NCT07630974RecruitingPhase 1/2
A Study of Ifinatamab Deruxtecan in Pediatric Participants With Relapsed or Refractory Solid Tumors (MK-9999-01D/LIGHTBEAM-U01)
LIGHTBEAM-U01 Substudy 01D: A Phase 1b/2 Substudy to Evaluate the Safety and Efficacy of Ifinatamab Deruxtecan in Pediatric Participants With Relapsed or Refractory Solid Tumors
Source: ClinicalTrials.gov · Last updated 30 Oct 2026
Brief summary (registry, in English)
Researchers are looking for new ways to treat children with relapsed or refractory solid tumors: * Relapsed means the cancer came back after treatment * Refractory means the cancer did not respond (get smaller or go away) to treatment * Solid tumors are cancers mostly in body organs and tissues, not in the blood or other body liquids The study treatment I-DXd (also known as MK-2400 or ifinatamab deruxtecan) is an antibody-drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. The goals of this study are to learn: * About the safety of I-DXd and if children younger than 12 years old tolerate it * How many children who receive I-DXd have the cancer get smaller or go away
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 1/2
- Study type
- Interventional
- Enrollment
- 134 (estimated)
- First submitted
- 1 Jun 2026
- Start date
- 6 Jul 2026
- Primary completion date
- 17 Aug 2031
- Lead sponsor
- Merck Sharp & Dohme LLC
- Diseases
- Childhood cancers
- NCT number
- NCT07630974
- EU CT number
- 2025-522339-32-00
What you commit to
- Study type: Interventional · Phase 1/2
- Planned participants: 134
- From 6 Jul 2026 to the primary completion date, 17 Aug 2031
- 45 sites in 15 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Criteria the registry did not label
- The main inclusion criteria include but are not limited to the following:
- In Part 1, participant has recurrent or relapsed, refractory solid tumors (excluding primary central nervous system (CNS)); and in Part 2, participant has recurrent or relapsed, refractory and histologically confirmed diagnosis of osteosarcoma (OST), neuroblastoma (NBL), rhabdomyosarcoma (RMS), or Wilms tumor (WT). All participants must meet the following criteria: Has documented radiological disease progression after at least 1 line of prior therapy in the locally advanced/metastatic setting and who has no satisfactory alternative treatment option (ie, is ineligible for other standard treatment regimens).
- Is an individual of any sex/gender, ≥1 month to \<12 years of age for Part 1 and ≥1 month to \<18 years for Part 2 at the time of providing the informed consent or assent, as applicable
- Participants who have 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.
- The main exclusion criteria include but are not limited to the following:
- Has clinically significant corneal disease
- Has a history of cerebrovascular accident, transient ischemic attack, or another arterial thromboembolic event within 6 months before screening
- Has uncontrolled or significant cardiovascular disease, including conduction abnormalities, hypertension, ischemic heart disease, heart failure, and peripheral vascular disease
- Has any history of interstitial lung disease (ILD)/pneumonitis, irrespective of steroid use, except for a history of radiation pneumonitis that did not require steroids, current ILD, or Clinical or radiographic suspicion of ILD for which the diagnosis of ILD cannot be ruled out
- Has clinically severe respiratory compromise resulting from intercurrent pulmonary illnesses
- Has an active, known or suspected autoimmune disease.
- Has history of solid organ transplant.
- Has history of allogeneic stem cell transplant (SCT).
- Has known active CNS metastases and/or carcinomatous meningitis/leptomeningeal disease/spinal cord compression. Participants with untreated and asymptomatic brain metastases or previously treated brain metastases may participate provided they are radiologically stable, (i.e, without evidence of progression) for at least 4 weeks
- Has history of human immunodeficiency virus (HIV) infection.
- Has known additional malignancy that is progressing or has required active treatment within the past 1 year.
- Has active infection requiring systemic therapy
- Has known hypersensitivity or contraindication to either the study intervention substance or inactive ingredients in the study intervention product
- Participants who have not adequately recovered from major surgery or have ongoing surgical complications
Age in the registry: 1 month to 17 years · Sex: All · Does not accept healthy volunteers
Sites (45)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| The Royal Children's Hospital ( Site 4994) Coordinator of this site? Confirm its status | Parkville | Australia | Recruiting |
| Sydney Children's Hospital-Kids Cancer Centre ( Site 4997) Coordinator of this site? Confirm its status | Randwick | Australia | Recruiting |
| Universitair Ziekenhuis Gent Coordinator of this site? Confirm its status | Gent | Belgium | Recruiting |
| Fakultni nemocnice Brno Coordinator of this site? Confirm its status | Brno | Czechia | Recruiting |
| Fakultni Nemocnice Motol a Homolka Coordinator of this site? Confirm its status | Prague | Czechia | Recruiting |
| Charite Universitaetsmedizin Berlin KöR Coordinator of this site? Confirm its status | Berlin | Germany | Completed |
| Universitaetsklinikum Koeln AöR Coordinator of this site? Confirm its status | Cologne | Germany | Completed |
| Universitaet Muenster Coordinator of this site? Confirm its status | Muenster | Germany | Completed |
| Rigshospitalet Coordinator of this site? Confirm its status | Copenhagen Oe | Denmark | Recruiting |
| Hospital Universitari Vall d'Hebron Coordinator of this site? Confirm its status | Barcelona | Spain | Recruiting |
| Hospital Sant Joan De Deu Barcelona Coordinator of this site? Confirm its status | Esplugues de Llobregat | Spain | Recruiting |
| Hospital Infantil Universitario Nino Jesus Coordinator of this site? Confirm its status | Madrid | Spain | Recruiting |
| Centre hospitalier Universitaire de Bordeaux Coordinator of this site? Confirm its status | Bordeaux | France | Recruiting |
| Centre Leon Berard Coordinator of this site? Confirm its status | Lyon | France | Recruiting |
| Centre Hospitalier Regional De Marseille Coordinator of this site? Confirm its status | Marseille | France | Recruiting |
| Centre Hospitalier Universitaire de Nantes Coordinator of this site? Confirm its status | Nantes | France | Recruiting |
| Institut Curie Coordinator of this site? Confirm its status | Paris | France | Recruiting |
| Institut Gustave Roussy Coordinator of this site? Confirm its status | Villejuif | France | Recruiting |
| Semmelweis University Coordinator of this site? Confirm its status | Budapest | Hungary | Recruiting |
| Rambam Health Care Campus ( Site 4674) Coordinator of this site? Confirm its status | Haifa | Israel | Recruiting |
| Schneider Children's Medical Center ( Site 4676) Coordinator of this site? Confirm its status | Petah Tikva | Israel | Recruiting |
| Sheba Medical Center ( Site 4675) Coordinator of this site? Confirm its status | Ramat Gan | Israel | Recruiting |
| Fondazione IRCCS - Istituto Nazionale dei Tumori Coordinator of this site? Confirm its status | Milan | Italy | Recruiting |
| Ospedale Pediatrico Bambino Gesù Coordinator of this site? Confirm its status | Rome | Italy | Recruiting |
| Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino Coordinator of this site? Confirm its status | Turin | Italy | Recruiting |
| Asan Medical Center-Pediatrics - Pedicatric Oncology ( Site 4973) Coordinator of this site? Confirm its status | Seoul | South Korea | Recruiting |
| Seoul National University Hospital-Pediatrics ( Site 4972) Coordinator of this site? Confirm its status | Seoul | South Korea | Recruiting |
| Prinses Maxima Centrum voor Kinderoncologie B.V. Coordinator of this site? Confirm its status | Utrecht | Netherlands | Recruiting |
| Queen Silvia Childrens Hospital - Sahlgrenska University Hospital - Vaestra Goetalandsregionen Coordinator of this site? Confirm its status | Gothenburg | Sweden | Recruiting |
| Narodny ustav detskych chorob Coordinator of this site? Confirm its status | Bratislava | Slovakia | Recruiting |
| Children's Hospital Colorado-Center for Cancer and Blood Disorders ( Site 4016) Coordinator of this site? Confirm its status | Aurora | United States | Recruiting |
| Dana Farber Cancer Center ( Site 4013) Coordinator of this site? Confirm its status | Boston | United States | Recruiting |
| Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 4003) Coordinator of this site? Confirm its status | Fargo | United States | Recruiting |
| Corewell Health ( Site 4001) Coordinator of this site? Confirm its status | Grand Rapids | United States | Recruiting |
| University of Texas M.D. Anderson Cancer Center ( Site 4007) Coordinator of this site? Confirm its status | Houston | United States | Recruiting |
| University of Iowa Hospitals ( Site 4017) Coordinator of this site? Confirm its status | Iowa City | United States | Recruiting |
| The Children's Mercy Hospitals & Clinics ( Site 4024) Coordinator of this site? Confirm its status | Kansas City | United States | Recruiting |
| Children's Hospital Los Angeles ( Site 4006) Coordinator of this site? Confirm its status | Los Angeles | United States | Recruiting |
| Rutgers Cancer Institute of New Jersey ( Site 4008) Coordinator of this site? Confirm its status | New Brunswick | United States | Recruiting |
| Memorial Sloan Kettering Cancer Center ( Site 4010) Coordinator of this site? Confirm its status | New York | United States | Recruiting |
| Children's Hospital of Philadelphia (CHOP) ( Site 4021) Coordinator of this site? Confirm its status | Philadelphia | United States | Recruiting |
| Intermountain - Primary Children's Hospital ( Site 4014) Coordinator of this site? Confirm its status | Salt Lake City | United States | Recruiting |
| Sanford Children's Hospital ( Site 4015) Coordinator of this site? Confirm its status | Sioux Falls | United States | Recruiting |
| Johns Hopkins All Children's Hospital ( Site 4025) Coordinator of this site? Confirm its status | St. Petersburg | United States | Recruiting |
| New York Medical College ( Site 4023) Coordinator of this site? Confirm its status | Valhalla | United States | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.