M9140: M9140 will be administered at an escalated dose until Maximum tolerated dose (MTD) and/or a safe recommended Dose for Expansion (RDE) is determined in Part 1 of the study.
M9140: M9140 will be further investigated in part 2 of the study and includes dose optimization, an alternative administration regimen and combination regimen.
Bevacizumab: Bevacizumab will be administered intravenously as per standard of care.
Capecitabine: Capecitabine will be administered orally as per standard of care.
5-fluorouracil (5-FU): 5-FU will be administered intravenously as per standard of care.
Folinic acid: Folinic acid will be administered intravenously as per standard of care.
Study summary
The purpose of this first in-human study is to evaluate the safety, tolerability, pharmacokinetics, and preliminary clinical activity of M9140 in advanced solid tumors. This study contains 2 parts: Dose escalation (Part 1) and dose expansion (Part 2)
Study details include:
* Study Duration per participant: Approximately 4 months for Part 1 and 8 months for Part 2
* M9140 is not available through an expanded access program
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Participants with documented histopathological diagnosis of locally advanced or metastatic colorectal cancer (CRC), who were intolerant/refractory to or progressed after standard systemic therapies for the advanced/metastatic stage, if locally indicated and available to the participant. Participants with a known microsatellite instability high (MSI-H) status must have received treatment with an immune checkpoint inhibitor (if locally indicated and available) unless contraindicated.
* Eastern Cooperative Oncology Group Performance Status (ECOG PS) below or equal to 1
* Participants with adequate hematologic, hepatic and renal function as defined in protocol
* Other protocol defined inclusion criteria could apply
Exclusion Criteria:
* Participant has a history of malignancy within 3 years before the date of enrollment (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, benign prostate neoplasm/hypertropia, or malignancy that in the opinion of the Investigator, with concurrence with the Sponsor's Medical Monitor, is considered cured with minimal risk of recurrence within 3 years)
* Participants with known brain metastases, except those meeting the following criteria: Brain metastases that have been treated locally and are clinically stable for at least 4 weeks prior to the start of treatment; No ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable)
* Participants with diarrhea (liquid stool) or ileus Grade \> 1
* Participants with active chronic inflammatory bowel disease (e.g., ulcerative colitis, Crohn's disease, intestinal perforation) and/or bowel obstruction
* Unstable angina, myocardial infarction, congestive heart failure (New York Heart Association \[NYHA\] \>= II) or a coronary revascularization procedure within 180 days of study entry. Calculated QTc average (using the Fridericia correction calculation) of \> 470 milliseconds (ms)
* Cerebrovascular accident/stroke (\< 6 months prior to enrollment)
* Other protocol defined exclusion criteria could apply
Primary outcome measure(s)
Part 1: Number of Participants with Dose Limiting Toxicities (DLTs) and Adverse Events (AEs) — up to 4 months
Part 1: Recommended Dose Expansion (RDE) of M9140 — up to 4 months
Parts 2B, 2C and 2D: Number of Participants with Dose Limiting Toxicities (DLTs) and Adverse Events (AEs) — up to 8 months
Part 2A: Number of Participants with Adverse Events (AEs) — up to 8 months
Part 2A: Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators — Time from first study treatment throughout the study duration until progressive disease or death up to approximately 8 months
Part 2A: Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators — Time from first study treatment to planned assessment at approximately 8 months
Trial sites (35)
Facility
City
Region
Status
California Cancer Associates for Research & Excellence, Inc.
Encinitas
California
California Cancer Associates for Research & Excellence, Inc.
Fresno
California
Rhode Island Hospital
Providence
Rhode Island
Mary Crowley Cancer Research
Dallas
Texas
MD Anderson Cancer Center - Oncology
Houston
Texas
NEXT Oncology
San Antonio
Texas
The Ottawa Hospital Cancer Centre
Ottawa
Canada
University Health Network - Princess Margaret Cancer Centre
Toronto
Canada
National Cancer Center Hospital - Dept of Gastroenterology
Chūōku
Japan
National Cancer Center Hospital East
Kashiwa-shi
Japan
Saitama Cancer Center
Kitaadachi-gun
Japan
Cancer Institute Hospital of JFCR
Kōtoku
Japan
Aichi Cancer Center Hospital
Nagoya
Japan
Kindai University Hospital
Osakasayama-shi
Japan
Shizuoka Cancer Center
Sunto-gun
Japan
Kanagawa Cancer Center
Yokohama
Japan
Kyungpook National University Chilgok Hospital
Daegu
South Korea
National Cancer Center
Goyang-si
South Korea
Seoul National University Bundang Hospital
Seongnam
South Korea
Asan Medical Center
Seoul
South Korea
Samsung Medical Center
Seoul
South Korea
Seoul National University Hospital
Seoul
South Korea
Severance Hospital, Yonsei University Health System
Seoul
South Korea
Hospital Clinic de Barcelona
Barcelona
Spain
Hospital del Mar
Barcelona
Spain
Hospital HM Nou Delfos
Barcelona
Spain
Hospital Universitari Vall d'Hebron - VHIR
Barcelona
Spain
Hospital Universitario Reina Sofia
Córdoba
Spain
ICO l'Hospitalet - Hospital Duran i Reynals
L'Hospitalet de Llobregat
Spain
Centro Integral Oncologico Clara Campal
Madrid
Spain
Hospital Universitario 12 de Octubre
Madrid
Spain
Hospital Universitario Fundacion Jimenez Diaz
Madrid
Spain
Hospital Universitario Quironsalud Madrid - NEXT Oncology
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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