Overview
Sponsor-declared trial summary
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
- To evaluate OS for MK-1084 and MK-1084 plus cetuximab
- To evaluate DOR for MK-1084 and MK-1084 plus cetuximab per RECIST 1.1 as assessed by BICR
- 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
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10028997 | Neoplasm malignant | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- Has locally advanced unresectable or metastatic solid tumor malignancy other than colorectal cancer and has progressed on, or following, standard of care systemic treatment
- Has a tumor that demonstrates the presence of Kirsten rat sarcoma (KRAS) G12C mutation
Exclusion criteria 5
- Has uncontrolled, significant cardiovascular disease or cerebrovascular disease
- Has known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has known active central nervous system metastases and/or carcinomatous meningitis and/or primary brain tumors
- Has active infection, other than those permitted per protocol, requiring systemic therapy
- Has not adequately recovered from major surgery or has ongoing surgical complications
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 3
- Objective Response Rate (ORR)
- Number of Participants Who Experience One or More Adverse Events (AEs)
- Number of Participants Who Discontinue Study Intervention Due to an AE
Secondary endpoints 3
- Overall Survival (OS)
- Duration of Response (DOR)
- Progression-free Survival (PFS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 5
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
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
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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
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 |
|---|---|---|---|---|---|
| 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |