RecruitingPhase 1Phase 2NCT06428409

A Clinical Study of MK-2870 Alone or With Other Treatments to Treat Gastrointestinal Cancers (MK-9999-02A)

A Phase 1/2 Study to Evaluate the Safety and Efficacy of MK-2870 Monotherapy or in Combination With Other Anticancer Agents in Gastrointestinal Cancers


Sponsor

Merck Sharp & Dohme LLC

Enrollment

220 participants

Start Date

Jun 20, 2024

Study Type

INTERVENTIONAL

Summary

Researchers want to learn if sacituzumab tirumotecan (MK-2870) alone or with other treatments can treat certain gastrointestinal (GI) cancers. The GI cancers being studied are either advanced (the cancer has spread to other parts of the body), or unresectable (the cancer cannot be removed with surgery). The goals of this study are to learn: * About the safety of sacituzumab tirumotecan alone or with other treatments and if people tolerate it * How many people have the cancer respond (get smaller or go away) to treatment


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Has one of the following cancers:
  • Unresectable or metastatic colorectal cancer and has received prior therapy for the cancer
  • Advanced or metastatic pancreatic ductal adenocarcinoma (PDAC) and has received prior therapy for the cancer
  • Advanced and/or unresectable biliary tract cancer (BTC) and has received prior therapy for the cancer
  • Advanced and/or unresectable BTC and has not received prior therapy for the cancer
  • For participants who have received prior therapy for cancer: Has recovered from any side effects due to previous cancer treatment

Exclusion Criteria3

  • History of severe eye disease
  • For participants who have received prior therapy for cancer: Received prior systemic anticancer therapy including investigational agents within 4 weeks before starting study intervention
  • History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease

Interventions

BIOLOGICALSacituzumab tirumotecan

Given by IV infusion.

DRUGFluorouracil (5-FU)

5-FU is administered by IV infusion over 46 to 48 hours every 2 weeks.

DRUGLeucovorin (LV) or levoleucovorin

LV or levoleucovorin is administered by IV infusion every 2 weeks.

DRUGRescue medication

Participants receive the following rescue medications, per approved product label, as premedication to study treatment to prevent hypersensitivity and/or infusion reactions: diphenhydramine (or equivalent histamine-1 \[H1\] receptor antagonist), H2 receptor antagonist, acetaminophen or equivalent, and dexamethasone or equivalent infusion. A steroid mouthwash (dexamethasone or equivalent) will be given as prophylaxis for stomatitis/oral mucositis.

DRUGSupportive care measures

Participants are allowed to take supportive care measures for the management of adverse events associated with study intervention at the discretion of the investigator. Supportive care measures may include but are not limited to antidiarrheal agents and antiemetic agents. Artificial tear drops or gel may be given as supportive care for Ocular Surface Toxicity.

DRUGCisplatin

Given by IV infusion.

BIOLOGICALPembrolizumab

Given by IV infusion.


Locations(55)

UCLA ( Site 0317)

Los Angeles, California, United States

University of Colorado Anschutz Medical Campus ( Site 0299)

Aurora, Colorado, United States

University of Colorado Anschutz Medical Campus ( Site 0325)

Aurora, Colorado, United States

University of Colorado Anschutz Medical Campus ( Site 0326)

Aurora, Colorado, United States

Sibley Memorial Hospital ( Site 0310)

Washington D.C., District of Columbia, United States

University of Florida College of Medicine ( Site 0281)

Gainesville, Florida, United States

Mount Sinai Cancer Center ( Site 0287)

Miami Beach, Florida, United States

Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital ( Site 0303)

Marietta, Georgia, United States

Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 0327)

Mineola, New York, United States

Laura and Isaac Perlmutter Cancer Center at NYU Langone ( Site 0324)

New York, New York, United States

University of Texas MD Anderson Cancer Center ( Site 0316)

Houston, Texas, United States

Oncology and Hematology Associates of Southwest Virginia (BRCC) ( Site 0295)

Roanoke, Virginia, United States

University Hospital and UW Health Clinics-Carbone Cancer Center ( Site 0293)

Madison, Wisconsin, United States

Westmead Hospital ( Site 0003)

Westmead, New South Wales, Australia

Royal Brisbane and Women's Hospital-Medical Oncology Clinical Trials Unit, Cancer Care Services ( Site 0001)

Brisbane, Queensland, Australia

Epworth Freemasons ( Site 0005)

East Melbourne, Victoria, Australia

Frankston Hospital-Oncology and Haematology ( Site 0004)

Frankston, Victoria, Australia

One Clinical Research ( Site 0002)

Nedlands, Western Australia, Australia

The Ottawa Hospital Cancer Centre ( Site 0027)

Ottawa, Ontario, Canada

Centre Hospitalier de l'Université de Montréal-Unit for Innovative Therapies ( Site 0022)

Montreal, Quebec, Canada

McGill University Health Centre ( Site 0023)

Montreal, Quebec, Canada

FALP-UIDO ( Site 0041)

Providencia, Region M. de Santiago, Chile

Clínica UC San Carlos de Apoquindo ( Site 0043)

Santiago, Region M. de Santiago, Chile

Bradfordhill-Clinical Area ( Site 0047)

Santiago, Region M. de Santiago, Chile

James Lind Centro de Investigacion del Cancer ( Site 0048)

Temuco, Región de la Araucanía, Chile

Beijing Cancer hospital-Digestive Oncology ( Site 0061)

Beijing, Beijing Municipality, China

The 900th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army ( Site 0063)

Fuzhou, Fujian, China

Wuhan Union Hospital Cancer Center. ( Site 0064)

Wuhan, Hubei, China

Hunan Cancer Hospital-intervention department ( Site 0066)

Changsha, Hunan, China

Renji Hospital Shanghai Jiao Tong University School of Medicine-Oncology Department ( Site 0067)

Shanghai, Shanghai Municipality, China

West China Hospital, Sichuan University ( Site 0068)

Chengdu, Sichuan, China

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 0101)

Milan, Lombardy, Italy

ASST Grande Ospedale Metropolitano Niguarda ( Site 0102)

Milan, Lombardy, Italy

Fondazione Policlinico Universitario Agostino Gemelli IRCCS -Medical Oncology ( Site 0103)

Roma, Italy

National Cancer Center Hospital East ( Site 0121)

Kashiwa, Chiba, Japan

Kanagawa Cancer Center ( Site 0122)

Yokohama, Kanagawa, Japan

Seoul National University Hospital ( Site 0161)

Seoul, South Korea

Severance Hospital, Yonsei University Health System ( Site 0164)

Seoul, South Korea

Asan Medical Center ( Site 0163)

Seoul, South Korea

Samsung Medical Center ( Site 0162)

Seoul, South Korea

HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑON-ONCOLOGY ( Site 0183)

Madrid, Madrid, Comunidad de, Spain

Hospital Universitario Central de Asturias-Medical Oncology ( Site 0182)

Oviedo, Principality of Asturias, Spain

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 0181)

Barcelona, Spain

Hôpitaux Universitaires de Genève (HUG) ( Site 0202)

Geneva, Canton of Geneva, Switzerland

Ospedale Regionale Bellinzona e Valli ( Site 0201)

Bellinzona, Canton Ticino, Switzerland

China Medical University Hospital ( Site 0223)

Taichung, Taiwan

National Cheng Kung University Hospital-Clinical Trial Center ( Site 0224)

Tainan, Taiwan

National Taiwan University Hospital-Oncology ( Site 0225)

Taipei, Taiwan

Taipei Veterans General Hospital ( Site 0221)

Taipei, Taiwan

Chang Gung Medical Foundation-Linkou Branch ( Site 0222)

Taoyuan District, Taiwan

Hacettepe Universite Hastaneleri-oncology hospital ( Site 0241)

Ankara, Turkey (Türkiye)

Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 0242)

Ankara, Turkey (Türkiye)

Barts Health NHS Trust ( Site 0263)

London, England, United Kingdom

Royal Free Hospital ( Site 0262)

London, England, United Kingdom

University Hospital Coventry & Warwickshire ( Site 0266)

Coventry, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT06428409