Multiple clinical trials, primarily sponsored by EMD Serono Research & Development Institute and Merck KGaA, are currently evaluating lartesertib (M4076) as a monotherapy or in combination regimens. These Phase 1 and Phase 2 studies range from completed early-phase evaluations to active or recruiting protocols focusing on advanced solid tumors, metastatic or locally advanced unresectable solid tumors, and ovarian cancer. Together, these trials underscore the therapeutic potential of targeting ATM kinase across various solid malignancies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05396833 | ACTIVE_NOT_RECRUITING | Metastatic or Locally Advanced Unresectable Solid Tumors |
EMD Serono Research & Development Institute, Inc. |
2022-06-07 | PHASE1 |
| NCT06433219 | ACTIVE_NOT_RECRUITING | Ovarian Cancer |
EMD Serono Research & Development Institute, Inc. |
2024-10-30 | PHASE2 |
| NCT04882917 | COMPLETED | Advanced Solid Tumors |
EMD Serono Research & Development Institute, Inc. |
2021-05-24 | PHASE1 |
| NCT05396833 | Recruiting | Metastatic or Locally Advanced Unresectable Solid Tumors |
EMD Serono Research & Development Institute Inc.|Merck KGaA Darmstadt Germany|EMD Serono |
2022-06-07 | Phase 1 |
| NCT04882917 | Completed | Advanced Solid Tumors |
EMD Serono Research & Development Institute Inc.|Merck KGaA Darmstadt Germany|EMD Serono |
2021-05-24 | Phase 1 |
(data from https://clinicaltrials.gov, updated on 2026-05-28)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).