Substudy 01A: Zilovertamab Vedotin in Pediatric and Young Adult Participants With Hematologic Malignancies or Solid Tumors (MK-9999-01A/LIGHTBEAM-U01)

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age6-25
SponsorMerck Sharp & Dohme LLC

About this trial

Substudy 01A is part of a platform study. The purpose of this study is to assess the efficacy and safety of zilovertamab vedotin in pediatric participants with relapsed or refractory B-cell acute lymphoblastic leukemia (B-ALL), diffuse large B-cell lymphoma (DLBCL)/Burkitt lymphoma, or neuroblastoma and in pediatric and young adult participants with Ewing sarcoma.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

For hematological malignancies: Confirmed diagnosis of B-precursor B-ALL or DLBCL/Burkitt lymphoma according to World Health Organization (WHO) classification of neoplasms of the lymphoid tissues.

For solid tumor malignancies: Histologically confirmed diagnosis of neuroblastoma or Ewing sarcoma.

History of solid organ transplant.

Clinically significant (ie, active) cardiovascular disease.

Trial design

Design model

Single group

Treatments tested in this trial

  • Zilovertamab vedotin

    Biological/Vaccine

    Administered via IV infusion

Treatment groups

90 Participants
are divided into 1 treatment group
Group A: Zilovertamab vedotinExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Part 1: Number of Participants from 1 to <18 years of Age Who Experience a Dose-Limiting Toxicity (DLT)

Number of participants experiencing toxicities that are possibly, probably, or definitely related to study therapy; that meet pre-defined severity criteria; and result in a change in the given dose.

Time frame
Up to 42 days
2

Part 1: Number of Participants from 1 to <18 years of Age Who Experience One or More Adverse Events (AEs)

An AE is defined as any untoward medical occurrence associated with the use of a drug in a participant, whether or not considered drug related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product and does not imply any judgment about causality. The number of participants in Part 1 who experience at least 1 AE will be presented.

Time frame
Up to approximately 54 months
3

Part 1: Number of Participants from 1 to <18 years of Age Who Discontinue Study Treatment Due to AEs

An AE is defined as any untoward medical occurrence associated with the use of a drug in a participant, whether or not considered drug related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product and does not imply any judgment about causality. The number of participants in Part 1 who discontinue study treatment due to an AE will be presented.

Time frame
Up to approximately 54 months
4

Part 1: Number of Participants from 1 to <18 years of Age Who Receive Dose Modification Due to AEs

An AE is defined as any untoward medical occurrence associated with the use of a drug in a participant, whether or not considered drug related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product and does not imply any judgment about causality. The number of participants in Part 1 who receive a dose modification due to an AE will be presented.

Time frame
Up to approximately 54 months

Secondary outcomes

1

Part 1 and Part 2: Area Under the Curve (AUC) of Total Antibody

Blood samples collected at designated time points will be used to determine the AUC of total antibody.

Time frame
Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)
2

Part 1 and Part 2: Maximum Plasma Concentration (Cmax) of Total Antibody

Blood samples collected at designated time points will be used to determine the Cmax of total antibody.

Time frame
Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)
3

Part 1 and Part 2: Plasma Trough Concentration (Ctrough) of Total Antibody

Blood samples collected at designated time points will be used to determine the Ctrough of total antibody.

Time frame
Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)
4

Part 1 and Part 2: Apparent Terminal Half-life (t1/2) of Total Antibody

Blood samples collected at designated time points will be used to determine the t1/2 of total antibody.

Time frame
Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

Other outcomes

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