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Pimasertib

Phase 1

Pancreatic Adenocarcinoma | Small molecule | Oncology |Merck KGaA|Last Updated: Jul 13, 2017

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment141

FDA Designations

No designations recorded

Clinical trial landscape

Pimasertib · 1 trial · 1 indication

Phase 1 1
NCT01016483Trial of Gemcitabine With or Without MSC1936369B in Pancreatic CancerPancreatic Adenocarcinoma
COMPLETED141 Analytics
PHASE1COMPLETED
Trial of Gemcitabine With or Without MSC1936369B in Pancreatic Cancer
Pancreatic AdenocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety Run-In Part: Number of Subjects With Dose Limiting Toxicities (DLTs)
Up to 28 days in Cycle 1

DLT using the National Cancer Institute Common Terminology Criteria for Adverse Events(CTCAE) v3.0,was defined as any of the following toxicities at any dose level and judged to be possibly or probably related to trial medication by the Investigator and/or the Sponsor and relevant for the combination treatment: Grade 3/more non-hematological toxicity excluding: Subjects with liver involvement: Grade 4 asymptomatic increases in liver function tests and subject without liver involvement: Grade 3 asymptomatic increases in liver function tests reversible within 7 days. Grade 3 vomiting encountered despite adequate therapy. Grade 3 diarrhea encountered despite adequate anti diarrhea therapy. Grade 4 neutropenia greater (\>) 5 days duration or febrile neutropenia lasting for more than 1 day. Grade 4 thrombocytopenia \> 1 day/Grade 3 with bleeding. Grade 4 anemia: Any treatment delay \> 2 weeks due to drug-related adverse effects.

Phase II: Progression-Free Survival (PFS) Time
From the time of randomization to every 8 weeks up to end of treatment (EOT) (6 years)

PFS was defined as the time from randomization to the first documentation of objective tumor progression (Complete Response (CR): Disappearance of all target lesions, Partial Response (PR): At least 30% decrease in the sum of the longest diameter of target lesions, taking as reference the sum of the longest diameter at baseline, Progressive Disease (PD): At least 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started, or the appearance of 1 or more new lesions and stable disease: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of the longest diameter since treatment started) or to death due to any cause, whichever occurred first. PFS calculated as (Months) = Date of first PD or death or censoring date minus date of randomization plus 1) divided by 30.4375.

Secondary Endpoints

Safety Run-In Part: Number of Subjects With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Permanent Treatment Discontinuation
From the first dose of study drug administration until EOT (6 years)
Safety Run-In Part: Maximum Concentration (Cmax) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU) for Regimen 1
0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
Safety Run-In Part: Time to Reach Maximum Concentration (Tmax) of Pimasertib (MSC1936369B), Gemcitabine (dFdC), and Gemcitabine Inactive Metabolite 2',2'-Difluorodeoxyuridine (dFdU): Regimen 1
0 hour (pre-dose), 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24 (post-dose) on Day 1, 22 of Cycle 1
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Safety Run-in Part: Regimen 1EXPERIMENTALSubjects will receive pimasertib capsule orally once daily (qd) doses of 15, 30, 45, 68, 90, and 120 milligram (mg) on Day 1, 2, 3, 4, 5, 8, 9, 10, 11, 12, 15,16, 17, 18, 19, 22, 23, 24, 25, 26 and gemcitabine 1000 milligram per square meter (mg/m\^2) intravenous (IV) infusion for 30 minutes on Days 1, 8, 15, 22, 29, 36, and 43 followed by a 1-week rest (1 Cycle = 8 weeks).
Safety Run-in Part: Regimen 2EXPERIMENTALSubjects will receive pimasertib capsule orally twice daily (bid) doses of 60 and 75 mg continuously for a 28-day cycle and gemcitabine 1000 mg/m\^2 intravenous (IV) infusion for 30 minutes on Days 1, 8, 15, 22, 29, 36, and 43 followed by a 1-week rest (1 Cycle = 8 weeks) (bid - continuous regimen).
Phase II: Arm 1 (Gemcitabine + Placebo)ACTIVE_COMPARATORSubjects will receive gemcitabine 1000 mg/m\^2 IV infusion on for 30 minutes on Day 1, 8, 15, 22, 29, 36, and 43 followed by a 1-week rest (Cycle 1) then on Days 1, 8, and 15 of a 28-day cycle and placebo matched to pimasertib orally bid - continuous regimen.
Phase II: Arm 2 (Gemcitabine + Pimasertib)EXPERIMENTALSubjects will receive gemcitabine 1000 mg/m\^2 IV infusion for 30 minutes on Day 1, 8, 15, 22, 29, 36, and 43 followed by a 1-week rest (Cycle 1) then on Days 1, 8, and 15 of a 28-day cycle and pimasertib capsule orally bid - continuous regimen.

Interventions

NameTypeDescription
PimasertibDRUG -
GemcitabineDRUG -
PlaceboDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. Subject has provided signed informed consent. Fully understands requirements of the trial and willing to comply with all trial visits and assessments. 2. Histologically or cytologically confirmed metastatic adenocarcinoma of the pancreas and availability of tumor sample. 3. E...

Countries:United StatesGermany
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Frequently asked questions about Pimasertib

What is Pimasertib used for in Pancreatic Adenocarcinoma?

Pimasertib is an investigational small molecule being studied for the treatment of Pancreatic Adenocarcinoma. It is currently in Phase 1 clinical development, meaning it has not yet been approved by regulatory authorities. The drug is being evaluated in combination with gemcitabine to assess its safety and efficacy in patients with this type of cancer.

What does Pimasertib target?

Pimasertib is a small molecule that targets the MEK pathway, which is involved in cell growth and survival. By inhibiting this pathway, the drug aims to slow or stop the growth of cancer cells. This mechanism is being explored in the context of Pancreatic Adenocarcinoma, where abnormal MEK signaling can contribute to tumor progression.

Who makes Pimasertib?

Pimasertib is being developed by Merck KGaA, a multinational pharmaceutical company. The company's stock is traded under the ticker symbol MKGAF. Merck KGaA is conducting clinical trials to evaluate the drug's potential as a treatment for Pancreatic Adenocarcinoma.

What phase is Pimasertib in?

Pimasertib is currently in Phase 1 clinical development. This means it is in the early stages of testing in humans, primarily to evaluate safety, tolerability, and dosing. The drug is not yet approved by the FDA or any other regulatory body and remains investigational. One Phase 1 trial has been completed.

What clinical trials is Pimasertib in?

Pimasertib has been studied in one clinical trial with the identifier NCT01016483. This Phase 1 trial, titled 'Trial of Gemcitabine With or Without MSC1936369B in Pancreatic Cancer,' enrolled 141 participants with Pancreatic Adenocarcinoma. The study was completed and included sites in the United States and Germany.

Is Pimasertib the same as MSC1936369B?

Yes, Pimasertib is also known as MSC1936369B. In clinical trials, the drug has been referred to by this alternative name. For example, the Phase 1 trial NCT01016483 used the name MSC1936369B when describing the investigational treatment being tested in combination with gemcitabine.