Safety and Pharmacokinetics of Tucatinib (MK-7119) in Chinese Participants With Cancer (MK-7119-002)
Primary Purpose
Metastatic HER2+ Advanced Breast Cancer, Breast Neoplasms, Gastric or Gastroesophageal Junction Adenocarcinoma (GEC)
Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Tucatinib
Sponsored by
About this trial
This is an interventional treatment trial for Metastatic HER2+ Advanced Breast Cancer
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed HER2+ advanced breast cancer, gastric or GEC, and colorectal cancer
- Have progressed at least one previous therapeutic regimen and either no longer are candidates for standard therapy, have no standard therapy available, or choose not to pursue standard therapy
- Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance within 7 days prior to allocation
- Has life expectancy >6 months in the opinion of the investigator
- Have measurable disease per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 as assessed by the local site investigator/radiologist
- Must test negative for hepatitis B surface antigen (HBsAg)
- If there is a history of hepatitis C virus (HCV) infection, has undetectable HCV viral load at screening
- For males, agree to be abstinent from heterosexual intercourse, or agree to use acceptable contraception, for the duration of study and 1 week after
- For females, is not pregnant or breastfeeding AND one of the following applies:
- Is not a woman of childbearing potential (WOCBP)
- Is a WOCBP and uses highly effective contraception and is not pregnant
Exclusion Criteria:
- History of prior cancer within <3 year, except for adequately treated basal cell or squamous cell carcinoma of the skin, cervical cancer in situ, or other in situ carcinomas which needs discussion between the investigator and the Sponsor
- Participants with leptomeningeal disease are excluded
- Has symptomatic central nervous system (CNS) metastases
- Has active human immunodeficiency virus (HIV), hepatitis B virus, or HCV infection
- Has had chemotherapy, immunotherapy, radioimmunotherapy, definitive radiation, or biological cancer therapy or treatment with an investigational product within 4 weeks (2 weeks for palliative radiation) before the first dose of study intervention
- Has an active infection requiring therapy
- Has refractory nausea/vomiting, chronic gastrointestinal disease, or significant bowel resection
- Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study
- Has a QTc prolongation
- Has uncontrolled illness including but not limited to ongoing symptomatic congestive heart failure (New York Heart Association [NYHA] Class III or IV heart failure), unstable angina pectoris, cardiac arrhythmia, and psychiatric illness that would limit compliance with study requirements
- Has had major surgery within 4 weeks prior to first dose of study intervention
- Is currently participating in another clinical trial
- Has psychiatric or substance abuse disorder
Sites / Locations
- Harbin Medical University Cancer Hospital-oncology of department ( Site 0010)
- Hunan Cancer Hospital-Digestion and Urology ( Site 0008)
- Jilin Cancer Hospital-oncology department ( Site 0007)
- Fudan University Shanghai Cancer Center-Oncology ( Site 0001)
- Tianjin Medical University Cancer Institute and Hospital-Gastric oncology ( Site 0005)
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Tucatinib Treatment
Arm Description
Chinese participants with HER2+ advanced breast cancer, gastric or gastroesophageal junction adenocarcinoma, or colorectal cancer receive tucatinib 300 mg by mouth twice daily during 21-day cycles. Treatment continues until there is evidence of unacceptable toxicity or documented progression.
Outcomes
Primary Outcome Measures
Percentage of participants with ≥1 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.
Percentage of participants discontinuing from study therapy due to 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.
Secondary Outcome Measures
Maximum plasma concentration (Cmax) of first dose of tucatinib
The Cmax of tucatinib will be determined after the first dose.
Time of maximum plasma concentration (Tmax) of first dose of tucatinib
The Tmax of tucatinib will be determined after the first dose.
Area under the plasma concentration time curve from dosing to 12 hours postdose (AUC0-12) of first dose of tucatinib
The AUC0-12 of tucatinib will be determined after the first dose.
Apparent plasma half-life (t½) of first dose of tucatinib
The t½ of tucatinib will be determined after the first dose.
Apparent clearance (CL/F) of first dose of tucatinib
The CL/F of tucatinib will be determined after the first dose.
Volume of distribution (Vz/F) of first dose of tucatinib
The Vz/F of tucatinib will be determined after the first dose.
Trough concentration (Ctrough) of tucatinib at steady state
The Ctrough of tucatinib will be determined at steady state.
Accumulation ratio of tucatinib at steady state
The accumulation ratio of tucatinib will be determined at steady state.
Cmax at steady state (Cmaxss) of tucatinib
The Cmaxss of tucatinib will be determined at steady state.
Tmax at steady state (Tmaxss) of tucatinib
The Tmaxss of tucatinib will be determined at steady state.
AUC0-12 at steady state (AUC0-12ss) of tucatinib
The AUC0-12ss of tucatinib will be determined at steady state.
t½ of tucatinib at steady state
The t½ of tucatinib will be determined at steady state.
CL/F at steady state (CL/Fss) of tucatinib
The CL/Fss of tucatinib will be determined at steady state.
Vz/F at steady state (Vz/Fss) of tucatinib
The Vz/Fss of tucatinib will be determined at steady state.
Objective Response Rate (ORR) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
ORR is defined as the percentage of participants who have a Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. The percentage of participants who experience a CR or PR based on RECIST 1.1 will be presented.
Duration of Response (DOR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
For participants who demonstrate a confirmed complete response (CR: Disappearance of all target lesions) or confirmed Partial Response (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 disease progression or death.
Full Information
NCT ID
NCT05382364
First Posted
May 16, 2022
Last Updated
February 21, 2023
Sponsor
Merck Sharp & Dohme LLC
1. Study Identification
Unique Protocol Identification Number
NCT05382364
Brief Title
Safety and Pharmacokinetics of Tucatinib (MK-7119) in Chinese Participants With Cancer (MK-7119-002)
Official Title
A Phase 1 Clinical Study to Investigate the Safety and Pharmacokinetics of Tucatinib (MK-7119) in China Participants With HER2+ Advanced Breast Cancer, Gastric or Gastroesophageal Junction Adenocarcinoma and Colorectal Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 29, 2022 (Actual)
Primary Completion Date
December 29, 2023 (Anticipated)
Study Completion Date
December 29, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck Sharp & Dohme LLC
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary purpose of this study is to characterize the safety and tolerability of tucatinib (MK-7119) in Chinese participants with human epidermal growth factor receptor 2 positive (HER2+) advanced breast cancer, gastric or gastroesophageal junction adenocarcinoma (GEC), and colorectal cancer.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic HER2+ Advanced Breast Cancer, Breast Neoplasms, Gastric or Gastroesophageal Junction Adenocarcinoma (GEC), Colorectal Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Tucatinib Treatment
Arm Type
Experimental
Arm Description
Chinese participants with HER2+ advanced breast cancer, gastric or gastroesophageal junction adenocarcinoma, or colorectal cancer receive tucatinib 300 mg by mouth twice daily during 21-day cycles. Treatment continues until there is evidence of unacceptable toxicity or documented progression.
Intervention Type
Drug
Intervention Name(s)
Tucatinib
Other Intervention Name(s)
MK-7119
Intervention Description
Tucatinib 150 mg and 50 mg tablets taken by mouth at a dose of 300 mg twice daily.
Primary Outcome Measure Information:
Title
Percentage of participants with ≥1 adverse event (AE)
Description
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.
Time Frame
Up to approximately 19 months
Title
Percentage of participants discontinuing from study therapy due to AE
Description
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.
Time Frame
Up to approximately 18 months
Secondary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax) of first dose of tucatinib
Description
The Cmax of tucatinib will be determined after the first dose.
Time Frame
Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Time of maximum plasma concentration (Tmax) of first dose of tucatinib
Description
The Tmax of tucatinib will be determined after the first dose.
Time Frame
Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Area under the plasma concentration time curve from dosing to 12 hours postdose (AUC0-12) of first dose of tucatinib
Description
The AUC0-12 of tucatinib will be determined after the first dose.
Time Frame
Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Apparent plasma half-life (t½) of first dose of tucatinib
Description
The t½ of tucatinib will be determined after the first dose.
Time Frame
Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Apparent clearance (CL/F) of first dose of tucatinib
Description
The CL/F of tucatinib will be determined after the first dose.
Time Frame
Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Volume of distribution (Vz/F) of first dose of tucatinib
Description
The Vz/F of tucatinib will be determined after the first dose.
Time Frame
Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Trough concentration (Ctrough) of tucatinib at steady state
Description
The Ctrough of tucatinib will be determined at steady state.
Time Frame
Cycle 1, Days 8 and 15: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Accumulation ratio of tucatinib at steady state
Description
The accumulation ratio of tucatinib will be determined at steady state.
Time Frame
Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Cmax at steady state (Cmaxss) of tucatinib
Description
The Cmaxss of tucatinib will be determined at steady state.
Time Frame
Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Tmax at steady state (Tmaxss) of tucatinib
Description
The Tmaxss of tucatinib will be determined at steady state.
Time Frame
Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
AUC0-12 at steady state (AUC0-12ss) of tucatinib
Description
The AUC0-12ss of tucatinib will be determined at steady state.
Time Frame
Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
t½ of tucatinib at steady state
Description
The t½ of tucatinib will be determined at steady state.
Time Frame
Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
CL/F at steady state (CL/Fss) of tucatinib
Description
The CL/Fss of tucatinib will be determined at steady state.
Time Frame
Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Vz/F at steady state (Vz/Fss) of tucatinib
Description
The Vz/Fss of tucatinib will be determined at steady state.
Time Frame
Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
Title
Objective Response Rate (ORR) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
Description
ORR is defined as the percentage of participants who have a Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. The percentage of participants who experience a CR or PR based on RECIST 1.1 will be presented.
Time Frame
Up to approximately 19 months
Title
Duration of Response (DOR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
Description
For participants who demonstrate a confirmed complete response (CR: Disappearance of all target lesions) or confirmed Partial Response (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 disease progression or death.
Time Frame
Up to approximately 19 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed HER2+ advanced breast cancer, gastric or GEC, and colorectal cancer
Have progressed at least one previous therapeutic regimen and either no longer are candidates for standard therapy, have no standard therapy available, or choose not to pursue standard therapy
Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance within 7 days prior to allocation
Has life expectancy >6 months in the opinion of the investigator
Have measurable disease per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 as assessed by the local site investigator/radiologist
Must test negative for hepatitis B surface antigen (HBsAg)
If there is a history of hepatitis C virus (HCV) infection, has undetectable HCV viral load at screening
For males, agree to be abstinent from heterosexual intercourse, or agree to use acceptable contraception, for the duration of study and 1 week after
For females, is not pregnant or breastfeeding AND one of the following applies:
Is not a woman of childbearing potential (WOCBP)
Is a WOCBP and uses highly effective contraception and is not pregnant
Exclusion Criteria:
History of prior cancer within <3 year, except for adequately treated basal cell or squamous cell carcinoma of the skin, cervical cancer in situ, or other in situ carcinomas which needs discussion between the investigator and the Sponsor
Participants with leptomeningeal disease are excluded
Has symptomatic central nervous system (CNS) metastases
Has active human immunodeficiency virus (HIV), hepatitis B virus, or HCV infection
Has had chemotherapy, immunotherapy, radioimmunotherapy, definitive radiation, or biological cancer therapy or treatment with an investigational product within 4 weeks (2 weeks for palliative radiation) before the first dose of study intervention
Has an active infection requiring therapy
Has refractory nausea/vomiting, chronic gastrointestinal disease, or significant bowel resection
Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study
Has a QTc prolongation
Has uncontrolled illness including but not limited to ongoing symptomatic congestive heart failure (New York Heart Association [NYHA] Class III or IV heart failure), unstable angina pectoris, cardiac arrhythmia, and psychiatric illness that would limit compliance with study requirements
Has had major surgery within 4 weeks prior to first dose of study intervention
Is currently participating in another clinical trial
Has psychiatric or substance abuse disorder
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
Facility Information:
Facility Name
Harbin Medical University Cancer Hospital-oncology of department ( Site 0010)
City
Harbin
State/Province
Heilongjiang
ZIP/Postal Code
150000
Country
China
Facility Name
Hunan Cancer Hospital-Digestion and Urology ( Site 0008)
City
Changsha
State/Province
Hunan
ZIP/Postal Code
421000
Country
China
Facility Name
Jilin Cancer Hospital-oncology department ( Site 0007)
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130012
Country
China
Facility Name
Fudan University Shanghai Cancer Center-Oncology ( Site 0001)
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Facility Name
Tianjin Medical University Cancer Institute and Hospital-Gastric oncology ( Site 0005)
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300060
Country
China
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
IPD Sharing URL
http://engagezone.msd.com/ds_documentation.php
Links:
URL
http://merckoncologyclinicaltrials.com
Description
Merck Oncology Clinical Trials Information
Learn more about this trial
Safety and Pharmacokinetics of Tucatinib (MK-7119) in Chinese Participants With Cancer (MK-7119-002)
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