Overview
Sponsor-declared trial summary
PIK3CA-related overgrowth spectrum (PROS) and Proteus Syndrome (PS)
To evaluate the safety and tolerability of miransertib administered as monotherapy
Key facts
- Sponsor
- Merck Sharp & Dohme LLC
- Participant type
- Pediatric, Patients
- Age range
- 0-17 years, 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Phenomena and Processes [G] - Genetic Phenomena [G05]
- Trial duration
- 5 Nov 2021 → ongoing
- Decision date (initial)
- 2022-06-28
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
External identifiers
- EU CT number
- 2022-500689-87-00
- EudraCT number
- 2021-001369-19
- WHO UTN
- U1111-1273-8003
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Therapy
To evaluate the safety and tolerability of miransertib administered as monotherapy
Conditions and MedDRA coding
PIK3CA-related overgrowth spectrum (PROS) and Proteus Syndrome (PS)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10074067 | Proteus syndrome | 100000004850 |
| 21.1 | PT | 10081236 | PIK3CA related overgrowth spectrum | 100000004850 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | All participants Male and female subjects with PROS and PS who are:
- Receiving miransertib in Study MK 7075 002 [NCT03094832] OR
- Are receiving miransertib in ArQule’s compassionate use/expanded access program (NCT03317366) OR
- Have been screened for MK-7075-002, but have not yet started treatment with miransertib OR
- Have been approved by the Sponsor to screen for MK-7075-002, but have not yet started treatment with miransertib.
|
Not Applicable | None | Treatment: Miransertib (5 or 10 mg capsules) |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 4
- Has phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA)-related overgrowth spectrum (PROS) or Proteus Syndrome (PS) and has been screened in Study MK-7075-002 (or has been approved by the Sponsor to screen for MK-7075-002) or is currently being treated with miransertib as part of Study MK-7075-002 (NCT03094832) or ArQule’s CU/EAP (NCT03317366)
- Is an individual of any sex/gender, from 2 to 120 years of age, inclusive
- For males, agrees to be abstinent from heterosexual intercourse or use contraception unless confirmed to be azoospermic during the study period and for ≥90 days after the last dose of study intervention
- For females, is not pregnant or breastfeeding, and is either not a participant of childbearing potential (POCBP) or is a POCBP and is abstinent or uses a highly effective method of contraception
Exclusion criteria 5
- Has previously discontinued miransertib due to related SAEs or other intolerance of miransertib
- Has received other investigational agents, if any, that were administered between leaving Study MK-7075-002 or ArQule’s CU/EAP and entering this trial
- Is receiving systemic inhibitors of the mechanistic target of rapamycin (mTOR) pathway (eg, sirolimus, everolimus)
- Is receiving immunosuppressive therapies
- Is receiving continuous high dose steroids
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Number of participants experiencing a Serious Adverse Event (SAE)
- Number of participants discontinuing study treatment due to an Adverse Event (AE)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD9395102 · Product
- Active substance
- Miransertib
- Substance synonyms
- MK-7075, ARQ 092
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL USE
- Max daily dose
- 35 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1645 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 47 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- 15-4971
PRD9395103 · Product
- Active substance
- Miransertib
- Substance synonyms
- MK-7075, ARQ 092
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL USE
- Max daily dose
- 35 mg/m2 milligram(s)/sq. meter
- Max total dose
- 1645 mg/m2 milligram(s)/sq. meter
- Max treatment duration
- 47 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- MERCK & CO. INC.
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- 15-4971
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Merck Sharp & Dohme LLC
- Sponsor organisation
- Merck Sharp & Dohme LLC
- Address
- 126 East Lincoln Avenue, P. O. Box 2000 P. O. Box 2000
- City
- Rahway
- Postcode
- 07065-4607
- Country
- United States
Scientific contact point
- Organisation
- Merck Sharp & Dohme Corp.
- Contact name
- Danny Liaw
Public contact point
- Organisation
- Merck Sharp & Dohme Corp.
- Contact name
- Danny Liaw
Third parties 2
| Organisation | City, country | Duties |
|---|---|---|
| Parexel International Corporation ORG-100007310
|
Auburndale, United States | Other |
| Almac ORG-100013160
|
Souderton, United States | Interactive response technologies (IRT) |
Locations
1 EU/EEA country · 2 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Italy | Ongoing, recruitment ended | 19 | 2 |
| Rest of world
Australia, United Kingdom, Brazil, United States
|
— | 41 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Italy | 2021-11-05 | 2021-11-23 | 2022-09-29 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 13 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2022-500689-87_SM05_for pub | 05 |
| Protocol (for publication) | Protocol Clarification letter_for publication | 29JUL2022 |
| Recruitment arrangements (for publication) | blank | 27APR2022 |
| Subject information and informed consent form (for publication) | ICF_Main assent 05-12 year old_ITA_Italian_for publication | 08SEP2022 |
| Subject information and informed consent form (for publication) | ICF_Main assent 13-17 year old_ITA_Italian_for publication | 08SEP2022 |
| Subject information and informed consent form (for publication) | ICF_Main consent_ITA_Italian_for publication | 22DEC2022 |
| Subject information and informed consent form (for publication) | ICF_Main data privacy_ITA_Italian_for publication | 08SEP2022 |
| Subject information and informed consent form (for publication) | ICF_Optional DILI sample_ITA_Italian_for publication | 08SEP2022 |
| Subject information and informed consent form (for publication) | L1_ICF_Main consent_ITA_IT_SM05_for pub | AM03v3.00 |
| Synopsis of the protocol (for publication) | D1_PPLS_2022-500689-87_ITA_IT_SM05_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_PPLS_2022-500689-87_SM05_for pub | 2.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Scientific Synopsis_2022-500689-87_ITA_IT_SM05_for pub | 4.0 |
| Synopsis of the protocol (for publication) | Protocol Scientific Synopsis_ITA_Italian_TC_v3_for publication | 3 |
Application history
8 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2022-05-18 | Italy | Acceptable 2022-06-21
|
2022-06-28 |
| 2 | SUBSTANTIAL MODIFICATION | SM-3 | 2022-09-12 | Italy | Acceptable 2022-10-31
|
2022-11-02 |
| 3 | SUBSTANTIAL MODIFICATION | SM-4 | 2023-03-10 | Italy | Acceptable 2023-04-24
|
2023-04-24 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-7 | 2024-01-16 | Italy | Acceptable 2023-04-24
|
2024-01-16 |
| 5 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-02-10 | Italy | Acceptable 2025-04-15
|
2025-04-16 |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-8 | 2025-04-17 | Italy | Acceptable 2025-04-15
|
2025-04-17 |
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-9 | 2026-01-02 | Italy | Acceptable 2025-04-15
|
2026-01-02 |
| 8 | NON SUBSTANTIAL MODIFICATION | NSM-10 | 2026-02-18 | Italy | Acceptable 2025-04-15
|
2026-02-18 |