Phase 1/2 Study Evaluating MCLA-129, a Human Anti-EGFR, Anti-c-MET Bispecific Antibody, in Advanced NSCLC and Other Solid Tumors, Alone and in Combination

Last updated: March 19, 2025
Sponsor: Merus N.V.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Colorectal Cancer

Head And Neck Cancer

Esophageal Disorders

Treatment

Chemotherapy

MCLA-129

Osimertinib

Clinical Study ID

NCT04868877
MCLA-129-CL01
  • Ages > 18
  • All Genders

Study Summary

A phase 1/2 open-label multicenter study will be performed with an initial dose escalation part to determine the MTD and/or the RP2D of MCLA-129 in monotherapy or in combination in patients with NSCLC, HNSCC, GC/GEJ, ESCC, or other solid tumors and who are treatment naïve or have progressed after receiving prior therapy for advanced/metastatic disease.

Eligibility Criteria

Inclusion

Part One: Patients with NSCLC, GC/GEJ, HNSCC, or ESCC who have failed prior standard first-line treatment. Patients must have progressed on or be intolerant to therapies that are known to provide clinical benefit. There is no limit to the number of prior treatment regimens.

Part Two: Patients with NSCLC, HNSCC, other solid tumors and applicable mutations as determined by the investigator.

  • Availability of archival or a fresh tumor tissue sample.

  • Measurable disease as defined by RECIST version 1.1 by radiologic methods.

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

  • Life expectancy ≥ 12 weeks, as per Investigator.

  • Adequate organ function (as per protocol)

Exclusion

Exclusion Criteria:

  • Central nervous system metastases that are untreated or symptomatic, or requireradiation, surgery, or continued steroid therapy (> 10 mg prednisone or equivalent)to control symptoms within 14 days of study entry.

  • Known leptomeningeal involvement.

  • Participation in another clinical study or treatment with any investigational drugwithin 4 weeks prior to study entry.

  • Systemic anticancer therapy or immunotherapy within 4 weeks or 5 half-lives,whichever is shorter, of the first dose of study drug. For cytotoxic agents thathave major delayed toxicity (e.g., mitomycin C, nitrosoureas), a washout period of 6weeks is required.

  • Major surgery or radiotherapy within 3 weeks of the first dose of study drug.Patients who received prior radiotherapy to ≥25% of bone marrow at any time are noteligible.

  • Persistent grade >1 clinically significant toxicities related to priorantineoplastic therapies (except for alopecia); stable sensory neuropathy ≤ grade 2NCI-CTCAE v5.0 and hypothyroidism ≤ grade 2 which is stable on hormone replacementare allowed.

  • History of hypersensitivity reaction or any toxicity attributed to human proteins orany of the excipients that warranted permanent cessation of these agents. History ofhypersensitivity reaction or any toxicity attributed to chemotherapy and components.

  • History of clinically significant cardiovascular disease

  • Past medical history of ILD or pneumonitis, or any evidence of clinically active ILDor pneumonitis.

  • Previous or concurrent malignancy, excluding non-basal cell carcinomas of skin orcarcinoma in situ of the uterine cervix, unless the tumor was treated with curativeor palliative intent and in the opinion of the Investigator, with Sponsor agreement,the previous or concurrent malignancy condition does not affect the assessment ofsafety and efficacy of the study drug.

  • Current serious illness or medical conditions including, but not limited touncontrolled active infection, clinically significant pulmonary, metabolic orpsychiatric disorders

  • Active Hepatitis B infection without receiving antiviral treatment.

  • Positive test for Hepatitis C

  • Known history of HIV (HIV 1/2 antibodies). Patients with HIV with undetectable viralload are allowed. In

Study Design

Total Participants: 576
Treatment Group(s): 3
Primary Treatment: Chemotherapy
Phase: 1/2
Study Start date:
April 28, 2021
Estimated Completion Date:
March 31, 2027

Connect with a study center

  • Institut Jules Bordet

    Anderlecht,
    Belgium

    Active - Recruiting

  • Antwerp University Hospital

    Edegem, 2650
    Belgium

    Completed

  • Clinique de l'Europe

    Amiens, 80090
    France

    Completed

  • CHU Hopitaux de Bordeaux - Hôpital Saint-André

    Bordeaux, 33000
    France

    Active - Recruiting

  • Institut Bergonié

    Bordeaux, 33076
    France

    Active - Recruiting

  • CHU de Lyon - Louis Pradel Hospital

    Bron, 69677
    France

    Active - Recruiting

  • Centre Hospitalier Intercommunal de Créteil

    Créteil, 94010
    France

    Active - Recruiting

  • Hôpital Albert Calmette

    Lille, 59037
    France

    Active - Recruiting

  • L'Institut Paoli - Calmettes

    Marseille, 13009
    France

    Active - Recruiting

  • CHU de Nantes - Hôpital Nord Laennec

    Nantes, 44093
    France

    Active - Recruiting

  • Hôpital Bichat - Claude-Bernard

    Paris, 75877
    France

    Active - Recruiting

  • Hôpital Européen Georges Pompidou (HEGP)

    Paris, 75908
    France

    Completed

  • Marie Wislez

    Paris, 75014
    France

    Active - Recruiting

  • CHU de Poitiers

    Poitiers, 86000
    France

    Active - Recruiting

  • CHU de Rennes - Hôpital Pontchaillou

    Rennes, 35033
    France

    Site Not Available

  • Hôpital d'Instruction des Armées Bégin

    Saint-Mandé, 94163
    France

    Active - Recruiting

  • Krankenhaus Nordwest

    Frankfurt am Main, Hesse 60488
    Germany

    Completed

  • Sana Klinikum Offenbach GmbH

    Offenbach am Main, 63069
    Germany

    Completed

  • Istituto Nazionale dei Tumori Regina Elena

    Roma, Rome 00144
    Italy

    Active - Recruiting

  • ASST Papa Giovanni XXIII

    Bergamo, 24127
    Italy

    Site Not Available

  • Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola-Malpighi

    Bologna, 40138
    Italy

    Completed

  • ASST degli Spedali Civili di Brescia

    Brescia, 25123
    Italy

    Active - Recruiting

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milan, 20133
    Italy

    Completed

  • ASST Grande Ospedale Metropolitano Niguarda

    Milano, 22162
    Italy

    Active - Recruiting

  • AOU L. Vanvitelli Universita degli Studi della Campania Luigi Vanvitelli

    Napoli, 80138
    Italy

    Site Not Available

  • Azienda Ospedaliero - Universitaria San Luigi Gonzaga

    Orbassano, 10043
    Italy

    Completed

  • Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona

    Salerno, 84131
    Italy

    Active - Recruiting

  • Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Trento

    Verona, 37126
    Italy

    Completed

  • Gachon University Gil Hospital

    Incheon, 21565
    Korea, Republic of

    Completed

  • Samsung Medical Center

    Seoul, 6351
    Korea, Republic of

    Completed

  • Seoul National University Hospital

    Seoul,
    Korea, Republic of

    Completed

  • Severance Hospital - Yonsei Cancer Center

    Seoul,
    Korea, Republic of

    Active - Recruiting

  • The Catholic University of Korea, Seoul St. Mary's Hospital

    Seoul,
    Korea, Republic of

    Completed

  • The Catholic University of Korea, St. Vincent's Hospital

    Suwon, Gyeonggi-do, 16247
    Korea, Republic of

    Active - Recruiting

  • Netherlands Cancer Institute

    Amsterdam,
    Netherlands

    Active - Recruiting

  • University Medical Center Groningen

    Groningen,
    Netherlands

    Completed

  • Erasmus Medical Center

    Rotterdam,
    Netherlands

    Active - Recruiting

  • National Cancer Centre of Singapore

    Singapore, 169610
    Singapore

    Completed

  • Hospital HM Delfos

    Barcelona, 08023
    Spain

    Active - Recruiting

  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08025
    Spain

    Active - Recruiting

  • IOB Institute of Oncology - Hospital Quironsalud Barcelona

    Barcelona, 8023
    Spain

    Completed

  • Centro Integral Oncológico Clara Campal

    Madrid, 28050
    Spain

    Active - Recruiting

  • Clínica Universidad de Navarra -Madrid

    Madrid, 28027
    Spain

    Active - Recruiting

  • Hospital General Universitario Gregorio Marañón

    Madrid, 28007
    Spain

    Completed

  • Hospital Quirón Madrid

    Madrid, 28223
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Active - Recruiting

  • Clínica Universidad de Navarra

    Pamplona, 31008
    Spain

    Active - Recruiting

  • Fundación Instituto Valenciano de Oncología (IVO)

    Valencia, 46009
    Spain

    Completed

  • Hospital Universitari i Politècnic La Fe

    Valencia, 46026
    Spain

    Active - Recruiting

  • University of California, Irvine

    Orange, California 92868
    United States

    Active - Recruiting

  • Sarah Cannon Research Institute

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • START Mountain Region

    West Valley City, Utah 84119
    United States

    Completed

  • Next Oncology Virginia

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

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