A clinical study of MK-1084 in people with advanced solid tumors (MK 1084-014)

2025-521737-91-00 Protocol MK-1084-014 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 25 Nov 2025 · Status Ongoing, recruiting · 9 EU/EEA countries · 25 sites · Protocol MK-1084-014

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 171
Countries 9
Sites 25

Neoplasm malignant with KRAS G12C mutation

1. To evaluate ORR for MK-1084 and MK-1084 plus cetuximab per RECIST 1.1 as assessed by BICR 2. To compare MK-1084 plus cetuximab versus MK-1084 with respect to ORR per RECIST 1.1 as assessed by BICR 3. To evaluate the safety and tolerability of MK-1084 and MK-1084 plus cetuximab

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
25 Nov 2025 → ongoing
Decision date (initial)
2025-11-12
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2025-521737-91-00
WHO UTN
U1111-1320-8626

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Pharmacokinetic, Efficacy, Therapy

1. To evaluate ORR for MK-1084 and MK-1084 plus cetuximab per RECIST 1.1 as assessed by BICR
2. To compare MK-1084 plus cetuximab versus MK-1084 with respect to ORR per RECIST 1.1 as assessed by BICR
3. To evaluate the safety and tolerability of MK-1084 and MK-1084 plus cetuximab

Secondary objectives 3

  1. To evaluate OS for MK-1084 and MK-1084 plus cetuximab
  2. To evaluate DOR for MK-1084 and MK-1084 plus cetuximab per RECIST 1.1 as assessed by BICR
  3. To evaluate PFS for MK-1084 and MK-1084 plus cetuximab per RECIST 1.1 as assessed by BICR

Conditions and MedDRA coding

Neoplasm malignant with KRAS G12C mutation

VersionLevelCodeTermSystem organ class
21.1 PT 10028997 Neoplasm malignant 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Has locally advanced unresectable or metastatic solid tumor malignancy other than colorectal cancer and has progressed on, or following, standard of care systemic treatment
  2. Has a tumor that demonstrates the presence of Kirsten rat sarcoma (KRAS) G12C mutation

Exclusion criteria 5

  1. Has uncontrolled, significant cardiovascular disease or cerebrovascular disease
  2. Has known additional malignancy that is progressing or has required active treatment within the past 3 years
  3. Has known active central nervous system metastases and/or carcinomatous meningitis and/or primary brain tumors
  4. Has active infection, other than those permitted per protocol, requiring systemic therapy
  5. Has not adequately recovered from major surgery or has ongoing surgical complications

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Objective Response Rate (ORR)
  2. Number of Participants Who Experience One or More Adverse Events (AEs)
  3. Number of Participants Who Discontinue Study Intervention Due to an AE

Secondary endpoints 3

  1. Overall Survival (OS)
  2. Duration of Response (DOR)
  3. Progression-free Survival (PFS)

Investigational products

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

Test 5

MK-1084

PRD12769269 · Product

Active substance
MK-1084
Pharmaceutical form
FILM-COATED TABLET
Route of administration
OTHER USE
Max daily dose
0 % (V/V) percent volume/volume
Max total dose
0 % (V/V) percent volume/volume
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

MK-1084

PRD9352351 · Product

Active substance
MK-1084
Pharmaceutical form
TABLET
Route of administration
OTHER USE
Max daily dose
0 % (V/V) percent volume/volume
Max total dose
0 % (V/V) percent volume/volume
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

MK-1084

PRD12765020 · Product

Active substance
MK-1084
Pharmaceutical form
FILM-COATED TABLET
Route of administration
OTHER USE
Max daily dose
0 % (V/V) percent volume/volume
Max total dose
0 % (V/V) percent volume/volume
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

MK-1084

PRD9352352 · Product

Active substance
MK-1084
Pharmaceutical form
TABLET
Route of administration
OTHER USE
Max daily dose
0 % (V/V) percent volume/volume
Max total dose
0 % (V/V) percent volume/volume
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

Cetuximab

SCP185672 · ATC

Active substance
Cetuximab
Route of administration
INTRAVENOUS INFUSION
Max daily dose
500 mg/m2 milligram(s)/square meter
Max total dose
84000 mg/m2 milligram(s)/square meter
Max treatment duration
84 Month(s)
Authorisation status
Authorised
ATC code
L01FE01 — CETUXIMAB
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
Rohini Singh

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Rohini Singh

Third parties 8

OrganisationCity, countryDuties
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)
Parexel International Corp.
ORG-100007310
Auburndale, United States Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States E-data capture
Omniseq Inc.
ORG-100045409
Buffalo, United States Laboratory analysis
Median Technologies
ORG-100041462
Valbonne, France Other
Syneos Health Clinique Inc.
ORG-100028348
Quebec, Canada Laboratory analysis
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Laboratory analysis
Almac Diagnostic Services LLC
ORG-100039919
Durham, United States Laboratory analysis

Locations

9 EU/EEA countries · 25 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 12 2
France Authorised, recruitment pending 8 2
Germany Ongoing, recruiting 6 3
Greece Ongoing, recruiting 6 2
Italy Ongoing, recruiting 7 3
Norway Ongoing, recruiting 6 2
Poland Ongoing, recruiting 12 4
Spain Ongoing, recruiting 11 5
Sweden Ongoing, recruiting 6 2
Rest of world
Canada, Turkey, China, United Kingdom, Australia, United States, Korea, Republic of, Chile, Japan, Israel
97

Investigational sites

Denmark

2 sites · Ongoing, recruiting
Rigshospitalet
Department of Oncology, Blegdamsvej 9, 2100, Copenhagen Oe
Odense University Hospital
Department of Oncology, J. B. Winsloews Vej 4, 5000, Odense C

France

2 sites · Authorised, recruitment pending
Centre Hospitalier Et Universitaire De Limoges
Oncologie Medicale, 2 Avenue Martin Luther King, 87042, Limoges Cedex 1
Assistance Publique Hopitaux De Paris
Oncologie Medicale, Num Voie 47 A 83, 47 Boulevard De L Hopital, Paris

Germany

3 sites · Ongoing, recruiting
Charite Universitaetsmedizin Berlin KöR
Onkologische Portalambulanz, Chariteplatz 1, Mitte, Berlin
Universitaet Leipzig
Universitäres Krebszentrum Leipzig, Liebigstrasse 22, Zentrum-Suedost, Leipzig
Universitaetsklinikum Jena KöR
Abteilung für Hämatologie und Internistische Onkologie der KIM II, Kastanienstrasse 1, Lobeda, Jena

Greece

2 sites · Ongoing, recruiting
Laiko General Hospital Of Athens
University of Athens, Oncology Department, Agiou Thoma (goudi) 17, 115 27, Athens
Athens Medical Center S.A.
International Oncology Center- Oncology Department, Pylea, Asklipiou 10, Thessaloniki

Italy

3 sites · Ongoing, recruiting
Humanitas Mirasole S.p.A.
Unità Operativa di Oncologia ed Ematologia, Via Alessandro Manzoni 56, 20089, Rozzano
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
U.O.C. di Oncologia Medica, Largo Francesco Vito 1, 00168, Rome
Istituto Nazionale Dei Tumori
Struttura Complessa Oncologia Medica 1, Via Giacomo Venezian 1, 20133, Milan

Norway

2 sites · Ongoing, recruiting
Oslo University Hospital HF
Department of Oncology, Montebello, Ullernchausséen 70, Oslo
Helse Bergen HF
Department of Oncology, Jonas Lies Vei 65, 5021, Bergen

Poland

4 sites · Ongoing, recruiting
Szpital Wojewodzki Im. Mikolaja Kopernika W Koszalinie
Oddział Onkologii Klinicznej z Pododdziałem Chemioterapii Jednodniowej, Ul. Tytusa Chalubinskiego 7, 75-581, Koszalin
Uniwersyteckie Centrum Kliniczne
Centrum Wsparcia Badań Klinicznych UCK Ośrodek Badań Klinicznych Wczesnych Faz, Ul. Mariana Smoluchowskiego 17, 80-214, Gdansk
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Oddział Badań Wczesnych Faz, Ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw
Pratia S.A.
MTZ Clinical Research Powered By Pratia, Ul. Gladka 22, 02-172, Warsaw

Spain

5 sites · Ongoing, recruiting
Hospital Clinic De Barcelona
Medical Oncology, Calle Villarroel 170, 08036, Barcelona
Hospital Clinico San Carlos
Medical Oncology, Calle Del Profesor Martin Lagos Sn, 28040, Madrid
Hospital Universitari Vall D Hebron
Medical Oncology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Quironsalud Barcelona
NEXT Oncology Phase I unit - IOB Hospital Quironsalud Barcelona, Placa D'alfonso Comin 5-7, 08023, Barcelona
Hospital Universitario Virgen De La Victoria
Medical Oncology, Calle Del Arroyo Teatinos Sn, 29010, Malaga

Sweden

2 sites · Ongoing, recruiting
Sahlgrenska University Hospital-Vaestra Goetalandsregionen
Onkologikliniken, Bla Straket 5, Goteborgs Annedal, Goteborg
Karolinska University Hospital
Fas 1-enheten Solna, Centrum för Kliniska Cancerstudier (CKC), Tema Cancer, Eugeniavagen 3, 171 64, Solna

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2025-12-19 2025-12-30
Germany 2026-01-30 2026-02-24
Greece 2026-03-17 2026-05-19
Italy 2026-01-08 2026-01-15
Norway 2025-11-28 2025-12-10
Poland 2026-01-12 2026-05-20
Spain 2025-11-25 2025-12-18
Sweden 2025-12-11 2026-01-16

Results and documents

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

Documents 57 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2025-521737-91_GRC_EL_IN_for pub 00R
Protocol (for publication) D1_Protocol_2025-521737-91_IN_for pub 00R
Protocol (for publication) D4_Copyright statement eCOA Tablet_IN_for pub 04DEC2024
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_DEU_EN_IN-RFI007_for pub 1.2
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_DNK_EN_IN-RFI011_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_FRA_FR_IN_for pub 02JUL2025
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_GRC_EN_IN_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_ITA_EN_IN_for pub 07JUL2025
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_NOR_EN_SM01_for pub 2.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_POL_PL_IN_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements and IC Procedure_SWE_SV_IN_for pub 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_ESP_ES_IN_for pub 15JUL2025R
Subject information and informed consent form (for publication) 1_ICF_Main consent adult_GRC_EL_SM01_for pub 01R
Subject information and informed consent form (for publication) L1_ICF_FBR consent_DNK_DA_IN-RFI013_for pub 00
Subject information and informed consent form (for publication) L1_ICF_FBR consent_GRC_EL_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_FBR consent_NOR_NN_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_FBR consent_POL_PL_SM01_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Main consent_DEU_DE_SM01-RFI003_for pub 0.01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_DNK_DA_SM01_for pub 01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ESP_ES_SM01_for pub 01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_FRA_FR_SM01_for pub 01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_ITA_IT_SM01_for pub 0.1R
Subject information and informed consent form (for publication) L1_ICF_Main consent_NOR_NN_SM01_for pub 0.01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_POL_PL_SM01_for pub 01R
Subject information and informed consent form (for publication) L1_ICF_Main consent_SWE_SV_SM01_for pub 01R
Subject information and informed consent form (for publication) L1_ICF_Main data privacy_ITA_IT_SM01_for pub 0.2
Subject information and informed consent form (for publication) L1_ICF_Optional_add crossborder_DEU_DE_IN_for pub 0.00R
Subject information and informed consent form (for publication) L1_ICF_Optional_DILI sample_ITA_IT_IN_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_GRC_EL_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_Greenphire adults_SWE_SV_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_DEU_DE_IN-RFI007_for pub 0.00R
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_DNK_DA_SM01_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_ESP_ES_IN-RFI009_for pub 00R
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_FRA_FR_IN-RFI003_for pub 00R
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_GRC_EL_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_ITA_IT_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_NOR_NN_SM01_for pub 0.00
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_POL_PL_SM01_for pub 00R
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening consent_SWE_SV_SM01_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_limited screening Data Privacy_ITA_IT_SM01_for pub 0.2
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnancy follow-up_ESP_ES_IN_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnancy follow-up_SWE_SV_IN-RFI010_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnant partner data privacy_ITA_IT_IN-RFI005_for pub 01
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnant partner_ESP_ES_IN_for pub 00R
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnant partner_ITA_IT_SM01_for pub 0.2
Subject information and informed consent form (for publication) L1_ICF_Optional_pregnant partner_SWE_SV_IN-RFI010_for pub 00
Subject information and informed consent form (for publication) L1_ICF_Optional_right not to know_DNK_DA_IN-RFI011_for pub 00
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC RSI_CETUXIMAB_Merck Serono_SM01_for pub 03SEP2025
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_DEU_DE_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_ESP_ES_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_FRA_FR_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_GRC_EL_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_ITA_IT_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_NOR_NN_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_POL_PL_IN_for pub 1.0
Synopsis of the protocol (for publication) D1_PPLS_2025-521737-91_SWE_SV_IN_for pub 1.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-07-17 Spain Acceptable
2025-11-11
2025-11-12
2 SUBSTANTIAL MODIFICATION SM-1 2026-02-17 Spain Acceptable
2026-04-15
2026-04-15