A Phase 1 interventional study of MK-8353 and Selumetinib in Solid Tumors, sponsored by Merck Sharp & Dohme LLC. Completed at 5 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-27.
Sponsored by Merck Sharp & Dohme LLC · Phase 1, Interventional, and Treatment
This is a multicenter, worldwide, open-label study of MK-8353 in combination with selumetinib in participants with histologically or cytologically confirmed diagnosis of advanced solid tumor. This study will evaluate the safety, tolerability, and exploratory efficacy of MK-8353 in combination with selumetinib.
As specified by Phase 1 protocol-flexible language, modifications to the dose or dosing regimen can be made to achieve the scientific goals of the trial objectives and/or ensure appropriate safety of the trial participants. The proposed doses may be adjusted based on evaluation of safety, tolerability, and pharmacokinetic data.
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This study's enrollment of 30 is below the median of 50 across 7,253 interventional studies indexed under Neoplasms.
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Exclusion Criteria:
Participants will receive a combination MK-8353 and selumetinib for 4 days on and 3 days off until disease progression or discontinuation. MK-8353 will be escalated sequentially from 50 mg to 250 mg based on pharmacokinetic and safety data. Selumetinib will be escalated sequentially from 25 mg to 75 mg based on pharmacokinetic and safety data. Doses may be adjusted downward sequentially based on tolerability
Drug: MK-8353 · Drug: Selumetinib
Participants will receive MK-8353 orally twice daily (BID), escalated sequentially from 50 mg to 250 mg.
Participants will receive selumetinib orally BID, escalated sequentially from 25 mg to 75 mg.
Also known as: MK-5618
Number of Participants Experiencing Dose Limiting Toxicities
A dose limiting toxicity (DLT) is defined as any hematologic or non-hematologic toxicity ≥Grade 3 per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v4.0. The occurrence of any of the designated toxicities during Cycle 1 (3-week cycle) were considered a DLT, if assessed by the investigator to be possibly, probably, or definitely related to study treatment administration. The number of participants experiencing DLTs was assessed.
Time frame: Cycle 1 (3-week Cycle) (Up to 3 weeks)
Number of Participants Experiencing Adverse Events
An adverse event (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 number of participants experiencing AEs was assessed.
Time frame: ~90 days after last treatment dose (up to ~45 weeks)
Number of Participants Discontinuing Study Treatment Due to AEs
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 number of participants discontinuing study treatment due to AEs was assessed.
Time frame: Up to ~33 weeks
Area Under the Plasma Concentration-Time Curve for MK-8353 From Time 0 to 12 Hours
Blood samples were collected to determine the area under the curve from time 0 to 12 hours (AUC0-12). AUC is a measure of the amount of drug in the blood over time.
Time frame: Study Days 1 and 4 of Cycle 1 (3-week cycle) at pre-dose and at 1, 2, 4, 6 hours, and between 8 and 12 hours post-dose
AUC0-12 for Selumetinib
Blood samples were collected to determine the AUC0-12. AUC is a measure of the amount of drug in the blood over time.
Time frame: Study Days 1 and 4 of Cycle 1 (3-week cycle) at pre-dose and at 1, 2, 4, 6 hours, and between 8 and 12 hours post-dose
Minimum Observed Plasma Concentration for MK-8353
Blood samples were collected to determine the minimum observed plasma concentration (Cmin) which is the minimum amount of drug in the plasma after the dose is given. In cases where Cmin values were below the limit of quantification (BLOQ), arithmetic mean (percent coefficient of variation \[%CV\]) was reported instead of geometric mean (percent geometric coefficient of variation \[%GCV\]), since geometric mean (%GCV) was not calculable. In cases where all Cmin values were BLOQ, mean was not calculable and indicated as "NA."
Time frame: Study Days 1 and 4 of Cycles 1 and 2 (3-week cycles). For Cycle 1, pre-dose and at 1, 2, 4, 6 hours, and between 8 and 12 hours post-dose; and for Cycle 2 pre-dose, and at 1 and 4 hours post-dose
Cmin for Selumetinib
Blood samples were collected to determine the Cmin which is the minimum amount of drug in the plasma after the dose is given. In cases where Cmin values were BLOQ, arithmetic mean (%CV) was reported instead of geometric mean (%GCV), since geometric mean (%GCV) was not calculable. In cases where all Cmin values were BLOQ, mean was not calculable and indicated as "NA."
Time frame: Study Days 1 and 4 of Cycles 1 and 2 (3-week cycles). For Cycle 1, pre-dose and at 1, 2, 4, 6 hours, and between 8 and 12 hours post-dose; and for Cycle 2 pre-dose, and at 1 and 4 hours post-dose
Maximum Observed Plasma Concentration for MK-8353
Blood samples were collected to determine the maximum observed plasma concentration (Cmax) which is the measure of the maximum amount of drug in the plasma after the dose is given.
Time frame: Study Days 1 and 4 of Cycle 1 (3-week cycle) at pre-dose and at 1, 2, 4, 6 hours, and between 8 and 12 hours post-dose
Cmax for Selumetinib
Blood samples were collected to determine the Cmax which is the measure of the maximum amount of drug in the plasma after the dose is given.
Time frame: Study Days 1 and 4 of Cycle 1 (3-week cycle) at pre-dose and at 1, 2, 4, 6 hours, and between 8 and 12 hours post-dose
| Milestone | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| Started | 3 | 12 | 15 |
| Completed | 0 | 0 | 0 |
| Not completed | 3 | 12 | 15 |
| Withdrew: Death | 3 | 7 | 4 |
| Withdrew: Lost to follow-up | 0 | 2 | 0 |
| Withdrew: Sponsor decision | 0 | 2 | 8 |
| Withdrew: Withdrawal by subject | 0 | 1 | 3 |
A dose limiting toxicity (DLT) is defined as any hematologic or non-hematologic toxicity ≥Grade 3 per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v4.0. The occurrence of any of the designated toxicities during Cycle 1 (3-week cycle) were considered a DLT, if assessed by the investigator to be possibly, probably, or definitely related to study treatment administration. The number of participants experiencing DLTs was assessed.
| Participants | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| Number of Participants Experiencing Dose Limiting Toxicities | 0 | 1 | 7 |
An adverse event (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 number of participants experiencing AEs was assessed.
| Participants | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| Number of Participants Experiencing Adverse Events | 3 | 12 | 15 |
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 number of participants discontinuing study treatment due to AEs was assessed.
| Participants | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| Number of Participants Discontinuing Study Treatment Due to AEs | 0 | 3 | 1 |
Blood samples were collected to determine the area under the curve from time 0 to 12 hours (AUC0-12). AUC is a measure of the amount of drug in the blood over time.
| hr*μmol/liter | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| MK-8353, Cycle 1, Day 1 | 14.3 ± 62.7 | 9.66 ± 50.7 | 13.7 ± 32.8 |
| MK-8353, Cycle 1, Day 4 | 16.7 ± 365.7 | 19.0 ± 36.9 | 20.9 ± 60.6 |
Blood samples were collected to determine the AUC0-12. AUC is a measure of the amount of drug in the blood over time.
| hr*μmol/liter | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| Selumetinib, Cycle 1, Day 1 | 2.99 ± 27.2 | 5.20 ± 63.2 | 10.9 ± 49.1 |
| Selumetinib, Cycle 1, Day 4 | 3.80 ± 24.6 | 6.28 ± 75.3 | 12.7 ± 31.5 |
Blood samples were collected to determine the minimum observed plasma concentration (Cmin) which is the minimum amount of drug in the plasma after the dose is given. In cases where Cmin values were below the limit of quantification (BLOQ), arithmetic mean (percent coefficient of variation \[%CV\]) was reported instead of geometric mean (percent geometric coefficient of variation \[%GCV\]), since geometric mean (%GCV) was not calculable. In cases where all Cmin values were BLOQ, mean was not calculable and indicated as "NA."
| μmol/liter | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| MK-8353, Cycle 1, Day 1 | NA ± NA | NA ± NA | NA ± NA |
| MK-8353, Cycle 1 Day 4 | 0.695 ± 222.6 | 1.10 ± 50.6 | 1.47 ± 455.5 |
| MK-8353, Cycle 2 Day 1 | 0.0361 ± 173.2 | 0.0313 ± 191.0 | 0.0166 ± 189.7 |
| MK-8353, Cycle 2 Day 4 | 0.598 ± 172.6 | 0.995 ± 90.7 | 1.47 ± 84.8 |
Blood samples were collected to determine the Cmin which is the minimum amount of drug in the plasma after the dose is given. In cases where Cmin values were BLOQ, arithmetic mean (%CV) was reported instead of geometric mean (%GCV), since geometric mean (%GCV) was not calculable. In cases where all Cmin values were BLOQ, mean was not calculable and indicated as "NA."
| μmol/liter | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| Selumetinib, Cycle 1, Day 1 | NA ± NA | NA ± NA | NA ± NA |
| Selumetinib, Cycle 1, Day 4 | 0.101 ± 35.1 | 0.265 ± 38.9 | 0.456 ± 160.1 |
| Selumetinib, Cycle 2, Day 1 | NA ± NA | 0.00202 ± 232.9 | 0.00124 ± 215.7 |
| Selumetinib, Cycle 2, Day 4 | 0.127 ± 74.6 | 0.174 ± 80.3 | 0.257 ± 47.5 |
Blood samples were collected to determine the maximum observed plasma concentration (Cmax) which is the measure of the maximum amount of drug in the plasma after the dose is given.
| μmol/liter | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| MK-8353, Cycle 1, Day 1 | 1.24 ± 138.4 | 1.65 ± 60.9 | 2.95 ± 62.3 |
| MK-8353, Cycle 1, Day 4 | 1.87 ± 149.4 | 2.53 ± 51.5 | 3.61 ± 80.9 |
Blood samples were collected to determine the Cmax which is the measure of the maximum amount of drug in the plasma after the dose is given.
| μmol/liter | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| Selumetinib, Cycle 1,Day 1 | 1.01 ± 29.7 | 1.96 ± 91.1 | 3.37 ± 57.1 |
| Selumetinib, Cycle 1, Day 4 | 1.04 ± 13.3 | 1.44 ± 123.6 | 2.37 ± 107.5 |
Collected over Non-serious adverse events (NSAEs): Up to ~45 weeks; Serious adverse events (SAEs): Up to ~45 weeks. All-cause mortality: Up to 24 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| MK-8353 50 mg + Selumetinib 25 mg | 3/3 (100%) | 0/3 (0%) | 3/3 (100%) |
| MK-8353 100 mg + Selumetinib 50 mg | 8/12 (66.7%) | 3/12 (25%) | 11/12 (91.7%) |
| MK-8353 150 mg + Selumetinib 75 mg | 6/15 (40%) | 4/15 (26.7%) | 15/15 (100%) |
| Event | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| VomitingGastrointestinal disorders | 0/3 | 0/12 | 2/15 |
| PneumoniaInfections and infestations | 0/3 | 1/12 | 2/15 |
| AnaemiaBlood and lymphatic system disorders | 0/3 | 1/12 | 0/15 |
| AscitesGastrointestinal disorders | 0/3 | 1/12 | 0/15 |
| Pneumonia aspirationRespiratory, thoracic and mediastinal disorders | 0/3 | 1/12 | 0/15 |
| DiarrhoeaGastrointestinal disorders | 0/3 | 0/12 | 1/15 |
| Duodenal obstructionGastrointestinal disorders | 0/3 | 0/12 | 1/15 |
| Large intestinal obstructionGastrointestinal disorders | 0/3 | 0/12 | 1/15 |
| Abdominal infectionInfections and infestations | 0/3 | 0/12 | 1/15 |
| SepsisInfections and infestations | 0/3 | 0/12 | 1/15 |
| Event | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg |
|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 1/3 | 7/12 | 12/15 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 2/3 | 1/12 | 1/15 |
| FatigueGeneral disorders | 1/3 | 1/12 | 8/15 |
| NauseaGastrointestinal disorders | 0/3 | 5/12 | 7/15 |
| Dermatitis acneiformSkin and subcutaneous tissue disorders | 1/3 | 3/12 | 6/15 |
| Dry eyeEye disorders | 1/3 | 1/12 | 0/15 |
| Abdominal painGastrointestinal disorders | 1/3 | 3/12 | 5/15 |
| ProctalgiaGastrointestinal disorders | 1/3 | 1/12 | 0/15 |
| StomatitisGastrointestinal disorders | 1/3 | 1/12 | 0/15 |
| PyrexiaGeneral disorders | 1/3 | 1/12 | 1/15 |
| Age, Continuous(Years) | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg | Total |
|---|---|---|---|---|
| Mean | 57.0 ± 8.2 | 58.6 ± 13.3 | 60.2 ± 16.1 | 59.2 ± 14.1 |
| Sex: Female, Male(Participants) | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg | Total |
|---|---|---|---|---|
| Female | 0 | 7 | 7 | 14 |
| Male | 3 | 5 | 8 | 16 |
| Ethnicity (NIH/OMB)(Participants) | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg | Total |
|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 2 | 12 | 15 | 29 |
| Unknown or Not Reported | 1 | 0 | 0 | 1 |
| Race (NIH/OMB)(Participants) | MK-8353 50 mg + Selumetinib 25 mg | MK-8353 100 mg + Selumetinib 50 mg | MK-8353 150 mg + Selumetinib 75 mg | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 2 | 3 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 |
| White | 2 | 11 | 13 | 26 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 1 | 0 | 1 |
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