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OTX015/Birabresib

Phase 1

Acute Myeloid Leukemia | Small molecule | Oncology |Merck & Company, Inc.|Trials Updated: Jan 26, 2021

OTX015/Birabresib development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Oct 2012

OTX015/Birabresib target and mechanism

ModalitySmall molecule

Also known as MK-8628

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment141

FDA Designations

No designations recorded

OTX015/Birabresib clinical trials

OTX015/Birabresib · 1 trial · 4 indications

Phase 1 1
NCT01713582A Dose-finding Study of the Bromodomain (Brd) Inhibitor OTX015/ Birabresib (MK-8628) in Hematologic Malignancies (MK-8628-001)Acute Myeloid Leukemia
COMPLETED141 Analytics
PHASE1COMPLETED
A Dose-finding Study of the Bromodomain (Brd) Inhibitor OTX015/ Birabresib (MK-8628) in Hematologic Malignancies (MK-8628-001)
Acute Myeloid LeukemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Dose Limiting Toxicities (DLTs)
Cycle 1 (Up to 21 days)

A DLT was graded using the National Cancer Institute-Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 4.02 and defined as any of the following: grade 3 or 4 non-hematologic adverse events unless they were not optimally treated with supportive care; grade 3 or 4 asymptomatic laboratory abnormal values lasting \>7 days; prolonged grade 2 toxicity (lasting more than 2 weeks) leading to treatment interruption and/or dose reduction; pancytopenia with a hypocellular bone marrow and no marrow blasts lasting ≥6 weeks (AL participants); grade 3 neutropenia with fever or infection (OHM participants); grade 3 thrombocytopenia with bleeding (OHM participants); or grade 4 neutropenia or thrombocytopenia, regardless of symptoms and lasting ≥3 days (OHM participants).

Secondary Endpoints

Number of Participants Who Experienced at Least One Adverse Event (AE)
Up to 40 days after last dose of study therapy (Up to 28 months)
Number of Participants Who Discontinued Study Therapy Due to AEs
From time of first dose of study therapy until the end of treatment (up to 26 months)
Number of Participants Whose Best Response Was Partial Response (PR) or Complete Response (CR)
From time of first dose of study therapy until the end of treatment (up to 26 months)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AL 10 mg QD 14-21EXPERIMENTALParticipants received 10 mg birabresib/OTX015 administered orally (PO), once daily (QD), in a fasted state on Days 1 to 14 of a 21-day cycle.
AL 20 mg QD 14-21EXPERIMENTALParticipants received 20 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
AL 40 mg QD 14-21EXPERIMENTALParticipants received 40 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
AL 20 mg BID 21-21EXPERIMENTALParticipants received 20 mg birabresib/OTX015 administered PO, twice a day (BID), with the first daily dose in a fasted state, on Days 1 to 21 of a 21-day cycle.
AL 80 mg QD 14-21EXPERIMENTALParticipants received 80 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
AL 40 mg BID 14-21EXPERIMENTALParticipants received 40 mg birabresib/OTX015 administered PO, twice a day (BID), with the first daily dose in a fasted state, on Days 1 to 14 of a 21-day cycle.
AL 120 mg QD 14-21EXPERIMENTALParticipants received 120 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
AL 120 mg QD 21-21EXPERIMENTALParticipants received 120 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 21 of a 21-day cycle.
AL 160 mg QD 14-21EXPERIMENTALParticipants received 160 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
AML de novo 80 mg QD 14-21EXPERIMENTALParticipants received 80 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
AML/MDS 80 mg QD 14-21EXPERIMENTALParticipants received 80 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
OHM 10 mg QD 21-21EXPERIMENTALParticipants received 10 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 21 of a 21-day cycle.
OHM 20 mg QD 21-21EXPERIMENTALParticipants received 20 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 21 of a 21-day cycle.
OHM 40 mg QD 21-21EXPERIMENTALParticipants received 40 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 21 of a 21-day cycle.
OHM 80 mg QD 21-21EXPERIMENTALParticipants received 80 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 21 of a 21-day cycle.
OHM 40 mg BID 21-21EXPERIMENTALParticipants received 40 mg birabresib/OTX015 administered PO, BID, with the first daily dose in a fasted state, on Days 1 to 21 of a 21-day cycle.
OHM 120 mg QD 21-21EXPERIMENTALParticipants received 120 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 21 of a 21-day cycle.
OHM 120 mg QD 14-21EXPERIMENTALParticipants received 120 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.
OHM 120 mg QD 5-7EXPERIMENTALParticipants received 120 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 5 of a 7-day cycle.
OHM 120 mg QD 7-21EXPERIMENTALParticipants received 120 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 7 of a 21-day cycle
OHM/DLBCL 80 mg QD 14-21EXPERIMENTALParticipants received 80 mg birabresib/OTX015 administered PO, QD, in a fasted state on Days 1 to 14 of a 21-day cycle.

Interventions

NameTypeDescription
OTX015/BirabresibDRUGOTX015/Birabresib 10 mg, 20 mg, or 40 mg capsules administered orally
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Histologically or cytologically proven acute leukemias (AML or ALL) or hematologic malignancies (DLBCL or MM) using standard diagnosis criteria. Acute leukemia includes de novo and secondary to a pre-existing myelodysplastic syndrome, according to the World Health Organization...

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Frequently asked questions about OTX015/Birabresib

What is OTX015/Birabresib?

OTX015, also known as Birabresib or MK-8628, is an investigational small molecule developed by Merck & Company, Inc. (MRK). It is being studied in oncology, specifically for hematologic malignancies including acute myeloid leukemia. It remains in clinical development and is not an approved therapy.

What is OTX015/Birabresib used for in acute myeloid leukemia?

OTX015/Birabresib is being evaluated as a treatment for acute myeloid leukemia and other hematologic malignancies. It is an investigational agent and has not been approved for any indication. Its development in acute myeloid leukemia has been studied in a Phase 1 dose-finding trial.

Who makes OTX015/Birabresib?

OTX015/Birabresib is developed by Merck & Company, Inc., which trades under the ticker MRK. The drug is also known as MK-8628, reflecting Merck's internal compound designation. Merck conducted the clinical development program for this asset.

What phase is OTX015/Birabresib in?

OTX015/Birabresib is in Phase 1 clinical development. The only registered trial, NCT01713582, was a Phase 1 dose-finding study that has been completed. The drug is investigational and has not received FDA approval for any indication.

What clinical trials is OTX015/Birabresib in?

OTX015/Birabresib has been studied in one clinical trial, NCT01713582, titled A Dose-finding Study of the Bromodomain (Brd) Inhibitor OTX015/Birabresib (MK-8628) in Hematologic Malignancies. This completed Phase 1 trial enrolled 141 participants and evaluated acute myeloid leukemia, diffuse large B-cell lymphoma, acute lymphoblastic leukemia, and multiple myeloma.

Is OTX015 the same as Birabresib?

Yes, OTX015 and Birabresib refer to the same investigational drug, which is also known as MK-8628. These names are used interchangeably in scientific literature and clinical trial records. The compound is a small molecule developed by Merck & Company, Inc. for hematologic malignancies.