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A Study of MK-1088 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors (MK-1088-002)

A Phase 1/Phase 2 Study to Evaluate the Safety and Tolerability of MK-1088 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05394350
Enrollment
27
Registered
2022-05-27
Start date
2022-07-07
Completion date
2023-09-07
Last updated
2024-11-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Solid Tumors

Brief summary

The study will evaluate the safety, tolerability, and pharmacokinetics (PK) of MK-1088 in monotherapy and in combination with pembrolizumab in participants with advanced solid tumors who have not responded to conventional therapy. The effect of MK-1088 on tumor size will also be examined.

Interventions

DRUGMK-1088

Oral Tablet

BIOLOGICALPembrolizumab

IV Infusion

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

The main inclusion and

Exclusion criteria

include but are not limited to the following: Inclusion Criteria: * Has a histologically- or cytologically-confirmed diagnosis of advanced/metastatic solid tumor by pathology report and have received, have been intolerant to, or have been ineligible for treatment known to confer clinical benefit * For metastatic castrate-resistant prostate cancer (mCRPC) only: (1) Must have previously received docetaxel, prior treatment with one other chemotherapy is allowed as well as up to 2 second-generation hormonal manipulations and (2) have prostate cancer progression within 6 months before screening, as determined by the investigator * If human immunodeficiency virus (HIV) positive, has well-controlled HIV on anti-retroviral therapy (ART)

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Experiencing a Dose-limiting Toxicity (DLT)Up to 21 daysA DLT is defined as an event with toxicity including the type, severity, time of onset, time of resolution, and the probable association with study treatment that are not due to pre-existing conditions as defined by the Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE 5.0). Per protocol participants who switched over from MK-1088 monotherapy into MK-1088 100 mg + Pembrolizumab combination therapy completed the DLT evaluation period in the monotherapy arm assigned. Percentage of participants who experienced a DLT are presented.
Percentage of Participants Experiencing an Adverse Event (AE)Up to ~13 monthsAn AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. Safety data from participants who experienced disease progression in the monotherapy arm and crossed over into the combination arm are summarized in their initial monotherapy dose group until the time of cross over and are summarized separately thereafter. The percentage of participants who experienced an AE are presented.
Percentage of Participants Discontinuing Study Treatment Due to an AEUp to ~10 monthsAn AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. Safety data from participants who experienced disease progression in the monotherapy arm and crossed over into the combination arm are summarized in their initial monotherapy dose group until the time of cross over and are summarized separately thereafter. The percentage of participants who discontinued study treatment due to an AE is presented.

Secondary

MeasureTime frameDescription
Area Under the Plasma Concentration-time Curve (AUC) of MK-1088Pre-dose and 1, 2, 4, and 8 hours post-dose on Cycle 1 Day 1 and Cycle 2 Day 1; Pre-dose on Cycle 1 Day 2 and Cycle 2 Day 2; Pre-dose on Cycle 3, Cycle 4 and every 4 cycles up to ~3.5 months. Each cycle = 21 daysAUC of MK-1088 determined by blood samples collected pre-dose and at designated timepoints post-dose are presented.
Maximum Plasma Concentration (Cmax) of MK-1088Pre-dose and 1, 2, 4, and 8 hours post-dose on Cycle 1 Day 1 and Cycle 2 Day 1; Pre-dose on Cycle 1 Day 2 and Cycle 2 Day 2; Pre-dose on Cycle 3, Cycle 4 and every 4 cycles up to ~3.5 months. Each cycle = 21 daysCmax of MK-1088 determined by blood samples collected pre-dose and at designated timepoints post-dose are presented.
Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by InvestigatorUp to ~13 monthsORR 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 RECIST 1.1 or Prostate Cancer Working Group (PCWG)-modified RECIST 1.1 as assessed by investigator. Efficacy data from participants who experienced disease progression in the monotherapy arm and crossed over into the combination arm will be summarized in their initial monotherapy dose group until the time of cross over and will be summarized separately thereafter. The percentage of participants who experience a CR or PR as assessed by the investigator based on RECIST 1.1 is presented.

Countries

Canada, Denmark, Israel, Switzerland, United States

Participant flow

Recruitment details

The study was closed to enrollment on 04-MAY-2023 for all participants, and no participants remain on treatment with MK-1088. Part 2 of the study was not initiated.

Pre-assignment details

Per protocol two participants who progressed by radiographic evaluation on monotherapy with MK-1088 at the investigator's discretion and after consultation with the Sponsor, switched over to combination treatment arm of MK-1088 and pembrolizumab.

Participants by arm

ArmCount
MK-1088 100 mg
Participants received MK-1088 daily (QD) orally at 100 mg on days 1-21 of each 21-day cycle for up to 35 cycles (up to \ 24 months)
3
MK-1088 200 mg
Participants received MK-1088 (QD) orally at 200 mg on days 1-21 of each 21-day cycle for up to 35 cycles (up to \ 24 months)
3
MK-1088 400 mg
Participants received MK-1088 (QD) orally at 400 mg on days 1-21 of each 21-day cycle for up to 35 cycles (up to \ 24 months)
11
MK-1088 600 mg
Participants received MK-1088 (QD) orally at 600 mg on days 1-21 of each 21-day cycle for up to 35 cycles (up to \ 24 months)
3
MK-1088 100 mg + Pembrolizumab
Participants received MK-1088 daily (QD) orally at 100 mg on days 1-21 of each 21-day cycle plus pembrolizumab at 200 mg intravenous (IV) infusion every 3 weeks (Q3W), on Day 1 of each 21-day cycle for up to 35 cycles (up to \ 24 months)
3
MK-1088 200 mg + Pembrolizumab
Participants received MK-1088 daily (QD) orally at 200 mg on days 1-21 of each 21-day cycle plus pembrolizumab at 200 mg intravenous (IV) infusion every 3 weeks (Q3W), on Day 1 of each 21-day cycle for up to 35 cycles (up to \ 24 months)
4
Total27

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyDeath224010
Overall StudyStudy terminated by sponsor117324

Baseline characteristics

CharacteristicMK-1088 100 mgMK-1088 200 mgMK-1088 400 mgMK-1088 600 mgMK-1088 100 mg + PembrolizumabMK-1088 200 mg + PembrolizumabTotal
Age, Continuous66.7 Years
STANDARD_DEVIATION 13.6
58.7 Years
STANDARD_DEVIATION 24.8
59.5 Years
STANDARD_DEVIATION 13.5
62.7 Years
STANDARD_DEVIATION 4.9
61.0 Years
STANDARD_DEVIATION 10.1
55.8 Years
STANDARD_DEVIATION 11.6
60.1 Years
STANDARD_DEVIATION 12.9
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants0 Participants1 Participants0 Participants0 Participants1 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants3 Participants10 Participants3 Participants3 Participants3 Participants24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants2 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
3 Participants3 Participants11 Participants2 Participants1 Participants4 Participants24 Participants
Sex: Female, Male
Female
1 Participants0 Participants5 Participants2 Participants1 Participants1 Participants10 Participants
Sex: Female, Male
Male
2 Participants3 Participants6 Participants1 Participants2 Participants3 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
2 / 32 / 34 / 110 / 31 / 30 / 40 / 2
other
Total, other adverse events
3 / 33 / 311 / 113 / 33 / 34 / 42 / 2
serious
Total, serious adverse events
2 / 32 / 36 / 111 / 32 / 32 / 40 / 2

Outcome results

Primary

Percentage of Participants Discontinuing Study Treatment Due to an AE

An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. Safety data from participants who experienced disease progression in the monotherapy arm and crossed over into the combination arm are summarized in their initial monotherapy dose group until the time of cross over and are summarized separately thereafter. The percentage of participants who discontinued study treatment due to an AE is presented.

Time frame: Up to ~10 months

Population: All participants who received at least one dose of study intervention

ArmMeasureValue (NUMBER)
MK-1088 100 mgPercentage of Participants Discontinuing Study Treatment Due to an AE0.0 Percentage of participants
MK-1088 200 mgPercentage of Participants Discontinuing Study Treatment Due to an AE0.0 Percentage of participants
MK-1088 400 mgPercentage of Participants Discontinuing Study Treatment Due to an AE9.1 Percentage of participants
MK-1088 600 mgPercentage of Participants Discontinuing Study Treatment Due to an AE0.0 Percentage of participants
MK-1088 100 mg + PembrolizumabPercentage of Participants Discontinuing Study Treatment Due to an AE66.7 Percentage of participants
MK-1088 200 mg + PembrolizumabPercentage of Participants Discontinuing Study Treatment Due to an AE75.0 Percentage of participants
MK-1088 100 mg + Pembrolizumab SwitchoverPercentage of Participants Discontinuing Study Treatment Due to an AE0.0 Percentage of participants
Primary

Percentage of Participants Experiencing a Dose-limiting Toxicity (DLT)

A DLT is defined as an event with toxicity including the type, severity, time of onset, time of resolution, and the probable association with study treatment that are not due to pre-existing conditions as defined by the Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE 5.0). Per protocol participants who switched over from MK-1088 monotherapy into MK-1088 100 mg + Pembrolizumab combination therapy completed the DLT evaluation period in the monotherapy arm assigned. Percentage of participants who experienced a DLT are presented.

Time frame: Up to 21 days

Population: All participants who received at least one dose of study intervention and met the criteria for DLT evaluability

ArmMeasureValue (NUMBER)
MK-1088 100 mgPercentage of Participants Experiencing a Dose-limiting Toxicity (DLT)0.0 Percentage of Participants
MK-1088 200 mgPercentage of Participants Experiencing a Dose-limiting Toxicity (DLT)0.0 Percentage of Participants
MK-1088 400 mgPercentage of Participants Experiencing a Dose-limiting Toxicity (DLT)9.09 Percentage of Participants
MK-1088 600 mgPercentage of Participants Experiencing a Dose-limiting Toxicity (DLT)0.0 Percentage of Participants
MK-1088 100 mg + PembrolizumabPercentage of Participants Experiencing a Dose-limiting Toxicity (DLT)0.0 Percentage of Participants
MK-1088 200 mg + PembrolizumabPercentage of Participants Experiencing a Dose-limiting Toxicity (DLT)0.0 Percentage of Participants
Primary

Percentage of Participants Experiencing an Adverse Event (AE)

An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. Safety data from participants who experienced disease progression in the monotherapy arm and crossed over into the combination arm are summarized in their initial monotherapy dose group until the time of cross over and are summarized separately thereafter. The percentage of participants who experienced an AE are presented.

Time frame: Up to ~13 months

Population: All participants who received at least one dose of study intervention

ArmMeasureValue (NUMBER)
MK-1088 100 mgPercentage of Participants Experiencing an Adverse Event (AE)100.0 Percentage of participants
MK-1088 200 mgPercentage of Participants Experiencing an Adverse Event (AE)100.0 Percentage of participants
MK-1088 400 mgPercentage of Participants Experiencing an Adverse Event (AE)100.0 Percentage of participants
MK-1088 600 mgPercentage of Participants Experiencing an Adverse Event (AE)100.0 Percentage of participants
MK-1088 100 mg + PembrolizumabPercentage of Participants Experiencing an Adverse Event (AE)100.0 Percentage of participants
MK-1088 200 mg + PembrolizumabPercentage of Participants Experiencing an Adverse Event (AE)100.0 Percentage of participants
MK-1088 100 mg + Pembrolizumab SwitchoverPercentage of Participants Experiencing an Adverse Event (AE)100.0 Percentage of participants
Secondary

Area Under the Plasma Concentration-time Curve (AUC) of MK-1088

AUC of MK-1088 determined by blood samples collected pre-dose and at designated timepoints post-dose are presented.

Time frame: Pre-dose and 1, 2, 4, and 8 hours post-dose on Cycle 1 Day 1 and Cycle 2 Day 1; Pre-dose on Cycle 1 Day 2 and Cycle 2 Day 2; Pre-dose on Cycle 3, Cycle 4 and every 4 cycles up to ~3.5 months. Each cycle = 21 days

Population: All participants who complied with the protocol sufficiently to ensure that their data will be likely to show the effects of treatment, according to the underlying scientific model. Only the per protocol analysis set (excluding the data from the participants after switching over to MK-1088 100 mg and Pembrolizumab) were analyzed for pharmacokinetic (PK) data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
MK-1088 100 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 131.9 hr*μmol/LGeometric Coefficient of Variation 105.2
MK-1088 100 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 239.0 hr*μmol/LGeometric Coefficient of Variation 46.6
MK-1088 200 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 126.1 hr*μmol/LGeometric Coefficient of Variation 95.1
MK-1088 200 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 239.5 hr*μmol/LGeometric Coefficient of Variation 145.4
MK-1088 400 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 198.4 hr*μmol/LGeometric Coefficient of Variation 38.5
MK-1088 400 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 2197.0 hr*μmol/LGeometric Coefficient of Variation 46.4
MK-1088 600 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 199.4 hr*μmol/LGeometric Coefficient of Variation 43.9
MK-1088 600 mgArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 2188.0 hr*μmol/LGeometric Coefficient of Variation 90.6
MK-1088 100 mg + PembrolizumabArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 121.8 hr*μmol/LGeometric Coefficient of Variation 51.2
MK-1088 100 mg + PembrolizumabArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 229.7 hr*μmol/LGeometric Coefficient of Variation 97.1
MK-1088 200 mg + PembrolizumabArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 149.3 hr*μmol/LGeometric Coefficient of Variation 50.8
MK-1088 200 mg + PembrolizumabArea Under the Plasma Concentration-time Curve (AUC) of MK-1088Cycle 2102.0 hr*μmol/LGeometric Coefficient of Variation 17.6
Secondary

Maximum Plasma Concentration (Cmax) of MK-1088

Cmax of MK-1088 determined by blood samples collected pre-dose and at designated timepoints post-dose are presented.

Time frame: Pre-dose and 1, 2, 4, and 8 hours post-dose on Cycle 1 Day 1 and Cycle 2 Day 1; Pre-dose on Cycle 1 Day 2 and Cycle 2 Day 2; Pre-dose on Cycle 3, Cycle 4 and every 4 cycles up to ~3.5 months. Each cycle = 21 days

Population: All participants who complied with the protocol sufficiently to ensure that their data will be likely to show the effects of treatment, according to the underlying scientific model. Only the per protocol analysis set (excluding the data from the participants after switching over to MK-1088 100 mg and Pembrolizumab) were analyzed for pharmacokinetic (PK) data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
MK-1088 100 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 12.58 μmol/LGeometric Coefficient of Variation 61.8
MK-1088 100 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 22.82 μmol/LGeometric Coefficient of Variation 31.9
MK-1088 200 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 12.17 μmol/LGeometric Coefficient of Variation 50.8
MK-1088 200 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 23.27 μmol/LGeometric Coefficient of Variation 92
MK-1088 400 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 16.63 μmol/LGeometric Coefficient of Variation 36.7
MK-1088 400 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 211.6 μmol/LGeometric Coefficient of Variation 31.8
MK-1088 600 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 17.70 μmol/LGeometric Coefficient of Variation 46.4
MK-1088 600 mgMaximum Plasma Concentration (Cmax) of MK-1088Cycle 211.6 μmol/LGeometric Coefficient of Variation 79.9
MK-1088 100 mg + PembrolizumabMaximum Plasma Concentration (Cmax) of MK-1088Cycle 11.41 μmol/LGeometric Coefficient of Variation 62.4
MK-1088 100 mg + PembrolizumabMaximum Plasma Concentration (Cmax) of MK-1088Cycle 21.80 μmol/LGeometric Coefficient of Variation 117.4
MK-1088 200 mg + PembrolizumabMaximum Plasma Concentration (Cmax) of MK-1088Cycle 13.29 μmol/LGeometric Coefficient of Variation 83.1
MK-1088 200 mg + PembrolizumabMaximum Plasma Concentration (Cmax) of MK-1088Cycle 26.32 μmol/LGeometric Coefficient of Variation 30.2
Secondary

Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator

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 RECIST 1.1 or Prostate Cancer Working Group (PCWG)-modified RECIST 1.1 as assessed by investigator. Efficacy data from participants who experienced disease progression in the monotherapy arm and crossed over into the combination arm will be summarized in their initial monotherapy dose group until the time of cross over and will be summarized separately thereafter. The percentage of participants who experience a CR or PR as assessed by the investigator based on RECIST 1.1 is presented.

Time frame: Up to ~13 months

Population: All participants with a screening/baseline scan that showed measurable disease by the investigator's assessment, and received at least 1 dose of study intervention

ArmMeasureValue (NUMBER)
MK-1088 100 mgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator0.0 Percentage of participants
MK-1088 200 mgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator0.0 Percentage of participants
MK-1088 400 mgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator0.0 Percentage of participants
MK-1088 600 mgObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator0.0 Percentage of participants
MK-1088 100 mg + PembrolizumabObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator33.3 Percentage of participants
MK-1088 200 mg + PembrolizumabObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator0.0 Percentage of participants
MK-1088 100 mg + Pembrolizumab SwitchoverObjective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-Modified RECIST 1.1 as Assessed by Investigator0.0 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026