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PMC-309 monotherapy

Phase 1

Advanced or Metastatic Solid Tumors | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: Dec 30, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment67
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05957081Study to Assess the Safety, Tolerability, and Blood Concentration of PMC-309PHASE1 RECRUITING 67Jan 3, 2024Apr 30, 2030Dec 30, 20254 Australia
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Study Endpoints
Primary Endpoints
Number of participants with abnormal vital signs in response ot treatment with PMC- 309
Phase 1a and 1b- Upto 35 Cycles (each cycle is 21 days)

Vital signs will be assessed by changes in systolic/diastolic blood pressure, respiratory rate, body temperature and heart rate.

Number of participants with abnomal clinically significant results with physical examination in response to the treatment with PMC-309
Phase 1a and 1b- Upto 35 Cycles (each cycle is 21 days)

A complete physical examinations of general appearance, head, ears, eyes, nose, throat, dentition, thyroid, chest (heart, lungs), abdomen, skin, neurological, extremities, back, neck, musculoskeletal, and lymph nodes.

Number of participants with abnormal clinically significant 12-lead electrocardiogram (ECG) parameters in response to treatment with PMC-309
Phase 1a and 1b- Upto 35 Cycles (each cycle is 21 days)

The following ECG parameters will be recorded: heart rate, RR interval, HR interval, QTc interval, and QRS interval.

Number of participants with abnormal clinically significant laboratory results in response to treatment with PMC-309
Phase 1a and 1b- Upto 35 Cycles (each cycle is 21 days)

Laboratory results will include biochemistry, Thyroid function test, hematology, coagulation and urinalysis

Number of participants with adverse events receiving treatment with PMC-309
Phase 1a and 1b- Upto 35 Cycles (each cycle is 21 days)

Adverse events includes \[treatment-emergent AE, serious AEs, treatment-emergent AEs of special interest\] which will be coded using most current version of MedDRA.

Number of participants with abnormal changes in Eastern Cooperative Oncology Group (ECOG) performance status.
Phase 1a and 1b- Screening
To determine the maximum tolerated dose (MTD) of PMC-309 monotherapy (Part A) and establish the preliminary RP2D of PMC-309.
Upto 21 days

MTD of PMC-309 will be calculated by incidence of DLT at 21 days from the first dosing of PMC 309.

To determine the MTD and establish the preliminary RP2D of PMC-309 when administered in combination with pembrolizumab at 200 mg (Part B).
Upto 21 Days

MTD of PMC-309 by incidence of DLT at 21 days from the first dosing of PMC-309 in combination with pembrolizumab.

Secondary Endpoints
To assess the clinical efficacy of PMC-309 in the treatment of advanced or metastatic solid tumors by Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
Upto 35 Cycles (each cycle is 21 days)
The plasma pharmacokinetic endpoints of the study is assessed by peak serum concentration (Cmax)
Upto 35 Cycles (each cycle is 21 Days)
The plasma pharmacokinetic endpoints of the study is assessed by time to peak plasma concentration (Tmax)
Upto 35 Cycles (each cycle is 21 Days)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Phase 1 a: Part A: PMC-309 Monotherapy Dose EscalationEXPERIMENTALPhase 1a will enroll participants with advanced or metastatic solid tumors to assess safety, tolerability, PK and clinical efficacy in response to treatment with PMC-309 as a monotherapy Dosage form and Route of administration: The duration of a treatment cycle is 3 weeks/21 days. Participants will be administered a weekly dose of PMC-309 per cycle as follows: * Cycle Week 1/Day 1 * Cycle Week 2/Day 8 ± 2 days * Cycle Week 3/Day 15 ± 2 days PMC-309 will be administered intravenously over 1 hour (± 0.5 hours), after which participants will be observed for a period of 1.5 hours post administration.
Phase 1a: Part B: PMC-309 Dose Escalation in Combination with PembrolizumabEXPERIMENTALPart B will establish the MTD/preliminary RP2D of PMC-309 when administered in combination with 200 mg pembrolizumab. Part B will be conducted after completion of Part A (PMC-309 monotherapy dose escalation) and before the commencement of Phase 1b. Dosage form and Route of administration: The duration of a treatment cycle is 3 weeks/21 days. Participants will be administered a weekly dose of PMC-309 plus one dose of pembrolizumab at 200 mg per cycle as follows: * Cycle Week 1/Day 1: pembrolizumab (administered first), followed by administration of PMC-309. * Cycle Week 2/Day 8 ± 2 days: PMC-309 only * Cycle Week 3/Day 15 ± 2 days: PMC-309 only. Both PMC-309 and pembrolizumab will be administered intravenously.
Phase 1b: Dose ExpansionEXPERIMENTALPhase 1b will enroll participants after completion of DLT assessments for Phase 1a. Phase 1b will enroll participants with advanced or metastatic tumor types into 1 of 2 cohorts to assess response of monotherapy of PMC-309 and response of PMC-309 in combination with pembrolizumab. * Cohort A: PMC-309 monotherapy therapy \- PMC-309 dosing will be at the preliminary RP2D, as identified in Phase 1a: Part A * Cohort B: PMC-309 plus pembrolizumab combination therapy - PMC-309 dosing will be as identified in Phase 1a: Part B in combination with 200 mg pembrolizumab Participants will be randomly assigned to Cohort A or Cohort B until 20 participants are enrolled in each cohort.
Interventions
NameTypeDescription
PMC-309 monotherapyDRUGPMC-309 will be administered intravenously.
PMC-309 Dose Escalation in Combination with Pembrolizumab(KEYTRUDA®)DRUGBoth PMC-309 and pembrolizumab will be administered intravenously. At the time of the combination therapy (Week 1/Day 1 of each cycle), participants will be dosed with pembrolizumab(KEYTRUDA®) first, administered over 0.5 hours (± 10 minutes). Following an interval of 1 hour (± 15 minutes), participants will be dosed with PMC-309 administered over 1 hour (± 0.5 hours), after which participants will be observed for a period of 1.5 hours post administration.
PMC-309 Dose ExpansionDRUGPhase 1b will enroll participants with advanced or metastatic tumor types into 1 of 2 cohorts: * Cohort A: PMC-309 monotherapy therapy \- PMC-309 dosing will be at the preliminary RP2D, as identified in Phase 1a: Part A * Cohort B: PMC-309 plus pembrolizumab(KEYTRUDA®) combination therapy - PMC-309 dosing will be as identified in Phase 1a: Part B in combination with 200 mg pembrolizumab(KEYTRUDA®)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: To be eligible for this study, a participant must meet ALL of the following inclusion criteria: 1. The participant voluntarily signs an informed consent form (ICF) indicating they understand the purpose and procedures required for the study and are willing to participate in the...

Countries:Australia
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