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NCT02278250

First in Human Study of M4344 in Participants With Advanced Solid Tumors

Completed Phase 1 Results posted Last updated 16 March 2023
What this trial tests

Phase 1 trial testing M4344 10 mg BIW in Solid Tumor in 97 participants. Completed in 24 September 2021.

Timeline
26 January 2015
Primary endpoint
16 June 2021
24 September 2021

Quick facts

Lead sponsorEMD Serono Research & Development Institute, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment97
Start date26 January 2015
Primary completion16 June 2021
Estimated completion24 September 2021
Sites16 locations across United Kingdom, Netherlands, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

EMD Serono Research & Development Institute, Inc. — full company profile →

Who can join

18 and older, any sex, with Solid Tumor or Advanced Solid Tumor. 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.

Part A: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Primary · up to safety follow-up visit (Week 124.9)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment. Therefore, an AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, regardless if it is considered related to the medicinal product. Serious AE: AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital

GroupValue95% CI
Part A: M4344 10 mg BIW2
Part A: M4344 20 mg BIW1
Part A: M4344 40 mg BIW2
Part A: M4344 80 mg BIW1
Part A: M4344 160 mg BIW1
Part A: M4344 300 mg BIW2
Part A: M4344 450 mg BIW4
Part A: M4344 700 mg BIW12
Part A: M4344 1050 mg BIW10
Part A: M4344 1200 mg BIW7
Part A: Number of Participants With Grade 3 or 4 (Greater Than [>] 20 Percent [%] of Total) in Laboratory Parameters Based on National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 (NCI-CTCAE v4.0) Primary · up to safety follow-up visit (Week 124.9)

Laboratory parameters: hematology and chemistry. Blood samples were collected for analysis of following hematology parameters: Hemoglobin, Erythrocytes, mean corpuscular hemoglobin (MCH), MCH concentration, Mean corpuscular volume, Reticulocytes, Platelets, Leukocytes, Eosinophils, Basophils, Neutrophils, Lymphocytes, Monocytes. Blood samples were collected for analysis of following chemistry parameters: Glucose, Blood urea nitrogen/Urea, Creatinine, Sodium, Potassium, Calcium, Chloride, Magnesium, Bicarbonate, Inorganic phosphate, Total bilirubin, Direct bilirubin, Total protein, Albumin, Cre

Hematology
GroupValue95% CI
Part A: M4344 10 mg BIW0
Part A: M4344 20 mg BIW0
Part A: M4344 40 mg BIW0
Part A: M4344 80 mg BIW0
Part A: M4344 160 mg BIW0
Part A: M4344 300 mg BIW0
Part A: M4344 450 mg BIW0
Part A: M4344 700 mg BIW0
Part A: M4344 1050 mg BIW0
Part A: M4344 1200 mg BIW0
Total Bilirubin
GroupValue95% CI
Part A: M4344 10 mg BIW0
Part A: M4344 20 mg BIW0
Part A: M4344 40 mg BIW0
Part A: M4344 80 mg BIW0
Part A: M4344 160 mg BIW0
Part A: M4344 300 mg BIW0
Part A: M4344 450 mg BIW0
Part A: M4344 700 mg BIW5
Part A: M4344 1050 mg BIW6
Part A: M4344 1200 mg BIW4
Part A: Number of Participants With Clinically Relevant Findings in Vital Signs Primary · up to safety follow-up visit (Week 124.9)

Vital signs included body temperature, heart rate, systolic and diastolic blood pressure and respiration rate. Number of participants with clinically relevant findings in vital signs were reported. Clinical relevance was decided by Investigator.

GroupValue95% CI
Part A: M4344 10 mg BIW0
Part A: M4344 20 mg BIW0
Part A: M4344 40 mg BIW0
Part A: M4344 80 mg BIW0
Part A: M4344 160 mg BIW0
Part A: M4344 300 mg BIW0
Part A: M4344 450 mg BIW0
Part A: M4344 700 mg BIW0
Part A: M4344 1050 mg BIW0
Part A: M4344 1200 mg BIW0
Part A: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECGs) Primary · up to safety follow-up visit (Week 124.9)

ECG parameters included PR interval, RR interval, QT interval, QRS duration, QTc intervals (derived using Fridericia's correction method) and heart rate. A 12-lead ECG was recorded with the participant in a supine position after a rest of at least 5 minutes using an ECG machine. Clinical significance was decided by investigator. Number of participants with clinically significant abnormalities in 12-Lead ECGs were reported.

GroupValue95% CI
Part A: M4344 10 mg BIW0
Part A: M4344 20 mg BIW0
Part A: M4344 40 mg BIW0
Part A: M4344 80 mg BIW0
Part A: M4344 160 mg BIW0
Part A: M4344 300 mg BIW0
Part A: M4344 450 mg BIW0
Part A: M4344 700 mg BIW1
Part A: M4344 1050 mg BIW0
Part A: M4344 1200 mg BIW1
Part A: Maximum Tolerated Dose (MTD) of M4344 Administered Twice Weekly (BIW) Primary · up to Cycle 1 (each cycle is of 21 days)

MTD as per NCI-CTCAE v4.0 is defined as highest dose for a given schedule at which there is no more than 1 dose- limiting toxicity (DLT) in 6 participants. DLT: as related/possibly drug-related: Neutropenia Grade (Gr)4 for \> 7 days duration/requiring hemopoietic growth factors; Febrile neutropenia; Infection with Gr3/4 neutropenia; Thrombocytopenia Gr3; Thrombocytopenia Gr4 for \> 7 days duration/requiring hemopoietic growth factors; Gr3/4 toxicity to organs other than bone marrow; Gr3/4 increase in bilirubin unless increase is due to inhibition of bilirubin glucuronidation; Death due to drug

GroupValue95% CI
Part A: M4344NA
Part A2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Primary · up to safety follow-up visit (Week 39)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment. Therefore, an AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, regardless if it is considered related to the medicinal product. Serious AE: AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital

GroupValue95% CI
Part A2: M4344 100 mg BID7
Part A2: M4344 150 mg QD5
Part A2: M4344 250 mg QD7
Part A2: M4344 350 mg QD7
Part A2: Number of Participants With Grade 3 or 4 (Greater Than [>] 20 Percent [%] of Total) in Laboratory Parameters Based on National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0) Primary · up to safety follow-up visit (Week 39)

Laboratory parameters: hematology and chemistry. Blood samples were collected for analysis of following hematology parameters: Hemoglobin, Erythrocytes, mean corpuscular hemoglobin (MCH), MCH concentration, Mean corpuscular volume, Reticulocytes, Platelets, Leukocytes, Eosinophils, Basophils, Neutrophils, Lymphocytes, Monocytes. Blood samples were collected for analysis of following chemistry parameters: Glucose, Blood urea nitrogen/Urea, Creatinine, Sodium, Potassium, Calcium, Chloride, Magnesium, Bicarbonate, Inorganic phosphate, Total bilirubin, Direct bilirubin, Total protein, Albumin, Cre

Low lymphocytes
GroupValue95% CI
Part A2: M4344 100 mg BID1
Part A2: M4344 150 mg QD1
Part A2: M4344 250 mg QD2
Part A2: M4344 350 mg QD3
Total Bilirubin
GroupValue95% CI
Part A2: M4344 100 mg BID3
Part A2: M4344 150 mg QD2
Part A2: M4344 250 mg QD3
Part A2: M4344 350 mg QD3
Aspartate Aminotransferase
GroupValue95% CI
Part A2: M4344 100 mg BID2
Part A2: M4344 150 mg QD1
Part A2: M4344 250 mg QD0
Part A2: M4344 350 mg QD4
Alanine Aminotransferase
GroupValue95% CI
Part A2: M4344 100 mg BID2
Part A2: M4344 150 mg QD2
Part A2: M4344 250 mg QD0
Part A2: M4344 350 mg QD3
Part A2: Number of Participants With Clinically Relevant Findings in Vital Signs Primary · up to safety follow-up visit (Week 39)

Vital signs included body temperature, heart rate, systolic and diastolic blood pressure and respiration rate. Number of participants with clinically relevant findings were reported. Clinical relevance was decided by Investigator.

GroupValue95% CI
Part A2: M4344 100 mg BID0
Part A2: M4344 150 mg QD0
Part A2: M4344 250 mg QD0
Part A2: M4344 350 mg QD0
Part A2: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECGs) Primary · up to safety follow-up visit (Week 39)

ECG parameters included PR interval, RR interval, QT interval, QRS duration, QTc intervals (derived using Fridericia's correction method) and heart rate. A 12-lead ECG was recorded with the participant in a supine position after a rest of at least 5 minutes using an ECG machine. Clinical Significance was determined by investigator. Number of participants with clinically significant abnormalities in 12-lead ECGs were reported.

GroupValue95% CI
Part A2: M4344 100 mg BID0
Part A2: M4344 150 mg QD0
Part A2: M4344 250 mg QD0
Part A2: M4344 350 mg QD0
Part A2: Maximum Tolerated Dose (MTD) of M4344 Administered With a Dose Dense Schedule Primary · up to Cycle 1 (each cycle is of 21 days)

MTD as per NCI-CTCAE v5.0 is defined as highest dose for a given schedule at which there is no more than 1 dose- limiting toxicity (DLT) in 6 participants. DLT: as related/possibly drug-related: Neutropenia Grade (Gr)4 for \> 7 days duration/requiring hemopoietic growth factors; Febrile neutropenia; Infection with Gr3/4 neutropenia; Thrombocytopenia Gr3; Thrombocytopenia Gr4 for \> 7 days duration/requiring hemopoietic growth factors; Gr3/4 toxicity to organs other than bone marrow; Gr3/4 increase in bilirubin unless increase is due to inhibition of bilirubin glucuronidation; Death due to drug

GroupValue95% CI
Part A2: M4344250
Part B1: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Primary · up to Safety follow-up (Week 92.3)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment. Therefore, an AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, regardless if it is considered related to the medicinal product. Serious AE: AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital

GroupValue95% CI
Part B1: M4344 350 mg + Carboplatin3
Part B1: M4344 400 mg + Carboplatin7
Part B1: M4344 500 mg + Carboplatin6
Part B1: Number of Participants With Grade 3 or 4 (Greater Than [>] 20 Percent [%] of Total) in Laboratory Parameters Based on National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 (NCI-CTCAE v4.0) Primary · up to Safety follow-up (Week 92.3)

Laboratory parameters: hematology and chemistry. Blood samples were collected for analysis of following hematology parameters: Hemoglobin, Erythrocytes, mean corpuscular hemoglobin (MCH), MCH concentration, Mean corpuscular volume, Reticulocytes, Platelets, Leukocytes, Eosinophils, Basophils, Neutrophils, Lymphocytes, Monocytes. Blood samples were collected for analysis of following chemistry parameters: Glucose, Blood urea nitrogen/Urea, Creatinine, Sodium, Potassium, Calcium, Chloride, Magnesium, Bicarbonate, Inorganic phosphate, Total bilirubin, Direct bilirubin, Total protein, Albumin, Cre

Neutrophils
GroupValue95% CI
Part B1: M4344 350 mg + Carboplatin1
Part B1: M4344 400 mg + Carboplatin1
Part B1: M4344 500 mg + Carboplatin5
Platelets
GroupValue95% CI
Part B1: M4344 350 mg + Carboplatin1
Part B1: M4344 400 mg + Carboplatin3
Part B1: M4344 500 mg + Carboplatin3
Low hemoglobin
GroupValue95% CI
Part B1: M4344 350 mg + Carboplatin1
Part B1: M4344 400 mg + Carboplatin4
Part B1: M4344 500 mg + Carboplatin1
Low Leukocytes
GroupValue95% CI
Part B1: M4344 350 mg + Carboplatin0
Part B1: M4344 400 mg + Carboplatin1
Part B1: M4344 500 mg + Carboplatin4
Low lymphocytes
GroupValue95% CI
Part B1: M4344 350 mg + Carboplatin1
Part B1: M4344 400 mg + Carboplatin3
Part B1: M4344 500 mg + Carboplatin1
Chemistry
GroupValue95% CI
Part B1: M4344 350 mg + Carboplatin0
Part B1: M4344 400 mg + Carboplatin0
Part B1: M4344 500 mg + Carboplatin0

Adverse events — posted to ClinicalTrials.gov

Time frame: Part A: up to Safety follow-up (Week 124.9), Part A2: up to Safety follow-up ( Week 39), Part B1: up to Safety follow-up (Week 92.3) and Part C: up to Safety follow-up (Week 31.1). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A: M4344 10 mg BIW
Serious: 1/2 (50%)
Deaths: 0/2
Part A: M4344 20 mg BIW
Serious: 0/1 (0%)
Deaths: 0/1
Part A: M4344 40 mg BIW
Serious: 1/2 (50%)
Deaths: 1/2
Part A: M4344 80 mg BIW
Serious: 0/1 (0%)
Deaths: 0/1
Part A: M4344 160 mg BIW
Serious: 1/1 (100%)
Deaths: 1/1
Part A: M4344 300 mg BIW
Serious: 0/2 (0%)
Deaths: 1/2
Part A: M4344 450 mg BIW
Serious: 2/4 (50%)
Deaths: 1/4
Part A: M4344 700 mg BIW
Serious: 6/12 (50%)
Deaths: 8/12
Part A: M4344 1050 mg BIW
Serious: 6/10 (60%)
Deaths: 3/10
Part A: M4344 1200 mg BIW
Serious: 4/7 (57%)
Deaths: 1/7
Part A2: M4344 100 mg BID
Serious: 5/7 (71%)
Deaths: 5/7
Part A2: M4344 150 mg QD
Serious: 1/5 (20%)
Deaths: 3/5
Part A2: M4344 250 mg QD
Serious: 2/7 (29%)
Deaths: 2/7
Part A2: M4344 350 mg QD
Serious: 5/7 (71%)
Deaths: 3/7
Part B1: M4344 350 mg + Carboplatin
Serious: 1/3 (33%)
Deaths: 1/3
Part B1: M4344 400 mg + Carboplatin
Serious: 4/7 (57%)
Deaths: 4/7
Part B1: M4344 500 mg + Carboplatin
Serious: 3/6 (50%)
Deaths: 2/6
Part C: M4344 250 mg QD
Serious: 7/13 (54%)
Deaths: 6/13

Serious adverse events (52 terms)

ReactionSystemPart A: M4344 10 mg BIWPart A: M4344 20 mg BIWPart A: M4344 40 mg BIWPart A: M4344 80 mg BIWPart A: M4344 160 mg BIWPart A: M4344 300 mg BIWPart A: M4344 450 mg BIWPart A: M4344 700 mg BIWPart A: M4344 1050 mg BIWPart A: M4344 1200 mg BIWPart A2: M4344 100 mg BIDPart A2: M4344 150 mg QDPart A2: M4344 250 mg QDPart A2: M4344 350 mg QDPart B1: M4344 350 mg + Ca…Part B1: M4344 400 mg + Ca…Part B1: M4344 500 mg + Ca…Part C: M4344 250 mg QD
Blood bilirubin increasedInvestigations
Disease progressionGeneral disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
HyperbilirubinaemiaHepatobiliary disorders
HypersensitivityImmune system disorders
Upper respiratory tract infectionInfections and infestations
UrosepsisInfections and infestations
FallInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Colorectal cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cauda equina syndromeNervous system disorders
Acute kidney injuryRenal and urinary disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
PancreatitisGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
FatigueGeneral disorders
Other adverse events (163 terms — click to expand)

ReactionSystemPart A: M4344 10 mg BIWPart A: M4344 20 mg BIWPart A: M4344 40 mg BIWPart A: M4344 80 mg BIWPart A: M4344 160 mg BIWPart A: M4344 300 mg BIWPart A: M4344 450 mg BIWPart A: M4344 700 mg BIWPart A: M4344 1050 mg BIWPart A: M4344 1200 mg BIWPart A2: M4344 100 mg BIDPart A2: M4344 150 mg QDPart A2: M4344 250 mg QDPart A2: M4344 350 mg QDPart B1: M4344 350 mg + Ca…Part B1: M4344 400 mg + Ca…Part B1: M4344 500 mg + Ca…Part C: M4344 250 mg QD
Aspartate aminotransferase increasedInvestigations
Alanine aminotransferase increasedInvestigations
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Blood bilirubin increasedInvestigations
AnaemiaBlood and lymphatic system disorders
FatigueGeneral disorders
Blood alkaline phosphatase increasedInvestigations
ConstipationGastrointestinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
HyperbilirubinaemiaHepatobiliary disorders
Urinary tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
DyspepsiaGastrointestinal disorders
Non-cardiac chest painGeneral disorders
Oedema peripheralGeneral disorders
PainGeneral disorders
JaundiceHepatobiliary disorders
Gamma-glutamyltransferase increasedInvestigations
DehydrationMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
LymphadenopathyBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
VertigoEar and labyrinth disorders
Ocular hyperaemiaEye disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Dry mouthGastrointestinal disorders

Most-reported serious reactions: Blood bilirubin increased, Disease progression, Pyrexia, Diarrhoea, Neutropenia, Abdominal pain, Nausea, Upper gastrointestinal haemorrhage.

Data from ClinicalTrials.gov NCT02278250 adverse events section.

Sponsor's own description

The purpose of this study was to evaluate the safety and tolerability of multiple ascending doses of single-agent M4344 administered twice-weekly (BIW), twice daily (BID) or once daily dose schedule in participants with advanced solid tumors. This investigation is a three part study examining M4344 alone and in combination with carboplatin to determine the safety and maximum tolerated dose.

Publications & conference data

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

  1. State-of-the-art strategies for targeting the DNA damage response in cancer.
    Pilié PG, Tang C, Mills GB, Yap TA. · · 2019 · cited 876× · PMID 30356138 · DOI 10.1038/s41571-018-0114-z
  2. Tumor biomarkers for diagnosis, prognosis and targeted therapy.
    Zhou Y, Tao L, Qiu J, Xu J, et al · · 2024 · cited 379× · PMID 38763973 · DOI 10.1038/s41392-024-01823-2
  3. Drug repurposing for cancer therapy.
    Xia Y, Sun M, Huang H, Jin WL. · · 2024 · cited 229× · PMID 38637540 · DOI 10.1038/s41392-024-01808-1
  4. Advances in synthetic lethality for cancer therapy: cellular mechanism and clinical translation.
    Topatana W, Juengpanich S, Li S, Cao J, et al · · 2020 · cited 128× · PMID 32883316 · DOI 10.1186/s13045-020-00956-5
  5. Ataxia telangiectasia and Rad3-related inhibitors and cancer therapy: where we stand.
    Mei L, Zhang J, He K, Zhang J. · · 2019 · cited 104× · PMID 31018854 · DOI 10.1186/s13045-019-0733-6
  6. Progress towards a clinically-successful ATR inhibitor for cancer therapy.
    Barnieh FM, Loadman PM, Falconer RA. · · 2021 · cited 97× · PMID 34909652 · DOI 10.1016/j.crphar.2021.100017
  7. Novel and Highly Potent ATR Inhibitor M4344 Kills Cancer Cells With Replication Stress, and Enhances the Chemotherapeutic Activity of Widely Used DNA Damaging Agents.
    Jo U, Senatorov IS, Zimmermann A, Saha LK, et al · · 2021 · cited 83× · PMID 34045232 · DOI 10.1158/1535-7163.mct-20-1026
  8. Development of synthetic lethality in cancer: molecular and cellular classification.
    Li S, Topatana W, Juengpanich S, Cao J, et al · · 2020 · cited 82× · PMID 33077733 · DOI 10.1038/s41392-020-00358-6

Verify or expand the search:

Other recruiting trials for Solid Tumor

Currently open trials in the same condition.

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Data sources for this page

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