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MLN0128

Phase 2

Clear-cell Metastatic Renal Cell Carcinoma | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Nov 19, 2021

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
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment96
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02724020MLN0128 and MLN0128 + MLN1117 Compared With Everolimus in the Treatment of Adults With Advanced or Metastatic Clear-Cell Renal Cell CarcinomaPHASE2 COMPLETED 96Jun 30, 2016Oct 13, 2020Nov 19, 202136 United States, Canada +6
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Study Endpoints
Primary Endpoints
Progression-Free Survival (PFS)
From first dose of study drug up to disease progression or death, assessed up to 43 months

PFS was defined as the time from the date of randomization to the date of first documentation of progressive disease (PD) or death due to any cause, whichever occurs first. Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Secondary Endpoints
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
From first dose of study drug through 30 days after the last dose of study drug (approximately up to 31 months)
Overall Survival (OS)
From first dose of study drug through 30 days after the last dose of study drug (up to 51 months)
Time-to-progression (TTP)
From first dose of study drug up to disease progression or death (up to 51 months)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A: Single-agent Everolimus 10 mg QDACTIVE_COMPARATOREverolimus 10 mg capsules, orally, once daily in a 28-day treatment cycle until disease progression, consent withdrawal, death, or transfer to the Post-trial Access (PTA) program (Median duration of treatment was 15.43 weeks up to end of study).
Arm B: Single-agent MLN0128 30 mg QWEXPERIMENTALMLN0128 30 mg capsules, orally, once weekly on Days 1, 8, 15, and 22 of a 28-day treatment cycle until disease progression, unacceptable toxicity, consent withdrawal, death, or transfer to the PTA program (Median duration of treatment was 9.64 weeks up to end of study).
Arm C: Combination of MLN0128 4 mg QD + MLN1117 200 mg QDEXPERIMENTALMLN0128 4 mg and MLN1117 200 mg capsules, orally, both once daily for 3 days per week (QD X 3) on Days 1-3, 8-10, 15-17, and 22-24 of a 28-day treatment cycle until disease progression, unacceptable toxicity, consent withdrawal, death, or transfer to the PTA program (Median duration of treatment was 9.43 weeks up to end of study).
Interventions
NameTypeDescription
EverolimusDRUGEverolimus capsules.
MLN0128DRUGMLN0128 capsules.
MLN1117DRUGMLN1117 capsules.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites36

Inclusion Criteria: 1. Male or female participants aged 18 years or older. 2. Histologically confirmed renal cell carcinoma (RCC) with a clear-cell component. 3. Evidence that the RCC is advanced or metastatic. 4. Radiologic evidence of PD (according to RECIST Version 1.1) either during or within 6...

Countries:United StatesCanadaCzechiaFranceItalyPolandSpainUnited Kingdom
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