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VX-984+ PLD/m^2

Phase 1

Advanced Solid Tumor | Small molecule | Oncology |Merck KGaA|Last Updated: Sep 9, 2019

Success Probability

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Trial Design

CONTROLLEDBiomarker
Total Trials1
Total Enrollment15

FDA Designations

No designations recorded

Clinical trial landscape

VX-984+ PLD/m^2 · 1 trial · 1 indication

Phase 1 1
NCT02644278First-in-Human Study of the Safety, Tolerability, and Pharmacokinetic/Pharmacodynamic Profile of VX-984 in Combination With ChemotherapyAdvanced Solid Tumor
COMPLETED15 Analytics
PHASE1COMPLETED
First-in-Human Study of the Safety, Tolerability, and Pharmacokinetic/Pharmacodynamic Profile of VX-984 in Combination With Chemotherapy
Advanced Solid TumorUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
Baseline up to 28 days after the last dose of study treatment, assessed up to 53.1 weeks

An adverse event (AE) was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Treatment-Emergent adverse events (TEAEs) were defined as AEs that were reported or worsened on or after the start of study drug dosing through the 28-day Safety Follow-up visit. TEAEs included both Serious TEAEs and non-serious TEAEs.

Part A: Number of Participants Who Experienced Dose Limiting Toxicity (DLT)
Cycle 1 (each cycle is 28 days)

DLT was defined using National cancer Institute Common Toxicity Criteria for Adverse Events Version 4.0 as any of the following toxicities: Grade 4 neutropenia for more than 7 days; Grade greater than or equal to (\>=) 3 febrile neutropenia; Grade 4 or Grade 3 thrombocytopenia with bleeding. Grade \>= 3 uncontrolled nausea/vomiting and/or diarrhea despite adequate and optimal treatment and Grade \>= 3 any non- hematological adverse event (AE), except the aforementioned gastrointestinal events and alopecia.

Part A: Number of Participants With Toxicity Grade 3 or Higher in Laboratory Abnormalities
Baseline up to 28 days after the last dose of study treatment, assessed up to 53.1 weeks

The laboratory measurements included hematology and serum chemistry. It had been graded according to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 into Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe), Grade 4 (Life-threatening) and Grade 5 = death. Participants with grade 3 or higher were reported.

Part A: Maximum Tolerated Dose (MTD) of VX-984 in Combination With Pegylated Liposomal Doxorubicin (PLD)
Up to Cycle 1 Day 28 (each cycle is 28 days)

The MTD was defined as the combination dose associated with the highest probability that Dose limiting toxicity (DLT) events will occur in 16.6 percent to less than 33.3 percent participants as the combination dose that not exceeded the overdose criterion (more than 25 percent probability that DLT events occurred less than or equal to (\>=) 33 percent of participants. DLT was defined using National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.0.

Part A: Number of Participants With Clinical Significant Abnormalities in Vital Signs
Baseline up to 28 days after the last dose of study treatment, assessed up to 53.1 weeks

Vital signs assessment included blood pressure, pulse rate and body temperature. Clinical significance was determined by the investigator. Number of participants with clinical significant abnormalities in vital Signs reported here.

Part A: Number of Participants With Clinical Significant Abnormalities Echocardiograms
Baseline up to 28 days after the last dose of study treatment, assessed up to 53.1 weeks

Echocardiogram is a graphic outline of the heart's movement. Clinical significance was determined by the investigator. Number of participants with clinical significant abnormalities in Echocardiograms reported here.

Part A: Number of Participants With Clinical Significant Abnormalities in Electrocardiogram(ECG) Parameters
Baseline up to 28 days after the last dose of study treatment, assessed up to 53.1 weeks

ECG parameters included heart rate, pulse rate, QRS,QT, RR, QTcB and QTcF. Clinical significance was determined by the investigator. Number of participants with clinical significant abnormalities in ECG parameters reported here.

Secondary Endpoints

Part A: Area Under Plasma Concentration (AUC) During a Dosing Interval of VX-984
Pre-dose and at 0.5, 1, 2, 4, 8, and 24 hours post-dose on Day -12 and Day 4 in Cycle 1; Pre-dose and at 0.5, 1, 2, 4 hours post-dose on Day 2 in Cycle 1 (each Cycle is of 28 days)
Part A: Maximum Observed Plasma Concentration (Cmax) of VX-984
Pre-dose and at 0.5, 1, 2, 4, 8, and 24 hours post-dose on Day -12 and Day 4 in Cycle 1; Pre-dose and at 0.5, 1, 2, 4 hours post-dose on Day 2 in Cycle 1 (each Cycle is of 28 days)
Part A: Time to Reach Maximum Plasma Concentration (Tmax) of VX-984
Pre-dose and at 0.5, 1, 2, 4, 8, and 24 hours post-dose on Day -12 and Day 4 in Cycle 1; Pre-dose and at 0.5, 1, 2, 4 hours post-dose on Day 2 in Cycle 1 (each Cycle is of 28 days)
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Study Design & Arms

MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
VX-984 120 mg + PLD 40 mg/m^2EXPERIMENTAL -
VX-984 240 mg + PLD 40 mg/m^2EXPERIMENTAL -
VX-984 480 mg + PLD 40 mg/m^2EXPERIMENTAL -
VX-984 720 mg + PLD 40 mg/m^2EXPERIMENTAL -

Interventions

NameTypeDescription
VX-984 120 mg + PLD 40 mg/m^2DRUGParticipants received VX-984 orally 120 milligram (mg) orally once daily alone on Days -14 to -12 of a 14-day Lead-in Period, followed by VX-984 120 mg in combination with pegylated liposomal doxorubicin (PLD) 40 milligram per square meter (mg/m\^2) administered intravenous infusion, with PLD administered on Day 1 and VX-984 administered on Day 2 to Day 4 for up to six 28-day cycle or until disease progression unacceptable toxicities, withdrawal of consent, or until exposure to PLD exceeded 550 mg/m\^2.
VX-984 240 mg + PLD 40 mg/m^2DRUGParticipants received VX-984 orally 240 mg orally once daily alone on Days -14 to -12 of a 14-day Lead-in Period, followed by VX-984 240 mg in combination with PLD 40 mg/m\^2 administered intravenous infusion, with PLD administered on Day 1 and VX-984 administered on Day 2 to Day 4 for up to six 28-day cycle or until disease progression unacceptable toxicities, withdrawal of consent, or until exposure to PLD exceeded 550 mg/m\^2.
VX-984 480 mg + PLD 40 mg/m^2DRUGParticipants received VX-984 orally 480 mg orally once daily alone on Days -14 to -12 of a 14-day Lead-in Period, followed by VX-984 480 mg in combination with PLD 40 mg/m\^2 administered intravenous infusion, with PLD administered on Day 1 and VX-984 administered on Day 2 to Day 4 for up to six 28-day cycle or until disease progression unacceptable toxicities, withdrawal of consent, or until exposure to PLD exceeded 550 mg/m\^2.
VX-984 720 mg + PLD 40 mg/m^2DRUGParticipants received VX-984 orally 720 mg orally once daily alone on Days -14 to -12 of a 14-day Lead-in Period, followed by VX-984 720 mg in combination with PLD 40 mg/m\^2 administered intravenous infusion, with PLD administered on Day 1 and VX-984 administered on Day 2 to Day 4 for up to six 28-day cycle or until disease progression unacceptable toxicities, withdrawal of consent, or until exposure to PLD exceeded 550 mg/m\^2.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Participants (male and female for Part A and female for Part B) were at least 18 year of age. * Part A Participants with histologically or cytologically confirmed malignant advanced solid tumors, who had progressed on at least 1 prior chemotherapy, and for whom either 1. No...

Countries:United States
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Competitive Landscape -Other Solid Tumors 9 trials (matched to "Advanced Solid Tumor")

Frequently asked questions about VX-984+ PLD/m^2

What is VX-984+ PLD/m^2 used for in Advanced Solid Tumor?

VX-984+ PLD/m^2 is an investigational small molecule being studied for the treatment of advanced solid tumors. It is a combination therapy that includes VX-984 and pegylated liposomal doxorubicin (PLD) at a dose of m^2. The drug is currently in Phase 1 clinical development.

Who makes VX-984+ PLD/m^2?

VX-984+ PLD/m^2 is being developed by Merck KGaA, a German multinational pharmaceutical company. The company's stock is traded under the ticker symbol MKGAF on the OTC market. Merck KGaA is conducting clinical trials to evaluate the safety and efficacy of this combination therapy.

What phase is VX-984+ PLD/m^2 in?

VX-984+ PLD/m^2 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The Phase 1 trial is designed to assess the safety, tolerability, and pharmacokinetic/pharmacodynamic profile of the drug in patients with advanced solid tumors.

What clinical trials is VX-984+ PLD/m^2 in?

VX-984+ PLD/m^2 is being studied in a Phase 1 clinical trial with the identifier NCT02644278. This first-in-human study evaluates the safety, tolerability, and pharmacokinetic/pharmacodynamic profile of VX-984 in combination with chemotherapy. The trial has been completed and enrolled 15 participants in the United States.

Is VX-984+ PLD/m^2 the same as VX-984?

VX-984+ PLD/m^2 is a combination therapy that includes VX-984 and pegylated liposomal doxorubicin (PLD). While VX-984 is a component of the combination, VX-984+ PLD/m^2 refers specifically to the combined treatment regimen. The two are not identical, as the combination includes an additional chemotherapy agent.