A Phase 1 interventional study of MK-1697 in Neoplasms, Colorectal Neoplasms and Head and Neck Neoplasms, sponsored by Merck Sharp & Dohme LLC. Terminated at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-03-09.
Sponsored by Merck Sharp & Dohme LLC · Phase 1, Interventional, and Treatment
The purpose of this study is to evaluate the safety and preliminary efficacy of MK-1697. There are 2 parts in this study: dose escalation to determine the recommended phase 2 dose (RP2D) and confirm the RP2D (Part A) and cohort expansion to determine preliminary efficacy in participants with colorectal cancer (CRC) or head and neck squamous cell cancer (HNSCC) (Part B). No formal hypothesis testing will be done in this study.
9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.
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For Part B: has 1 of the following histologically or cytologically confirmed tumor types that are anti-programmed cell death protein 1 (anti PD-1)/anti-programmed death-ligand 1 (anti PD-L1) treatment naive:
Exclusion Criteria:
Participants received 20 mg of MK-1697 by intravenous (IV) infusion on Day 1 of each 21-day cycle for up to 35 administrations (up to approximately 2 years).
Biological: MK-1697
Participants received 65 mg of MK-1697 by IV infusion on Day 1 of each 21-day cycle for up to 35 administrations (up to approximately 2 years).
Biological: MK-1697
Participants received 200 mg of MK-1697 by IV infusion on Day 1 of each 21-day cycle for up to 35 administrations (up to approximately 2 years).
Biological: MK-1697
Participants with select tumor types were to receive MK-1697 at the RP2D by IV infusion on Day 1 of each 21-day cycle for up to 35 administrations (up to approximately 2 years).
Biological: MK-1697
Administered by IV infusion on Day 1 of each 21-day cycle
Percentage of Participants Who Experienced a Dose Limiting Toxicity (DLT) During Cycle 1
The following toxicities were considered a DLT, if assessed as related to study treatment: Grade (Gr) 4 non-hematologic toxicity (T); Gr 4 hematologic T for ≥7 days; Gr 4 thrombocytopenia; Gr 3 thrombocytopenia with bleeding; ≥Gr 3 non-hematologic clinical AE except fatigue for ≤3 days, Gr 3 nausea, vomiting, or diarrhea for \>72 hours despite anti-emetics/diarrheals, or other supportive care; Gr 3 rash without corticosteroids/anti-inflammatory agents use per standard of care; Gr 3/4 non-hematologic laboratory value if: medical intervention is required, abnormality leads to hospitalization, persists for \>1 week, or abnormality results in drug-induced liver injury; Gr 3 or 4 febrile neutropenia; treatment-related T causing discontinuation; inability to administer ≥75% of planned dose due to drug-related tolerability; Gr 5 T; delay in Cycle 2 start by \>2 weeks due to T. Pool-adjacent violators algorithm was used to estimate DLT rate \& Bayesian method for 80% confidence intervals (CIs).
Time frame: Up to 21 days of Cycle 1 (cycle length = 21 days)
Number of Participants Who Experienced At Least One Adverse Event (AE)
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. 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 treatment. The number of participants who experienced at least one AE were presented.
Time frame: Up to approximately 9 months
Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE)
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. 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 treatment. The number of participants who discontinued study intervention due to an AE were presented.
Time frame: Up to approximately 8 months
Objective Response Rate (ORR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
An objective response was defined as a 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) as assessed by the investigator based on RECIST 1.1 following administration of MK-1697. ORR was reported as percentage of participants who experienced an CR or PR after administration of MK-1967. The exact method based on the binomial distribution (Clopper-Pearson interval) was used to estimate ORR and its associated 95%CIs.
Time frame: Up to approximately 18 months (through End of Trial data cut-off 18 Feb 2020)
Objective Response Rate (ORR) Per Modified Response Evaluation Criteria In Solid Tumors Version 1.1 for Immune-based Therapeutics (iRECIST)
An objective response was defined as an immune-based complete response (iCR: Disappearance of all target lesions) or immune-based partial response (iPR: At least a 30% decrease in the sum of diameters of target lesions). ORR was reported as percentage of participants who experienced an iCR or iPR after administration of MK-1967. Participants were initially assessed for progressive disease (PD : ≥20% increase in sum of diameters \[SD\] of target lesions or relative increase of 20%, sum must demonstrate an absolute increase of ≥5 mm or appearance of one/more new lesions) per RECIST 1.1 by local site investigator; later verified by central imaging vendor. Investigator could elect to continue treatment and tumor assessment repeated 4-8 weeks later to confirm PD by iRECIST. The exact method based on the binomial distribution (Clopper-Pearson interval) was used to estimate ORR and its associated 95%CIs.
Time frame: Up to approximately 18 months (through End of Trial data cut-off 18 Feb 2020)
Area Under the Concentration-Time Curve From Time 0 to Infinity (AUC 0-inf) of MK-1697
Serum samples were collected at specified time points for determination of MK-1697 AUC 0-inf. AUC 0-inf was defined as the area under the concentration-time curve of MK-1697 from time zero to infinity for all participants in Part A for each dose group.
Time frame: Cycle 1-3: Days 1, 2 (only Cycle 1), 3, 8, 15 - predose and postdose at 10 minutes, 2 hours (cycle length = 21 days)
Area Under the Concentration Time Curve From Time Zero to Last Concentration (AUC 0-last) Measured of MK-1697
Serum samples were collected at specified time points for determination of AUC 0-last of MK-1697. AUC 0-last was defined as the area under the concentration-time curve of MK-1697 from time zero to the last concentration of MK-1697 measured for all participants in Part A for each dose group.
Time frame: Cycles 1, 2, and 3: predose, 10 minutes and 2 hours post-dose (cycle length = 21 days)
Maximum Serum Concentration (Cmax) of MK-1697
Serum samples were collected at specified time points for determination of MK-1697 Cmax. Cmax was defined as the maximum concentration of MK-1697 reached for all participants in Part A for each dose group.
Time frame: Cycle 1-3: Days 1, 2 (only Cycle 1), 3, 8, 15 - predose and postdose at 10 minutes, 2 hours (cycle length = 21 days)
Minimum Serum Concentration (Cmin) of MK-1697
Serum samples were collected pre-dose at specified time points (Cycles 1, 2, 3, 5, 7, and 11) for the determination of MK-1697 Ctrough (may also be referred to as Cmin) per protocol. Ctrough was defined as the lowest concentration of MK-1697 reached before the next dose was administered. Serum Ctrough of MK-1697 was reported for all participants in Part A for each dose group.
Time frame: Cycles 1-3, 5, 7, 11: Days 1, 2 (only Cycle 1), 3, 8, 15 - predose and postdose at 10 minutes, 2 hours (cycle length = 21 days)
| Milestone | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg | Part B: Expansion Cohort |
|---|---|---|---|---|
| Started | 3 | 4 | 15 | 0 |
| Completed | 0 | 0 | 0 | 0 |
| Not completed | 3 | 4 | 15 | 0 |
| Withdrew: Death | 3 | 2 | 6 | 0 |
| Withdrew: Lost to follow-up | 0 | 1 | 1 | 0 |
| Withdrew: Study terminated by sponsor | 0 | 1 | 6 | 0 |
| Withdrew: Status not recorded | 0 | 0 | 2 | 0 |
The following toxicities were considered a DLT, if assessed as related to study treatment: Grade (Gr) 4 non-hematologic toxicity (T); Gr 4 hematologic T for ≥7 days; Gr 4 thrombocytopenia; Gr 3 thrombocytopenia with bleeding; ≥Gr 3 non-hematologic clinical AE except fatigue for ≤3 days, Gr 3 nausea, vomiting, or diarrhea for \>72 hours despite anti-emetics/diarrheals, or other supportive care; Gr 3 rash without corticosteroids/anti-inflammatory agents use per standard of care; Gr 3/4 non-hematologic laboratory value if: medical intervention is required, abnormality leads to hospitalization, persists for \>1 week, or abnormality results in drug-induced liver injury; Gr 3 or 4 febrile neutropenia; treatment-related T causing discontinuation; inability to administer ≥75% of planned dose due to drug-related tolerability; Gr 5 T; delay in Cycle 2 start by \>2 weeks due to T. Pool-adjacent violators algorithm was used to estimate DLT rate \& Bayesian method for 80% confidence intervals (CIs).
| Participants | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Percentage of Participants Who Experienced a Dose Limiting Toxicity (DLT) During Cycle 1 | 0 | 0 | 2 |
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. 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 treatment. The number of participants who experienced at least one AE were presented.
| Participants | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Number of Participants Who Experienced At Least One Adverse Event (AE) | 3 | 4 | 14 |
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. 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 treatment. The number of participants who discontinued study intervention due to an AE were presented.
| Participants | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Number of Participants Who Discontinued Study Intervention Due to an Adverse Event (AE) | 0 | 1 | 3 |
An objective response was defined as a 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) as assessed by the investigator based on RECIST 1.1 following administration of MK-1697. ORR was reported as percentage of participants who experienced an CR or PR after administration of MK-1967. The exact method based on the binomial distribution (Clopper-Pearson interval) was used to estimate ORR and its associated 95%CIs.
| Percentage of Participants | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Objective Response Rate (ORR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1) | 0.0 | 0.0 | 0.0 |
An objective response was defined as an immune-based complete response (iCR: Disappearance of all target lesions) or immune-based partial response (iPR: At least a 30% decrease in the sum of diameters of target lesions). ORR was reported as percentage of participants who experienced an iCR or iPR after administration of MK-1967. Participants were initially assessed for progressive disease (PD : ≥20% increase in sum of diameters \[SD\] of target lesions or relative increase of 20%, sum must demonstrate an absolute increase of ≥5 mm or appearance of one/more new lesions) per RECIST 1.1 by local site investigator; later verified by central imaging vendor. Investigator could elect to continue treatment and tumor assessment repeated 4-8 weeks later to confirm PD by iRECIST. The exact method based on the binomial distribution (Clopper-Pearson interval) was used to estimate ORR and its associated 95%CIs.
| Percentage of Participants | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Objective Response Rate (ORR) Per Modified Response Evaluation Criteria In Solid Tumors Version 1.1 for Immune-based Therapeutics (iRECIST) | 0.0 | 0.0 | 0.0 |
Serum samples were collected at specified time points for determination of MK-1697 AUC 0-inf. AUC 0-inf was defined as the area under the concentration-time curve of MK-1697 from time zero to infinity for all participants in Part A for each dose group.
| Day*ng/mL | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Cycle 1 | 29500 ± 106.3 | 143000 ± 40.9 | 456000 ± 25.6 |
| Cycle 2 | 23400 ± 65.4 | 168000 ± 42.1 | 499000 ± 47.9 |
| Cycle 3 | 29300 ± 64.0 | 188000 ± 53.0 | 555000 ± 42.1 |
Serum samples were collected at specified time points for determination of AUC 0-last of MK-1697. AUC 0-last was defined as the area under the concentration-time curve of MK-1697 from time zero to the last concentration of MK-1697 measured for all participants in Part A for each dose group.
| Day*ng/mL | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Cycle 1 | 27700 ± 103.0 | 99000 ± 59.7 | 280000 ± 143.1 |
| Cycle 2 | 28000 ± 60.9 | 141000 ± 34.3 | 418000 ± 38.4 |
| Cycle 3 | 8220 ± 763.8 | 162000 ± 49.8 | 442000 ± 35.1 |
Serum samples were collected at specified time points for determination of MK-1697 Cmax. Cmax was defined as the maximum concentration of MK-1697 reached for all participants in Part A for each dose group.
| ng/mL | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Cycle 1 | 5520 ± 89.9 | 16900 ± 31.2 | 60200 ± 12.5 |
| Cycle 2 | 5850 ± 37.5 | 21800 ± 31.5 | 58500 ± 27.8 |
| Cycle 3 | 5560 ± 41.4 | 22500 ± 33.9 | 61200 ± 18.7 |
Serum samples were collected pre-dose at specified time points (Cycles 1, 2, 3, 5, 7, and 11) for the determination of MK-1697 Ctrough (may also be referred to as Cmin) per protocol. Ctrough was defined as the lowest concentration of MK-1697 reached before the next dose was administered. Serum Ctrough of MK-1697 was reported for all participants in Part A for each dose group.
| ng/mL | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Cycle 1 | 127 ± 995.6 | 1310 ± 107.0 | 3230 ± 870.7 |
| Cycle 2 | 125 ± 556.0 | 2210 ± 59.6 | 5350 ± 190.0 |
| Cycle 3 | 566 ± NA | 2390 ± 61.8 | 7000 ± 82.0 |
| Cycle 5 | 544 ± NA | 2540 ± 129.0 | 9590 ± 43.4 |
| Cycle 7 | 580 ± NA | 3000 ± 79.4 | — |
| Cycle 11 | 631 ± NA | — | — |
Collected over Non-serious AEs were collected for up to approximately 9 months. All-cause mortality and serious AEs were collected for up to approximately 14 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part A: MK-1697 20 mg | 3/3 (100%) | 1/3 (33.3%) | 3/3 (100%) |
| Part A: MK-1697 65 mg | 2/4 (50%) | 1/4 (25%) | 4/4 (100%) |
| Part A: MK-1697 200 mg | 6/15 (40%) | 7/15 (46.7%) | 14/15 (93.3%) |
| Event | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| Toxicity to various agentsInjury, poisoning and procedural complications | 1/3 | 0/4 | 0/15 |
| HyperglycaemiaMetabolism and nutrition disorders | 0/3 | 1/4 | 0/15 |
| Malignant ascitesNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/3 | 1/4 | 0/15 |
| AnaemiaBlood and lymphatic system disorders | 0/3 | 0/4 | 3/15 |
| Adrenal insufficiencyEndocrine disorders | 0/3 | 0/4 | 1/15 |
| Duodenal ulcerGastrointestinal disorders | 0/3 | 0/4 | 1/15 |
| PancreatitisGastrointestinal disorders | 0/3 | 0/4 | 1/15 |
| HypothermiaGeneral disorders | 0/3 | 0/4 | 1/15 |
| Oedema peripheralGeneral disorders | 0/3 | 0/4 | 1/15 |
| HepatitisHepatobiliary disorders | 0/3 | 0/4 | 1/15 |
| Event | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg |
|---|---|---|---|
| AnaemiaBlood and lymphatic system disorders | 2/3 | 1/4 | 5/15 |
| NauseaGastrointestinal disorders | 2/3 | 0/4 | 3/15 |
| FatigueGeneral disorders | 2/3 | 0/4 | 0/15 |
| Lipase increasedInvestigations | 0/3 | 2/4 | 2/15 |
| HyperglycaemiaMetabolism and nutrition disorders | 0/3 | 2/4 | 0/15 |
| Back painMusculoskeletal and connective tissue disorders | 0/3 | 2/4 | 4/15 |
| PruritusSkin and subcutaneous tissue disorders | 1/3 | 2/4 | 6/15 |
| Abdominal painGastrointestinal disorders | 1/3 | 0/4 | 3/15 |
| ConstipationGastrointestinal disorders | 1/3 | 0/4 | 3/15 |
| GlossodyniaGastrointestinal disorders | 1/3 | 0/4 | 0/15 |
No participants were enrolled in Part B since study was terminated at the completion of Part A.
| Age, Continuous(Years) | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg | Total |
|---|---|---|---|---|
| Mean | 62.3 ± 8.4 | 57.3 ± 19.8 | 51.8 ± 14.5 | 54.2 ± 14.8 |
| Sex: Female, Male(Participants) | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg | Total |
|---|---|---|---|---|
| Female | 1 | 1 | 10 | 12 |
| Male | 2 | 3 | 5 | 10 |
| Ethnicity (NIH/OMB)(Participants) | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg | Total |
|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 3 | 4 | 15 | 22 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Part A: MK-1697 20 mg | Part A: MK-1697 65 mg | Part A: MK-1697 200 mg | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 0 | 1 | 9 | 10 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 |
| White | 3 | 3 | 6 | 12 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
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