Clinical Trials

Merck Sharp & Dohme LLC sponsored several clinical trials evaluating tozasertib across Phase 1 and Phase 2 protocols for advanced solid tumors, including non-small-cell lung carcinoma and colorectal cancer, and hematologic malignancies, such as chronic myelogenous leukemia, acute B-cell lymphocytic leukemia, and myelodysplastic syndromes. While dose-escalation assessments were successfully completed in leukemic cohorts, investigations evaluating continuous infusion regimens in solid tumors were prematurely terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT00099346 TERMINATED
Colorectal Cancer; Advanced Solid Tumors
Merck Sharp & Dohme LLC
2005-01 PHASE1
NCT00290550 Terminated
Carcinoma Non-Small-Cell Lung
Merck Sharp & Dohme LLC
2006-06 Phase 2
NCT00111683 Completed
Chronic Myelogenous Leukemia in Blast Crisis|Lymphocytic Leukemia B Cell Acute|Myelodysplastic Syndromes|Myelogenous Leukemia Chronic
Merck Sharp & Dohme LLC
2005-06 Phase 1

(data from https://clinicaltrials.gov, updated on 2015-06-17)

Check the Tozasertib (VX-680, MK-0457) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tozasertib functions as a potent pan-Aurora kinase inhibitor that competitively binds the ATP-binding site of Aurora A, B, and C kinases, thereby blocking key downstream mitotic phosphorylation events required for spindle assembly and centrosome maturation. This enzymatic inhibition induces G2/M cell-cycle arrest, accumulation of cells with 4N DNA content, and subsequent apoptosis, providing the biological rationale for inhibiting tumor progression in clinical conditions like non-small-cell lung cancer, colorectal carcinoma, and chronic myelogenous leukemia.

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>).

Note: Technical data last updated: Sep 1, 2026.