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Clinical Trial NCT06941272 for Malignant Neoplasm is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here.
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A Study of Patritumab Deruxtecan in Pediatric Participants With Relapsed or Refractory Solid Tumors (MK-9999-01C/LIGHTBEAM-U01) Phase 1, Phase 2 50 Pediatric

Recruiting
Clinical Trial NCT06941272 is designed to study Treatment for Malignant Neoplasm. It is a Phase 1 Phase 2 interventional study that is recruiting, having started on 26 May 2025, with plans to enroll 50 participants. Led by Merck Sharp & Dohme LLC, it is expected to complete by 30 December 2030. The latest data from ClinicalTrials.gov was last updated on 27 March 2026.
Brief Summary

Researchers are looking for new ways to treat children with hepatoblastoma or rhabdomyosarcoma (RMS) that has relapsed or is refractory:

  • Hepatoblastoma is a common liver cancer in babies and very young children
  • RMS is a cancer that starts in muscle cells, often in a child's head and neck, bladder, arms, or legs
  • Relapsed means the cancer came back after treatment
  • Refractory means the cancer did not respond (g...
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Detailed Description
This study will have 2 parts: a safety lead-in to demonstrate a tolerable safety profile and confirm a preliminary recommended phase 2 dose (RP2D) (Part 1) followed by an efficacy evaluation (Part 2)
Official Title

LIGHTBEAM-U01 Substudy 01C: A Phase 1/2 Substudy to Evaluate the Safety and Efficacy of Patritumab Deruxtecan in Pediatric Participants With Relapsed or Refractory Solid Tumors

Conditions
Malignant Neoplasm
Other Study IDs
  • 9999-01C
  • MK-9999-01C (Other Identifier) (MSD)
  • LIGHTBEAM-U01 (Other Identifier) (MSD)
  • U1111-1314-1866 (Registry Identifier) (UTN)
  • 2024-518771-66-00 (Registry Identifier) (EU CT)
NCT ID Number
Start Date (Actual)
2025-05-26
Last Update Posted
2026-03-27
Completion Date (Estimated)
2030-12-30
Enrollment (Estimated)
50
Study Type
Interventional
PHASE
Phase 1
Phase 2
Status
Recruiting
Primary Purpose
Treatment
Design Allocation
N/A
Interventional Model
Single Group
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalPatritumab Deruxtecan
Participants receive patritumab deruxtecan via IV infusion on Day 1 of each 3-week cycle until discontinuation or progression.
Patritumab Deruxtecan
IV Infusion
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Part 1: Percentage of Participants Who Experience Dose-limiting Toxicities (DLTs)
A DLT is any of a prespecified list of adverse events (AEs) that occur during Cycle 1 (up to 21 days) if attributed to the study treatment and not attributed to any other clearly identifiable cause. The percentage of participants who experience DLTs will be reported. Each cycle is 21 days.
Cycle 1 (up to approximately 21 days); each cycle is 21 days
Part 1: Percentage of Participants Who Experience an Adverse Event (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. The percentage of participants who experience AEs will be reported.
Up to approximately 5 years
Part 1: Percentage 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. The percentage of participants who discontinue study treatment due to an AE will be reported.
Up to approximately 5 years
Part 1: Area Under the Curve (AUC) of total anti-HER3 antibody liquid chromatography-mass spectrometry (LC-MS) in plasma
Blood samples will be collected at specified intervals for the determination of AUC.
At designated timepoints (up to approximately 5 years)
Part 1: AUC of anti-HER3 antibody-conjugated DXd (anti-HER3-ac-DXd) in plasma
Blood samples will be collected at specified intervals for the determination of AUC.
At designated timepoints (up to approximately 5 years)
Part 1: AUC of DXd in plasma
Blood samples will be collected at specified intervals for the determination of AUC.
At designated timepoints (up to approximately 5 years)
Part 1: Maximum Concentration (Cmax) of anti-HER3 antibody LC-MS in plasma
Blood samples will be collected at specified intervals for the determination of Cmax.
At designated timepoints (up to approximately 5 years)
Part 1: Cmax of anti-HER3-ac-DXd in plasma
Blood samples will be collected at specified intervals for the determination of Cmax.
At designated timepoints (up to approximately 5 years)
Part 1: Cmax of DXd in plasma
Blood samples will be collected at specified intervals for the determination of Cmax.
At designated timepoints (up to approximately 5 years)
Part 1: Concentration Immediately Before the Next Dose is Administered (Ctrough) of anti-HER3 antibody LC-MS in plasma
Blood samples will be collected at specified intervals for the determination of Ctrough.
At designated timepoints (up to approximately 5 years)
Part 1: Ctrough of anti-HER3-ac-DXd
Blood samples will be collected at specified intervals for the determination of Ctrough.
At designated timepoints (up to approximately 5 years)
Part 1: Ctrough of DXd in plasma
Blood samples will be collected at specified intervals for the determination of Ctrough.
At designated timepoints (up to approximately 5 years)
Part 1 and Part 2: Objective Response Rate (ORR)
ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by the investigator will be presented.
Up to approximately 5 years
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Part 2: Percentage of Participants Who Experience 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. The percentage of participants who experience AEs will be reported.
Up to approximately 5 years
Part 2: Percentage 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. The percentage of participants who discontinue study treatment due to an AE will be reported.
Up to approximately 5 years
Part 1 and Part 2: Disease Control Rate (DCR)
DCR is defined, per RECIST 1.1, as the percentage of participants who have a CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions) or Stable Disease (SD). SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm). Note: The appearance of one or more new lesions is also considered PD. The time from the first dose until the date of SD must be greater than or equal to 6 weeks. The DCR as assessed by the investigator will be presented.
Up to approximately 5 years
Part 1 and Part 2: Time to Response (TTR)
For participants who demonstrate 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, TTR is defined as the time from the first dose to the first documented evidence of a CR or PR. The TTR as assessed by the investigator will be presented.
Up to approximately 5 years
Part 1 and Part 2: Duration of Response (DOR)
For participants who demonstrate 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 first documented evidence of CR or PR until PD or death. PD is defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Note: The appearance of one or more new lesions is also considered PD. DOR as assessed by the investigator will be presented.
Up to approximately 5 years
Part 1 and Part 2: Progression-free Survival (PFS)
PFS is defined as the time from randomization to the first documented PD or death due to any cause, whichever occurs first as assessed by RECIST 1.1. PD is defined as at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. Note: The appearance of one or more new lesions is also considered PD. PFS as assessed by the investigator will be presented.
Up to approximately 5 years
Part 1 and Part 2: Overall Survival (OS)
OS is defined as time from first dose of study treatment to death due to any cause.
Up to approximately 5 years
Part 2: AUC of total anti-HER3 antibody LC-MS in plasma
Blood samples will be collected at specified intervals for the determination of AUC.
At designated timepoints (up to approximately 5 years)
Part 2: AUC of anti-HER3-ac-DXd in plasma
Blood samples will be collected at specified intervals for the determination of AUC.
At designated timepoints (up to approximately 5 years)
Part 2: AUC of DXd in plasma
Blood samples will be collected at specified intervals for the determination of AUC.
At designated timepoints (up to approximately 5 years)
Part 2: Cmax of anti-HER3 antibody LC-MS in plasma
Blood samples will be collected at specified intervals for the determination of Cmax.
At designated timepoints (up to approximately 5 years)
Part 2: Cmax of anti-HER3-ac-DXd in plasma
Blood samples will be collected at specified intervals for the determination of Cmax.
At designated timepoints (up to approximately 5 years)
Part 2: Cmax of DXd in plasma
Blood samples will be collected at specified intervals for the determination of Cmax.
At designated timepoints (up to approximately 5 years)
Part 2: Ctrough of anti-HER3 antibody LC-MS in plasma
Blood samples will be collected at specified intervals for the determination of Ctrough.
At designated timepoints (up to approximately 5 years)
Part 2: Ctrough of anti-HER3-ac-DXd in plasma
Blood samples will be collected at specified intervals for the determination of Ctrough.
At designated timepoints (up to approximately 5 years)
Part 2: Ctrough of DXd in plasma
Blood samples will be collected at specified intervals for the determination of Ctrough.
At designated timepoints (up to approximately 5 years)
Participation Assistant
Eligibility Criteria

Eligible Ages
Child
Minimum Age
1 Month
Eligible Sexes
All
  • Has one of the following histologically confirmed advanced or metastatic solid tumors: Rhabdomyosarcoma (RMS), or Hepatoblastoma
  • Has progressed after at least 1 prior systemic treatment for RMS or hepatoblastoma and who has no satisfactory alternative treatment option (ie, is ineligible for other standard treatment regimens)
  • Participants who have adverse events (AEs) due to previous anticancer therapies must have recovered to Grade ≤1 or baseline. Participants with endocrine-related AEs who are adequately treated with hormone replacement or participants who have Grade ≤2 neuropathy are eligible. Participants with Grade ≤2 alopecia are also eligible
  • Hepatitis B surface antigen (HBsAg) positive participants are eligible if they have received hepatitis B virus (HBV) antiviral therapy and have undetectable HBV viral load
  • Participants with a history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable

  • Has a history of (noninfectious) interstitial lung disease (ILD)/pneumonitis that required steroids or has current ILD/pneumonitis, and/or suspected ILD/pneumonitis that cannot be ruled out by standard diagnostic assessments
  • Has clinically severe respiratory compromise resulting from intercurrent pulmonary illness
  • Has a history of solid organ transplant
  • Has a history of allogeneic stem cell transplant
  • Has clinically significant corneal disease
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis/leptomeningeal disease; participants with previously treated brain metastases may participate provided they are radiologically stable (ie, without evidence of progression) for at least 4 weeks
  • Has uncontrolled or significant cardiovascular disorder
  • Has a history of clinically significant congenital cardiac syndrome
  • Has a history of human immunodeficiency virus (HIV) infection
  • Has a known additional malignancy that is progressing or has required active treatment within the past 1 year
  • Has an active infection requiring systemic therapy
  • Has concurrent active hepatitis B (HBsAg positive and/or detectable HBV deoxyribonucleic acid \[DNA\]) and HCV defined as anti-HCV antibody (Ab) positive and detectable HCV ribonucleic acid \[RNA\]) infection
  • Has not adequately recovered from major surgery or have ongoing surgical complications
Study Central Contact
Contact: Toll Free Number, 1-888-577-8839, [email protected]
56 Study Locations in 21 Countries

New South Wales

Sydney Children's Hospital-Kids Cancer Centre ( Site 3997), Sydney, New South Wales, 2031, Australia
Study Coordinator, Contact, 61293821111
Recruiting

Queensland

Queensland Children's Hospital ( Site 3996), Brisbane, Queensland, 4101, Australia
Study Coordinator, Contact, 61730681111
Recruiting

California

Childrens Hospital Los Angeles ( Site 3006), Los Angeles, California, 90027, United States
Study Coordinator, Contact, 323-361-2121
Recruiting

Colorado

Children's Hospital Colorado-Center for Cancer and Blood Disorders ( Site 3016), Aurora, Colorado, 80045, United States
Study Coordinator, Contact, 720-777-1234
Recruiting

Florida

Johns Hopkins All Children's Hospital ( Site 3025), St. Petersburg, Florida, 33701, United States
Study Coordinator, Contact, 727-767-4176
Recruiting

Iowa

University of Iowa Health Care Holden Comprehensive Cancer Center ( Site 3017), Iowa City, Iowa, 52242, United States
Study Coordinator, Contact, 319-356-2296
Recruiting

Massachusetts

Dana-Farber Cancer Institute ( Site 3013), Boston, Massachusetts, 02215, United States
Study Coordinator, Contact, 617-632-4580
Recruiting

Michigan

Corewell Health ( Site 3001), Grand Rapids, Michigan, 49503, United States
Study Coordinator, Contact, 616-486-0746
Recruiting

Missouri

Children's Mercy Hospital ( Site 3024), Kansas City, Missouri, 64108, United States
Study Coordinator, Contact, 816-302-6808
Recruiting

New Jersey

Rutgers Cancer Institute of New Jersey ( Site 3008), New Brunswick, New Jersey, 08901, United States
Study Coordinator, Contact, 732-235-2465
Recruiting

New York

Memorial Sloan Kettering Cancer Center ( Site 3010), New York, New York, 10065, United States
Study Coordinator, Contact, 888-492-8401
Recruiting
New York Medical College ( Site 3023), Valhalla, New York, 10595, United States
Study Coordinator, Contact, 914-614-4270
Recruiting

North Dakota

Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 3003), Fargo, North Dakota, 58102, United States
Study Coordinator, Contact, 701-234-2000
Recruiting

Oregon

Oregon Health and Science University ( Site 3004), Portland, Oregon, 97239, United States
Study Coordinator, Contact, 503-494-8311
Recruiting

Pennsylvania

Children's Hospital of Philadelphia (CHOP) ( Site 3021), Philadelphia, Pennsylvania, 19104, United States
Study Coordinator, Contact, 267-425-5544
Recruiting

South Dakota

Sanford Children's Hospital ( Site 3015), Sioux Falls, South Dakota, 57117, United States
Study Coordinator, Contact, 605-312-1000
Recruiting

Texas

University of Texas-MD Anderson Cancer Center ( Site 3007), Houston, Texas, 77030, United States
Study Coordinator, Contact, 713-792-5410
Recruiting

Utah

Intermountain - Primary Children's Hospital ( Site 3014), Salt Lake City, Utah, 84113, United States
Study Coordinator, Contact, 801-662-4700
Recruiting

Oost-Vlaanderen

UZ Gent ( Site 3428), Ghent, Oost-Vlaanderen, 9000, Belgium
Study Coordinator, Contact, +3293324812
Recruiting

São Paulo

Fundação Pio XII - Hospital de Câncer de Barretos ( Site 3264), Barretos, São Paulo, 14784-400, Brazil
Study Coordinator, Contact, +551733216638
Recruiting
Fundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 3267), São José do Rio Preto, São Paulo, 15090-000, Brazil
Study Coordinator, Contact, +55 17 99625-3919
Recruiting

Antioquia

Hospital Pablo Tobon Uribe ( Site 3923), Medellín, Antioquia, 05034, Colombia
Study Coordinator, Contact, +57 3006523572
Recruiting

Atlántico

Clinica de la Costa S.A.S. ( Site 3924), Barranquilla, Atlántico, 080020, Colombia
Study Coordinator, Contact, +573008096054
Recruiting

Departamento de Córdoba

IMAT S.A.S ( Site 3921), Montería, Departamento de Córdoba, 230002, Colombia
Study Coordinator, Contact, +576047862333
Recruiting

Brno-mesto

Detska nemocnice FN Brno ( Site 3388), Brno, Brno-mesto, 613 00, Czechia
Study Coordinator, Contact, +420532234755
Recruiting

Praha 5

Fakultni nemocnice v Motole-Klinika detske hematologie a onkologie ( Site 3387), Prague, Praha 5, 150 00, Czechia
Study Coordinator, Contact, +420224436475
Recruiting

Capital Region

Rigshospitalet-Department of paediatrics and adolescent medicine, Section of Paed haem-onc ( Site 3467), Copenhagen, Capital Region, DK-2100, Denmark
Study Coordinator, Contact, +4535452462
Recruiting

Aquitaine

Bordeaux University Hospital - Pellegrin ( Site 3105), Bordeaux, Aquitaine, 33076, France
Study Coordinator, Contact, +33556795679
Recruiting

Bouches-du-Rhone

Assistance Publique Hôpitaux de Marseille - Hôpital de la Timone ( Site 3102), Marseille, Bouches-du-Rhone, 13005, France
Study Coordinator, Contact, +33491385238
Recruiting

Loire-Atlantique

Centre Hospitalier Universitaire de Nantes - Hôpital Femme-Enfant-Adolescent Chu De Nantes ( Site 3104), Nantes, Loire-Atlantique, 44093, France
Study Coordinator, Contact, +33240083610
Recruiting

Rhone

Centre Leon-Berard ( Site 3100), Lyon, Rhone, 69373, France
Study Coordinator, Contact, 33469166572
Recruiting

Île-de-France Region

Institut Curie ( Site 3101), Paris, Île-de-France Region, 75248, France
Study Coordinator, Contact, +33144324015
Recruiting

North Rhine-Westphalia

Universitätsklinikum Münster - Albert Schweitzer Campus ( Site 3141), Münster, North Rhine-Westphalia, 48149, Germany
Study Coordinator, Contact, +492518347742
Recruiting

Attica

Aghia Sophia Children's Hospital-First Department of Pediatrics, National and Kapodistrian Universi ( Site 3797), Athens, Attica, 11527, Greece
Study Coordinator, Contact, +302107452125
Recruiting

Pest County

Semmelweis University ( Site 3838), Budapest, Pest County, 1094, Hungary
Study Coordinator, Contact, +3612151380
Recruiting
Rambam Health Care Campus ( Site 3674), Haifa, 3109601, Israel
Study Coordinator, Contact, 97247774718
Recruiting
Sheba Medical Center ( Site 3675), Ramat Gan, 5265601, Israel
Study Coordinator, Contact, +97235302996
Recruiting
Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 3552), Milan, 20133, Italy
Study Coordinator, Contact, 00390223902593
Recruiting
Ospedale Pediatrico Bambino Gesù IRCCS ( Site 3553), Roma, 00165, Italy
Study Coordinator, Contact, 00390668593697
Recruiting
Ospedale Infantile Regina Margherita ( Site 3551), Torino, 10126, Italy
Study Coordinator, Contact, 00390113135230
Recruiting
Prinses Maxima Centrum voor Kinderoncologie ( Site 3510), Utrecht, 3584 CS, Netherlands
Study Coordinator, Contact, +31889727272
Recruiting

Bratislava Region

Narodny ustav detskych chorob ( Site 3592), Bratislava, Bratislava Region, 831 01, Slovakia
Study Coordinator, Contact, +421259371205
Recruiting
Seoul National University Hospital-Pediatrics ( Site 3972), Seoul, 03080, South Korea
Study Coordinator, Contact, +82220723304
Recruiting
Asan Medical Center-Pediatrics - Pedicatric Oncology ( Site 3973), Seoul, 05505, South Korea
Study Coordinator, Contact, +82230105994
Recruiting

Barcelona

Hospital Sant Joan de Déu ( Site 3717), Esplugues de Llobregat, Barcelona, 08950, Spain
Study Coordinator, Contact, +34671600093
Recruiting
Hospital Universitari Vall d''Hebron ( Site 3716), Barcelona, 08035, Spain
Study Coordinator, Contact, +34915035900x662
Recruiting
Hospital Infantil Universitario Nino Jesus ( Site 3715), Madrid, 28009, Spain
Study Coordinator, Contact, +34915035900
Recruiting

Västra Götaland County

Sahlgrenska Universitetssjukhuset ( Site 3634), Gothenburg, Västra Götaland County, 416 85, Sweden
Study Coordinator, Contact, +46313435865
Recruiting

Taipei

National Taiwan University Hospital ( Site 3983), Taiwan, Taipei, 10002, Taiwan
Study Coordinator, Contact, 8862-23123456#70559
Recruiting
Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 3961), Ankara, 06230, Turkey (Türkiye)
Study Coordinator, Contact, +90 312 305 50 00
Recruiting
Ankara Bilkent Şehir Hastanesi. ( Site 3962), Ankara, 6800, Turkey (Türkiye)
Study Coordinator, Contact, +90 312 552 60 00
Recruiting
Ege Universitesi Hastanesi ( Site 3963), Izmir, 35100, Turkey (Türkiye)
Study Coordinator, Contact, +905301469380
Recruiting

England

Birmingham Children's Hospital ( Site 3349), Birmingham, England, B4 6NH, United Kingdom
Study Coordinator, Contact, +441213338233
Recruiting
Royal Victoria Infirmary ( Site 3348), Newcastle upon Tyne, England, NE1 4PL, United Kingdom
Study Coordinator, Contact, 0191 282 1014
Recruiting
University Hospital of Wales ( Site 3346), Cardiff, CF14 4XW, United Kingdom
Study Coordinator, Contact, +4402921842107
Recruiting
Royal Marsden Hospital ( Site 3347), Sutton, SM2 5PT, United Kingdom
Study Coordinator, Contact, 020 8642 6011
Recruiting