- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03526835
A Study of Bispecific Antibody MCLA-158 in Patients With Advanced Solid Tumors
Phase 1/2 Dose Escalation and Cohort Expansion Study Evaluating MCLA-158 (Petosemtamab) as Single Agent or in Combination in Advanced Solid Tumors
This is a Phase 1/2 open-label, multi-center, multi-national study with an initial dose escalation part to determine the RP2D of MCLA-158 single agent in patients with mCRC.
The dose escalation part has been completed and the RP2D will be further evaluated in an expansion part of the study. Cohorts of selected solid tumor indications for which there is evidence of EGFR dependency and potential sensitivity to EGFR inhibition will be evaluated including head and neck cancer.
The study will further assess the safety, tolerability, PK, PD, immunogenicity, and anti-tumor activity of MCLA-158.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Design:
This open label, multicenter, first-in-human study consists of 2 parts. Part 1 is a dose escalation to find the recommended Phase II dose (RP2D) of MCLA-158 studying patients with metastatic colorectal cancer. Enrollment in the dose escalation part has been completed.
Dose expansion (single-agent cohorts) In an expansion part of the study, the activity, safety, and tolerability of MCLA-158 at 1500 mg every 2 weeks (Q2W) (preliminary RP2D) as a single agent will be evaluated in cohorts of selected solid tumor indications with dependency on EGFR signaling. Eligible solid tumor indications may include locally advanced unresectable or metastatic HNSCC, gastric/gastroesophageal junction adenocarcinoma (GEA) with EGFR amplification and/or high EGFR expression, esophageal carcinoma and pancreatic adenocarcinoma. Additionally, safety will be characterized at two dose levels in this setting.
Dose expansion (in combination with pembrolizumab cohort)
MCLA-158 in combination with pembrolizumab will be explored first in HNSCC patients eligible to receive pembrolizumab as first-line monotherapy. Other expansion cohorts may be considered for combination treatment in the future.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Eduardo Pennella, MD
- Phone Number: +1 617 401 4499
- Email: USenquiries@merus.nl
Study Contact Backup
- Name: Ernesto Wasserman, MD
- Phone Number: +1 617 401 4499
- Email: USenquiries@merus.nl
Study Locations
-
-
-
Brussels, Belgium
- Recruiting
- Institut Jules Bordet
-
Principal Investigator:
- Christiane Jungels, MD
-
Contact:
- Christiane Jungels, MD
- Phone Number: + 32 2 541 31 11
-
Brussels, Belgium
- Recruiting
- Cliniques Universitaires Saint-Luc
-
Contact:
- Jean-Pascal Machiels, MD, PhD
-
Contact:
- Phone Number: +32 2 764 36 51
-
Principal Investigator:
- Jean-Pascal Machiels, MD, PhD
-
Gent, Belgium
- Recruiting
- UZ Gent
-
Contact:
- Michael Saerens, MD
- Phone Number: +32 9 332 07 83
-
Principal Investigator:
- Michael Saerens, MD
-
Namur, Belgium
- Recruiting
- CHU UCL Namur Site de Sainte-Elisabeth
-
Principal Investigator:
- Stephanie Henry, MD
-
Contact:
- Stephanie Henry, MD
- Phone Number: +32 (0)81 72 04 56
-
-
-
-
-
Bordeaux, France
- Recruiting
- Hopital Saint Andre, CHU Bordeaux
-
Principal Investigator:
- Amaury Daste, MD
-
Contact:
- Amaury Daste, MD
- Email: amaury.daste@chu-bordeaux.fr
-
Lyon, France
- Recruiting
- Centre Leon Berard
-
Principal Investigator:
- Jérôme FAYETTE, MD
-
Contact:
- Jerome Fayette, MD
- Email: jerome.fayette@lyon.unicancer.fr
-
Marseille, France
- Recruiting
- Hôpital La Timone
-
Principal Investigator:
- Sebastien Salas, MD
-
Contact:
- Sebastien Salas, MD
- Email: sebastien.salas@ap-hm.fr
-
Montpellier, France
- Recruiting
- Institut Regional du Cancer de Montpellier
-
Principal Investigator:
- Thibault Mazard, MD
-
Contact:
- Thibault Mazard, MD
- Phone Number: +33 4 67 61 30 60
- Email: Thibault.Mazard@icm.unicancer.fr
-
Nice, France
- Recruiting
- Centre Antoine Lacassagne
-
Contact:
- Esma Saada-Bouzid, MD
- Email: esma.saada-bouzid@nice.unicancer.fr
-
Principal Investigator:
- Esma SAADA-BOUZID, MD
-
Paris, France
- Recruiting
- Institut Curie
-
Contact:
- Christophe LE TOURNEAU, MD
- Email: christophe.letourneau@curie.fr
-
Principal Investigator:
- Christophe LE TOURNEAU, MD
-
Paris, France
- Recruiting
- Institut Gustave Roussy
-
Contact:
- Antoine Hollebecque, MD
- Phone Number: +33 1 42 11 43 85
- Email: antoine.hollebecque@gustaveroussy.fr
-
Principal Investigator:
- Antoine Hollebecque, MD
-
Rouen, France
- Recruiting
- Centre Henri Becquerel
-
Principal Investigator:
- Florian Clatot, MD
-
Contact:
- Florian Clatot, MD
- Phone Number: +33 2 32 08 22 31
- Email: florian.clatot@chb.unicancer.fr
-
-
-
-
-
Amsterdam, Netherlands
- Recruiting
- NKI - Antoni van Leeuwenhoek
-
Contact:
- Jan Paul de Boer, MD
- Phone Number: +31 20 512 49 19
-
Principal Investigator:
- Jan Paul de Boer, MD
-
Nijmegen, Netherlands
- Recruiting
- UMC Radboud
-
Contact:
- Carla van Herpen
- Phone Number: +3124-3614038
-
Principal Investigator:
- Carla van Herpen, MD
-
Utrecht, Netherlands
- Recruiting
- UMC Utrecht
-
Contact:
- Lot Devriese, MD
- Phone Number: +31 88 75 562 30
-
Principal Investigator:
- Lot Devriese, MD
-
-
-
-
-
Barcelona, Spain
- Recruiting
- Vall d'Hebron
-
Contact:
- Irene Brana, MD
- Email: ibrana@vhio.net
-
Principal Investigator:
- Irene Brana, MD
-
Madrid, Spain
- Recruiting
- Hospital 12 de Octubre
-
Contact:
- Lara Iglesias, MD
- Email: lara.iglesias@gmail.com
-
Principal Investigator:
- Lara Iglesias, MD
-
Pamplona, Spain
- Recruiting
- Clinica Universidad de Navarra
-
Contact:
- Jose Lopez-Picazo, MD
- Email: jlpicazo@unav.es
-
Principal Investigator:
- Jose jlpicazo@unav.es, MD
-
Pamplona, Spain
- Recruiting
- Complejo Hospitalario de Navarra
-
Principal Investigator:
- Virginia Arrazubi, MD
-
Contact:
- Patricia Ochoa
- Phone Number: +(34) 848 42 25 76
-
Valencia, Spain
- Recruiting
- Instituto Valenciano de Oncologia
-
Contact:
- Hector Aguilar, MD
- Phone Number: +34 96 111 4229
-
Principal Investigator:
- Hector Aguilar
-
-
-
-
-
Cambridge, United Kingdom
- Completed
- Cambridge University Hospitals NHS Foundation Trust
-
London, United Kingdom
- Recruiting
- Sarah Cannon Research Institute
-
Contact:
- Elisa Fontana, MD
-
Contact:
-
Principal Investigator:
- Elisa Fontana
-
-
-
-
California
-
La Jolla, California, United States, 92093
- Recruiting
- UCSD
-
Principal Investigator:
- Shumei Kato, MD
-
Contact:
- Petrea Monson
- Phone Number: 858-246-5674
-
Los Angeles, California, United States, 90033
- Recruiting
- USC Norris Comprehensive Cancer Center
-
Principal Investigator:
- Jacob Thomas, MD
-
Contact:
- Sandy Tran
- Phone Number: 323-865-3935
-
-
Colorado
-
Lone Tree, Colorado, United States, 80124
- Recruiting
- Rocky Mountain Cancer Centers
-
Principal Investigator:
- Robert M Jotte, MD
-
Contact:
- Jennifer Hege
- Email: jennifer.hege@usoncology.com
-
-
Florida
-
Fort Myers, Florida, United States, 33901
- Recruiting
- Florida Cancer Specialists
-
Contact:
- Sufficient Bien
- Phone Number: 941-907-4737
-
Principal Investigator:
- Amir Harandi, MD
-
Orlando, Florida, United States, 32827
- Recruiting
- Sarah Cannon Research Institute (Lake Nona)
-
Principal Investigator:
- Cesar Perez Batista, MD
-
Contact:
- Ingrid Acker
- Phone Number: 689-216-8500
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Recruiting
- SSM Health Saint Louis University Hospital
-
Principal Investigator:
- Maurice Willis, MD
-
Contact:
- Cynthia Cantrell
- Email: cynthia.cantrell@health.slu.edu
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic
-
Contact:
- Anil Timur
- Email: timura@ccf.org
-
Principal Investigator:
- Emrulla Yilmaz, MD
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73102
- Recruiting
- SSM OKC Hightower Clinical
-
Contact:
- Caitlin Merrick
- Phone Number: 405-464-7300
-
Principal Investigator:
- David Lam, MD
-
-
Tennessee
-
Memphis, Tennessee, United States, 38103
- Recruiting
- The University of Tennessee Health Science Center
-
Contact:
- Thomas Kerby
- Email: tkerby@uthsc.edu
-
Principal Investigator:
- Neil Hayes, MD
-
Nashville, Tennessee, United States, 37203
- Completed
- Sarah Cannon Research Institute
-
-
Texas
-
Dallas, Texas, United States, 75246
- Recruiting
- Texas Oncology
-
Contact:
- Collin Basham
- Email: Collin.basham@usoncology.com
-
Principal Investigator:
- Eric S Nadler, MD
-
Houston, Texas, United States, 77030
- Recruiting
- Oncology Consultants
-
Contact:
- Carlos Cortez
- Phone Number: 713-600-0978
-
Principal Investigator:
- Mahran Shoukier, MD
-
Tyler, Texas, United States, 75702
- Recruiting
- Texas Oncology
-
Contact:
- Kim Chadwick
- Email: kim.chadwick@usoncology.com
-
Principal Investigator:
- Donald A Richards, MD
-
-
Utah
-
Salt Lake City, Utah, United States, 84106
- Recruiting
- Utah Cancer Specialists
-
Contact:
- Stephan DiSean Kendall, MD
- Email: studies@utahcancer.com
-
Principal Investigator:
- Stephan DiSean Kendall, MD
-
Salt Lake City, Utah, United States, 84112
- Recruiting
- University of Utah Health Huntsman Cancer Hospital
-
Contact:
- Devin Baxter
- Phone Number: 801-587-4767
-
Principal Investigator:
- Jeffery Russell, MD, PhD, MBA
-
-
Virginia
-
Roanoke, Virginia, United States, 24014
- Recruiting
- Oncology & Hematology Associates of Southwest Virginia
-
Contact:
- Monica Sarp
- Email: monica.sarp@usoncology.com
-
Principal Investigator:
- Mark D Kochenderfer, MD
-
-
Washington
-
Spokane, Washington, United States, 99202
- Recruiting
- Cancer Care Northwest
-
Contact:
- Krystal Swenson
- Phone Number: 509-228-1682
-
Principal Investigator:
- Jessica Hellyer, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically or cytologically confirmed solid tumors with evidence of metastatic or locally advanced disease not amenable to standard therapy with curative intent.
Expansion cohorts: patients with locally advanced unresectable or metastatic disease for the following indications:
- COMBINATION FIRST-LINE HNSCC: patients eligible to receive pembrolizumab as first-line monotherapy with tumors expressing programmed cell death protein ligand 1 (PD-L1), combined positive score (CPS) ≥1, as determined by a Food and Drug Administration (FDA) approved test in the US, or by an approved equivalent test in other countries; patients should not have previous systemic therapy administered in the recurrent or metastatic setting, although previous systemic therapy as part of multimodal treatment for locally advanced disease is allowed if ended ≥6 months prior to signing the ICF. The eligible HNSCC primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx. Previous treatments with anti PD-(L)1 or anti-EGFR therapies are not allowed.
SINGLE AGENT SECOND-/THIRD-LINE HNSCC PATIENTS: patients who have progressed on or after, or are intolerant to, anti-PD-(L)1 therapy as monotherapy or in combination with other agents, and have progressed to a platinum-based chemotherapy less than 6 months from the last platinum dose, with no previous exposure to EGFR inhibitors. Patients with no more than 2 prior lines of treatment in recurrent or metastatic disease not amenable to standard therapy with curative intent.
- Human papilloma virus (HPV) status determined by p16 immunohistochemistry (IHC) or molecular HPV test for all oropharyngeal tumors should be reported when available.
- The eligible HNSCC primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx.
- GEA with histologically confirmed EGFR amplification (fluorescence in situ hybridization [FISH] score EGFR/CEP7 ratio ≥2.0, or next generation sequencing [NGS] EGFR copy ≥8, or cfDNA ≥2.5, or EGFR IHC H-score ≥200)
- Esophageal carcinoma
- Pancreatic adenocarcinoma
- Patients with other indications must have been previously treated with at least 2 lines of the standard approved therapy (when applicable) in the locally advanced/unresectable or metastatic setting. Patients with malignant salivary gland tumors and squamous esophageal cancer may be enrolled after progression on 1 line of systemic standard treatment.
- A baseline fresh tumor sample (FFPE) from a metastatic or primary site.
- Amenable for biopsy.
- 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.
- Left ventricular ejection fraction (LVEF) ≥ 50% by echocardiogram (ECHO) or multiple gated acquisition scan (MUGA).
- Adequate organ function
Exclusion Criteria:
- Central nervous system metastases that are untreated or symptomatic, or require radiation, surgery, or continued steroid therapy to control symptoms within 14 days of study entry.
- Known leptomeningeal involvement.
- Participation in another clinical trial or treatment with any investigational drug within 4 weeks prior to study entry.
- Any systemic anticancer therapy within 4 weeks or 5 half-lives whichever is longer of the first dose of study treatment. For cytotoxic agents that have major delayed toxicity ( e.g. mitomycin C,nitrosoureas), or anticancer immunotherapies, a washout period of 6 weeks is required.
- Requirement for immunosuppressive medication (e.g. methotrexate, cyclophosphamide)
- Major surgery or radiotherapy within 3 weeks of the first dose of study treatment. Patients who received prior radiotherapy to ≥25% of bone marrow are not eligible, irrespective of when it was received.
- Persistent grade >1 clinically significant toxicities related to prior antineoplastic therapies (except for alopecia); stable sensory neuropathy ≤ grade 2 NCI-CTCAE v4.03 is allowed.
- History of hypersensitivity reaction or any toxicity attributed to human proteins or any of the excipients that warranted permanent cessation of these agents.
- Uncontrolled hypertension (systolic > 150 mmHg and/or diastolic > 100 mmHg) with appropriate treatment or unstable angina.
- History of congestive heart failure of Class II-IV New York Heart Association (NYHA) criteria, or serious cardiac arrhythmia requiring treatment (except atrial fibrillation, paroxysmal supraventricular tachycardia).
- History of myocardial infarction within 6 months of study entry.
- History of prior malignancies with the exception of excised cervical intraepithelial neoplasia or nonmelanoma skin cancer, or curatively treated cancer deemed at low risk for recurrence with no evidence of disease for at least 3 years.
- Current dyspnea at rest of any origin, or other diseases requiring continuous oxygen therapy.
- Patients with a history of interstitial lung disease (e.g.: pneumonitis or pulmonary fibrosis) or evidence of ILD on baseline chest CT scan.
- Current serious illness or medical conditions including, but not limited to uncontrolled active infection,clinically significant pulmonary, metabolic or psychiatric disorders.
Patients with the following infectious diseases:
- Active hepatitis B infection (HBsAg positive) without receiving antiviral treatment. Note: Patients with active hepatitis B (HBsAg positive) must receive antiviral treatment with lamivudine, tenofovir, entecavir, or other antiviral agents, starting at least ≥7 days before the initiation of the study treatment. Patients with antecedents of hepatitis B (anti-HBc positive, HBsAg and HBV-DNA negative) are eligible.
- Positive test for hepatitis C ribonucleic acid (HCV RNA). Note: Patients in whom HCV infection resolved spontaneously (positive HCV antibodies without detectable HCV-RNA) or who achieved a sustained response after antiviral treatment and show absence of detectable HCV RNA ≥6 months (with the use of IFN-free regimens) or ≥ 12 months (with t the use of IFN-based regimens) after cessation of antiviral treatment are eligible.
- Patients with current cirrhotic status of Child-Pugh class B or C; known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC.
- Pregnant or lactating women; patients of childbearing potential must use highly effective contraception methods prior to study entry, for the duration of study participation, and for 6 months after the last dose of MCLA-158.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: MCLA-158
In Part 1, the dose escalation phase, patients with metastatic CRC will receive escalating doses of MCLA-158 (every 2 weeks) until MTD or RP2D is reached. Each Cycle is 28 days. Single agent treatment. In Part 2, the expansion phase, participants with metastatic CRC and certain other solid tumors will receive intravenous infusion of MCLA-158 at the recommended Phase II dose (RP2D) every 2 weeks, at Day 1 and Day 15. The duration of each treatment cycle is 28 days. In the expansion phase, 2 doses (1100 mg and 1500 mg) of MCLA-158 will be evaluated in a cohort of head and neck squamous cell carcinoma patients |
full-length IgG1 bispecific antibody targeting EGFR and LGR5
Other Names:
|
Experimental: MCLA-158 + Pembrolizumab
MCLA-158 in combination with pembrolizumab will be explored first in head and neck squamous cell carcinoma patients eligible to receive pembrolizumab as first-line monotherapy.
|
MCLA-158 in combination with pembrolizumab (non-IMP) will be explored first in HNSCC patients eligible to receive pembrolizumab as first-line monotherapy.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Escalation: Number of patients with Dose Limiting Toxicities (DLTs)
Time Frame: 6-12 months
|
Evaluation of number of participants with treatment related toxicities observed during the dose escalation.
|
6-12 months
|
Escalation: Severity of Dose Limiting Toxicities (DLT)
Time Frame: 6-12 months
|
Evaluation of the severity of treatment related toxicities observed during the dose escalation.
|
6-12 months
|
Escalation and Expansion: Safety and tolerability: laboratory values
Time Frame: 6-12 months
|
Number of participants with abnormal laboratory tests results
|
6-12 months
|
Dose Expansion (Combination): Safety and tolerability: AEs and SAEs
Time Frame: 6-12 months
|
Incidence, severity, and relationship of AEs and SAEs, in combination with pembrolizumab in HNSCC
|
6-12 months
|
Escalation and Expansion: Safety and tolerability: (ECG)
Time Frame: 6-12 months
|
Number of participants with abnormal ECG readings
|
6-12 months
|
Escalation and Expansion: Safety and tolerability: vital signs
Time Frame: 6-12 months
|
Number of participants with abnormal vital signs
|
6-12 months
|
Escalation and Expansion: Safety and tolerability
Time Frame: 6-12 months
|
Treatment discontinuations due to AEs and dose modifications due to AEs
|
6-12 months
|
Expansion (single agent - non-randomized): Objective overall response rate (ORR)
Time Frame: 36 months
|
Evaluation of clinical benefit assessed by RECIST v1.1 determining objective overall response rate (ORR)
|
36 months
|
Escalation: RP2D
Time Frame: 36 months
|
To determine the preliminary RP2D of single agent petosemtamab in mCRC patients who have progressed on chemotherapy, with or without an anti-vascular endothelial growth factor (VEGF) therapy, and with an anti-EGFR therapy (if RASwt)
|
36 months
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer- Incidence and severity and relationship of AEs and SAEs
Time Frame: 12 months
|
To descriptively characterize all relevant clinical safety and efficacy data within the study
|
12 months
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer- Treatment discontinuations due to AEs and dose modifications due to AEs
Time Frame: 12 months
|
To descriptively characterize all relevant clinical safety and efficacy data within the study
|
12 months
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer- Best overall response
Time Frame: 12 months
|
To descriptively characterize all relevant clinical safety and efficacy data within the study
|
12 months
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer- Incidence of AEs and SAEs
Time Frame: 12 months
|
To characterize the exposure-safety relationship of petosemtamab administered at 1100 mg and 1500 mg Q2W in terms of TEAEs
|
12 months
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer- Incidence of TEAEs
Time Frame: 8 weeks
|
To characterize the incidence of TEAEs at Week 8
|
8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Expansion: Frequency of Treatment-Related Adverse Events (AE)
Time Frame: up to 30 days post-last dose
|
Evaluation of the number of participants with AEs or SAEs that are related to treatment as assessed by CTCAE version 4.03
|
up to 30 days post-last dose
|
Expansion: Frequency of dose interruptions and reductions
Time Frame: up to 30 days post-last dose
|
Evaluation of the number of dose interruptions and reductions
|
up to 30 days post-last dose
|
Escalation & Expansion: Incidence of anti-drug antibodies against MCLA-158
Time Frame: 36 months
|
Number of participants with anti-drug antibodies against MCLA-158
|
36 months
|
Escalation & Expansion: Serum titers of anti-drug antibodies
Time Frame: 36 months
|
Serum titers of anti-drug antibodies against MCLA-158
|
36 months
|
Escalation & Expansion: Biomarkers for EGFR activation and signaling
Time Frame: 36 months
|
Evaluation of biomarker results for EGFR activation and signaling
|
36 months
|
Escalation & Expansion: EGFR expression
Time Frame: 36 months
|
Biomarkers in tumor samples relevant to EGFR expression in relation to early tumor response profile of MCLA-158
|
36 months
|
Escalation & Expansion: LGR5 expression
Time Frame: 36 months
|
Biomarkers in tumor samples relevant to LGR5 expression in relation to early tumor response profile of MCLA-158
|
36 months
|
Escalation & Expansion: Duration of response (DOR)
Time Frame: 36 months
|
Evaluation of clinical benefit assessed by RECIST v1.1 determining duration of response (DOR)
|
36 months
|
Escalation & Expansion: Progression Free Survival (PFS) and survival
Time Frame: 36 months
|
Evaluation of clinical benefit assessed by RECIST v1.1 determining objective progression free survival (PFS) and/or survival
|
36 months
|
Escalation & Expansion: End of infusion (EOI) plasma concentration [Ceoi]
Time Frame: 36 months
|
End of infusion (EOI) plasma concentration [Ceoi] as measured from all individual plasma concentrations
|
36 months
|
Escalation & Expansion: Maximum plasma concentration [Cmax]
Time Frame: 36 months
|
Maximum plasma concentration as measured from all individual plasma concentrations
|
36 months
|
Escalation & Expansion: Plasma concentration at 0 hours [C0h]
Time Frame: 36 months
|
Plasma concentration at 0 hours [C0h] as measured from all individual plasma concentrations
|
36 months
|
Escalation & Expansion: Area under the concentration versus time curve from time zero to time t [AUC0-t]
Time Frame: 36 months
|
Area under the concentration versus time curve from time zero to time t [AUC0-t]
|
36 months
|
Escalation & Expansion: Area under the concentration versus time curve [AUC0-∞]
Time Frame: 36 months
|
Area under the concentration versus time curve [AUC0-∞]
|
36 months
|
Escalation & Expansion: Clearance of plasma [CL]
Time Frame: 36 months
|
Clearance of plasma [CL]
|
36 months
|
Escalation & Expansion: Volume of distribution at steady state [Vss]
Time Frame: 36 months
|
Volume of distribution at steady state [Vss]
|
36 months
|
Escalation & Expansion: Time to reach maximum concentration [tmax]
Time Frame: 36 months
|
Time to reach maximum concentration [tmax]
|
36 months
|
Escalation & Expansion: Half-life [t1/2]
Time Frame: 36 months
|
Half-life [t1/2]
|
36 months
|
Expansion: Severity of Treatment-Related Adverse Events (AE)
Time Frame: up to 30 days post-last dose
|
Evaluation of the severity of AEs that are related to treatment as assessed by CTCAE version 4.03
|
up to 30 days post-last dose
|
Escalation & Expansion: Overall survival (OS)
Time Frame: 36 months
|
Evaluation of clinical benefit assessed by RECIST v1.1 determining overall survival (OS)
|
36 months
|
Escalation & Expansion (non-randomized cohort): Cytokine Panel Expression Profile
Time Frame: 36 months
|
Evaluation of the cytokine expression profile
|
36 months
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer): exposure-efficacy relationship of petosemtamab administered at 1100 mg and 1500 mg: Target Lesions
Time Frame: 8 weeks
|
Percentage change from baseline in sum of the diameters of target lesions at Week 8
|
8 weeks
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer): exposure-efficacy relationship of petosemtamab administered at 1100 mg and 1500 mg: TEAEs
Time Frame: 8 weeks
|
Incidence of Grade 3-4 TEAEs at Week 8
|
8 weeks
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer): exposure-efficacy relationship of petosemtamab administered at 1100 mg and 1500 mg: IRR TEAEs
Time Frame: 8 weeks
|
Incidence of IRR TEAEs at Week 8
|
8 weeks
|
Expansion (single agent, randomized expansion in 2/3L Head and Neck cancer): exposure-efficacy relationship of petosemtamab administered at 1100 mg and 1500 mg : non-IRR TEAEs
Time Frame: 8 weeks
|
Incidence of non-IRR TEAEs at Week 8
|
8 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Escalation & Expansion: Biomarkers for Wnt signaling proteins
Time Frame: 36 months
|
Evaluation of biomarker results for Wnt signaling proteins
|
36 months
|
Escalation & Expansion: Biomarkers for genetic aberrations in ctDNA
Time Frame: 36 months
|
Evaluation of biomarker results in genetic aberrations in ctDNA
|
36 months
|
Escalation & Expansion: Biomarkers for differential expression of miRNA
Time Frame: 36 months
|
Evaluation of biomarker results for differential expression of miRNA
|
36 months
|
Escalation & Expansion: Biomarkers for differential expression of mRNA
Time Frame: 36 months
|
Evaluation of biomarker results for differential expression of mRNA
|
36 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Eduardo Pennella, MD, Merus N.V.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Head and Neck Neoplasms
- Carcinoma, Squamous Cell
- Squamous Cell Carcinoma of Head and Neck
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Pembrolizumab
Other Study ID Numbers
- MCLA-158-CL01
- 2017-004745-24 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Gastric Cancer
-
City of Hope Medical CenterRecruitingGastric Cancer | Gastric Adenocarcinoma | Gastric Cancer Stage IV | Gastric Neoplasm | Gastric Cancer Metastatic to Lung | Gastric Cancer Stage | Gastric Cancer Metastatic to Liver | Gastric Cancer Stage III | Gastric Cancer Stage II | Gastric Lesion | Gastric Cancer in Situ | Gastric Cancer Stage IIIB | Gastric... and other conditionsUnited States, Japan
-
City of Hope Medical CenterNational Cancer Institute (NCI)Active, not recruitingGastric Adenocarcinoma | Clinical Stage III Gastric Cancer AJCC v8 | Clinical Stage 0 Gastric Cancer AJCC v8 | Clinical Stage I Gastric Cancer AJCC v8 | Clinical Stage II Gastric Cancer AJCC v8 | Clinical Stage IIA Gastric Cancer AJCC v8 | Clinical Stage IIB Gastric Cancer AJCC v8 | Pathologic Stage... and other conditionsUnited States
-
City of Hope Medical CenterActive, not recruitingAdenocarcinoma of the Gastroesophageal Junction | Stage IV Gastric Cancer | Recurrent Gastric Cancer | Diffuse Adenocarcinoma of the Stomach | Intestinal Adenocarcinoma of the Stomach | Mixed Adenocarcinoma of the Stomach | Stage IIIA Gastric Cancer | Stage IIIB Gastric Cancer | Stage IIIC Gastric Cancer and other conditionsUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingGastric Adenocarcinoma | Clinical Stage III Gastric Cancer AJCC v8 | Clinical Stage I Gastric Cancer AJCC v8 | Clinical Stage IIA Gastric Cancer AJCC v8 | Clinical Stage IVA Gastric Cancer AJCC v8 | Pathologic Stage IB Gastric Cancer AJCC v8 | Pathologic Stage II Gastric Cancer AJCC v8 | Pathologic... and other conditionsUnited States
-
National Cancer Institute (NCI)CompletedGastric Adenocarcinoma | Stage IV Gastric Cancer | Stage II Gastric Cancer | Stage III Gastric CancerUnited States
-
Mayo ClinicNational Cancer Institute (NCI)CompletedGastroesophageal Junction Adenocarcinoma | Gastric Cardia Adenocarcinoma | Stage IB Gastric Cancer AJCC v7 | Stage II Gastric Cancer AJCC v7 | Stage IIA Gastric Cancer AJCC v7 | Stage IIB Gastric Cancer AJCC v7 | Stage IIIA Gastric Cancer AJCC v7 | Stage IIIB Gastric Cancer AJCC v7United States
-
National Cancer Institute (NCI)CompletedAdenocarcinoma of the Gastroesophageal Junction | Stage IV Gastric Cancer | Recurrent Gastric Cancer | Adenocarcinoma of the Stomach | Stage IIIA Gastric Cancer | Stage IIIB Gastric Cancer | Stage IIIC Gastric CancerUnited States
-
National Cancer Institute (NCI)CompletedGastric Cancer | Gastric NeoplasmsUnited States
-
AIO-Studien-gGmbHBristol-Myers SquibbCompletedGastric Cancer | Esophageal Cancer | Adenocarcinoma Gastric | Metastatic Gastric Cancer | GastroEsophageal Cancer | HER2 Positive Gastric CancerGermany
-
Rutgers, The State University of New JerseyNational Cancer Institute (NCI)RecruitingGastric Adenocarcinoma | Epstein-Barr Virus Positive | Mismatch Repair Protein Deficiency | Stage IB Gastric Cancer AJCC v7 | Stage II Gastric Cancer AJCC v7 | Stage IIA Gastric Cancer AJCC v7 | Stage IIB Gastric Cancer AJCC v7 | Stage III Gastric Cancer AJCC v7 | Stage IIIA Gastric Cancer AJCC v7 | Stage... and other conditionsUnited States
Clinical Trials on MCLA-158
-
Artax Biopharma IncRecruitingPsoriasis | Plaque PsoriasisUnited Kingdom
-
Advanced Cancer TherapeuticsUnknown
-
Artax Biopharma IncSimbec-Orion GroupCompletedAutoimmune DiseasesUnited Kingdom
-
Betta Pharmaceuticals Co., Ltd.RecruitingHead and Neck Cancer | Colorectal Cancer | Non-Small Cell Lung Cancer | Solid TumorChina
-
Shanghai Leadingtac Pharmaceutical Co., Ltd.Not yet recruitingAtopic Dermatitis | Healthy Volunteer | Hidradenitis Suppurativa
-
Merus N.V.Incyte CorporationRecruitingAdvanced Cancer | Solid Tumor, Adult | B-cell Lymphoma, AdultUnited States, Spain, Belgium, Netherlands
-
Merus N.V.RecruitingNSCLC Harboring NRG1 Fusion | Solid Tumours Harboring NRG1 Fusion | Pancreatic Cancer Harboring NRG1 Fusion | NRG1 FusionSpain, France, Israel, Belgium, Denmark, United States, Korea, Republic of, Japan, Germany, Netherlands, Austria, Canada, Italy, Norway, Singapore, Sweden, Taiwan, United Kingdom
-
Merus N.V.AvailableRenal Cell Carcinoma | Breast Cancer | Head and Neck Cancer | Colorectal Cancer | Pancreatic Cancer | Prostate Cancer | Non Small Cell Lung Cancer | Cholangiocarcinoma | Solid Tumor, Unspecified, Adult | Unknown Primary Tumors | NRG1 Fusion
-
Drexel University College of MedicineWithdrawnCardiac ArrhythmiaUnited States
-
Leiden UniversityDutch Cancer Society; ISA Pharmaceuticals; Top Institute PharmaCompleted