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| ID | Type | Description | Link |
|---|---|---|---|
| 2007_590 |
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This is a first-in-human trial to establish the safety, tolerability, Recommended Phase II Dose (RP2D), pharmacodynamic, and clinical activity of MK-8033.
Parts A and B of the study will determine the maximum tolerated dose (MTD) and RP2D. Part C of the study will be a single panel crossover study to determine the effect of omeprazole, a gastric pH modifier, on the pharmacokinetics of MK-8033.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parts A and B: MK-8033 | Experimental | Dose Escalation Study |
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| Part C: MK-8033 +/- omeprazole | Experimental | Crossover Study |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Comparator: MK-8033 | Drug | MK-8033 will be administered as an oral formulation in sequentially rising dose levels starting at 50 mg and continuing at 100% dose increments until dose level 4 (800 mg total daily dose). Dose levels 5 to 11 will be escalated at ~40% dose increments until 3000mg (total daily dose). The daily dose of MK-8033 will be divided into two equal doses. MK-8033 will be administered in a first cycle of 14 days (continuous drug administration from Day 1 through Day 14), followed by a 1 week drug holiday (Cycle 1, Day 15 through Day 21). Subsequent cycles of MK-8033 will be administered for 14 days (Cycles 2 to 4) and 28 days (Cycle 5 and beyond). Enrollment in Parts A and B has been completed. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of MK-8033 based on drug-related dose limiting toxicity. | for the entire duration of study (27 months) | |
| Recommended Phase II Dose (RP2D) based on safety, tumor pharmacodynamics, and pharmacokinetics | for the entire duration of study (27 months) | |
| Plasma area under the curve (AUC) for F2 formulation alone or in combination with omeprazole | Day 1-21 | |
| Safety and tolerability of MK-8033 F2 formulation alone or in combination with omeprazole based on incidence of adverse experiences | Day 1-21 | |
| Tumor Pharmacodynamics (PD): phospho-c-Met (MET or MNNG HOS Transforming gene) Levels (Parts A & B) | Cycle 1 pre-dose & Day 12 | |
| Tumor PD: phospho-Akt (Protein Kinase B) Levels (Parts A & B) | Cycle 1 pre-dose & Day 12 | |
| Tumor PD: phospho-MAPK (mitogen-activated protein kinase) Levels (Parts A & B) | Cycle 1 pre-dose & Day 12 | |
| Bone PD: Cross-Linked N-telopeptides of Type I collagen (NTx) Levels (Parts A & B) | Baseline, Cycle 1 Day 8, & Cycle 3 Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Merck Sharp & Dohme LLC | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29376210 | Result | Keedy VL, Lenz HJ, Saltz L, Whisenant JG, Berlin JD, Camacho LH. First-in-human phase I dose escalation study of MK-8033 in patients with advanced solid tumors. Invest New Drugs. 2018 Oct;36(5):860-868. doi: 10.1007/s10637-018-0567-z. Epub 2018 Jan 29. |
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| Comparator: MK-8033 +/- omeprazole | Drug | Part C will occur at only one of the investigational sites. In Cycle 1, patients will be randomized to one of two treatment sequences, A/B or B/A, over two treatment periods. Treatment A: 770 mg MK-8033 twice daily with co-administration of 20 mg omeprazole once daily. Treatment B: 770 mg MK-8033 twice daily. After Cycle 1 is complete, patients may continue to receive MK-8033 until disease progression or unacceptable toxicity. Enrollment for Part C has been suspended. |
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