An extension study for patients with PROS or Proteus Syndrome currently treated with miransertib

2022-500689-87-00 Protocol MK-7075-006 Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 5 Nov 2021 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 2 sites · Protocol MK-7075-006

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 60
Countries 1
Sites 2

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)

VersionLevelCodeTermSystem organ class
20.0 PT 10074067 Proteus syndrome 100000004850
21.1 PT 10081236 PIK3CA related overgrowth spectrum 100000004850

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
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

  1. 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)
  2. Is an individual of any sex/gender, from 2 to 120 years of age, inclusive
  3. 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
  4. 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

  1. Has previously discontinued miransertib due to related SAEs or other intolerance of miransertib
  2. 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
  3. Is receiving systemic inhibitors of the mechanistic target of rapamycin (mTOR) pathway (eg, sirolimus, everolimus)
  4. Is receiving immunosuppressive therapies
  5. Is receiving continuous high dose steroids

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Number of participants experiencing a Serious Adverse Event (SAE)
  2. Number of participants discontinuing study treatment due to an Adverse Event (AE)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

MK-7075

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

MK-7075

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruitment ended 19 2
Rest of world
Australia, United Kingdom, Brazil, United States
41

Investigational sites

Italy

2 sites · Ongoing, recruitment ended
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Unità operative complessa Pediatria, Largo Francesco Vito 1, 00168, Rome
Ospedale Pediatrico Bambino Gesu
Unità operativa di Malattie Rare e Genetica Medica, Piazza Sant'onofrio 4, 00165, Rome

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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