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CompletedNCT04393753MERKLIN2Updated May 8, 2024

Domatinostat in Combination With Avelumab in Patients With Advanced Merkel Cell Carcinoma Progressing on Anti-PD-(L)1

A Phase 2 interventional study of domatinostat in combination with avelumab in Merkel Cell Carcinoma, sponsored by 4SC AG. Completed at 22 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-08.

Sponsored by 4SC AG · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Feb 2024, 2 years 8 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This phase II trial studies how well domatinostat (4SC-202) works in combination with avelumab in adult patients with advanced unresectable and/or metastatic Merkel Cell Carcinoma that have progressed on a previous therapy with an anti-PD-(L)1 antibody

02

Conditions studied

  • Merkel Cell Carcinoma
03

In context

Carcinoma, Merkel Cell

138 studies on the registry are indexed under Carcinoma, Merkel Cell; 39 are open to participants now.

This study's enrollment of 19 is below the median of 40 across 119 interventional studies indexed under Carcinoma, Merkel Cell.

Browse Carcinoma, Merkel Cell studies →

Lead sponsor

4SC AG is the lead sponsor of 13 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Histologically confirmed Merkel Cell Carcinoma (MCC)
  • ECOG performance status ≤ 1
  • MCC in an advanced, unresectable stage III or metastatic stage IV (includes patients who refused surgical resection or are not eligible for such surgical resection)
  • Progressing on previous anti-PD-(L)1 antibody monotherapy within the last 12 weeks before planned first administration of study medication

Exclusion criteria

Exclusion Criteria:

  • History of serious anti-PD-(L)1 therapy-related adverse reactions prohibiting further avelumab treatment
  • More than one line of previous systemic anti-neoplastic therapy other than anti-PD-(L)1 antibody monotherapy
  • Palliative radiation therapy of single lesions within 2 weeks before planned administration of study medication
  • Presence of significant active or chronic disease (infections, immunodeficiencies, cardiovascular, psychiatric disorders)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    domatinostat and avelumab

    Single arm study of Domatinostat tablets in combination with avelumab infusion

    Drug: domatinostat in combination with avelumab

Interventions

  • Drugdomatinostat in combination with avelumab

    domatinostat tablets and avelumab infusion

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    Objective Response Rate (ORR) defined as the percentage of patients having a confirmed CR or PR according to RECIST v1.1

    Time frame: up to 24 months

Secondary outcomes

  1. Durable Response Rate (DRR)

    Durable Response Rate (DRR), defined as the percentage of patients having a RECIST v1.1 response lasting ≥ 6 months

    Time frame: up to 24 months

  2. Duration of Response (DoR)

    Duration of Response (DoR), defined as the time from an initial objective response (CR or PR) according to RECIST v1.1 until disease progression or death due to any cause

    Time frame: up to 24 months

  3. Disease Control Rate (DCR)

    Disease Control Rate (DCR), defined as the proportion of patients with either an objective response (CR, PR) or stable disease (SD) according to RECIST v1.1.

    Time frame: up to 24 months

  4. Durable Disease Control Rate (dDCR)

    Durable Disease Control Rate (dDCR), defined as the percentage of patients having a RECIST v1.1 disease control lasting ≥ 6 months

    Time frame: up to 24 months

  5. Best Overall response (BOR)

    Best Overall response (BOR), defined as the best response (PD, SD, PR, CR) according to RECIST v1.1 over the course of a patient's participation in the study, assessed up to 2 years

    Time frame: up to 24 months

  6. Progression Free Survival (PFS)

    Progression Free Survival (PFS), defined as the time from first dosing (Day +1) to the date of PD or death from any cause (whichever comes first)

    Time frame: up to 24 months

  7. PFS Rate

    PFS Rate, defined as the percentage of patients without PD at 6 and 12 months after first administration of study drug

    Time frame: up to 24 months

  8. Overall Survival (OS)

    Overall Survival (OS), defined as the time from the first administration of study medication until death due to any cause

    Time frame: up to 36 months

  9. OS Rate

    OS Rate, defined as the percentage of patients alive at 6 and at 12 months after first administration of study drug

    Time frame: up to 12 months

  10. Safety and Tolerability

    Safety and Tolerability of the study medication (determined by number, frequency, duration and severity of AEs using CTCAE v5.0, physical examination, laboratory tests, vital signs, and ECGs)

    Time frame: up to 24 months

  11. Health related Quality of Life (HrQoL)

    The impact of treatment on the patient's QoLwill be assessed with the questionnaires "Functional Assessment of Cancer Therapy - Melanoma (FACT-M)" where QoL is assessed on a scale 0-240 (higher score means better status of health), with "EQ-5D-5L" which is a multi attribute utility instrument for measuring health-related QoL as EQ5D index with a score 0-1 (higher score means better status of health) and with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) with a score 0-100 per subscale (n=9 per item (n=6), higher score means better QoL.

    Time frame: up to 24 months

  12. Plasma concentration of domatinostat and avelumab

    Single trough values of domatinostat and avelumab at pre-defined time points

    Time frame: up to 48 weeks

  13. Avelumab anti-drug antibodies (ADA)

    Avelumab anti-drug antibodies (ADA)

    Time frame: up to 48 weeks

07

Study locations

22 sites
  • UZ Leuven
    Leuven, Belgium
  • Bordeaux Hôpital Saint Andre
    Bordeaux, France
  • Hôpital Ambroise Paré - Boulogne-Billancourt
    Boulogne-Billancourt, France
  • CHU Nantes - Hotel Dieu
    Nantes, France
  • Hôpital Saint-Louis
    Paris, France
  • Universitätsklinikum Köln
    Cologne, Germany
  • Universitätsklinikum Dresden
    Dresden, Germany
  • Helios Klinikum Erfurt
    Erfurt, Germany
  • Universitätsklinikum Essen
    Essen, Germany
  • Universitätsklinikum Heidelberg
    Heidelberg, Germany
  • Universitätsklinikum Schleswig-Holstein Kiel
    Kiel, Germany
  • Universitätsklinikum Leipzig
    Leipzig, Germany
  • Universitätsklinikum Schleswig-Holstein, Campus Lübeck
    Lübeck, Germany
  • Technische Universität München
    München, Germany
  • Universitätsklinikum Tübingen
    Tübingen, Germany
  • Instituto Tumori Giovanni Paolo II IRCCS Ospedale Oncologico Bari
    Bari, Italy
  • Istituto Nazionale Tumori Fondazione G.Pascale
    Naples, Italy
  • IOV - Istituto Oncologico Veneto IRCCS
    Padova, Italy
  • Fondazione del Piemonte per l'Oncologia
    Torino, Italy
  • Netherlands Cancer Institute Amsterdam
    Amsterdam, Netherlands
  • Academic Hospital Maastricht
    Maastricht, Netherlands
  • Hospital Universitari Vall d'Hebron
    Barcelona, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2020 to primary completion in Feb 2024, 40 months.

Of 32 phase 2 interventional studies under Carcinoma, Merkel Cell, half reached primary completion within 92 months of starting (the median), counting those still running; a quarter within 47 and three quarters within 138. This study's 40 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
May 12, 2020
First posted
May 19, 2020
StartActual
Oct 13, 2020
Primary completionActual
Feb 26, 2024
CompletionActual
Feb 26, 2024
Last update
May 8, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04393753
Lead sponsor
4SC AG
Responsible party
Sponsor
First posted
May 19, 2020
Start date
Oct 13, 2020
Primary completion
Feb 26, 2024
Completion
Feb 26, 2024
Last update
May 8, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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