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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


Phase 1
18 Years
N/A
Open (Enrolling)
Both
Advanced Solid Tumor

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Trial Information

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


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.

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

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.

Outcome Time Frame:

20 months

Safety Issue:

Yes

Principal Investigator

Narmyn Rejeb, MD

Investigator Role:

Study Director

Investigator Affiliation:

Merck Serono S.A., Geneva

Authority:

United States: Food and Drug Administration

Study ID:

EMR 200064-001

NCT ID:

NCT01453387

Start Date:

September 2011

Completion Date:

Related Keywords:

  • Advanced Solid Tumor
  • MEK inhibitor
  • Solid Tumor
  • Phase I
  • Pimasertib
  • Neoplasms

Name

Location

Beth Israel Deaconess Medical Center Boston, Massachusetts  02215
Dana-Farber Cancer Institute Boston, Massachusetts  02115
Karmanos Cancer Institute Detroit, Michigan  48201