A clinical study of MK-2870 alone or with other treatments to treat gastrointestinal cancers (MK-9999-02A)

2023-508703-21-00 Protocol MK-9999-02A Phase I and Phase II (Integrated) - Other Ongoing, recruiting

Start 1 Aug 2024 · Status Ongoing, recruiting · 2 EU/EEA countries · 6 sites · Protocol MK-9999-02A

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruiting
Participants planned 139
Countries 2
Sites 6

Colorectal cancer (CRC), pancreatic ductal adenocarcinoma (PDAC), biliary tract cancer (BTC)

1. To evaluate the safety and tolerability of MK-2870 monotherapy or in combination with other anticancer agents 2. To evaluate the confirmed ORR per RECIST 1.1 as assessed by BICR

Key facts

Sponsor
Merck Sharp & Dohme LLC
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
1 Aug 2024 → ongoing
Decision date (initial)
2024-07-11
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2023-508703-21-00
WHO UTN
U1111-1298-8273

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Dose response, Efficacy, Pharmacoeconomic, Pharmacokinetic, Diagnosis, Safety, Prophylaxis, Pharmacogenomic, Pharmacogenetic

1. To evaluate the safety and tolerability of MK-2870 monotherapy or in combination with other anticancer agents
2. To evaluate the confirmed ORR per RECIST 1.1 as assessed by BICR

Secondary objectives 3

  1. 1. To evaluate the DOR per RECIST 1.1 as assessed by BICR
  2. 2. To evaluate PFS per RECIST 1.1 as assessed by BICR
  3. 3. To evaluate OS

Conditions and MedDRA coding

Colorectal cancer (CRC), pancreatic ductal adenocarcinoma (PDAC), biliary tract cancer (BTC)

VersionLevelCodeTermSystem organ class
21.0 LLT 10010029 Colorectal cancer NOS 10029104
20.0 LLT 10028982 Neoplasm biliary tract 10029104
20.0 PT 10073364 Ductal adenocarcinoma of pancreas 100000004864

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration
Plan to share IPD
Yes
EU CT numberTitleSponsor
2023-504918-29-00 An Open-label, Randomized Phase 3 Study of MK-2870 as a Single Agent and in Combination with Pembrolizumab Versus Treatment of Physician’s Choice in Participants with HR+/HER2- Unresectable Locally Advanced or Metastatic Breast Cancer Merck Sharp & Dohme LLC
2023-508323-12-00 A Phase 3 Randomized, Active-controlled, Open-label, Multicenter Study to Compare the Efficacy and Safety of MK-2870 Monotherapy Versus Treatment of Physician’s Choice as Second-line Treatment for Participants with Recurrent or Metastatic Cervical Cancer (TroFuse-020/GOG-3101/ENGOT-cx20) Merck Sharp & Dohme LLC

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. 1. Has one of the following cancers: • Unresectable or metastatic colorectal cancer and has received prior therapy for the cancer • Advanced or metastatic pancreatic ductal adenocarcinoma (PDAC) and has received prior therapy for the cancer • Advanced and/or unresectable biliary tract cancer (BTC) and has received prior therapy for the cancer • Advanced and/or unresectable BTC and has not received prior therapy for the cancer
  2. 2. For participants who have received prior therapy for cancer: Has recovered from any side effects due to previous cancer treatment

Exclusion criteria 3

  1. 1. History of severe eye disease
  2. 2. For participants who have received prior therapy for cancer: Received prior systemic anticancer therapy including investigational agents within 4 weeks before starting study intervention.
  3. 3. History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. 1. Number of Participants Who Experience a Dose-limiting Toxicity (DLT)
  2. 2. Number of Participants Who Experience One or More Adverse Events (AEs)
  3. 3. Number of Participants Who Discontinue Study Treatment Due to an AE
  4. 4. Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as Assessed by Blinded Independent Central Review (BICR)

Secondary endpoints 3

  1. 1. Duration of Response (DOR) per RECIST 1.1 as Assessed by BICR
  2. 2. Progression-free Survival (PFS) per RECIST 1.1 as Assessed by BICR
  3. 3. Overall Survival (OS)

Investigational products

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

Test 7

MK-2870

PRD12802980 · Product

Active substance
Sacituzumab Tirumotecan
Substance synonyms
Humanised IgG1 monoclonal antibody against TROP2, conjugated to KL610023, SKB264, MK-2870, Humanised IgG1 monoclonal antibody against TROP2, conjugated to sulfonylpyrimidine-polyethyleneglycol-lysine-methanesulfonyl belotecan
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

MK-2870

PRD11447874 · Product

Active substance
Sacituzumab Tirumotecan
Substance synonyms
Humanised IgG1 monoclonal antibody against TROP2, conjugated to KL610023, SKB264, MK-2870, Humanised IgG1 monoclonal antibody against TROP2, conjugated to sulfonylpyrimidine-polyethyleneglycol-lysine-methanesulfonyl belotecan
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

KEYTRUDA 25 mg/mL concentrate for solution for infusion.

PRD4323105 · Product

Active substance
Pembrolizumab
Substance synonyms
Lambrolizumab, MK-3475, SCH-900475, BAT3306, Pabolizumab, FYB206, ABP 234
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
L01FF02 — -
Marketing authorisation
EU/1/15/1024/002
MA holder
MERCK SHARP & DOHME B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cisplatin

SCP134220 · ATC

Active substance
Cisplatin
Substance synonyms
CDDP, Cis-diamminedichloroplatinum, (SP-4-2)-cis -diamminedichloroplatinum
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
L01XA01 — CISPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Calcium Folinate

SCP132603 · ATC

Active substance
Calcium Folinate
Substance synonyms
LEUCOVORIN CALCIUM
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
V03AF03 — CALCIUM FOLINATE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Calcium Folinate

SCP139914 · ATC

Active substance
Calcium Folinate
Substance synonyms
LEUCOVORIN CALCIUM
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
V03AF04 — CALCIUM LEVOFOLINATE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fluorouracil

SCP1165178 · ATC

Active substance
Fluorouracil
Substance synonyms
5-FLOUROURACIL, 5-FLUORO-1H-PYRIMIDINE-2,4-DIONE, 5-FLUOROURACIL, 5-FU
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
L01BC02 — FLUOROURACIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 4

Buclizine Hydrochloride

SCP1081917 · ATC

Active substance
Buclizine Hydrochloride
Substance synonyms
Buclizine dihydrochloride
Route of administration
ORAL AND IV
Authorisation status
Authorised
ATC code
N02BE01 — PARACETAMOL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

R06A · Product

Pharmaceutical form
-
Route of administration
ORAL AND IV
Authorisation status
Authorised
ATC code
R06A — ANTIHISTAMINES FOR SYSTEMIC USE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

H02AB · Product

Pharmaceutical form
PHF00231MIG
Route of administration
OTHER USE
Authorisation status
Authorised
ATC code
H02AB — GLUCOCORTICOIDS
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

A02BA · Product

Active substance
H2-Receptor Antagonists
Pharmaceutical form
-
Route of administration
ORAL AND IV
Authorisation status
Authorised
ATC code
A02BA — H2-Receptor Antagonists
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

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 LLC
Contact name
Johnathan Ebben

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Johnathan Ebben

Third parties 8

OrganisationCity, countryDuties
Infinity Biologix LLC
ORG-100040369
Piscataway, United States Laboratory analysis
Roche
ORL-000013317
Oro Valley, Arizona, United States Laboratory analysis
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Laboratory analysis
Parexel International Corp.
ORG-100007310
Auburndale, United States Other
Frontage Laboratories Inc.
ORG-100011515
Exton, United States Laboratory analysis
Pra International
ORG-100032850
Blue Bell, United States Other
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)
Almac Diagnostic Services Limited
ORG-100040447
Craigavon, United Kingdom (Northern Ireland) Laboratory analysis

Locations

2 EU/EEA countries · 6 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 9 3
Spain Ongoing, recruiting 11 3
Rest of world
Taiwan, United States, Australia, China, Chile, Canada, Korea, Republic of, United Kingdom, Switzerland, Japan, Turkey
119

Investigational sites

Italy

3 sites · Ongoing, recruiting
ASST Grande Ospedale Metropolitano Niguarda
Oncologia Falck, Dipartimento di Ematologia e Oncologia, Piazza Dell'ospedale Maggiore 3, 20162, Milan
Fondazione IRCCS Istituto Nazionale Dei Tumori
Oncologia Medica I, Via Giacomo Venezian 1, 20133, Milan
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Oncologia Medica, Largo Agostino Gemelli 8, 00168, Rome

Spain

3 sites · Ongoing, recruiting
Hospital Universitari Vall D Hebron
Medical Oncology, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital General Universitario Gregorio Maranon
Medical Oncology, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitario Central De Asturias
Medical Oncology, Avenida De Roma S/n, 33011, Oviedo

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 2024-08-01 2024-08-01
Spain 2024-08-05 2024-08-07

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 19 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2023-508703-21_SM06_for pub 08R
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ESP_ES_for pub 12MAR2024R
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ITA_EN_for pub 13MAR2024
Subject information and informed consent form (for publication) L1_ICF_Main addendum disease progression_ESP_ES_SM02_for pub AM01v1.01
Subject information and informed consent form (for publication) L1_ICF_Main addendum disease progression_ITA_IT_for pub AM01v1.01
Subject information and informed consent form (for publication) L1_ICF_Main consent_ESP_ES_SM07_for pub AM05 5.01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ITA_IT_SM07_for pub AM05v5.01
Subject information and informed consent form (for publication) L1_ICF_Main data privacy_ITA_IT_for pub 16SEP2024
Subject information and informed consent form (for publication) L1_ICF_Optional_DILI sample_ITA_IT_for pub 16SEP2024
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnancy follow-up_ESP_ES_SM06_for pub 0.00R
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_5-FLUOROURACIL Hospira UK LTD_SM07_for pub 20JAN2025
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_CISPLATIN Sandoz Limited_SM07_for pub 12NOV2024
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_Cisplatin_SM05_for pub 08NOV2023
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_Leucovorin_SM02_for pub 26SEP2024
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_Levoleucovorin_for pub 06NOV2020
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Pembrolizumab_SM05_for pub 16APR2025
Synopsis of the protocol (for publication) D1_PPLS_2023-508703-21_ESP_ES_SM06_for pub 3.0
Synopsis of the protocol (for publication) D1_PPLS_2023-508703-21_ITA_IT_SM06_for pub 3.0
Synopsis of the protocol (for publication) D1_PPLS_2023-508703-21_SM06_for pub 3.0

Application history

8 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-03-20 Spain Acceptable
2024-07-08
2024-07-08
2 SUBSTANTIAL MODIFICATION SM-1 2024-10-10 Spain Acceptable
2024-12-10
2024-12-10
3 SUBSTANTIAL MODIFICATION SM-2 2025-02-11 Spain Acceptable
2025-05-05
2025-05-07
4 SUBSTANTIAL MODIFICATION SM-3 2025-05-15 Spain Acceptable
2025-06-20
2025-06-20
5 SUBSTANTIAL MODIFICATION SM-5 2025-08-12 Spain Acceptable
2025-10-09
2025-10-13
6 NON SUBSTANTIAL MODIFICATION NSM-1 2025-10-29 Spain Acceptable
2025-10-09
2025-10-29
7 SUBSTANTIAL MODIFICATION SM-6 2025-12-16 Spain Acceptable
2026-03-05
2026-03-06
8 SUBSTANTIAL MODIFICATION SM-7 2026-04-08 Spain Acceptable
2026-05-18
2026-05-20