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Phase Ib/II Study of M3814 With Etoposide and Cisplatin in Small Cell Lung Cancer (SCLC) Extensive Disease (ED)

Primary Purpose

Small Cell Lung Cancer

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
M3814
Cisplatin
Etoposide
Sponsored by
EMD Serono Research & Development Institute, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Cancer focused on measuring M3814, Small Cell Lung Cancer (SCLC), Deoxyribonucleic acid-dependent protein kinase inhibitor, Chemotherapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

To be eligible for the study (Phase Ib and Phase II) the participant must fulfill all of the following criteria:

  • Male or female participants at least 18 years of age
  • Histological or cytological diagnosis of SCLC
  • Extensive disease (ie, disease beyond ipsilateral hemithorax, which may include malignant pleural or pericardial effusion or hematogenous metastases [Tany, Nany, M1a/b; T3-T4, Nany, M0, due to multiple lung nodules or extent of disease that precludes a tolerable radiation field, as judged by the Investigator])
  • Participants eligible for first line platinum-based chemotherapy
  • Measurable or evaluable disease according to RECIST v1.1
  • Eastern Cooperative Oncology Group performance status (ECOG PS) less than equals to (<=) 2
  • Life expectancy of greater than equals to (≥) 3 months
  • Female participants of childbearing potential and male participants with female partners of childbearing potential must be willing to avoid pregnancy Note: Other protocol defined criteria could apply.

Exclusion Criteria:

Participants are not eligible for the study if they fulfill any of the following exclusion criteria:

  • Prior anticancer therapy for extensive disease (ED) SCLC including experimental agents.
  • Concurrent use of other anticancer therapy including any investigational agent within 28 days prior to the first dose of the investigational drug M3814.
  • Extensive prior radiotherapy (RT) on more than 30% of bone marrow reserves (by Investigator judgment)
  • Prior bone marrow/stem cell transplantation within 5 years before study start (Phase II only)
  • Major surgical intervention within 28 days prior to the first dose of investigational drug administration. Intervention(s) to establish the diagnosis for SCLC is permitted within 28 days as long as participants are cleared by the medical and surgical teams.
  • Poor vital organ functions defined as:
  • Bone marrow impairment as evidenced by hemoglobin less than (<) 9.0 gram per deci liter (g/dL) (5.7 micromole per liter (μmol/L)), absolute neutrophil count < 1.5 × 109/L, platelets < 100 × 109/L
  • Renal impairment as evidenced by calculated creatinine clearance < 60 mL/minutes (min) (according to the Cockcroft-Gault formula)
  • Liver function abnormality as defined by total bilirubin greater than (>) 1.5 × upper limit of normal (ULN) or aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 2.5 × ULN (participants with liver involvement: a maximum of AST/ALT 5 × ULN)
  • Contraindication to the use of etoposide or cisplatin
  • Participants currently receiving (or unable to stop using prior to receiving the first dose of investigational drug) medications or herbal supplements known to be potent inhibitors of cytochrome P450 (CYP) 3A and CYP2C19 (unless treatment can be discontinued at least 1 week prior to receiving the first dose of investigational drug) or potent inducers of CYP3A and CYP2C19 (unless treatment can be discontinued at least 3 weeks prior to receiving the first dose of investigational drug). Note: Other protocol defined criteria could apply.

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

M3814 PiC with Etoposide and Cisplatin

M3814 (HME Tablet + PiC) with Etoposide and Cisplatin

Arm Description

Participants received M3814 100 milligram (mg) powder in capsule (PiC) orally once daily in combination with Etoposide 100 mg/m^2 over a 60 minute intravenous infusion on Days 1-3 and Cisplatin 75 milligram per square meter (mg/m^2) over a 60-minute intravenous infusion on Day 1 for 6 cycles with each cycle lasting 3 weeks (21 days) until progressive disease (PD).

Participants received M3814 100 mg hot melt extrusion (HME) tablet orally 5 days prior to Day 1 and M3814 100 mg PiC, orally once daily from Day 1 in combination with Etoposide 100 mg/m^2 over a 60 minute intravenous infusion on Days 1-3 and Cisplatin 75 mg/m^2 over a 60-minute intravenous infusion on Day 1 for 6 cycles with each cycle lasting 3 weeks (21 days) until PD.

Outcomes

Primary Outcome Measures

Phase Ib: Number of Subjects Experienced Any Dose-Limiting Toxicity (DLT) over the DLT period.
Phase Ib: Determination of Recommended Phase II dose (RP2D) of Escalating Dose of M3814 in Combination With Cisplatin and Etoposide for the Phase II Part of the Study
Phase II: Progression Free Survival (PFS) as Assessed by the Investigator according to RECIST v1.1
PFS time will be evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. The PFS time is defined as the duration from randomization to either first observation of progressive disease (PD) or occurrence of death due to any cause.

Secondary Outcome Measures

Phase Ib: Number of Subjects with of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Deaths
An Adverse Event (AE) is defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship. A SAE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect.
Phase Ib: Number of Subjects with Abnormal Laboratory Values, Abnormal Vital Signs and Abnormal Electrocardiograms (ECGs)
Subjects will be analyzed for vital signs (eg, body temperature, respiratory rate, heart rate, and blood pressure), laboratory parameters and 12-lead ECG recorded at baseline and after administration of M3814. Number of subjects with abnormal values for laboratory values, vital signs and electrocardiograms (ECGs) will be reported.
Phase Ib: Change in Eastern Cooperative Oncology Group performance status (ECOG PS)
Phase Ib: Percentage of Subjects with Objective Response (OR) According to RECIST v1.1
The Objective Response Rate (ORR) is defined as the percentage of subjects whose Best objective response (BOR) is either complete response (CR) or partial response (PR). The ORR will be derived from the BOR according to response evaluation criteria in solid tumors (RECIST) v1.1 as assessed by the Investigator.
Phase Ib: Duration of Response (DoR) According to RECIST v1.1
The DoR applies only to subjects whose BOR is either CR or PR. The duration is measured from the first documented response (CR or PR, whichever is first recorded) until the first assessment of Progressive Disease (PD).The DoR will be derived from the BOR according to RECIST v1.1 as assessed by the Investigator.
Phase Ib: Percentage of Subjects With Disease Control
Percentage of subjects with disease control as assessed by best overall response of either CR, PR or Stable Disease (SD) will be reported.
Phase Ib: Progression Free Survival (PFS) According to RECIST v1.1
The PFS time is defined as the duration from randomization to either first observation of progressive disease (PD) or occurrence of death due to any cause. The PFS will be derived according to RECIST v1.1 as assessed by the Investigator.
Phase Ib: Overall Survival (OS)
The OS time is defined as the date from randomization to death due to any cause.
Phase Ib: Area under the concentration-time curve from 0 to 4 hours (AUC 0-4), 0 to 24 hours (AUC 0-24) for M3814, Cisplatin and Etoposide
Phase Ib: Area Under the Concentration-Time Curve From Time 0 to the Last Quantifiable Concentration (AUC 0-t ) for M3814, Cisplatin and Etoposide
Phase Ib: Maximum Observed Plasma Concentration (Cmax) for M3814, Cisplatin and Etoposide
Phase Ib: Time to Reach Maximum Plasma Concentration (Tmax) for M3814, Cisplatin and Etoposide
Phase Ib: Apparent Terminal Half-life (t1/2) for M3814
Phase Ib: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of M3814
Phase Ib: Total Body Clearance From Plasma Following Extravascular Administration (CL/f) of M3814
Phase Ib: Intravenous (IV) Clearance (CL) of Cisplatin and Etoposide
Phase Ib: Apparent Volume of Distribution Following Extravascular Administration (Vz/f) of M3814
Phase Ib: Apparent Volume of Distribution (Vz) of Cisplatin and Etoposide
Phase Ib: Terminal rate constant (λz) for M3814, Cisplatin and Etoposide
Phase Ib: Changes in Cmax for M3814 Between Day -1 and C2D1
Phase Ib: Changes in AUC for M3814 Between Day -1 and C2D1
Phase Ib: Changes in AUC for Etoposide From C1D1 to C1D2, C1D3, and C2D1 (for the first 2 dose levels), or From C1D1 to C2D1 (other dose levels)
Phase Ib: Changes in Cmax for Etoposide From C1D1 and C2D1
Phase Ib: Changes in AUC for Cisplatin From C1D1 to C1D2, C1D3, and C2D1 (for the first 2 dose levels), or From C1D1 to C2D1 (other dose levels)
Phase Ib: Changes in Cmax for Cisplatin From C1D1 and C2D1
Phase II: Overall Survival (OS)
Phase II: Percentage of Subjects with Objective Response (OR) According to RECIST v1.1
The Objective Response Rate (ORR) is defined as the proportion of subjects whose Best objective response (BOR) is either complete response (CR) or partial response (PR). The ORR will be derived from the BOR according to response evaluation criteria in solid tumors (RECIST) Version 1.1 as assessed by the Investigator.
Phase II: Duration of Response (DoR) According to RECIST v1.1
The DoR applies only to subjects whose BOR is either CR or PR. The duration is measured from the first documented response (CR or PR, whichever is first recorded) until the first assessment of Progressive Disease (PD).The DoR will be derived from the BOR according to RECIST v1.1 as assessed by the Investigator.
Phase II: Percentage of Subjects With Disease Control
Percentage of subjects with disease control as assessed by best overall response of either CR, PR or Stable Disease (SD) will be reported.
Phase II: Percentage of Subjects Who Received Prophylactic Cranial Irradiation (PCI) and/or Thorax Irradiation After 6 Cycles of Treatment
Phase II: Tumor shrinkage From Baseline in target lesions
Phase II: Number of subjects with of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Deaths
An Adverse Event (AE) is defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship. A Serious AE (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect.
Phase II: Number of Subjects with Abnormal Laboratory Values, Abnormal Vital Signs and Abnormal Electrocardiograms (ECGs)
Phase II: Change in Eastern Cooperative Oncology Group performance status (ECOG PS)
Phase II: Primary Health-Related Quality of Life (HRQoL) Based on Time to Definitive Deterioration (TUDD) as Assessed Using European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30)
Phase II: Primary HRQoL based on TUDD Assessed Using EORTC Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13)
Phase II: Primary HRQoL based on TUDD Assessed Using European Quality of Life 5- dimensions questionnaire (EQ-5D)
Phase II: Area under the concentration-time curve from 0 to 24 hours (AUC 0-24) for M3814, Cisplatin and Etoposide
Phase II: Area under the concentration-time curve from time 0 to the last quantifiable concentration (AUC 0-t ) for M3814, Cisplatin and Etoposide
Phase II: Maximum Observed Plasma Concentration (Cmax) for M3814, Cisplatin and Etoposide
Phase II: Time to Reach Maximum Plasma Concentration (Tmax) for M3814, Cisplatin and Etoposide
Phase II: Apparent Terminal Half-life (t1/2) for M3814
Phase II: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of M3814
Phase II: Total Body Clearance From Plasma Following Extravascular Administration (CL/f) of M3814
Phase II: Intravenous (IV) Clearance (CL) of Cisplatin and Etoposide
Phase II: Apparent Volume of Distribution Following Extravascular Administration (Vz/f) of M3814
Phase II: Apparent Volume of Distribution (Vz) of Cisplatin and Etoposide

Full Information

First Posted
March 28, 2017
Last Updated
September 11, 2020
Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany
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1. Study Identification

Unique Protocol Identification Number
NCT03116971
Brief Title
Phase Ib/II Study of M3814 With Etoposide and Cisplatin in Small Cell Lung Cancer (SCLC) Extensive Disease (ED)
Official Title
A Multicenter Study With an Open Label Phase Ib Part Followed by a Randomized, Placebo-controlled, Double-blind, Phase II Part to Evaluate Efficacy, Safety, Tolerability, and PK of M3814 in Combination With Etoposide and Cisplatin in Subjects With Treatment-naïve Small Cell Lung Cancer (SCLC) Extensive Disease (ED)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Terminated
Why Stopped
Enrollment in the study was prematurely terminated due to recruitment challenges and not due to concerns of safety for the participants.
Study Start Date
May 25, 2017 (Actual)
Primary Completion Date
March 1, 2018 (Actual)
Study Completion Date
March 1, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
M3814 is an investigational drug under evaluation for treatment of lung cancer. The purpose of the study was to assess the Safety and Efficacy of M3814 in combination with chemotherapy with SCLC ED.
Detailed Description
The study was intended to be a phase I/II trial, but the study never moved forward to Phase II due to recruitment challenges.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Small Cell Lung Cancer
Keywords
M3814, Small Cell Lung Cancer (SCLC), Deoxyribonucleic acid-dependent protein kinase inhibitor, Chemotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
2 (Actual)

8. Arms, Groups, and Interventions

Arm Title
M3814 PiC with Etoposide and Cisplatin
Arm Type
Experimental
Arm Description
Participants received M3814 100 milligram (mg) powder in capsule (PiC) orally once daily in combination with Etoposide 100 mg/m^2 over a 60 minute intravenous infusion on Days 1-3 and Cisplatin 75 milligram per square meter (mg/m^2) over a 60-minute intravenous infusion on Day 1 for 6 cycles with each cycle lasting 3 weeks (21 days) until progressive disease (PD).
Arm Title
M3814 (HME Tablet + PiC) with Etoposide and Cisplatin
Arm Type
Experimental
Arm Description
Participants received M3814 100 mg hot melt extrusion (HME) tablet orally 5 days prior to Day 1 and M3814 100 mg PiC, orally once daily from Day 1 in combination with Etoposide 100 mg/m^2 over a 60 minute intravenous infusion on Days 1-3 and Cisplatin 75 mg/m^2 over a 60-minute intravenous infusion on Day 1 for 6 cycles with each cycle lasting 3 weeks (21 days) until PD.
Intervention Type
Drug
Intervention Name(s)
M3814
Other Intervention Name(s)
MSC2490484A, Peposertib
Intervention Description
Participants received M3814 PiC or hot melt extrusion (HME) tablet orally once daily in combination with etoposide (intravenously) and cisplatin for 6 cycles with each cycle lasting 3 weeks (21 days).
Intervention Type
Drug
Intervention Name(s)
Cisplatin
Intervention Description
Cisplatin 75 milligram per square meter (mg/m^2) was administered over a 60-minute intravenous infusion on Day 1.
Intervention Type
Drug
Intervention Name(s)
Etoposide
Intervention Description
Etoposide 100 mg/m^2 over a 60 minute IV infusion on Days 1-3 was administered for 6 cycles with each cycle lasting 3 weeks (21 days).
Primary Outcome Measure Information:
Title
Phase Ib: Number of Subjects Experienced Any Dose-Limiting Toxicity (DLT) over the DLT period.
Time Frame
up to 21 days
Title
Phase Ib: Determination of Recommended Phase II dose (RP2D) of Escalating Dose of M3814 in Combination With Cisplatin and Etoposide for the Phase II Part of the Study
Time Frame
up to 11 months
Title
Phase II: Progression Free Survival (PFS) as Assessed by the Investigator according to RECIST v1.1
Description
PFS time will be evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. The PFS time is defined as the duration from randomization to either first observation of progressive disease (PD) or occurrence of death due to any cause.
Time Frame
Time from randomization to first assessment of disease progression or death, whichever is earlier, assessed up to 24 months
Secondary Outcome Measure Information:
Title
Phase Ib: Number of Subjects with of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Deaths
Description
An Adverse Event (AE) is defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship. A SAE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect.
Time Frame
From the first dose of study drug treatment up to 30 days after the last dose of study drug treatment
Title
Phase Ib: Number of Subjects with Abnormal Laboratory Values, Abnormal Vital Signs and Abnormal Electrocardiograms (ECGs)
Description
Subjects will be analyzed for vital signs (eg, body temperature, respiratory rate, heart rate, and blood pressure), laboratory parameters and 12-lead ECG recorded at baseline and after administration of M3814. Number of subjects with abnormal values for laboratory values, vital signs and electrocardiograms (ECGs) will be reported.
Time Frame
From the first dose of study drug treatment up to 30 days after the last dose of study drug treatment
Title
Phase Ib: Change in Eastern Cooperative Oncology Group performance status (ECOG PS)
Time Frame
From the first dose of study drug treatment up to 30 days after the last dose of study drug treatment
Title
Phase Ib: Percentage of Subjects with Objective Response (OR) According to RECIST v1.1
Description
The Objective Response Rate (ORR) is defined as the percentage of subjects whose Best objective response (BOR) is either complete response (CR) or partial response (PR). The ORR will be derived from the BOR according to response evaluation criteria in solid tumors (RECIST) v1.1 as assessed by the Investigator.
Time Frame
Post randomization with period tumor evaluations until disease progression or subject withdrawal of consent, irrespective of treatment discontinuation or initiation of another therapy, assessed up to 11 months
Title
Phase Ib: Duration of Response (DoR) According to RECIST v1.1
Description
The DoR applies only to subjects whose BOR is either CR or PR. The duration is measured from the first documented response (CR or PR, whichever is first recorded) until the first assessment of Progressive Disease (PD).The DoR will be derived from the BOR according to RECIST v1.1 as assessed by the Investigator.
Time Frame
First documented complete response or partial response, whichever is first recorded until the first assessment of disease progression, assessed up to 11 months
Title
Phase Ib: Percentage of Subjects With Disease Control
Description
Percentage of subjects with disease control as assessed by best overall response of either CR, PR or Stable Disease (SD) will be reported.
Time Frame
First documented complete response or partial response, whichever is first recorded until the first assessment of disease progression, assessed up to 11 months
Title
Phase Ib: Progression Free Survival (PFS) According to RECIST v1.1
Description
The PFS time is defined as the duration from randomization to either first observation of progressive disease (PD) or occurrence of death due to any cause. The PFS will be derived according to RECIST v1.1 as assessed by the Investigator.
Time Frame
Time from randomization to first assessment of disease progression or death, whichever is earlier, assessed up to 11 months
Title
Phase Ib: Overall Survival (OS)
Description
The OS time is defined as the date from randomization to death due to any cause.
Time Frame
Time from randomization to death due to any cause, assessed up to 11 months
Title
Phase Ib: Area under the concentration-time curve from 0 to 4 hours (AUC 0-4), 0 to 24 hours (AUC 0-24) for M3814, Cisplatin and Etoposide
Time Frame
Day (D) -1, Cycle (C) 1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hours (hrs) post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose, C3D1 Pre-dose and 3.5 hrs post dose
Title
Phase Ib: Area Under the Concentration-Time Curve From Time 0 to the Last Quantifiable Concentration (AUC 0-t ) for M3814, Cisplatin and Etoposide
Time Frame
Day (D) -1, Cycle (C) 1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase Ib: Maximum Observed Plasma Concentration (Cmax) for M3814, Cisplatin and Etoposide
Time Frame
Day (D) -1, C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post-dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post-dose, C2D3 Pre-dose
Title
Phase Ib: Time to Reach Maximum Plasma Concentration (Tmax) for M3814, Cisplatin and Etoposide
Time Frame
Day (D) -1, C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post-dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post-dose, C2D3 Pre-dose
Title
Phase Ib: Apparent Terminal Half-life (t1/2) for M3814
Time Frame
C1D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hours (hrs) post-dose
Title
Phase Ib: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of M3814
Time Frame
C1D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hours (hrs) post-dose
Title
Phase Ib: Total Body Clearance From Plasma Following Extravascular Administration (CL/f) of M3814
Time Frame
Day (D) -1, C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post-dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post-dose, C2D3 Pre-dose
Title
Phase Ib: Intravenous (IV) Clearance (CL) of Cisplatin and Etoposide
Time Frame
Day (D) -1, C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hr post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase Ib: Apparent Volume of Distribution Following Extravascular Administration (Vz/f) of M3814
Time Frame
Day (D) -1, C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase Ib: Apparent Volume of Distribution (Vz) of Cisplatin and Etoposide
Time Frame
Day (D) -1, C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase Ib: Terminal rate constant (λz) for M3814, Cisplatin and Etoposide
Time Frame
Day (D) -1, C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase Ib: Changes in Cmax for M3814 Between Day -1 and C2D1
Time Frame
Day (D) -1, Cycle (C) 2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose
Title
Phase Ib: Changes in AUC for M3814 Between Day -1 and C2D1
Time Frame
Day (D) -1, Cycle (C) 2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose
Title
Phase Ib: Changes in AUC for Etoposide From C1D1 to C1D2, C1D3, and C2D1 (for the first 2 dose levels), or From C1D1 to C2D1 (other dose levels)
Time Frame
Day (D) -1, Cycle (C) 1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose
Title
Phase Ib: Changes in Cmax for Etoposide From C1D1 and C2D1
Time Frame
Cycle (C) 1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose
Title
Phase Ib: Changes in AUC for Cisplatin From C1D1 to C1D2, C1D3, and C2D1 (for the first 2 dose levels), or From C1D1 to C2D1 (other dose levels)
Time Frame
Day (D) -1, Cycle (C) 1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose
Title
Phase Ib: Changes in Cmax for Cisplatin From C1D1 and C2D1
Time Frame
Cycle (C) 1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5 (excluding D-1), 4, 6 and 8 hours (hrs) post dose
Title
Phase II: Overall Survival (OS)
Time Frame
Time from randomization to death due to any cause, assessed up to 24 months
Title
Phase II: Percentage of Subjects with Objective Response (OR) According to RECIST v1.1
Description
The Objective Response Rate (ORR) is defined as the proportion of subjects whose Best objective response (BOR) is either complete response (CR) or partial response (PR). The ORR will be derived from the BOR according to response evaluation criteria in solid tumors (RECIST) Version 1.1 as assessed by the Investigator.
Time Frame
Post randomization every 6 weeks up to Week 54 and then every 12 weeks until disease progression or subject withdrawal of consent, irrespective of treatment discontinuation or initiation of another therapy., assessed up to 24 months
Title
Phase II: Duration of Response (DoR) According to RECIST v1.1
Description
The DoR applies only to subjects whose BOR is either CR or PR. The duration is measured from the first documented response (CR or PR, whichever is first recorded) until the first assessment of Progressive Disease (PD).The DoR will be derived from the BOR according to RECIST v1.1 as assessed by the Investigator.
Time Frame
First documented complete response or partial response, whichever is first recorded until the first assessment of disease progression, assessed up to 24 months
Title
Phase II: Percentage of Subjects With Disease Control
Description
Percentage of subjects with disease control as assessed by best overall response of either CR, PR or Stable Disease (SD) will be reported.
Time Frame
First documented complete response or partial response, whichever is first recorded until the first assessment of disease progression, assessed up to 24 months
Title
Phase II: Percentage of Subjects Who Received Prophylactic Cranial Irradiation (PCI) and/or Thorax Irradiation After 6 Cycles of Treatment
Time Frame
After 6 Cycles of treatment, assessed up to 24 months
Title
Phase II: Tumor shrinkage From Baseline in target lesions
Time Frame
Post randomization every 6 weeks up to Week 54 and then every 12 weeks until disease progression or subject withdrawal of consent, irrespective of treatment discontinuation or initiation of another therapy., assessed up to 24 months
Title
Phase II: Number of subjects with of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Deaths
Description
An Adverse Event (AE) is defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship. A Serious AE (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect.
Time Frame
From the first dose of study drug treatment up to 30 days after the last dose of study drug treatment
Title
Phase II: Number of Subjects with Abnormal Laboratory Values, Abnormal Vital Signs and Abnormal Electrocardiograms (ECGs)
Time Frame
From the first dose of study drug treatment up to 30 days after the last dose of study drug treatment
Title
Phase II: Change in Eastern Cooperative Oncology Group performance status (ECOG PS)
Time Frame
From the first dose of study drug treatment up to 30 days after the last dose of study drug treatment
Title
Phase II: Primary Health-Related Quality of Life (HRQoL) Based on Time to Definitive Deterioration (TUDD) as Assessed Using European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30)
Time Frame
Screening; Post randomization every 6 weeks up to Week 54 and then every 12 weeks until disease progression or subject withdrawal of consent, irrespective of treatment discontinuation or initiation of another therapy., assessed up to 24 months
Title
Phase II: Primary HRQoL based on TUDD Assessed Using EORTC Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13)
Time Frame
Screening; Post randomization every 6 weeks up to Week 54 and then every 12 weeks until disease progression or subject withdrawal of consent, irrespective of treatment discontinuation or initiation of another therapy., assessed up to 24 months
Title
Phase II: Primary HRQoL based on TUDD Assessed Using European Quality of Life 5- dimensions questionnaire (EQ-5D)
Time Frame
Screening; Post randomization every 6 weeks up to Week 54 and then every 12 weeks until disease progression or subject withdrawal of consent, irrespective of treatment discontinuation or initiation of another therapy., assessed up to 24 months
Title
Phase II: Area under the concentration-time curve from 0 to 24 hours (AUC 0-24) for M3814, Cisplatin and Etoposide
Time Frame
C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase II: Area under the concentration-time curve from time 0 to the last quantifiable concentration (AUC 0-t ) for M3814, Cisplatin and Etoposide
Time Frame
C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase II: Maximum Observed Plasma Concentration (Cmax) for M3814, Cisplatin and Etoposide
Time Frame
C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase II: Time to Reach Maximum Plasma Concentration (Tmax) for M3814, Cisplatin and Etoposide
Time Frame
C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase II: Apparent Terminal Half-life (t1/2) for M3814
Time Frame
C1D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose
Title
Phase II: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of M3814
Time Frame
C1D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose
Title
Phase II: Total Body Clearance From Plasma Following Extravascular Administration (CL/f) of M3814
Time Frame
C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase II: Intravenous (IV) Clearance (CL) of Cisplatin and Etoposide
Time Frame
Time Frame: C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase II: Apparent Volume of Distribution Following Extravascular Administration (Vz/f) of M3814
Time Frame
C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose
Title
Phase II: Apparent Volume of Distribution (Vz) of Cisplatin and Etoposide
Time Frame
C1D1, C2D1: Pre-dose, 0.5, 1, 1.5, 2, 3, 3.5, 4, 6 and 8 hrs post dose; C1D2 Pre-dose, C1D3 Pre-dose, C1D8 Pre-dose, C1D15 Pre-dose and 2 hrs post dose, C2D3 Pre-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: To be eligible for the study (Phase Ib and Phase II) the participant must fulfill all of the following criteria: Male or female participants at least 18 years of age Histological or cytological diagnosis of SCLC Extensive disease (ie, disease beyond ipsilateral hemithorax, which may include malignant pleural or pericardial effusion or hematogenous metastases [Tany, Nany, M1a/b; T3-T4, Nany, M0, due to multiple lung nodules or extent of disease that precludes a tolerable radiation field, as judged by the Investigator]) Participants eligible for first line platinum-based chemotherapy Measurable or evaluable disease according to RECIST v1.1 Eastern Cooperative Oncology Group performance status (ECOG PS) less than equals to (<=) 2 Life expectancy of greater than equals to (≥) 3 months Female participants of childbearing potential and male participants with female partners of childbearing potential must be willing to avoid pregnancy Note: Other protocol defined criteria could apply. Exclusion Criteria: Participants are not eligible for the study if they fulfill any of the following exclusion criteria: Prior anticancer therapy for extensive disease (ED) SCLC including experimental agents. Concurrent use of other anticancer therapy including any investigational agent within 28 days prior to the first dose of the investigational drug M3814. Extensive prior radiotherapy (RT) on more than 30% of bone marrow reserves (by Investigator judgment) Prior bone marrow/stem cell transplantation within 5 years before study start (Phase II only) Major surgical intervention within 28 days prior to the first dose of investigational drug administration. Intervention(s) to establish the diagnosis for SCLC is permitted within 28 days as long as participants are cleared by the medical and surgical teams. Poor vital organ functions defined as: Bone marrow impairment as evidenced by hemoglobin less than (<) 9.0 gram per deci liter (g/dL) (5.7 micromole per liter (μmol/L)), absolute neutrophil count < 1.5 × 109/L, platelets < 100 × 109/L Renal impairment as evidenced by calculated creatinine clearance < 60 mL/minutes (min) (according to the Cockcroft-Gault formula) Liver function abnormality as defined by total bilirubin greater than (>) 1.5 × upper limit of normal (ULN) or aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 2.5 × ULN (participants with liver involvement: a maximum of AST/ALT 5 × ULN) Contraindication to the use of etoposide or cisplatin Participants currently receiving (or unable to stop using prior to receiving the first dose of investigational drug) medications or herbal supplements known to be potent inhibitors of cytochrome P450 (CYP) 3A and CYP2C19 (unless treatment can be discontinued at least 1 week prior to receiving the first dose of investigational drug) or potent inducers of CYP3A and CYP2C19 (unless treatment can be discontinued at least 3 weeks prior to receiving the first dose of investigational drug). Note: Other protocol defined criteria could apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Responsible
Organizational Affiliation
Merck KGaA, Darmstadt, Germany
Official's Role
Study Director
Facility Information:
Facility Name
Research site
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85206
Country
United States
Facility Name
Research site 1
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95403
Country
United States
Facility Name
Research site
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95403
Country
United States
Facility Name
Research site
City
Whittier
State/Province
California
ZIP/Postal Code
90603
Country
United States
Facility Name
Research site
City
Danbury
State/Province
Connecticut
ZIP/Postal Code
06810
Country
United States
Facility Name
Research site
City
Norwalk
State/Province
Connecticut
ZIP/Postal Code
06850
Country
United States
Facility Name
Research site
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Research site
City
Newnan
State/Province
Georgia
ZIP/Postal Code
30265
Country
United States
Facility Name
Research site
City
Topeka
State/Province
Kansas
ZIP/Postal Code
66606
Country
United States
Facility Name
Research site
City
Ashland
State/Province
Kentucky
ZIP/Postal Code
41101
Country
United States
Facility Name
Research site
City
Billings
State/Province
Montana
ZIP/Postal Code
59101
Country
United States
Facility Name
Research site
City
Pinehurst
State/Province
North Carolina
ZIP/Postal Code
28374
Country
United States
Facility Name
Research site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Research site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97213
Country
United States
Facility Name
Research site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19124
Country
United States
Facility Name
Research site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Research site
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
Facility Name
Research site
City
Charleroi
ZIP/Postal Code
6000
Country
Belgium
Facility Name
Research site
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
Facility Name
Research site
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Research site
City
Libramont
ZIP/Postal Code
6800
Country
Belgium
Facility Name
Research site
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Research site
City
Roeselare
ZIP/Postal Code
8800
Country
Belgium
Facility Name
Research site
City
Yvoir
ZIP/Postal Code
5530
Country
Belgium
Facility Name
Research site 4
City
Sofia
ZIP/Postal Code
1330
Country
Bulgaria
Facility Name
Research site 2
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
Facility Name
Research site 6
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
Reasearch site 5
City
Sofia
ZIP/Postal Code
1527
Country
Bulgaria
Facility Name
Research site 3
City
Sofia
ZIP/Postal Code
1632
Country
Bulgaria
Facility Name
Research site 1
City
Sofia
ZIP/Postal Code
1784
Country
Bulgaria
Facility Name
Research site
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4N2
Country
Canada
Facility Name
Research site
City
St. John
State/Province
New Brunswick
ZIP/Postal Code
E2L 4L2
Country
Canada
Facility Name
Research site
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5W9
Country
Canada
Facility Name
Research site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Facility Name
Research site
City
Benesov
ZIP/Postal Code
256 01
Country
Czechia
Facility Name
Research site
City
Olomouc
ZIP/Postal Code
775 20
Country
Czechia
Facility Name
Research site
City
Aalborg
ZIP/Postal Code
9100
Country
Denmark
Facility Name
Research site
City
Herlev
ZIP/Postal Code
2730
Country
Denmark
Facility Name
Research site
City
Odense C
ZIP/Postal Code
5000
Country
Denmark
Facility Name
Research site
City
Freiburg
State/Province
Baden Wuerttemberg
ZIP/Postal Code
79106
Country
Germany
Facility Name
Research site
City
Gauting
State/Province
Bavaria
ZIP/Postal Code
82131
Country
Germany
Facility Name
Research site
City
Nuernberg
State/Province
Bavaria
ZIP/Postal Code
90419
Country
Germany
Facility Name
Research site
City
Hannover
State/Province
Lower Saxony
ZIP/Postal Code
30625
Country
Germany
Facility Name
Research site
City
Chemnitz
State/Province
Saxony
ZIP/Postal Code
9113
Country
Germany
Facility Name
Research site
City
Kiel
State/Province
Schleswig-Holstein
ZIP/Postal Code
24105
Country
Germany
Facility Name
Research site
City
Luebeck
State/Province
Schleswig-Holstein
ZIP/Postal Code
23538
Country
Germany
Facility Name
Research site 1
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Research site 2
City
Berlin
ZIP/Postal Code
10967
Country
Germany
Facility Name
Research site 1
City
Budapest
ZIP/Postal Code
1121
Country
Hungary
Facility Name
Research site 2
City
Budapest
ZIP/Postal Code
1121
Country
Hungary
Facility Name
Research site 3
City
Budapest
ZIP/Postal Code
1125
Country
Hungary
Facility Name
Research site
City
Farkasgyepu
ZIP/Postal Code
8582
Country
Hungary
Facility Name
Research site
City
Szekszard
ZIP/Postal Code
7100
Country
Hungary
Facility Name
Research site
City
Szolnok
ZIP/Postal Code
5000
Country
Hungary
Facility Name
Research site
City
Rozzano
State/Province
Milano
ZIP/Postal Code
20089
Country
Italy
Facility Name
Research site
City
Catania
ZIP/Postal Code
95123
Country
Italy
Facility Name
Research site
City
Genova
ZIP/Postal Code
16132
Country
Italy
Facility Name
Research site
City
Napoli
ZIP/Postal Code
80131
Country
Italy
Facility Name
Research site
City
Ravenna
ZIP/Postal Code
48121
Country
Italy
Facility Name
Research site
City
Reggio Emilia
ZIP/Postal Code
42100
Country
Italy
Facility Name
Research site
City
Roma
ZIP/Postal Code
168
Country
Italy
Facility Name
Research site
City
Torino
ZIP/Postal Code
10126
Country
Italy
Facility Name
Research site
City
Olsztyn
ZIP/Postal Code
10-357
Country
Poland
Facility Name
Research site
City
Poznan
ZIP/Postal Code
60-569
Country
Poland
Facility Name
Research site
City
Warszawa
ZIP/Postal Code
02-781
Country
Poland
Facility Name
Research site
City
Wodzislaw Slaski
ZIP/Postal Code
44-300
Country
Poland
Facility Name
Research site
City
Baia Mare
ZIP/Postal Code
430291
Country
Romania
Facility Name
Research site
City
Cluj-Napoca
ZIP/Postal Code
400015
Country
Romania
Facility Name
Research site
City
Cluj-Napoca
ZIP/Postal Code
400058
Country
Romania
Facility Name
Research site
City
Craiova
ZIP/Postal Code
200347
Country
Romania
Facility Name
Research site
City
Timisoara
ZIP/Postal Code
300210
Country
Romania
Facility Name
Research site
City
Badajoz
ZIP/Postal Code
6080
Country
Spain
Facility Name
Research site 1
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Research site 4
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Research site 3
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Research site 2
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Research site
City
Hull
State/Province
East Riding Of Yorkshire
ZIP/Postal Code
HU16 5JQ
Country
United Kingdom
Facility Name
Research site
City
London
State/Province
Greater London
ZIP/Postal Code
W1G 6AD
Country
United Kingdom
Facility Name
Research site
City
Sheffield
State/Province
South Yorkshire
ZIP/Postal Code
S10 2SJ
Country
United Kingdom
Facility Name
Research site
City
Glasgow
State/Province
Strathclyde
ZIP/Postal Code
G12 OYN
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Phase Ib/II Study of M3814 With Etoposide and Cisplatin in Small Cell Lung Cancer (SCLC) Extensive Disease (ED)

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