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Pegylated liposomal doxorubicin

Phase 3

Breast Cancer | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: Jul 3, 2018

Target and mechanism

Molecular targetF8
Target classExogenous Protein
ModalitySmall molecule

Also known as Pegylated liposomal doxorubicin (PLD)

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment210

FDA Designations

No designations recorded

Clinical trial landscape

Pegylated liposomal doxorubicin · 3 trials · 3 indications

Phase 3 1Phase 2 2
NCT00266799The Efficacy and Safety of Pegylated Liposomal Doxorubicin Compared With Capecitabine as First Line Chemotherapy for Metastatic Breast Cancer (P04445/MK-2746-071)Breast Cancer
COMPLETED210 Analytics
PHASE3COMPLETED
The Efficacy and Safety of Pegylated Liposomal Doxorubicin Compared With Capecitabine as First Line Chemotherapy for Metastatic Breast Cancer (P04445/MK-2746-071)
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Study Endpoints

Primary Endpoints

Time to Disease Progression (TTP) Using Response Evaluation Criteria in Solid Tumors (RECIST)
From Day 1 (Cycle 1) until First Evidence/Diagnosis of Progressive Disease or Death

TTP was defined as the time from onset of treatment with study drug until first evidence/diagnosis of progressive disease or - in the absence of any diagnosis of progressive disease - until the participant´s death. Diagnosis of progressive disease was done according to RECIST (Version 1.0) and/or investigator assessment based on RECIST. RECIST criteria used changes in the largest diameter of target/non-target lesions. Target (measurable) lesions were up to a maximum of 5 per organ \& \>20 mm by clinical imaging (\>=10 mm with spiral CT scan). Non-target lesions were all other lesions.

Number of Participants Who Had a Tumor Response, According to Standard RECIST (Response Evaluation Criteria in Solid Tumors) Criteria
Week 09, Week 18, at the end of each patient's treatment, and at 3, 6, 9, and 12 months after end of treatment.

Those who achieved either complete (disappearance of all target lesions) or partial (at least 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD) response.

Complete response rate, according to RECIST criteria; Partial response rate, according to RECIST criteria
Complete or partial response: re-evaluation 4 weeks later to confirm response; Upon completion of chemotherapy: follow-up every 2 months until documentation of progressive disease; All patients will be followed for a minimum of one year for survival

Secondary Endpoints

Number of Participants With an Overall Response (Complete Response [CR] + Partial Response [PR]) Between PLD and Capecitabine Treatment Groups
From Day 1 (Cycle 1) until First Evidence/Diagnosis of Progressive Disease or Death
Overall Survival Time in the PLD and Capecitabine Treatment Groups
From Day 1 (Cycle 1) until Death
Time to Treatment Failure in the PLD and the Capecitabine Treatment Groups
From Day 1 (Cycle 1) until End of Treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Pegylated liposomal doxorubicinEXPERIMENTAL -
CapecitabineACTIVE_COMPARATOR -
Caelyx, Docetaxel, TrastuzumabEXPERIMENTALStage 1: subjects will receive Caelyx one day every 3 weeks in combination with docetaxel one day every 3 weeks and trastuzumab once weekly during 6 cycles. At the end of this stage, based on the number of cardiac events, subjects will proceed to a second stage or restart with a lower dose of Caelyx. Stage 2: subjects will be treated with the recommended dose of Caelyx (defined in the first stage) in combination with docetaxel and trastuzumab.
Single ArmEXPERIMENTALCaelyx 30 mg/m2 in combination with carboplatin dosed to target AUC of 5 mg/mL.min.

Interventions

NameTypeDescription
Pegylated liposomal doxorubicin (SCH 200746)DRUGpegylated liposomal doxorubicin (50 mg/m\^2 q 28 days) was administered intravenously until disease progression or unacceptable toxicity
CapecitabineDRUGcapecitabine (1250 mg/m\^2 BID x 14 days q 21 days) in tablets of 150 mg and 500 mg was administered orally, until disease progression or unacceptable toxicity
Pegylated Liposomal DoxorubicinDRUGStage 1: 25 subjects will be treated with Caelyx IV 30 mg/m\^2 on day 1, every 3 weeks Stage 2: 45 new patients will be treated at the recommended dose level (defined in the first step) on day 1, every 3 weeks.
DocetaxelDRUGStage 1 and Stage 2: Docetaxel 60 mg/m2 IV as 1-hour infusion, on day 1, every 3 weeks.
TrastuzumabDRUGStage 1 and Stage 2: 4 mg/kg IV 90-minute infusion loading dose. Then 2 mg/kg IV weekly during 6 cycles (18 weeks).
CarboplatinDRUGSubjects will receive carboplatin dosed to target AUC of 5 mg/mL.min, intravenously, on Day 1 of each 4-week cycle, after the Caelyx infusion, during 6 cycles. Patients still achieving clinical benefit after a total of 6 cycles may continue therapy.
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * Patients must be female. * Patients must have metastatic disease of a cytological or histological confirmed breast cancer. * Patients must be 18 years or older. * Patients should have evaluable disease (at least uni-dimensionally measurable lesion according to the RECIST crite...

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Competitive Landscape -Breast Cancer 402 trials

Top 20 of 92 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant
BeOne Medicines Ltd. Sponsored ADRONC5PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib
Relay Therapeutics, Inc.RLAY2PHASE3Zovegalisib, Capivasertib, Fulvestrant
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX2PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam
Atossa Therapeutics, Inc.ATOS1PHASE2endoxifen, goserelin
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Frequently asked questions about Pegylated liposomal doxorubicin

What is Pegylated Liposomal Doxorubicin used for?

Pegylated Liposomal Doxorubicin is used for treating ovarian neoplasms and breast cancer, including metastatic breast cancer. It is an oncology small molecule being studied in clinical trials for these conditions.

Who makes Pegylated Liposomal Doxorubicin?

Pegylated Liposomal Doxorubicin is developed by Merck & Company, Inc., which trades under the ticker MRK on the stock exchange.

What phase is Pegylated Liposomal Doxorubicin in?

Pegylated Liposomal Doxorubicin is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities.

What clinical trials is Pegylated Liposomal Doxorubicin in?

Pegylated Liposomal Doxorubicin has been studied in completed trials including NCT00266799, a Phase 3 trial in metastatic breast cancer with 210 participants, NCT00687440, a Phase 2 trial in breast neoplasm with 27 participants, and NCT00780039, a Phase 2 trial in ovarian neoplasms with 58 participants.

Is Pegylated Liposomal Doxorubicin the same as Pegylated liposomal doxorubicin (PLD)?

Yes, Pegylated Liposomal Doxorubicin is also known as Pegylated liposomal doxorubicin (PLD). These names refer to the same drug.