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| ID | Type | Description | Link |
|---|---|---|---|
| MK-9999-01C | Other Identifier | MSD | |
| LIGHTBEAM-U01 | Other Identifier | MSD | |
| U1111-1314-1866 | Registry Identifier | UTN | |
| 2024-518771-66-00 | Registry Identifier | EU CT |
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| Name | Class |
|---|---|
| Daiichi Sankyo | INDUSTRY |
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Researchers are looking for new ways to treat children with hepatoblastoma or rhabdomyosarcoma (RMS) that has relapsed or is refractory:
The study treatment HER3-DXd (also known as MK-1022 or patritumab deruxtecan) is an antibody-drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. The goals of this study are to learn:
This study will have 2 parts: a safety lead-in to demonstrate a tolerable safety profile and confirm a preliminary recommended phase 2 dose (RP2D) (Part 1) followed by an efficacy evaluation (Part 2)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patritumab Deruxtecan | Experimental | Participants receive patritumab deruxtecan via IV infusion on Day 1 of each 3-week cycle until discontinuation or progression. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patritumab Deruxtecan | Biological | IV Infusion |
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| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Percentage of Participants Who Experience Dose-limiting Toxicities (DLTs) | A DLT is any of a prespecified list of adverse events (AEs) that occur during Cycle 1 (up to 21 days) if attributed to the study treatment and not attributed to any other clearly identifiable cause. The percentage of participants who experience DLTs will be reported. Each cycle is 21 days. | Cycle 1 (up to approximately 21 days); each cycle is 21 days |
| Part 1: Percentage of Participants Who Experience an Adverse Event (AE) | An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who experience AEs will be reported. | Up to approximately 5 years |
| Part 1: Percentage of Participants Who Discontinue Study Treatment Due to an AE | An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who discontinue study treatment due to an AE will be reported. | Up to approximately 5 years |
| Part 1: Area Under the Curve (AUC) of total anti-HER3 antibody liquid chromatography-mass spectrometry (LC-MS) in plasma | Blood samples will be collected at specified intervals for the determination of AUC. | At designated timepoints (up to approximately 5 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Part 2: Percentage of Participants Who Experience an AE | An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who experience AEs will be reported. |
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The main inclusion criteria include but are not limited to the following:
The main exclusion criteria include but are not limited to the following:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Toll Free Number | Contact | 1-888-577-8839 | Trialsites@msd.com |
| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Merck Sharp & Dohme LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Childrens Hospital Los Angeles ( Site 3006) | Recruiting | Los Angeles | California | 90027 | United States |
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| Label | URL |
|---|---|
| Merck Clinical Trials Information | View source |
| Plain Language Summary | View source |
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| Part 1: AUC of anti-HER3 antibody-conjugated DXd (anti-HER3-ac-DXd) in plasma |
Blood samples will be collected at specified intervals for the determination of AUC. |
| At designated timepoints (up to approximately 5 years) |
| Part 1: AUC of DXd in plasma | Blood samples will be collected at specified intervals for the determination of AUC. | At designated timepoints (up to approximately 5 years) |
| Part 1: Maximum Concentration (Cmax) of anti-HER3 antibody LC-MS in plasma | Blood samples will be collected at specified intervals for the determination of Cmax. | At designated timepoints (up to approximately 5 years) |
| Part 1: Cmax of anti-HER3-ac-DXd in plasma | Blood samples will be collected at specified intervals for the determination of Cmax. | At designated timepoints (up to approximately 5 years) |
| Part 1: Cmax of DXd in plasma | Blood samples will be collected at specified intervals for the determination of Cmax. | At designated timepoints (up to approximately 5 years) |
| Part 1: Concentration Immediately Before the Next Dose is Administered (Ctrough) of anti-HER3 antibody LC-MS in plasma | Blood samples will be collected at specified intervals for the determination of Ctrough. | At designated timepoints (up to approximately 5 years) |
| Part 1: Ctrough of anti-HER3-ac-DXd | Blood samples will be collected at specified intervals for the determination of Ctrough. | At designated timepoints (up to approximately 5 years) |
| Part 1: Ctrough of DXd in plasma | Blood samples will be collected at specified intervals for the determination of Ctrough. | At designated timepoints (up to approximately 5 years) |
| Part 1 and Part 2: Objective Response Rate (ORR) | ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by the investigator will be presented. | Up to approximately 5 years |
| Up to approximately 5 years |
| Part 2: Percentage of Participants Who Discontinue Study Treatment Due to an AE | An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who discontinue study treatment due to an AE will be reported. | Up to approximately 5 years |
| Part 1 and Part 2: Disease Control Rate (DCR) | DCR is defined, per RECIST 1.1, as the percentage of participants who have a CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) or Stable Disease (SD). SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm). Note: The appearance of one or more new lesions is also considered PD. The time from the first dose until the date of SD must be greater than or equal to 6 weeks. The DCR as assessed by the investigator will be presented. | Up to approximately 5 years |
| Part 1 and Part 2: Time to Response (TTR) | For participants who demonstrate a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, TTR is defined as the time from the first dose to the first documented evidence of a CR or PR. The TTR as assessed by the investigator will be presented. | Up to approximately 5 years |
| Part 1 and Part 2: Duration of Response (DOR) | For participants who demonstrate a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until PD or death. PD is defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Note: The appearance of one or more new lesions is also considered PD. DOR as assessed by the investigator will be presented. | Up to approximately 5 years |
| Part 1 and Part 2: Progression-free Survival (PFS) | PFS is defined as the time from randomization to the first documented PD or death due to any cause, whichever occurs first as assessed by RECIST 1.1. PD is defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Note: The appearance of one or more new lesions is also considered PD. PFS as assessed by the investigator will be presented. | Up to approximately 5 years |
| Part 1 and Part 2: Overall Survival (OS) | OS is defined as time from first dose of study treatment to death due to any cause. | Up to approximately 5 years |
| Part 2: AUC of total anti-HER3 antibody LC-MS in plasma | Blood samples will be collected at specified intervals for the determination of AUC. | At designated timepoints (up to approximately 5 years) |
| Part 2: AUC of anti-HER3-ac-DXd in plasma | Blood samples will be collected at specified intervals for the determination of AUC. | At designated timepoints (up to approximately 5 years) |
| Part 2: AUC of DXd in plasma | Blood samples will be collected at specified intervals for the determination of AUC. | At designated timepoints (up to approximately 5 years) |
| Part 2: Cmax of anti-HER3 antibody LC-MS in plasma | Blood samples will be collected at specified intervals for the determination of Cmax. | At designated timepoints (up to approximately 5 years) |
| Part 2: Cmax of anti-HER3-ac-DXd in plasma | Blood samples will be collected at specified intervals for the determination of Cmax. | At designated timepoints (up to approximately 5 years) |
| Part 2: Cmax of DXd in plasma | Blood samples will be collected at specified intervals for the determination of Cmax. | At designated timepoints (up to approximately 5 years) |
| Part 2: Ctrough of anti-HER3 antibody LC-MS in plasma | Blood samples will be collected at specified intervals for the determination of Ctrough. | At designated timepoints (up to approximately 5 years) |
| Part 2: Ctrough of anti-HER3-ac-DXd in plasma | Blood samples will be collected at specified intervals for the determination of Ctrough. | At designated timepoints (up to approximately 5 years) |
| Part 2: Ctrough of DXd in plasma | Blood samples will be collected at specified intervals for the determination of Ctrough. | At designated timepoints (up to approximately 5 years) |
| Children's Hospital Colorado-Center for Cancer and Blood Disorders ( Site 3016) | Recruiting | Aurora | Colorado | 80045 | United States |
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| Yale New Haven Hospital ( Site 3012) | Recruiting | New Haven | Connecticut | 06510 | United States |
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| Johns Hopkins All Children's Hospital ( Site 3025) | Recruiting | St. Petersburg | Florida | 33701 | United States |
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| University of Iowa Health Care Holden Comprehensive Cancer Center ( Site 3017) | Recruiting | Iowa City | Iowa | 52242 | United States |
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| Dana-Farber Cancer Institute ( Site 3013) | Recruiting | Boston | Massachusetts | 02215 | United States |
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| Corewell Health ( Site 3001) | Recruiting | Grand Rapids | Michigan | 49503 | United States |
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| Children's Mercy Hospital ( Site 3024) | Recruiting | Kansas City | Missouri | 64108 | United States |
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| Rutgers Cancer Institute of New Jersey ( Site 3008) | Recruiting | New Brunswick | New Jersey | 08901 | United States |
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| Memorial Sloan Kettering Cancer Center ( Site 3010) | Recruiting | New York | New York | 10065 | United States |
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| New York Medical College ( Site 3023) | Recruiting | Valhalla | New York | 10595 | United States |
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| Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 3003) | Recruiting | Fargo | North Dakota | 58102 | United States |
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| Oregon Health and Science University ( Site 3004) | Recruiting | Portland | Oregon | 97239 | United States |
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| Children's Hospital of Philadelphia (CHOP) ( Site 3021) | Recruiting | Philadelphia | Pennsylvania | 19104 | United States |
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| Sanford Children's Hospital ( Site 3015) | Recruiting | Sioux Falls | South Dakota | 57117 | United States |
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| University of Texas-MD Anderson Cancer Center ( Site 3007) | Recruiting | Houston | Texas | 77030 | United States |
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| Intermountain - Primary Children's Hospital ( Site 3014) | Recruiting | Salt Lake City | Utah | 84113 | United States |
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| Sydney Children's Hospital-Kids Cancer Centre ( Site 3997) | Recruiting | Sydney | New South Wales | 2031 | Australia |
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| Queensland Children's Hospital ( Site 3996) | Recruiting | Brisbane | Queensland | 4101 | Australia |
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| UZ Gent ( Site 3428) | Recruiting | Ghent | Oost-Vlaanderen | 9000 | Belgium |
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| Hospital de Clinicas de Porto Alegre ( Site 3265) | Recruiting | Porto Alegre | Rio Grande do Sul | 90035-903 | Brazil |
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| Fundação Pio XII - Hospital de Câncer de Barretos ( Site 3264) | Recruiting | Barretos | São Paulo | 14784-400 | Brazil |
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| Fundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 3267) | Recruiting | São José do Rio Preto | São Paulo | 15090-000 | Brazil |
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| The Hospital for Sick Children ( Site 3225) | Recruiting | Toronto | Ontario | M5G 1X8 | Canada |
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| Hospital Carlos Van Buren ( Site 3880) | Recruiting | Valparaíso | Valparaiso | 2341131 | Chile |
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| Hospital Pablo Tobon Uribe ( Site 3923) | Recruiting | Medellín | Antioquia | 05034 | Colombia |
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| Clinica de la Costa S.A.S. ( Site 3924) | Recruiting | Barranquilla | Atlántico | 080020 | Colombia |
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| IMAT S.A.S ( Site 3921) | Recruiting | Montería | Departamento de Córdoba | 230002 | Colombia |
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| Detska nemocnice FN Brno ( Site 3388) | Recruiting | Brno | Brno-mesto | 613 00 | Czechia |
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| Fakultni nemocnice v Motole-Klinika detske hematologie a onkologie ( Site 3387) | Recruiting | Prague | Praha 5 | 150 00 | Czechia |
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| Rigshospitalet-Department of paediatrics and adolescent medicine, Section of Paed haem-onc ( Site 3467) | Recruiting | Copenhagen | Capital Region | DK-2100 | Denmark |
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| Bordeaux University Hospital - Pellegrin ( Site 3105) | Recruiting | Bordeaux | Aquitaine | 33076 | France |
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| Assistance Publique Hôpitaux de Marseille - Hôpital de la Timone ( Site 3102) | Recruiting | Marseille | Bouches-du-Rhone | 13005 | France |
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| Centre Hospitalier Universitaire de Nantes - Hôpital Femme-Enfant-Adolescent Chu De Nantes ( Site 3104) | Recruiting | Nantes | Loire-Atlantique | 44093 | France |
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| Centre Leon-Berard ( Site 3100) | Recruiting | Lyon | Rhone | 69373 | France |
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| Institut Curie ( Site 3101) | Recruiting | Paris | Île-de-France Region | 75248 | France |
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| UniversitaetsklInikum Tuebingen ( Site 3142) | Recruiting | Tübingen | Baden-Wurttemberg | 72076 | Germany |
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| Universitätsklinikum Münster - Albert Schweitzer Campus ( Site 3141) | Recruiting | Münster | North Rhine-Westphalia | 48149 | Germany |
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| Aghia Sophia Children's Hospital-First Department of Pediatrics, National and Kapodistrian Universi ( Site 3797) | Recruiting | Athens | Attica | 11527 | Greece |
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| Semmelweis University ( Site 3838) | Recruiting | Budapest | Pest County | 1094 | Hungary |
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| Rambam Health Care Campus ( Site 3674) | Recruiting | Haifa | 3109601 | Israel |
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| Sheba Medical Center ( Site 3675) | Recruiting | Ramat Gan | 5265601 | Israel |
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| Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 3552) | Recruiting | Milan | 20133 | Italy |
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| Ospedale Pediatrico Bambino Gesù IRCCS ( Site 3553) | Recruiting | Roma | 00165 | Italy |
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| Ospedale Infantile Regina Margherita ( Site 3551) | Recruiting | Torino | 10126 | Italy |
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| Prinses Maxima Centrum voor Kinderoncologie ( Site 3510) | Recruiting | Utrecht | 3584 CS | Netherlands |
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| Narodny ustav detskych chorob ( Site 3592) | Recruiting | Bratislava | Bratislava Region | 831 01 | Slovakia |
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| Seoul National University Hospital-Pediatrics ( Site 3972) | Recruiting | Seoul | 03080 | South Korea |
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| Asan Medical Center-Pediatrics - Pedicatric Oncology ( Site 3973) | Recruiting | Seoul | 05505 | South Korea |
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| Hospital Sant Joan de Déu ( Site 3717) | Recruiting | Esplugues de Llobregat | Barcelona | 08950 | Spain |
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| Hospital Universitari Vall d''Hebron ( Site 3716) | Recruiting | Barcelona | 08035 | Spain |
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| Hospital Infantil Universitario Nino Jesus ( Site 3715) | Recruiting | Madrid | 28009 | Spain |
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| Sahlgrenska Universitetssjukhuset ( Site 3634) | Recruiting | Gothenburg | Västra Götaland County | 416 85 | Sweden |
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| National Taiwan University Hospital ( Site 3983) | Recruiting | Taiwan | Taipei | 10002 | Taiwan |
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| Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 3961) | Recruiting | Ankara | 06230 | Turkey (Türkiye) |
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| Ankara Bilkent Şehir Hastanesi. ( Site 3962) | Recruiting | Ankara | 6800 | Turkey (Türkiye) |
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| Ege Universitesi Hastanesi ( Site 3963) | Recruiting | Izmir | 35100 | Turkey (Türkiye) |
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| Birmingham Children's Hospital ( Site 3349) | Recruiting | Birmingham | England | B4 6NH | United Kingdom |
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| Royal Victoria Infirmary ( Site 3348) | Recruiting | Newcastle upon Tyne | England | NE1 4PL | United Kingdom |
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| University Hospital of Wales ( Site 3346) | Recruiting | Cardiff | CF14 4XW | United Kingdom |
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| Royal Marsden Hospital ( Site 3347) | Recruiting | Sutton | SM2 5PT | United Kingdom |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C000710748 | patritumab deruxtecan |
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