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Pimasertib

Phase 2

N-Ras Mutated Locally Advanced or Metastasis Malignant Cutaneous Melanoma | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: Jan 5, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment194

FDA Designations

No designations recorded

Clinical trial landscape

Pimasertib · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT01693068Phase II Trial of Pimasertib Versus Dacarbazine in N-Ras Mutated Cutaneous MelanomaN-Ras Mutated Locally Advanced or Metastasis Malignant Cutaneous Melanoma
COMPLETED194 Analytics
PHASE2COMPLETED
Phase II Trial of Pimasertib Versus Dacarbazine in N-Ras Mutated Cutaneous Melanoma
N-Ras Mutated Locally Advanced or Metastasis Malignant Cutaneous MelanomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS)
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to cut-off date (04-Jul-2015)

PFS was defined as the duration (in weeks) from randomization until the first progressive disease (PD) observation as assessed by the Investigator according to Response Evaluation Criteria for Solid Tumors (RECIST) version 1.1, or death due to any cause when death occurred within 12 weeks after the last tumor assessment (otherwise censored), whichever occurred first. PD was defined as at least a 20% increase in the sum of diameters of the target lesions, taking as reference the smallest sum since the treatment started (including baseline), or appearance of one or more new lesions, and/or unequivocal progression of existing non-target lesions.

Area Under the Plasma Concentration Time Curve From Time Zero to the Last Sampling Time Point (AUC0-t) of [14C]-Pimasertib Following Intravenous (IV) Administration on Day 1
Pre-dose, 0.5, 1, 1.5, 3, 5, 7, 9, 11, 15, 23, and 47 hours post [14C] intravenous pimasertib dose on Day 1
Area Under the Plasma Concentration Time Curve From Time Zero to the Last Sampling Time Point (AUC0-t) of Pimasertib Following Oral Administration on Day 1
Pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 4, 6, 8, 10, 12, 16, 24, and 48 hours post unlabeled pimasertib dose on Day 1
Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of [14C]-Pimasertib Following IV Administration on Day 1
Pre-dose, 0.5, 1, 1.5, 3, 5, 7, 9, 11, 15, 23, and 47 hours post [14C] intravenous pimasertib dose on Day 1
Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Pimasertib Following Oral Administration on Day 1
Pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 4, 6, 8, 10, 12, 16, 24, and 48 hours post unlabeled pimasertib dose on Day 1
Oral Bioavailability of Pimasertib After Single Oral Dose of Unlabeled Pimasertib and Intravenous (IV) Single Tracer Dose of [14C] Pimasertib
Pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 4, 6, 8, 10, 12, 16, 24, and 48 hours post unlabeled pimasertib dose on Day 1; Pre-dose, 0.5, 1, 1.5, 3, 5, 7, 9, 11, 15, 23, and 47 hours post [14C] labeled pimasertib dose on Day 1

Oral bioavailability (F) was calculated using the formula=AUC0-inf oral/dose oral) / (AUC0-inf iv/dose iv) \* 100%, where AUC0-inf is the area under the concentration time curve (AUC) from time zero to infinity.

Mass Balance: Amount of Total Radioactivity Recovered Into the Urine and Feces From Time Zero to the Last Sampling Time Point (Ae0-t)
Urine: 0-4, 4-8, 8-12, 12-24, 24-48, 48-72, and 72-96 hours post [14C]-labeled pimasertib dose on Day 8; Feces: 0-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, and 144-168 hours post [14C]-labeled pimasertib dose on Day 8

Recovery of total \[14C\]-radioactivity was determined in excreta, i.e., urine and feces at each sampling period subsequent to oral administration of \[14C\]-pimasertib on Day 8. Cumulative recovery of total \[14C\]-radioactivity in terms of percentage of dose recovered in urine and feces and total percentage of dose recovered was reported for the outcome measure.

Plasma Concentrations of [14C] Pimasertib
Pre-dose 1.0, 2.0, 4.0, 10 and 24 hours post [14C]-labeled Pimasertib dose on Day 8
Plasma Concentrations of Pimasertib Metabolites
Predose, 1.0, 2.0, 4.0, 10 and 24 hour post [14C]-labeled pimasertib dose on Day 8

Plasma concentration of the Pimasertib metabolite M445 and M554 were presented for the outcome measure.

Number of Metabolites Identified Overall and as Major
Pre-dose 1.0, 2.0, 4.0, 10 and 24 hours post [14C]-labeled Pimasertib dose on Day 8

Identification and profiling of the metabolites was done. The total number of metabolites and the number of metabolites identified as major were reported.

Secondary Endpoints

Objective Response Rate (ORR)
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to cut-off date (04-Jul-2015)
Disease Control Rate (DCR)
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to cut-off date (04-Jul-2015)
Percentage of Subjects With Progression-free Survival (PFS) at 6 Months
6 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PimasertibEXPERIMENTAL -
DacarbazineACTIVE_COMPARATOR -

Interventions

NameTypeDescription
PimasertibDRUGSubjects will receive pimasertib orally as monotherapy at a dose of 60 milligram (mg) twice daily continuously. Treatment will consist of repeated 21-day cycles which will continue until progression of the disease, unacceptable toxicity, withdrawal of informed consent, or death, whichever occurs first.
DacarbazineDRUGSubjects will receive dacarbazine intravenously at dose of 1000 milligram per square meter (mg/m\^2) of body surface area every 3 weeks on Day 1 of each 21-days cycle until progression of the disease, unacceptable toxicity, withdrawal of informed consent, or death, whichever occurs first. Eligible subjects with documented tumor progression on dacarbazine will offer to switch to pimasertib treatment.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites101

Inclusion Criteria: * Subjects with measurable, histologically or cytologically confirmed, locally advanced or metastatic cutaneous melanoma (stage III c or M1ac) N-Ras mutated. If N-Ras mutational status is unknown at screening, it must be prospectively defined before inclusion. If N-Ras mutationa...

Countries:United StatesAustraliaBelgiumFranceGermanyIsraelItalyNetherlandsNew ZealandSouth AfricaSpainSwedenSwitzerlandUnited KingdomHungary
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Frequently asked questions about Pimasertib

What is Pimasertib used for?

Pimasertib is an investigational small molecule being studied for the treatment of N-Ras mutated locally advanced or metastatic malignant cutaneous melanoma, as well as locally advanced or metastatic solid tumors. It is in clinical development and is not approved by the FDA.

What does Pimasertib target?

Pimasertib is a small molecule that targets the MEK pathway, which is involved in cell growth and proliferation. It is being studied in cancers with N-Ras mutations, where this pathway is often overactive.

Who makes Pimasertib?

Pimasertib is being developed by Merck & Company, Inc., which is publicly traded under the ticker symbol MRK on the New York Stock Exchange.

What phase is Pimasertib in?

Pimasertib is in Phase 1 clinical development. It has completed a Phase 2 trial in N-Ras mutated cutaneous melanoma and a Phase 1 trial in solid tumors, but it remains investigational and has not been approved.

What clinical trials is Pimasertib in?

Pimasertib has been studied in two completed clinical trials. NCT01693068 was a Phase 2 trial in N-Ras mutated cutaneous melanoma with 194 participants, and NCT01713036 was a Phase 1 trial in solid tumors with 6 participants.

Is Pimasertib the same as other MEK inhibitors?

Pimasertib is a specific MEK inhibitor developed by Merck & Company. It is not the same as other MEK inhibitors, which are distinct compounds with their own chemical structures and development programs.