Last reviewed · How we verify

NCT03718091

M6620 (VX-970) in Selected Solid Tumors

Completed Phase 2 Results posted Last updated 7 July 2023
What this trial tests

Phase 2 trial testing M6620 in Solid Tumor in 30 participants. Completed in 8 July 2020.

Timeline
8 January 2019
Primary endpoint
1 June 2020
8 July 2020

Quick facts

Lead sponsorMassachusetts General Hospital
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment30
Start date8 January 2019
Primary completion1 June 2020
Estimated completion8 July 2020
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Massachusetts General Hospital

Who can join

12 and older, any sex, with Solid Tumor or Leiomyosarcoma. 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.

Changes in Phospho-Chk1 Levels in Biopsy Specimens Primary · Baseline, Day 15

Changes in the levels of Phospho-Chk1 in biopsy specimens of patients treated with M6620 monotherapy from baseline to cycle 1 day 15. This is a pharmacodynamic endpoint to evaluate target engagement. Results are in percent change of Phospho-Chk1 levels from baseline versus on-treatment biopsies.

GroupValue95% CI
Cohort T1: ATRX-mutant Leiomyosarcoma156-45 – 511
Cohort T2: Truncating ATM Mutation196131 – 272
Cohort T3: Other HR Gene Mutations89-36 – 603
Cohort T4: SDH-Mutant GIST8484 – 84
Change in yH2AX Levels in Biopsy Specimens Primary · Baseline, Day 15

Changes in the levels of yH2AX in biopsy specimens of patients treated with M6620 monotherapy from baseline to cycle 1 day 15.

GroupValue95% CI
Cohort T1: ATRX-mutant Leiomyosarcoma-36.8-83.9 – 820.4
Cohort T2: Truncating ATM Mutation142.2-40.5 – 395.9
Cohort T3: Other HR Gene Mutations-34.3-50.9 – 114.5
Cohort T4: SDH-Mutant GIST-30.8-30.8 – -30.8
Disease Control Rate Primary · 16 weeks

The number of participants that achieve either Stable Disease (SD), Partial Response (PR), or Complete Response (CR) at 16 weeks. * Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. * Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. * Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diamet

GroupValue95% CI
Cohort T1: ATRX-mutant Leiomyosarcoma0
Cohort T2: Truncating ATM Mutation0
Cohort T3: Other HR Gene Mutations0
Cohort T4: SDH-Mutant GIST2
Number of Participants With Treatment Related Serious Adverse Events Secondary · AE data was collected from cycle 1 day 1 until 30 days after last dose or resolution of the AE.

Adverse events will be assessed using Common Terminology Criteria for Adverse Events (CTCAE 5.0)

GroupValue95% CI
Cohort T1-T4 (Analyzed Together for AEs)12

Adverse events — posted to ClinicalTrials.gov

Time frame: AE data was collected from cycle 1 day 1 until 30 days after last dose or resolution of the AE. The study length for collection of AEs was 575 days total.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohorts T1-4
Serious: 12/29 (41%)
Deaths: 1/29

Serious adverse events (8 terms)

ReactionSystemCohorts T1-4
grade 3 ALT increaseHepatobiliary disorders
grade 3 AST increaseHepatobiliary disorders
grade 2 alkaline phosphatase increaseHepatobiliary disorders
grade 4 elevated ASTHepatobiliary disorders
elevated bilirubinHepatobiliary disorders
grade 3 anemiaBlood and lymphatic system disorders
grade 3 anaphylaxisImmune system disorders
grade 3 febrile neutropeniaBlood and lymphatic system disorders

Most-reported serious reactions: grade 3 ALT increase, grade 3 AST increase, grade 2 alkaline phosphatase increase, grade 4 elevated AST, elevated bilirubin, grade 3 anemia, grade 3 anaphylaxis, grade 3 febrile neutropenia.

Data from ClinicalTrials.gov NCT03718091 adverse events section.

Sponsor's own description

This research study is studying a drug called M6620 as a possible treatment for advanced solid tumor.

Publications & conference data

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

  1. The SWI/SNF complex in cancer - biology, biomarkers and therapy.
    Mittal P, Roberts CWM. · · 2020 · cited 537× · PMID 32303701 · DOI 10.1038/s41571-020-0357-3
  2. Triple‑negative breast cancer therapy: Current and future perspectives (Review).
    Won KA, Spruck C. · · 2020 · cited 351× · PMID 33174058 · DOI 10.3892/ijo.2020.5135
  3. DNA Repair Pathways in Cancer Therapy and Resistance.
    Li LY, Guan YD, Chen XS, Yang JM, et al · · 2020 · cited 254× · PMID 33628188 · DOI 10.3389/fphar.2020.629266
  4. Clinical sequencing of soft tissue and bone sarcomas delineates diverse genomic landscapes and potential therapeutic targets.
    Nacev BA, Sanchez-Vega F, Smith SA, Antonescu CR, et al · · 2022 · cited 174× · PMID 35705560 · DOI 10.1038/s41467-022-30453-x
  5. DNA damage response revisited: the p53 family and its regulators provide endless cancer therapy opportunities.
    Abuetabh Y, Wu HH, Chai C, Al Yousef H, et al · · 2022 · cited 159× · PMID 36207426 · DOI 10.1038/s12276-022-00863-4
  6. Phase 1 study of the ATR inhibitor berzosertib (formerly M6620, VX-970) combined with gemcitabine ± cisplatin in patients with advanced solid tumours.
    Middleton MR, Dean E, Evans TRJ, Shapiro GI, et al · · 2021 · cited 100× · PMID 34040175 · DOI 10.1038/s41416-021-01405-x
  7. 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
  8. Pathogenesis and Current Treatment of Osteosarcoma: Perspectives for Future Therapies.
    Rathore R, Van Tine BA. · · 2021 · cited 81× · PMID 33809018 · DOI 10.3390/jcm10061182

Verify or expand the search:

Other trials of M6620

Trials testing the same drug.

Other recruiting trials for Solid Tumor

Currently open trials in the same condition.

Other Massachusetts General Hospital 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/NCT03718091.

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