Last reviewed · How we verify

NCT01668017

A Multicentre, Open Label, Phase 1 Trial in Japan of the Mitogen Activated Protein Extracellular Signal Regulated Kinase (MEK) Inhibitor Pimasertib Given Orally to Subjects With Solid Tumors as Monotherapy

Terminated Phase 1 Results posted Last updated 23 August 2017
What this trial tests

Phase 1 trial testing Pimasertib in Advanced Solid Tumors in 26 participants. Terminated before completion.

Timeline
30 September 2012
Primary endpoint
31 May 2015
31 May 2015

Quick facts

Lead sponsorMerck KGaA, Darmstadt, Germany
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment26
Start date30 September 2012
Primary completion31 May 2015
Estimated completion31 May 2015
Sites1 location across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Merck KGaA, Darmstadt, Germany — full company profile →

Who can join

18 and older, any sex, with Advanced Solid Tumors or Hepatocellular Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Subjects Who Experienced at Least One Dose Limiting Toxicity (DLT) Primary · During Treatment Cycle 1 (Day 1 to 21)

DLT defined using National Cancer Institute Common Toxicity Criteria for Adverse Events Version 3.0 (NCI CTCAE v3.0): any of following toxicities possibly/probably related to study drug: Any non-hematological toxicity of Grade 3 or higher (excluding Grade 3 asymptomatic rise in liver function tests (aspartate aminotransferase \[AST\], alanine aminotransferase \[ALT\], alkaline phosphatase \[ALP\], gamma-glutamyl transferase \[GGT\] reversible in 7 days for subjects with solid tumor and without liver involvement, or Grade 4 for subjects with HCC or with liver involvement; Grade 3 or 4 asymptoma

GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor0
Part 1: Pimasertib 45 mg in Solid Tumor0
Part 1: Pimasertib 60 mg in Solid Tumor2
Part 1: Pimasertib 30 mg in HCC1
Part 1: Pimasertib 45 mg in HCC1
Number of Subjects Who Experienced Treatment-Emergent Adverse Events (TEAEs) or Serious TEAEs Secondary · Baseline up to 30 days post last dose of study drug; assessed maximum up to 39.4 weeks

An adverse event (AE) was defined as any untoward medical occurrence which does not necessarily have a causal relationship with this the study drug. An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disabi

TEAEs
GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor4
Part 1: Pimasertib 45 mg in Solid Tumor9
Part 1: Pimasertib 60 mg in Solid Tumor6
Part 1: Pimasertib 30 mg in HCC5
Part 1: Pimasertib 45 mg in HCC2
Serious TEAEs
GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor2
Part 1: Pimasertib 45 mg in Solid Tumor2
Part 1: Pimasertib 60 mg in Solid Tumor2
Part 1: Pimasertib 30 mg in HCC2
Part 1: Pimasertib 45 mg in HCC0
Maximum Observed Concentration (Cmax) of Pimasertib on Cycle 1 Day 1 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 1
GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor162.4± 113.1
Part 1: Pimasertib 45 mg in Solid Tumor222.1± 45.2
Part 1: Pimasertib 60 mg in Solid Tumor288.3± 52.1
Part 1: Pimasertib 30 mg in HCC167.6± 26.3
Maximum Observed Concentration (Cmax) of Part 1: Pimasertib 45 mg in HCC Arm on Cycle 1 Day 1 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 1

The summarized data was not available for this arm therefore individual data was presented.

Subject 1
GroupValue95% CI
Part 1: Pimasertib 45 mg in HCC225
Subject 2
GroupValue95% CI
Part 1: Pimasertib 45 mg in HCC281
Maximum Observed Concentration (Cmax) of Pimasertib on Cycle 1 Day 15 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 15

Data were not reported for "Part 1: Pimasertib 45 mg in HCC" arm as there were no PK samples collected for this arm.

GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor199.5± 58.9
Part 1: Pimasertib 45 mg in Solid Tumor231.6± 66.1
Part 1: Pimasertib 60 mg in Solid Tumor336.3± 30.8
Maximum Observed Concentration (Cmax) of Part 1: Pimasertib 30 mg in HCC Arm on Cycle 1 Day 15 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 15

The summarized data was not available for this arm therefore individual data was presented.

Subject 1
GroupValue95% CI
Part 1: Pimasertib 30 mg in HCC320
Subject 2
GroupValue95% CI
Part 1: Pimasertib 30 mg in HCC419
Time to Reach Maximum Concentration (Tmax) on Cycle 1 Day 1 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 1
GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor2.4500.48 – 4.00
Part 1: Pimasertib 45 mg in Solid Tumor1.4800.48 – 7.98
Part 1: Pimasertib 60 mg in Solid Tumor1.7100.97 – 2.43
Part 1: Pimasertib 30 mg in HCC1.0000.95 – 2.57
Time to Reach Maximum Concentration (Tmax) of Part 1: Pimasertib 45 mg in HCC Arm on Cycle 1 Day 1 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 1

The summarized data was not available for this arm therefore individual data was presented.

Subject 1
GroupValue95% CI
Part 1: Pimasertib 45 mg in HCC1.47
Subject 2
GroupValue95% CI
Part 1: Pimasertib 45 mg in HCC1.92
Time to Reach Maximum Concentration (Tmax) on Cycle 1 Day 15 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 15

Data were not reported for "Part 1: Pimasertib 45 mg In HCC" arm as there were no PK samples collected for this arm.

GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor1.8051.00 – 2.48
Part 1: Pimasertib 45 mg in Solid Tumor1.9101.00 – 2.48
Part 1: Pimasertib 60 mg in Solid Tumor2.5501.50 – 5.88
Time to Reach Maximum Concentration (Tmax) of Part 1: Pimasertib 30 mg in HCC Arm on Cycle 1 Day 15 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 15

The summarized data was not available for this arm therefore individual data was presented.

Subject 1
GroupValue95% CI
Part 1: Pimasertib 30 mg in HCC0.98
Subject 2
GroupValue95% CI
Part 1: Pimasertib 30 mg in HCC0.95
Area Under the Concentration Over Time (AUCt) at Cycle 1 Day 1 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 1
GroupValue95% CI
Part 1: Pimasertib 30 mg in Solid Tumor703.0± 73.8
Part 1: Pimasertib 45 mg in Solid Tumor862.4± 42.8
Part 1: Pimasertib 60 mg in Solid Tumor1626.9± 43.6
Part 1: Pimasertib 30 mg in HCC911.4± 27.3
Area Under the Concentration Over Time (AUCt) of Part 1: Pimasertib 45 mg in HCC Arm on Cycle 1 Day 1 Secondary · Cycle 1: Pre-morning dose, 0.5, 1, 1.5, 2, 2.5, 4, 6, 8, hours post dose, pre-evening dose (Hour 12) at Day 1

The summarized data was not available for this arm therefore individual data was presented.

Subject 1
GroupValue95% CI
Part 1: Pimasertib 45 mg in HCC1754
Subject 2
GroupValue95% CI
Part 1: Pimasertib 45 mg in HCC1430

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to 30 days post last dose of study drug; assessed maximum up to 39.4 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: Pimasertib 30 mg in Solid Tumor
Serious: 2/4 (50%)
Deaths:
Part 1: Pimasertib 45 mg in Solid Tumor
Serious: 2/9 (22%)
Deaths:
Part 1: Pimasertib 60 mg in Solid Tumor
Serious: 2/6 (33%)
Deaths:
Part 1: Pimasertib 30 mg in HCC
Serious: 2/5 (40%)
Deaths:
Part 1: Pimasertib 45 mg in HCC
Serious: 0/2 (0%)
Deaths:

Serious adverse events (8 terms)

ReactionSystemPart 1: Pimasertib 30 mg i…Part 1: Pimasertib 45 mg i…Part 1: Pimasertib 60 mg i…Part 1: Pimasertib 30 mg i…Part 1: Pimasertib 45 mg i…
PyrexiaGeneral disorders
Disease progressionGeneral disorders
General physical health deteriorationGeneral disorders
Jaundice cholestaticHepatobiliary disorders
Liver disorderHepatobiliary disorders
InfectionInfections and infestations
Muscular weaknessMusculoskeletal and connective tissue disorders
Pulmonary haemorrhageRespiratory, thoracic and mediastinal disorders
Other adverse events (96 terms — click to expand)

ReactionSystemPart 1: Pimasertib 30 mg i…Part 1: Pimasertib 45 mg i…Part 1: Pimasertib 60 mg i…Part 1: Pimasertib 30 mg i…Part 1: Pimasertib 45 mg i…
Retinal detachmentEye disorders
Vision blurredEye disorders
Blood creatine phosphokinase increasedInvestigations
Dermatitis acneiformSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
Oedema peripheralGeneral disorders
Aspartate aminotransferase increasedInvestigations
StomatitisGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
Dry skinSkin and subcutaneous tissue disorders
Retinal haemorrhageEye disorders
ConstipationGastrointestinal disorders
AscitesGastrointestinal disorders
Localised oedemaGeneral disorders
FatigueGeneral disorders
Alanine aminotransferase increasedInvestigations
Blood alkaline phosphatase increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
HypoalbuminaemiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
DeliriumPsychiatric disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Pericardia effusionCardiac disorders
Visual impairmentEye disorders
Macular oedemaEye disorders
Ocular hypertensionEye disorders
Retinal tearEye disorders
Macular detachmentEye disorders
MetamorphopsiaEye disorders
Visual acuity reducedEye disorders

Most-reported serious reactions: Pyrexia, Disease progression, General physical health deterioration, Jaundice cholestatic, Liver disorder, Infection, Muscular weakness, Pulmonary haemorrhage.

Data from ClinicalTrials.gov NCT01668017 adverse events section.

Sponsor's own description

This is a two-part trial. "Solid tumor" in this protocol means solid tumor excluding hepatocellular carcinoma (HCC). Part 1: Dose Escalation Phase in subjects with solid tumor (Cohort A) and HCC (Cohort B). The dose will be increased from 45 mg twice a day (BID) with 3+3 cohort method up to the recommended phase 2 dose (RP2D) of pimasertib established as single agent in the global studies for each arm independently. Part 2: The Maximum Tolerated Dose (MTD) defined in Part 1 will be confirmed in more subjects in Cohort A (N=18) and Cohort B (N=6) separately. Following the recommendation by the Safety Monitoring Committee, Cohort B was discontinued due to hepatocellular carcinoma (HCC) and there will be no further enrollment of subjects to this cohort. This decision is based upon review of safety and efficacy information.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Harnessing the immune system against cancer: current immunotherapy approaches and therapeutic targets.
    Kumar AR, Devan AR, Nair B, Vinod BS, et al · · 2021 · cited 98× · PMID 34671902 · DOI 10.1007/s11033-021-06752-9
  2. Natural products targeting the MAPK-signaling pathway in cancer: overview.
    Shi A, Liu L, Li S, Qi B. · · 2024 · cited 40× · PMID 38193944 · DOI 10.1007/s00432-023-05572-7
  3. New targeted therapies in pancreatic cancer.
    Seicean A, Petrusel L, Seicean R. · · 2015 · cited 38× · PMID 26034349 · DOI 10.3748/wjg.v21.i20.6127
  4. New landscapes and horizons in hepatocellular carcinoma therapy.
    Cervello M, Emma MR, Augello G, Cusimano A, et al · · 2020 · cited 37× · PMID 32018226 · DOI 10.18632/aging.102777

Verify or expand the search:

Other trials of Pimasertib

Trials testing the same drug.

Other recruiting trials for Advanced Solid Tumors

Currently open trials in the same condition.

Other Merck KGaA, Darmstadt, Germany trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01668017.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing