18 and older, any sex, with 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.
Phase 1b: Number of Patients With Adverse Events as a Measure of Safety and TolerabilityPrimary· Cycle 1 (3 weeks), longer if DCR-MYC is continued; with 30 days follow-up after last dose
Part A: 3 patient cohorts with 50% dose increase between cohorts until study drug-related dose-limiting toxicity (DLT) during Cycle 1, then expand to 6 patients and move to Part B.
Part B: 3 to 6 patient cohorts with 25% dose increase between cohorts until \> 1 study drug-related DLT, then stop escalation.
Expand MTD cohort to 12 patients; tumor biopsies to be performed in this Phase 1b MTD Biopsy Cohort (6 patients).
Group
Value
95% CI
Cohort 1
3
Cohort 2
3
Cohort 3
3
Cohort 4
3
Cohort 5
6
Cohort 6
3
Cmax (ng/mL) - DCR-MYC Levels in Blood (Phase 1b Only): Dosing Day 1 and Day 8Secondary· Week 1 Day 1 AND Week 2 Day 8 Cycle PK Sampling Points: 0 min, 1/4 through infusion, 1/2 through infusion, end of infusion, 15 min, 30 min, 1h, 2h, 4h, 6h, 8h, 24h, Day 4
Samples to be collected Week 1 (Day 1, 2, and 4) and Week 2 (Day 8 and 11). A summary of outcome measures reported here are noncompartmental PK parameters (Cmax, dose-normalized Cmax (Cmax\_D), Tmax, AUClast, and dose-normalized AUClast (AUClast\_D)) for both infusion days (Day 1 and Day 8).
Collection of blood samples for cytokine measurements (Day 1, 2, and 4). No noteworthy increases were observed across dose groups or time for GM-CSF, IFNα, IFNɣ, or IL-1β. Changes that were observed for the other cytokines were not dose-dependent since they occurred sporadically and primarily in Cohorts 3 (0.3 mg/kg) and 4 (0.45 mg/kg). Pre-dose, 4 hours post-dose, and 24 hour post-dose results for TNF-α, IL-10, IL-6, IL-8, IL-1RA, and MCP-1 are summarized here.
TNF-α Pre-dose
Group
Value
95% CI
Cohort 1
2.3
± 1.3
Cohort 2
1.6
± 0
Cohort 3
4.1
± 0.7
Cohort 4
1.6
± 0
Cohort 5
3.1
± 3.0
Cohort 6
1.6
± 0
TNF-α 4 hour post-dose
Group
Value
95% CI
Cohort 1
1.6
± 0
Cohort 2
1.6
± 0
Cohort 3
15.9
± 16.6
Cohort 4
23.1
± 34.2
Cohort 5
1.6
± 0
Cohort 6
1.6
± 0
TNF-α 24 hour post-dose
Group
Value
95% CI
Cohort 1
1.6
± 0
Cohort 2
4.1
± 0.5
Cohort 3
4.5
± 1.2
Cohort 4
3.3
± 2.9
Cohort 5
2.4
± 1.7
Cohort 6
3.8
± 3.8
IL-10 pre-dose
Group
Value
95% CI
Cohort 1
317.5
± 60.9
Cohort 2
239.4
± 83.7
Cohort 3
741.1
± 46.7
Cohort 4
574.3
± 341.0
Cohort 5
670.2
± 369.4
Cohort 6
599.7
± 333.8
IL-10 4 hour post
Group
Value
95% CI
Cohort 1
241.1
± 61.3
Cohort 2
159.6
± 104.2
Cohort 3
933.1
± 427.2
Cohort 4
1316.7
± 1617.7
Cohort 5
527.1
± 225.5
Cohort 6
533.7
± 265.6
IL-10 24 hour post
Group
Value
95% CI
Cohort 1
322.5
± 152.9
Cohort 2
424.4
± 296.4
Cohort 3
939.3
± 939.3
Cohort 4
667.7
± 362.7
Cohort 5
541.8
± 240.9
Cohort 6
830.7
± 333.3
IL-6 pre-dose
Group
Value
95% CI
Cohort 1
1.6
± 0
Cohort 2
1.6
± 0
Cohort 3
1.6
± 0
Cohort 4
1.6
± 0
Cohort 5
1.6
± 0
Cohort 6
7.9
± 10.9
IL-6 4 hour post-dose
Group
Value
95% CI
Cohort 1
1.6
± 0
Cohort 2
1.6
± 0
Cohort 3
38.3
± 51.9
Cohort 4
133.7
± 228.7
Cohort 5
1.6
± 0
Cohort 6
4.7
± 5.3
Tmax (Hr) - DCR-MYC Levels in Blood (Phase 1b Only): Dosing Day 1 and Day 8Secondary· Week 1 Day 1 AND Week 2 Day 8 Cycle PK Sampling Points: 0 min, 1/4 through infusion, 1/2 through infusion, end of infusion, 15 min, 30 min, 1h, 2h, 4h, 6h, 8h, 24h, Day 4
Samples to be collected Week 1 (Day 1, 2, and 4) and Week 2 (Day 8 and 11). A summary of outcome measures reported here are noncompartmental PK parameters (Cmax, dose-normalized Cmax (Cmax\_D), Tmax, AUClast, and dose-normalized AUClast (AUClast\_D)) for both infusion days (Day 1 and Day 8).
Tmax: Day 1
Group
Value
95% CI
Cohort 1
2.4
± 0.14
Cohort 2
2.7
± 0.68
Cohort 3
2.6
± 0.27
Cohort 4
2.9
± 0.55
Cohort 5
2.3
± 0.26
Cohort 6
2.2
± 0.14
Tmax: Day 8
Group
Value
95% CI
Cohort 1
2.6
± 0.60
Cohort 2
2.4
± 0.13
Cohort 3
2.7
± 0.35
Cohort 4
2.2
± 0.24
Cohort 5
3.0
± 0.72
Cohort 6
2.2
± 0.24
Cmax_D (kg*ng/mL/mg) - DCR-MYC Levels in Blood (Phase 1b Only): Dosing Day 1 and Day 8Secondary· Week 1 Day 1 AND Week 2 Day 8 Cycle PK Sampling Points: 0 min, 1/4 through infusion, 1/2 through infusion, end of infusion, 15 min, 30 min, 1h, 2h, 4h, 6h, 8h, 24h, Day 4
Samples to be collected Week 1 (Day 1, 2, and 4) and Week 2 (Day 8 and 11). A summary of outcome measures reported here are noncompartmental PK parameters (Cmax, dose-normalized Cmax (Cmax\_D), Tmax, AUClast, and dose-normalized AUClast (AUClast\_D)) for both infusion days (Day 1 and Day 8).
Cmax_D: Day 1
Group
Value
95% CI
Cohort 1
16832
± 10192
Cohort 2
23952
± 17701
Cohort 3
20652
± 2482.5
Cohort 4
21794
± 9098.8
Cohort 5
28527
± 12076
Cohort 6
23384
± 4241.4
Cmax_D: Day 8
Group
Value
95% CI
Cohort 1
14045
± 475.74
Cohort 2
27525
± 16827
Cohort 3
22095
± 3852.7
Cohort 4
29964
± 5724.8
Cohort 5
30457
± 20247
Cohort 6
31931
± 10677
AUClast_D (hr*kg*ng/mL/mg) - DCR-MYC Levels in Blood (Phase 1b Only): Dosing Day 1 and Day 8Secondary· Week 1 Day 1 AND Week 2 Day 8 Cycle PK Sampling Points: 0 min, 1/4 through infusion, 1/2 through infusion, end of infusion, 15 min, 30 min, 1h, 2h, 4h, 6h, 8h, 24h, Day 4
Samples to be collected Week 1 (Day 1, 2, and 4) and Week 2 (Day 8 and 11). A summary of outcome measures reported here are noncompartmental PK parameters (Cmax, dose-normalized Cmax (Cmax\_D), Tmax, AUClast, and dose-normalized AUClast (AUClast\_D)) for both infusion days (Day 1 and Day 8).
AUClast_D: Day 1
Group
Value
95% CI
Cohort 1
178997
± 125460
Cohort 2
299295
± 312426
Cohort 3
197244
± 116908
Cohort 4
195133
± 56544
Cohort 5
290201
± 169069
Cohort 6
201529
± 45290
AUClast_D: Day 8
Group
Value
95% CI
Cohort 1
163478
± 109924
Cohort 2
739203
± 698459
Cohort 3
389653
± 293467
Cohort 4
350625
± 132910
Cohort 5
274941
± 168548
Cohort 6
383537
± 84286
AUClast (hr*ng/mL) - DCR-MYC Levels in Blood (Phase 1b Only): Dosing Day 1 and Day 8Secondary· Week 1 Day 1 AND Week 2 Day 8 Cycle PK Sampling Points: 0 min, 1/4 through infusion, 1/2 through infusion, end of infusion, 15 min, 30 min, 1h, 2h, 4h, 6h, 8h, 24h, Day 4
Samples to be collected Week 1 (Day 1, 2, and 4) and Week 2 (Day 8 and 11). A summary of outcome measures reported here are noncompartmental PK parameters (Cmax, dose-normalized Cmax (Cmax\_D), Tmax, AUClast, and dose-normalized AUClast (AUClast\_D)) for both infusion days (Day 1 and Day 8).
AUClast : Day 1
Group
Value
95% CI
Cohort 1
22375
± 15683
Cohort 2
59859
± 62485
Cohort 3
59173
± 35072
Cohort 4
87810
± 25445
Cohort 5
197337
± 114967
Cohort 6
171299
± 38496
AUClast : Day 8
Group
Value
95% CI
Cohort 1
20435
± 13741
Cohort 2
147841
± 139692
Cohort 3
116896
± 88040
Cohort 4
157781
± 59810
Cohort 5
186960
± 114612
Cohort 6
326006
± 71643
Adverse events — posted to ClinicalTrials.gov
Time frame: Throughout entire duration of the study (e.g., approximately 3 month period).
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Cohort 1
Serious: 1/3 (33%)
Deaths: 2/3
Cohort 2
Serious: 0/3 (0%)
Deaths: 0/3
Cohort 3
Serious: 0/3 (0%)
Deaths: 3/3
Cohort 4
Serious: 1/3 (33%)
Deaths: 1/3
Cohort 5
Serious: 2/6 (33%)
Deaths: 3/6
Cohort 6
Serious: 1/3 (33%)
Deaths: 2/3
Serious adverse events (8 terms)
Reaction
System
Cohort 1
Cohort 2
Cohort 3
Cohort 4
Cohort 5
Cohort 6
Spinal cord compression/ Spinal Cord Compression Due To Pathologic Fracture Of T1
Nervous system disorders
—
—
—
—
—
—
Oropharyngeal pain/ Sore Throat
Respiratory, thoracic and mediastinal disorders
—
—
—
—
—
—
Dyspnoea/ Increased Dyspnea
Respiratory, thoracic and mediastinal disorders
—
—
—
—
—
—
Influenza like illness/ Flu Like Symptom
General disorders
—
—
—
—
—
—
Acute coronary syndrome/ Acute Coronary Syndrome
Cardiac disorders
—
—
—
—
—
—
Cholangitis/ Cholangitis Due To Pd
Hepatobiliary disorders
—
—
—
—
—
—
Metastases to bone/ Osteolytic Jaw Lesion Due To Progression Disease
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
The purpose of this study is to assess the safety and tolerability of the investigational anticancer drug DCR-MYC. DCR-MYC is a novel synthetic double-stranded RNA in a stable lipid particle suspension that targets the oncogene MYC. MYC oncogene activation is important to the growth of many hematologic and solid tumor malignancies. In this study the Sponsor proposes to study DCR-MYC and its ability to inhibit MYC and thereby inhibit cancer cell growth.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Dicerna Pharmaceuticals, Inc., a Novo Nordisk company
Last refreshed: 11 July 2024
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/NCT02314052.