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Elimusertib

Phase 1

Advanced Solid Tumors | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: Apr 2, 2024

Success Probability

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment56

FDA Designations

No designations recorded

Clinical trial landscape

Elimusertib · 1 trial · 1 indication

Phase 1 1
NCT04095273Study to Test How Well Patients With Advanced Solid Tumors Respond to Treatment With the Elimusertib in Combination With Pembrolizumab, to Find the Optimal Dose for Patients, How the Drug is Tolerated and the Way the Body Absorbs, Distributes and Discharges the DrugAdvanced Solid Tumors
COMPLETED56 Analytics
PHASE1COMPLETED
Study to Test How Well Patients With Advanced Solid Tumors Respond to Treatment With the Elimusertib in Combination With Pembrolizumab, to Find the Optimal Dose for Patients, How the Drug is Tolerated and the Way the Body Absorbs, Distributes and Discharges the Drug
Advanced Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Treatment Emergent Adverse Events (TEAEs) including Treatment Emergent Serious Adverse Events (TESAEs)
Up to 30 days after last study intervention administration
Severity of Treatment Emergent Adverse Events (TEAEs) including Treatment Emergent Serious Adverse Events (TESAEs)
Up to 30 days after last study intervention administration
Frequency of Dose limiting toxicities (DLTs) at each dose level during dose escalation of BAY1895344
Cycle 1 (21 days)
Recommended phase II dose (RP2D) of BAY1895344
Up to 24 months

The RP2D will be determined in dose expansion part based on multiple parameters (i.e., safety, tolerability, PK, pharmacodynamics, efficacy) and will be a dose equal to or lower than the MTD (Maximum Tolerated Dose).

Secondary Endpoints

Cmax of Elimusertib
Cycle 1 (21 days), Day 8 (dosing schedule 1) or Cycle 1 (21 days), Day 1 (dosing schedule 2)
AUC(0-12) of Elimusertib
Cycle 1 (21 days), Day 8 (dosing schedule 1) or Cycle 1 (21 days), Day 1 (dosing schedule 2)
Cmax,md of Elimusertib
Cycle 1 (21 days), Day 17 (dosing schedule 1) or Cycle 1 (21 days), Day 10 (dosing schedule 2)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose escalation of ElimusertibEXPERIMENTAL2 dose levels of Elimusertib are planned
Dose expansion cohort 1a of ElimusertibEXPERIMENTALParticipants with advanced hormone-receptor-positive, Human epidermal growth factor receptor 2 negative breast cancer (HER2-negative BC), known to be positive for Ataxia-telangiectasia mutated (ATM) loss and/or ATM deleterious alterations who have not received prior treatment with immunotherapy. Participants with known microsatellite instability-high (MSI-H) cannot be included
Dose expansion cohort 1b of ElimusertibEXPERIMENTALParticipants with advanced hormone-receptor-positive, HER2-negative BC, known to be DDR deficiency biomarker-positive (except ATM loss/mutation) who have not received prior treatment with immunotherapy. Participants with known MSI-H cannot be included.
Dose expansion cohort 2a of ElimusertibEXPERIMENTALParticipants with advanced Colorectal cancer (CRC) known to be positive for ATM loss and/or ATM deleterious alterations who have not received prior treatment with immunotherapy. Participants with known MSI-H cannot be included.
Dose expansion cohort 2b of ElimusertibEXPERIMENTALParticipants with advanced CRC, known to be DDR deficiency biomarker -positive (except ATM loss/mutation) who have not received prior treatment with immunotherapy. Participants with known MSI-H cannot be included.
Dose expansion cohort 3 of ElimusertibEXPERIMENTALParticipants with advanced Gastric/gastroesophageal junction cancer (GC/GEJ) known to be DDR deficiency biomarker-positive (incl. ATM mutation) and/or positive for ATM loss. Participants must have progressed on treatment with an anti-PD-1/L1 mAb administered either as monotherapy, or in combination with other checkpoint inhibitors or other therapies.
Dose expansion cohort 3a of ElimusertibEXPERIMENTALParticipants with advanced GC/GEJ cancer and without DDR deficiency alterations as described above. Variants of unknown significance (VUS) of the DDR gene alterations are eligible. Participants must have progressed on treatment with an anti-PD-1/L1 mAb administered either as monotherapy, or in combination with other checkpoint inhibitors or other therapies.
Dose expansion cohort 4 of ElimusertibEXPERIMENTALParticipants with advanced Non-small cell lung cancer (NSCLC) known to be DDR deficiency biomarker-positive (incl. ATM mutation) and/or positive for ATM loss. Participants must have progressed on treatment with an anti-PD-1/L1 mAb administered either as monotherapy, or in combination with other checkpoint inhibitors or other therapies.
Dose expansion cohort 4a of ElimusertibEXPERIMENTALParticipants with advanced NSCLC and without DDR deficiency alterations as described above. VUS of the DDR gene alterations are eligible. Participants must have progressed on treatment with an anti-PD-1/L1 mAb administered either as monotherapy, or in combination with other checkpoint inhibitors or other therapies.
Dose expansion cohort 5 of ElimusertibEXPERIMENTALParticipants with advanced pancreatic cancer, known to be DDR deficiency biomarker-positive (incl. ATM mutation) and/or positive for ATM loss who have not received prior treatment with immunotherapy. Participants with known MSI-H cannot be included.
Dose expansion cohort 5a of ElimusertibEXPERIMENTALParticipants with advanced pancreatic cancer and without DDR deficiency alterations as described above, who have not received prior treatment with immunotherapy. VUS of the DDR gene alterations are eligible. Participants with known MSI-H cannot be included.
Dose expansion cohort 6 of ElimusertibEXPERIMENTALParticipants with advanced Metastatic castration-resistant prostate cancer (mCRPC), known to be DDR deficiency biomarker positive (incl. ATM mutation) and/or positive for ATM loss who have not received prior treatment with immunotherapy. Participants with known MSI-H cannot be included.
Dose expansion cohort 6a of ElimusertibEXPERIMENTALParticipants with advanced mCRPC and without DDR deficiency alterations as described above, who have not received prior treatment with immunotherapy. VUS of the DDR gene alterations are eligible. Participants with known MSI-H cannot be included.

Interventions

NameTypeDescription
Elimusertib (BAY1895344)DRUGStudy drugs will be administered as scheduled
Pembrolizumab (Keytruda®)DRUGStudy drugs will be administered as scheduled
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * Participant must be ≥18 years of age inclusive, at the time of signing the informed consent. * Presence of the putative biomarkers of DDR deficiency in tumor and/or other tissues (dose escalation only). * Participants must have histologically confirmed solid tumors . * Eastern...

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

Frequently asked questions about Elimusertib

What is Elimusertib used for?

Elimusertib is an investigational small molecule being studied for the treatment of advanced solid tumors. It is currently in Phase 1 clinical development. The drug is being evaluated in combination with pembrolizumab to determine the optimal dose, tolerability, and how the body absorbs, distributes, and discharges the drug.

Who makes Elimusertib?

Elimusertib is being developed by Merck & Company, Inc., which trades under the ticker MRK. The company is conducting clinical research on this investigational oncology drug for advanced solid tumors.

What phase is Elimusertib in?

Elimusertib is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. A Phase 1 study has been completed, evaluating the drug in combination with pembrolizumab in patients with advanced solid tumors.

What clinical trials is Elimusertib in?

Elimusertib has one completed clinical trial, NCT04095273, a Phase 1 study in advanced solid tumors. The trial enrolled 56 patients across the United States, Germany, Spain, Switzerland, and the United Kingdom. It evaluated Elimusertib in combination with pembrolizumab.

Is Elimusertib the same as pembrolizumab?

No, Elimusertib is not the same as pembrolizumab. Elimusertib is the investigational drug being studied, while pembrolizumab is a separate therapy used in combination with Elimusertib in the clinical trial. The study aims to test how well patients respond to the combination treatment.