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SCH 727965

Phase 3

Breast Neoplasms | Small molecule | Oncology |Merck & Company, Inc.|Trials Updated: Oct 23, 2017

SCH 727965 development status

Highest phase Phase 3 (NCT01580228)
Phase scored for MRKPhase 2
Registered trials 9 across 2 sponsors since Aug 2008

SCH 727965 target and mechanism

ModalitySmall molecule

Also known as Dinaciclib, MK-7965

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials5
Total Enrollment350

FDA Designations

No designations recorded

SCH 727965 clinical trials

SCH 727965 · 5 trials · 9 indications

Phase 3 1Phase 2 1Phase 1 3
NCT01580228A Phase 3 Study Comparing Dinaciclib Versus Ofatumumab in Patients With Refractory Chronic Lymphocytic Leukemia (P07714)Chronic Lymphocytic Leukemia (CLL)
COMPLETED44 Analytics
PHASE3COMPLETED
A Phase 3 Study Comparing Dinaciclib Versus Ofatumumab in Patients With Refractory Chronic Lymphocytic Leukemia (P07714)
Chronic Lymphocytic Leukemia (CLL)Unlock trial analytics

Study Endpoints

Primary Endpoints

Participant Progression Free Survival
From date of randomization up to approximately 38 months
Time to disease progression.
Every 6 weeks for 30 weeks, and then every 9 weeks. Assessments continue until disease progression.

Date of randomization to date of tumor progression.

Overall response rate in participants treated with SCH 727965 after disease progression on the comparator drug.
Every 6 weeks for 30 weeks, and then every 9 weeks.

Percentage of participants with tumor responses (partial responses + complete responses).

Number of Participants Experiencing a Dose Limiting Toxicity (DLT)
Cycles 2 & 3 (Days 29-84)
Safety and tolerability of SCH 727965, including maximum administered dose and dose-limiting toxicity
End of trial
In Part 1 and Part 2, pharmacodynamic effects of SCH 727965 with an ex vivo lymphocyte stimulation assay of participant's peripheral blood lymphocytes.
Cycle 1
Safety and tolerability of SCH 727965, including maximum administered dose and dose-limiting toxicity.
End of trial
In participants with advanced solid tumors, non Hodgkin's lymphoma or multiple myeloma, pharmacodynamic effects of SCH 727965 with an ex vivo lymphocyte stimulation assay of participant's peripheral blood lymphocytes.
End of trial

Secondary Endpoints

Participant Overall Response Rate
From date of randomization up to approximately 38 months
Participant Overall Survival Rate
From date of randomization until up to approximately 50 months
In Part 3, area under the plasma concentration versus time curve and maximum concentration of SCH 727965 administered as a 2 hour intravenous infusion with or without aprepitant in participants with advanced malignancies.
Cycle 1 Days 1 and 2, and Cycle 2 Days 1 and 2
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DinaciclibEXPERIMENTAL -
OfatumumabACTIVE_COMPARATOR -
Breast cancer randomized to SCH 727965EXPERIMENTAL -
Breast cancer randomized to capecitabineACTIVE_COMPARATOR -
SCH 727965 in breast cancer after progression on capecitabineEXPERIMENTAL -
NSCLC randomized to SCH 727965EXPERIMENTALNote: Enrollment of participants with NSCLC was completed per protocol as of 26 JAN 2010
NSCLC randomized to erlotinibACTIVE_COMPARATORNote: Enrollment of participants with NSCLC was completed per protocol as of 26 JAN 2010
SCH 727965 in NSCLC after progression on erlotinibEXPERIMENTALNote: Crossover to SCH 727965 after progression on erlotinib was completed per protocol as of 26 JAN 2010
Dinaciclib + RituximabEXPERIMENTALRituximab will be administered in Cycles 1 and 3-13. Dinaciclib will be administered in Cycles 2-13.
2 Hour SCH 727965 infusionEXPERIMENTALParticipants treated with 2 hour SCH 727965 IV infusion
8 Hour SCH 727965 infusionEXPERIMENTALParticipants treated with 8 hour SCH 727965 IV infusion.
24 Hour SCH 727965 infusionEXPERIMENTALParticipants treated with 24 hour SCH 727965 IV infusion.
2 Hour SCH 727965 infusions plus aprepitant in Cycle 1EXPERIMENTALParticipants randomized to 2 Hour SCH 727965 infusion, plus concomitant ondansetron and dexamethasone in Cycles 1 and 2, and aprepitant in Cycle 1 only.
2 Hour SCH 727965 infusion plus aprepitant in Cycle 2EXPERIMENTALParticipants randomized to 2 Hour SCH 727965 infusion, plus concomitant ondansetron and dexamethasone in Cycles 1 and 2, and aprepitant in Cycle 2 only.
Advanced solid tumorsEXPERIMENTALParticipants with advanced solid tumors treated with SCH 727965 in dose-escalation cohorts
Non-Hodgkin's lymphoma and multiple myelomaEXPERIMENTALParticipants with non-Hodgkin's lymphoma or multiple myeloma treated with SCH 727965
B cell chronic lymphocytic leukemiaEXPERIMENTALParticipants with B-cell chronic lymphocytic leukemia treated with SCH 727965 in dose-escalation cohorts

Interventions

NameTypeDescription
DinaciclibDRUGDinaciclib administered intravenously over 2 hours at a dose of 7 mg/m\^2 on Day 1, 10 mg/m\^2 on Day 8, and 14 mg/m\^2 on Day 15 in Cycle 1. Starting in Cycle 2 and thereafter, dinaciclib will be dosed at 14 mg/m\^2 on Days 1, 8, and 15 of each 28-day cycle for a total of 12 cycles.
OfatumumabDRUGOfatumumab administered intravenously at a dose of 300 mg on Cycle 1 Day 1, followed by 2000 mg on Cycle 1 Days 8, 15, and 22; Cycle 2 Days 1, 8, 15, and 22; followed 5 weeks later on Day 1 of Cycles 4-12.
SCH 727965DRUGSCH 727965 50 mg/m\^2 IV on Day 1 of each 21 day cycle until disease progression.
CapecitabineDRUGCapecitabine 1250 mg/m\^2 orally twice daily from Day 1 to Day 14 of each 21 day cycle until disease progression.
ErlotinibDRUGErlotinib 150 mg orally once daily until disease progression.
RituximabBIOLOGICALRituximab 375 mg/m\^2 will be administered IV on Day 1, 8, 15 and 22 in Cycle 1 (28 day cycle) and on Day 1 in Cycles 3-13 (28 day cycles).
AprepitantDRUGOral aprepitant in Cycle 1 or Cycle 2, depending on the study arm: 125 mg 1 hour prior to the SCH 727965 infusion on Day 1, and 80 mg on Days 2 and 3.
OndansetronDRUGOndansetron 32 mg IV 30 minutes prior to the SCH 727965 infusion on Day 1 of Cycles 1 and 2.
DexamethasoneDRUGOral dexamethasone in Cycles 1 and 2: 12 mg 30 minutes prior to the SCH 727965 infusion on Day 1, and 8 mg in the morning on Days 2, 3, and 4.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Aged 18 years or older * Confirmed diagnosis of Chronic Lymphocytic Leukemia (CLL) * Fludarabine or chemoimmunotherapy refractory disease defined as: failing to respond to or relapsed within 6 months of completing fludarabine or another purine analog alone or in combination re...

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Frequently asked questions about SCH 727965

What is SCH 727965 used for?

SCH 727965 is an investigational small molecule being studied in oncology for the treatment of breast neoplasms and solid tumors. It has also been evaluated in clinical trials involving non-small-cell lung cancer, lymphoma, multiple myeloma, and chronic lymphocytic leukemia. It is not an approved therapy and remains in clinical development.

Who is developing SCH 727965?

SCH 727965 is being developed by Merck & Company, Inc., which trades on the New York Stock Exchange under the ticker MRK. Merck sponsored the clinical studies of the compound, including the Phase 1 and Phase 2 trials conducted in patients with advanced cancer.

What phase is SCH 727965 in?

SCH 727965 has reached Phase 2 in its clinical development program. Two completed Phase 1 trials evaluated every-3-week and weekly dosing schedules in advanced cancer, and a completed Phase 2 trial studied the drug in patients with advanced breast and lung cancers.

What clinical trials is SCH 727965 in?

SCH 727965 has been studied in three completed trials. NCT00871910 was a Phase 1 every-3-week dosing study in advanced cancer, NCT00871663 was a Phase 1 weekly dosing study, and NCT00732810 was a Phase 2 study in advanced breast and lung cancers. All three trials have completed.

How many patients were enrolled in SCH 727965 trials?

Across the three completed trials, 301 patients were enrolled in studies of SCH 727965. The Phase 1 every-3-week dosing trial enrolled 81 patients, the Phase 1 weekly dosing trial enrolled 123 patients, and the Phase 2 breast and lung cancer trial enrolled 97 patients.

Was SCH 727965 studied in biomarker-selected patients?

Yes, the clinical development program for SCH 727965 included biomarker-selected patient populations. The Phase 2 trial in advanced breast and lung cancers was active-controlled and randomized, reflecting an effort to evaluate the drug in defined patient groups rather than an unselected population.