M9466 in Combination with Topoisomerase 1 Inhibitors-based Regimens in Advanced Solid Tumors and Colorectal Cancer (DDRiver 511)

2024-514155-15-00 Protocol MS202650_0001 Human pharmacology (Phase I) - Other Ended

Start 8 Jan 2025 · End 3 Dec 2025 · Status Ended · 1 EU/EEA countries · 2 sites · Protocol MS202650_0001

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Ended
Participants planned 59
Countries 1
Sites 2

Advanced solid tumors and colorectal cancer

Key facts

Sponsor
Merck Healthcare KGaA
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
8 Jan 2025 → 3 Dec 2025
Decision date (initial)
2024-10-21
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-514155-15-00
ClinicalTrials.gov
NCT06509906

Trial design

CTIS Part I — objectives, methods, condition coding

Conditions and MedDRA coding

Advanced solid tumors and colorectal cancer

VersionLevelCodeTermSystem organ class
21.1 LLT 10065252 Solid tumor 10029104

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Merck Healthcare KGaA

Sponsor organisation
Merck Healthcare KGaA
Address
Frankfurter Strasse 250
City
Darmstadt
Postcode
64293
Country
Germany

Scientific contact point

Organisation
Merck Healthcare KGaA
Contact name
Global Regulatory Affairs

Public contact point

Organisation
Merck Healthcare KGaA
Contact name
Global Regulatory Affairs

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ended 14 2
Rest of world
Korea, Republic of, United States, Japan, Australia
45

Investigational sites

Spain

2 sites · Ended
Hospital Quironsalud Barcelona
Oncology - Phase I Unit, Placa D'alfonso Comin 5-7, 08023, Barcelona
Hospital Universitario Quironsalud Madrid
Unidad de Ensayos Clínicos Fases I, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2025-01-08

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 1 · Art. 38 CTR

Temporary halt TH-71270

Halt date
2025-02-06
Member states concerned
Spain
Publication date
2025-02-18
Reason
Sponsor decision
Explanation
Sponsor’s decision is based on the recommendations of the Safety Monitoring Committee (SMC) and aligned with the safety measures specified in the study protocol. The SMC’s conclusion is based on an evaluation of the initial two sentinel dosing participants who received M9466 in combination with irinotecan, both of whom experienced poor tolerance to the study treatment and a febrile neutropenia Grade 3 as a dose-limiting toxicities (DLT).
In light of these findings, the Sponsor has decided to pause the study to reassess the dosage of the M9466 and irinotecan combination and amend the study protocol accordingly.
SMC Recommendation Form and Meeting minutes are appended to this notification.
Follow-up measures
Sponsor will reassess the dosage of the M9466 and irinotecan combination and amend the study protocol accordingly, which would include a review of the grid for dose/schedule with the support of pre-clinical work and pharmacokinetic (PK)/pharmacodynamic (PD) modelling.
The study will only be re-initiated upon Agency approval of the amended study protocol which will be submitted as substantial modification once available.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-05 Spain Acceptable
2024-10-21
2024-10-21
2 SUBSTANTIAL MODIFICATION SM-1 2025-08-20 Spain Acceptable
2025-11-07
2025-11-11