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Ridaforolimus+ Dalotuzumab

Phase 2

Breast Cancer | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: May 31, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials3
Total Enrollment212

FDA Designations

No designations recorded

Clinical trial landscape

Ridaforolimus+ Dalotuzumab · 3 trials · 2 indications

Phase 2 2Phase 1 1
NCT01234857A Study of Ridaforolimus (MK-8669) in Combination With Dalotuzumab (MK-0646) Compared to Standard of Care Treatment in Estrogen Receptor Positive Breast Cancer Patients (MK-8669-041 AM3)Breast Cancer
COMPLETED115 Analytics
NCT00736970Oral Deforolimus With Trastuzumab for Patients With HER2-positive Trastuzumab-Refractory Metastatic Breast Cancer (8669-009)Breast Cancer
COMPLETED34 Analytics
PHASE2COMPLETED
A Study of Ridaforolimus (MK-8669) in Combination With Dalotuzumab (MK-0646) Compared to Standard of Care Treatment in Estrogen Receptor Positive Breast Cancer Patients (MK-8669-041 AM3)
Breast CancerUnlock trial analytics
PHASE2COMPLETED
Oral Deforolimus With Trastuzumab for Patients With HER2-positive Trastuzumab-Refractory Metastatic Breast Cancer (8669-009)
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression free survival (PFS)
Assessed every 8 weeks until documentation of disease progression or death.

Progression free survival is defined as the time from randomization to progressive disease or death, which ever occurs earlier.

Objective Response Rate (ORR) measured by modified RECIST guidelines
Duration of the study
The population mean change from baseline in GFS (Growth Factor Signature) score
Baseline and Day 15

Secondary Endpoints

Objective response rate (ORR)
Assessed every 8 weeks until documentation of disease progression or death.
Overall survival (OS)
Every 3 months after participants go off active treatment
Characterize the overall safety and tolerability of oral deforolimus administered in combination with standard dose trastuzumab
Duration of the study
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: ridaforolimus + dalotuzumabEXPERIMENTALApproximately 15 patients will be enrolled to the ridaforolimus-dalotuzumab combination treatment arm. Subsequent Patients are randomly assigned in a 1:1 ratio to treatment with the ridaforolimus (20 mg daily five days a week)/dalotuzumab (intravenous infusion 10 mg/kg once weekly) combination therapy or cross-over to exemestane single-therapy treatment.
Part A: exemestaneACTIVE_COMPARATORExemestane 25 mg daily; single-agent therapy.
Part B: ridaforolimus + dalotuzumabEXPERIMENTALPatients are randomly assigned in a 1:1 ratio to treatment with the ridaforolimus (20 mg daily five days a week)/dalotuzumab (intravenous infusion 10 mg/kg once weekly) combination therapy or cross-over to one of two single-therapy treatments (ridaforolimus alone or dalotuzumab alone). With the implementation of Amendment 3, this study arm will not be opened.
Part B: ridaforolimusEXPERIMENTALRidaforolimus; 40 mg daily five days a week, single-agent therapy. With the implementation of Amendment 3, this study arm will not be opened.
Part B: dalotuzumabEXPERIMENTALDalotuzumab intravenous infusion 10 mg/kg weekly; single-agent therapy. With the implementation of Amendment 3, this study arm will not be opened.
1EXPERIMENTAL10 mg oral tablets administered at 40 mg once daily for 5 consecutive days each week, followed by 2 days without ridaforolimus
Ridaforolimus + DalotuzumabEXPERIMENTALRidaforolimus (MK-8669) + Dalotuzumab (MK-0646)
RidaforolimusEXPERIMENTALRidaforolimus (MK-8669)
DalotuzumabEXPERIMENTALDalotuzumab (MK-0646)

Interventions

NameTypeDescription
ridaforolimus + dalotuzumabDRUGRidaforolimus 20 mg once daily (QD) five days a week, with the possibility of escalation to 30 mg once daily (QD) after the first cycle and dalotuzumab intravenous infusion 10 mg/kg once weekly (QW). Treatment will continue until disease progression.
exemestaneDRUGExemestane 25 mg daily (QD). Treatment will continue until disease progression. Patients may cross-over to the combination therapy after disease progression at the discretion of the investigator with Sponsor approval.
ridaforolimusDRUGRidaforolimus 40 mg QD five days a week. Treatment will continue until disease progression. Patients may cross-over to the combination therapy after disease progression at the discretion of the investigator with Sponsor approval. Note: the Sponsor-recommended dose of ridaforolimus when administered as a single agent is 40 mg/day, but when given in combination with dalotuzumab, it is given at 30 mg/day.
dalotuzumabDRUGDalotuzumab intravenous infusion 10 mg/kg QW. Treatment will continue until disease progression. Patients may cross-over to the combination therapy after disease progression at the discretion of the investigator with Sponsor approval.
trastuzumabDRUGsingle intravenous infusion every week; initial dose of 4 mg/kg over 90 minutes, then 2 mg/kg over 30 minutes
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria The prospective participant must meet, at least, all of the criteria below to be eligible for study participation. The participant: * Has a confirmed diagnosis of breast cancer that is metastatic or locally advanced and is estrogen receptor positive and human epidermal growth fa...

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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 Ridaforolimus+ Dalotuzumab

What is ridaforolimus + dalotuzumab used for?

Ridaforolimus + dalotuzumab is an investigational combination being studied in oncology. It has been evaluated in clinical trials for solid tumors, advanced or relapsed/refractory advanced cancer, breast neoplasms, prostate cancer, and in healthy volunteers. The combination is not approved and remains in clinical development.

Who makes ridaforolimus + dalotuzumab?

Ridaforolimus + dalotuzumab is being developed by Merck & Company, Inc., traded on the New York Stock Exchange under the ticker MRK. The company has sponsored clinical trials evaluating this combination in various cancer settings.

What phase is ridaforolimus + dalotuzumab in?

Ridaforolimus + dalotuzumab has been studied in Phase 1 and Phase 2 clinical trials. The Phase 1 trials are completed, and a Phase 2 trial in breast cancer is also completed. The combination is investigational and not approved for any indication.

What clinical trials is ridaforolimus + dalotuzumab in?

Ridaforolimus + dalotuzumab has been studied in completed trials including NCT00060632, NCT00112372, NCT00288431, and NCT01605396. These trials evaluated the combination in advanced malignancies, cancer, sarcoma, and breast cancer, with a total enrollment of 711 participants across all studies.

Is ridaforolimus + dalotuzumab the same as ridaforolimus alone?

Ridaforolimus + dalotuzumab is a combination of two drugs, ridaforolimus and dalotuzumab. It is distinct from ridaforolimus alone. A Phase 2 trial compared ridaforolimus plus exemestane against ridaforolimus, dalotuzumab, and exemestane in breast cancer participants.