | 14 participants | 3 participants | 3 participants | 4 participants | 26 participants | 24 participants | 18 participants | 15 participants | 146 participants | |
Female |
3 100.0%
|
1 33.3%
|
2 66.7%
|
1 25.0%
|
1 25.0%
|
1 33.3%
|
6 31.6%
|
13 92.9%
|
1 33.3%
|
2 66.7%
|
0 0.0%
|
26 100.0%
|
15 62.5%
|
11 61.1%
|
4 26.7%
|
87 59.6%
|
|
Male |
0 0.0%
|
2 66.7%
|
1 33.3%
|
3 75.0%
|
3 75.0%
|
2 66.7%
|
13 68.4%
|
1 7.1%
|
2 66.7%
|
1 33.3%
|
4 100.0%
|
0 0.0%
|
9 37.5%
|
7 38.9%
|
11 73.3%
|
59 40.4%
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Outcome Measures
Adverse Events