About this trial
Researchers are looking for new ways to treat certain types of advanced solid tumors. Solid tumors are cancers mostly in organs and tissues in the body, not in the blood or other fluids. Advanced means the cancer has spread nearby or to other parts in the body and cannot be removed with surgery.
In this trial, researchers want to learn if the trial medicine called MK-2010, given alone or with other treatments, can treat advanced solid tumors. MK-2010 is designed to help the immune system fight cancer.
The goals of this trial are to learn:
* About the safety of MK-2010 as monotherapy and in combinations and if participants tolerate them. Tolerate means participants will receive trial treatment unless they need to stop it due to health problems. * How many participants who receive MK-2010 as monotherapy and in combination respond to treatment. Respond means the cancer gets smaller or goes away.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Has radiographically measurable disease per protocol
If to receive oral study treatment, has the ability to swallow and retain oral medication and does not have gastrointestinal abnormalities that may alter absorption
Has well-controlled human immunodeficiency virus (HIV) on antiretroviral therapy (ART) if diagnosed with HIV
Has adequate organ function per protocol
Disqualifiers
Has a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease if diagnosed with HIV
Has a history of posterior reversible encephalopathy syndrome (PRES) or seizure disorder
Has hepatic encephalopathy, hepatorenal syndrome, or Child-Pugh class B or more severe liver cirrhosis
Has a history of confirmed inflammatory bowel disease
Trial design
Parallel
Treatments tested in this trial
MK-2010
Biological/VaccineAdministered as an intravenous (IV) infusion.
Pembrolizumab
Biological/VaccineAdministered intravenously as 400 mg every 6 weeks.
5-Fluorouracil
DrugAdministered intravenously per approved product label.
Leucovorin or Levoleucovorin
DrugAdministered intravenously per approved product label.
Oxaliplatin
DrugAdministered intravenously per approved product label.
Belzutifan
DrugAdministered orally as 120 mg daily.
Gemcitabine
DrugAdministered intravenously per approved product label.
Cisplatin
DrugAdministered intravenously per approved product label.
Carboplatin
DrugAdministered intravenously per approved product label.
Paclitaxel
DrugAdministered intravenously per approved product label.
Nab-paclitaxel
DrugAdministered intravenously per approved product label.
Pemetrexed
DrugAdministered intravenously per approved product label.
Epinephrine
DrugAdministered per approved product label as rescue medication.
Treatment groups
7
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Number of Participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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 study intervention.
Number of Participants Who Discontinue Study Treatment Due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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 study intervention.
Number of Participants Who Experience Dose-Limiting Toxicity (DLT)
DLT is defined as any drug-related adverse event (AE) observed during the DLT evaluation period that results in a change to a given dose or a delay in initiating the next dose.
Objective Response Rate (ORR)
ORR is defined as the percentage of participants who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.
Secondary outcomes
Duration of Response (DOR)
For participants who demonstrate confirmed CR or PR per RECIST 1.1 as assessed by BICR, duration of response is defined as the time from the first documented evidence of CR or PR until disease progression or death due to any cause, whichever occurs first.
Area Under the Curve From Time 0 to Last (AUC0-last) of MK-2010
Blood samples will be collected to determine the AUC0-last of MK-2010.
Area Under the Curve From Time 0 to the End of the Dosing Interval (AUC0-tau) of MK-2010
Blood samples will be collected to determine the AUC0-tau of MK-2010.
Trough Concentration (Ctrough) of MK-2010
Blood samples will be collected to determine Ctrough of MK-2010.
Sponsors and contacts
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