About this trial
The purpose of this first-in-human study is to identify a recommend dose(s) for subsequent larger studies (recommended dose(s) for expansion, RDE), examining increasing doses of M0324, primarily looking at safety, but also preliminary signs of efficacy, pharmacokinetics (PK), and pharmacodynamics (PD). Three different treatments with M0324 will be studied, M0324 as a monotherapy(Part 1), M0324 in combination with pembrolizumab (Part 2), and in combination with mFOLFIRINOX (a chemotherapy treatment)(Part 3).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants with previously untreated metastatic pancreatic ductal adenocarcinoma, who are judged by Investigator as eligible for treatment with mFOLFIRINOX. Participants with prior Whipple surgery and/or adjuvant chemotherapy are not permitted
Other protocol defined inclusion criteria could apply
Disqualifiers
Has a history of chronic diarrhea greater than or equal to (>=) Grade 2, inflammatory disease of the colon or rectum, or unresolved partial or complete intestinal obstruction
Participant has a history of malignancy within 3 years before the date of enrollment
Uncontrolled or poorly controlled arterial hypertension, uncontrolled cardiac arrhythmia, unstable angina, myocardial infarction, congestive heart failure [New York Heart Association (NYHA) >= II] or a coronary revascularization procedure within 180 days of study entry
Life expectancy of less than 3 months
Trial design
Sequential
Treatments tested in this trial
M0324
Biological/VaccineM0324 will be tested at increasing doses as monotherapy to determine dose-toxicity relationship and MTD (if reached) in order to support selection of recommended dose(s) for expansion (RDE).
M0324
Biological/VaccineM0324 will be further investigated in part 2 and part 3 of the study as combination regimen, in order to determine dose-toxicity relationship in combination and MTD (if reached) in order to support selection of RDE(s) in combination.
Pembrolizumab
Biological/VaccinePembrolizumab will be administered intravenously as per standard of care.
mFOLFIRINOX
DrugmFOLFIRINOX will be administered intravenously as per standard of care.
Treatment groups
Trial outcomes
Primary outcomes
Parts 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs)
Part 1, 2 and 3: Number of Participants with Treatment-Emergent Adverse Events (TEAEs)
Part 3: Number of Participants With Dose Limiting Toxicities (DLTs)
Secondary outcomes
Parts 1 and 2: Pharmacokinetic (PK) Plasma Concentrations of M0324
Parts 3: Pharmacokinetic (PK) Plasma Concentrations of M0324
Percent Change from Baseline in Pharmacodynamic Markers
Pharmacodynamic and circulating biomarkers (e.g. cytokines) will be measured in blood.
Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Sponsors and contacts
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EMD Serono Research & Development Institute, Inc.
Lead sponsor
Merck KGaA, Darmstadt, Germany
Collaborator