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Advanced Solid TumorsPhase 1/2NCT06242691

Safety and Efficacy of MK-1200 in Participants With Advanced Solid Tumors (MK-1200-002)

A Phase 1/2 study testing MK-1200 and Antiemetic in people with Advanced Solid Tumors, run by Merck Sharp & Dohme LLC at 16 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the efficacy and safety of MK-1200 monotherapy in participants with advanced/metastatic gastric/gastroesophageal junction (GEJ) cancer, esophageal cancer, biliary tract cancer, and pancreatic ductal adenocarcinoma who have received, or been intolerant to, all treatments known to… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumors
What is being tested?
MK-1200 and Antiemetic
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
13 participants
Where
16 sitesin 6 countries
Study dates
28 Feb 2024to 17 Jun 2025
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed advanced (unresectable and/or metastatic) solid tumor: gastric cancer (including gastroesophageal junction cancer), esophageal cancer, biliary tract cancer, or pancreatic ductal adenocarcinoma
  • Participants who experienced Adverse Events (AEs) due to previous anticancer therapies must have recovered to < Grade 1 or baseline
  • Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy
  • Hepatitis B surface antigen (HBsAg) positive participants are eligible if they have received Hepatitis B Virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load
  • Participants with a history of Hepatitis C Virus (HCV) infection are eligible if HCV viral load is undetectable
  • Received and progressed on or after 1 or 2 prior lines of therapy

Who cannot join

  • Active severe digestive disease
  • History of acute myocardial infarction; unstable angina; stroke or transient ischemic attack within 6 months prior to the first dose of study intervention
  • Diabetes or hypertension that cannot be controlled by medication
  • HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
  • Received prior systemic anticancer therapy including investigational agents within 4 weeks before study intervention
  • Received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids
Show all 10Show fewer
  • Known additional malignancy that is progressing or has required active treatment within the past 2 years
  • Known active central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Active infection requiring systemic therapy
  • Have not adequately recovered from major surgery or have ongoing surgical complications

Trial locations and contacts

16 sites in 6 countries.

16 sites in 6 countries

United States5 sites
  • University of Virginia Health System-Hematology-Oncology ( Site 0009)

    Charlottesville, Virginia, 22908

  • START Midwest ( Site 0014)

    Grand Rapids, Michigan, 49546

  • The University of Louisville, James Graham Brown Cancer Center ( Site 0004)

    Louisville, Kentucky, 40202

  • South Texas Accelerated Research Therapeutics (START) ( Site 0005)

    San Antonio, Texas, 78229

  • START Mountain Region ( Site 0015)

    West Valley City, Utah, 84119

Other trials in United States

Israel5 sites
  • Rambam Health Care Campus-Oncology Division ( Site 0602)

    Haifa, 3109601

  • Hadassah Medical Center ( Site 0604)

    Jerusalem, 9112001

  • Rabin Medical Center-Oncology ( Site 0603)

    Petah Tikva, 4941492

  • Sheba Medical Center ( Site 0605)

    Ramat Gan, 5265601

  • Sourasky Medical Center ( Site 0601)

    Tel Aviv, 6423906

Other trials in Israel

China3 sites
  • Beijing Cancer hospital-Digestive Oncology ( Site 0401)

    Beijing, Beijing Municipality, 100142

  • Fujian Cancer Hospital-oncology department ( Site 0409)

    Fuzhou, Fujian, 350000

  • First Huai'an Hospital Affiliated to Nanjing Medical University ( Site 0415)

    Huai'an, Jiangsu, 223300

Other trials in China

Australia1 site
  • The Alfred Hospital ( Site 0103)

    Melbourne, Victoria, 3004

Other trials in Australia

Chile1 site
  • Bradfordhill-Clinical Area ( Site 0301)

    Santiago, Region M. de Santiago, 8420383

Other trials in Chile

South Korea1 site
  • Samsung Medical Center-Division of Hematology/Oncology ( Site 1003)

    Seoul, 06351

Other trials in South Korea

About this study

Official title: A Phase 1/2 Open-label Study to Evaluate the Safety and Efficacy of MK-1200 in Participants With Advanced Solid Tumors

The purpose of this study is to assess the efficacy and safety of MK-1200 monotherapy in participants with advanced/metastatic gastric/gastroesophageal junction (GEJ) cancer, esophageal cancer, biliary tract cancer, and pancreatic ductal adenocarcinoma who have received, or been intolerant to, all treatments known to confer clinical benefit. Part 1 of the study will be a dose escalation to determine the maximum tolerated dose (MTD). Part 2 will evaluate safety and efficacy of MK-1200 at 2 different doses

Being tested
MK-1200, Antiemetic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MK-1200Biological

    IV Infusion

  • AntiemeticDrug

    One or more prophylactic antiemetic(s) (e.g. 5-HT3 receptor antagonists, dexamethasone, neurokinin-1 receptor antagonists, etc.) may be selected based on previous response of participants to antiemetic medications and individual factors, and will be administered per approved product label prior to MK-1200 infusion

Study groups in NCT06242691
Study groupRoleWhat they receive
Part 1: MK-1200ExperimentalIn Part 1, participants will receive escalating doses of MK-1200 via intravenous (IV) infusion every 2 weeks (Q2W) until any discontinuation criteria are met.
Receives: Biological: MK-1200; Drug: Antiemetic
Part 2: MK-1200 Cohort AExperimentalIn Part 2, participants in Cohort A will receive either Dose 1 or Dose 2 of MK-1200 (determined from Part 1) via IV infusion Q2W until any discontinuation criteria are met.
Receives: Biological: MK-1200; Drug: Antiemetic
Part 2: MK-1200 Cohort BExperimentalIn Part 2, participants in Cohort B will receive Dose 1 of MK-1200 (determined from Part 1) via IV infusion Q2W until any discontinuation criteria are met.
Receives: Biological: MK-1200; Drug: Antiemetic

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants Who Experience One or More Dose-Limiting Toxicities (DLTs) - Part 1

    The occurrence of any of the following toxicities within 28 days after the first dose of study intervention were considered a DLT, if assessed by the investigator to be possibly, probably, or definitely related to study intervention administration:

    • Grade 4 nonhematologic toxicity (not laboratory). Any nonhematologic AE ≥Grade 3 in severity was considered a DLT, with pre-specified exceptions
    • Any Grade 3 or Grade 4 laboratory value (hematologic or nonhematologic), with pre-specified exceptions
    • Febrile neutropenia Grade 3 or Grade 4 as prespecified by the protocol
    • Prolonged delay (>2 weeks) in initiating Cycle 2 due to intervention-related toxicity
    • Any intervention-related toxicity that caused the participant to discontinue intervention during Cycle 1
    • Missed >25% of MK-1200 doses as a result of drug-related AEs during the first cycle
    • Grade 5 toxicity

    Measured: During the first two 14-day cycles (Up to approximately 28 days)

  2. Number of Participants Who Experience One or More Adverse Events (AEs) - Part 1 & Part 2

    An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who experienced an AE is reported for each arm.

    Measured: Up to approximately 12 months

  3. Number of Participants Who Discontinue Study Intervention Due to an AE - Part 1 & Part 2

    An AE was any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who discontinued study intervention due to an AE is reported for each arm.

    Measured: Up to approximately 9 months

Secondary outcomes (15)
  1. Objective Response Rate (ORR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) - Part 2 Cohort A

    ORR was defined as the percentage of participants who have achieved confirmed 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 as assessed by blinded independent central review (BICR). As pre-specified by the protocol, this analysis was to only include all participants randomized to Part 2 Cohort A who received at least 1 dose of study intervention.

    Measured: Up to approximately 13 months

  2. ORR Per RECIST 1.1 as Assessed by Investigator - Part 1 & Part 2 Cohort B

    ORR was defined as the percentage of participants who have achieved confirmed 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 as assessed by the investigator.

    Measured: Up to approximately 13 months

  3. Area Under the Concentration Versus Time Curve From Time 0 to 336 Hours (AUC0-336) of MK-1200-Antibody-Drug Conjugate (ADC) - Parts 1 and 2

    AUC0-336 was defined as the area under the concentration versus time curve of MK-1200-ADC from time 0 to 336 Hours. Blood samples were collected at pre-specified timepoints to determine the AUC0-336 of the MK-1200-ADC.

    Measured: Cycle 1 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  4. AUC0-336 of the Conjugated Toxin Payload (KL610023) - Parts 1 and 2

    AUC0-336 was defined as the area under the concentration versus time curve of KL610023 from time 0 to 336 Hours. Blood samples were collected at pre-specified timepoints to determine AUC0-336 of KL610023.

    Measured: Cycle 1 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  5. Area Under the Concentration Versus Time Curve From Time 0 to the End of the Dosing Period (AUC0-tau) of MK-1200-ADC - Parts 1 and 2

    AUC0-tau was defined as the area under the concentration versus time curve of MK-1200-ADC from time 0 to the end of the 14-day dosing period (Cycle 4, 336 hours post-dose). Blood samples were collected at pre-specified timepoints to determine AUC0-tau of the MK-1200-ADC.

    Measured: Cycle 4 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  6. AUC0-tau of KL610023 - Parts 1 and 2

    AUC0-tau is defined as the area under the concentration versus time curve of KL610023 from time 0 to the end of the 14-day dosing period (Cycle 4, 336 hours post-dose). Blood samples were collected at pre-specified timepoints to determine AUC0-tau of KL610023.

    Measured: Cycle 4 Day 1: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  7. Minimum Concentration (Cmin) of MK-1200-ADC - Part 1 & Part 2

    Cmin was defined as the minimum concentration of MK-1200-ADC observed in plasma after its administration and just prior to administration of a subsequent dose. Blood samples were collected at pre-specified timepoints to determine Cmin of the MK-1200-ADC.

    Measured: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  8. Cmin of KL610023 - Part 1 & Part 2

    Cmin was defined as the minimum concentration of KL610023 observed in plasma after its administration and just prior to administration of a subsequent dose. Blood samples were collected at pre-specified timepoints to determine Cmin of KL610023.

    Measured: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  9. Maximum Concentration (Cmax) of MK-1200-ADC - Part 1 & Part 2

    Cmax was defined as the maximum or 'peak' concentration of MK-1200-ADC observed after its administration. Blood samples were collected at pre-specified timepoints to determine Cmax of the MK-1200-ADC.

    Measured: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  10. Cmax of KL610023 - Part 1 & Part 2

    Cmax was defined as the maximum or 'peak' concentration of KL610023 observed after its administration. Blood samples were collected at pre-specified timepoints to determine Cmax of KL610023.

    Measured: Day 1 of Cycles 1 and 4: predose and 0.5, 2, 4, 8, 24, 72, 168, 240, and 336 hours postdose. A cycle was 14 days.

  11. Duration of Response (DOR) Per RECIST 1.1 as Assessed by BICR - Part 2 Cohort A

    For participants demonstrating a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR was defined as the time from the first documented evidence of a CR or a PR until Progressive Disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. As pre-specified by the protocol, DOR for Part 2 Cohort A was planned to be assessed by BICR and was to include all participants randomized to Part 2 Cohort A who received at least one dose of study intervention.

    Measured: Up to approximately 13 months

  12. DOR Per RECIST 1.1 as Assessed by Investigator - Part 1 & Part 2 Cohort B

    For participants demonstrating a confirmed CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from the first documented evidence of a CR or a PR until PD or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. The DOR as assessed by the investigator is reported.

    Measured: Up to approximately 13 months

  13. Progression-Free Survival (PFS) Per RECIST 1.1 as Assessed by BICR - Part 2 Cohort A

    PFS was defined as the time from randomization to the first documented PD by BICR or death due to any cause, whichever occurs first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. As pre-specified by the protocol, PFS for Part 2 Cohort A was planned to be assessed by BICR and was to only include all participants randomized to Part 2 Cohort A who received at least one dose of study intervention.

    Measured: Up to approximately 13 months

  14. PFS Per RECIST 1.1 as Assessed by Investigator - Part 1 & Part 2 Cohort B

    PFS was defined as the time from randomization to the first documented PD by investigator or death due to any cause, whichever occurs first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm. The appearance of one or more new lesions was also considered PD. PFS as assessed by the investigator is reported.

    Measured: Up to approximately 13 months

  15. Overall Survival (OS) - Part 1 & Part 2

    OS was defined as the time from randomization to death due to any cause.

    Measured: Up to approximately 13 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2024
  2. Study start28 Feb 2024
  3. Primary completion17 Jun 2025
  4. Study completion17 Jun 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06242691
Sponsor's protocol ID
1200-002
Other IDs
2023-508684-68-00, U1111-1298-7820, MK-1200-002, 2023
Status last verified
May 2026
First submitted
26 Jan 2024
Last updated
5 Jun 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing MK-1200 and Antiemetic in people with Advanced Solid Tumors, run by Merck Sharp & Dohme LLC at 16 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Israel, China, Australia, Chile and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Jun 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants Who Experience One or More Dose-Limiting Toxicities (DLTs) - Part 1 (time frame: During the first two 14-day cycles (Up to approximately 28 days)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jun 2026.

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