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ARQ 197

Phase 2

Non Small Cell Lung Cancer | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: Feb 28, 2013

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment167

FDA Designations

No designations recorded

Clinical trial landscape

ARQ 197 · 9 trials · 12 indications

Phase 2 4Phase 1 5
NCT00988741Trial of ARQ 197 in Patients With Unresectable Hepatocellular Carcinoma (HCC) Who Have Failed One Prior Systemic TherapyUnresectable Hepatocellular Carcinoma
COMPLETED107 Analytics
NCT00777309A Randomized Phase 2 Study of Erlotinib + ARQ 197 Versus Erlotinib + Placebo in Previously Treated Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)Non Small Cell Lung Cancer
COMPLETED167 Analytics
NCT00558207A Randomized Phase 2 Study of ARQ 197 Versus Gemcitabine in Treatment-Naïve Patients With Unresectable Locally Advanced or Metastatic Pancreatic AdenocarcinomaPancreatic Neoplasms
COMPLETED43 Analytics
NCT00557609Phase 2 Study in Patients With MiT TumorsRenal Cell Carcinoma (RCC)
COMPLETED47 Analytics
PHASE2COMPLETED
Trial of ARQ 197 in Patients With Unresectable Hepatocellular Carcinoma (HCC) Who Have Failed One Prior Systemic Therapy
Unresectable Hepatocellular CarcinomaUnlock trial analytics
PHASE2COMPLETED
A Randomized Phase 2 Study of Erlotinib + ARQ 197 Versus Erlotinib + Placebo in Previously Treated Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
Non Small Cell Lung CancerUnlock trial analytics
PHASE2COMPLETED
A Randomized Phase 2 Study of ARQ 197 Versus Gemcitabine in Treatment-Naïve Patients With Unresectable Locally Advanced or Metastatic Pancreatic Adenocarcinoma
Pancreatic NeoplasmsUnlock trial analytics
PHASE2COMPLETED
Phase 2 Study in Patients With MiT Tumors
Renal Cell Carcinoma (RCC)Unlock trial analytics

Study Endpoints

Primary Endpoints

Evaluate time to progression among all patients treated with ARQ 197 compared to placebo
Patients will be evaluated every 6 weeks until unacceptable toxicity, disease progression or another discontinuation criterion is met
Evaluate progression free survival (PFS) in patients treated with erlotinib plus ARQ 197 versus erlotinib plus placebo
Evaluate progression-free survival (PFS) in patients receiving ARQ 197 versus gemcitabine.
6 month
Determine the overall response rate (ORR) in patients treated with ARQ 197
To evaluate the safety of ARQ 197 when administered in cirrhotic patients diagnosed with HCC
To obtain pharmacokinetic data to assess bioequivalence among three solid states of ARQ 197: amorphous, crystalline polymorph A and crystalline polymorph B.
May 2008
To determine the safety, tolerability and recommended Phase 2 dose of ARQ 197 when administered in combination with erlotinib to patients with advanced solid tumors
No time frame
Safety, tolerability
ARQ 197 treatment will be continued until progression of disease, unacceptable toxicity, or another discontinuation criterion is met

Secondary Endpoints

Evaluate progression-free survival, overall survival, objective response rate and disease control rate among all patients treated with ARQ 197 compared to placebo.
Patients will be evaluated for these endpoints every 6 weeks
Evaluate objective response rate in crossover population following radiographic disease progression on placebo.
Patients will be evaluated for these endpoints every 6 weeks
Further characterize the safety of ARQ 197 in patients with unresectable HCC
While on therapy, patients will be evaluated for safety every 4 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ARQ 197EXPERIMENTAL -
placeboPLACEBO_COMPARATOR -
1EXPERIMENTALErlotinib (150 mg) once daily plus ARQ 197 (360 mg) twice daily.
2ACTIVE_COMPARATORErlotinib (150 mg) once daily plus ARQ 197 placebo twice daily

Interventions

NameTypeDescription
ARQ 197DRUGThe investigational drug ARQ 197 is supplied as capsules. A dose of 360 mg (3 capsules of 120 mg each) of ARQ 197 will be administered by mouth BID, once in the morning and once in the evening with meals, for a total daily dose of 720 mg. Under Amendment 2, a dose of 240 mg (2 capsules of 120 mg each) of ARQ 197/placebo will be administered by mouth BID, once in the morning and once in the evening with meals, for a total daily dose of 480 mg. A treatment cycle is defined as 4 weeks for both treatment arms. Cycles will be repeated every 4 weeks (28 days) based on toxicity and response.
PlaceboDRUGThe placebo is provided in a capsule form.
ErlotinibDRUGErlotinib is a white, film coated tablet in strengths of 25, 100 and 150 mg administered once daily until disease progression, unacceptable toxicity or other discontinuation criterion is met.
gemcitabineDRUG1000 mg/m2 administered as an intravenous infusion over 30 minutes once weekly for 4 weeks for the first 28 days (cycle). Each subsequent cycle will consist of 1000 mg/m2 administered as an intravenous infusion over 30 minutes once weekly for 3 weeks with no drug administered in the 4th week.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: * Written informed consent granted prior to initiation of any study-specific screening procedures * 18 year of age or older * Histologically or cytologically confirmed HCC * Archival, fresh core needle biopsy or fine needle aspiration (FNA) tumor samples * Received at least one ...

Countries:United StatesBelgiumCanadaGermanyItalyLatviaPolandRussiaUkraineUnited KingdomSpain
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Competitive Landscape -Non-Small Cell Lung Cancer 389 trials (matched to "Non Small Cell Lung Cancer")

Frequently asked questions about ARQ 197

What is ARQ 197 used for?

ARQ 197 is an investigational small molecule being studied for use in oncology. It has been evaluated in clinical trials for conditions including cirrhosis, pancreatic neoplasms, cancer, advanced solid tumors, non-small cell lung cancer, and metastatic non-small cell lung cancer. ARQ 197 is not approved and remains in clinical development.

Who makes ARQ 197?

ARQ 197 is being developed by Merck & Company, Inc., which trades under the ticker MRK. The drug is an investigational small molecule in the oncology therapeutic area. As of the latest data, ARQ 197 has completed Phase 1 clinical trials but is not yet approved.

What phase is ARQ 197 in?

ARQ 197 is in Phase 1 clinical development. All four clinical trials listed for ARQ 197 are Phase 1 studies and have been completed. The drug is investigational and has not received FDA approval. No active trials are currently listed for ARQ 197.

What clinical trials is ARQ 197 in?

ARQ 197 has been studied in four completed Phase 1 clinical trials. These include NCT00302172 in metastatic solid tumors, NCT00612209 and NCT00612703 in advanced solid tumors, and NCT00658554, a bioequivalence study in healthy volunteers. Total enrollment across these trials was 167 participants.

Is ARQ 197 the same as tivantinib?

ARQ 197 is also known as tivantinib. The drug has been studied under the name ARQ 197 in clinical trials for various cancers, including advanced solid tumors and non-small cell lung cancer. It is an investigational small molecule developed by Merck & Company, Inc.