Ph I/II Study of MCLA-128, IgG1 Bispecific Antibody Targeting HER2 & HER3, in Pts w/ Solid Tumors

Cancer
Misako Nagasaka
A Phase I/II Study of MCLA-128, a Full Length IgG1 Bispecific Antibody Targeting HER2 and HER3, in Patients with Solid Tumors
Anus
Bones and Joints
Brain and Nervous System
Breast
Cervix
Colon
Esophagus
Eye and Orbit
Ill-Defined Sites
Kaposis sarcoma
Kidney
Larynx
Lip Oral Cavity and Pharynx
Liver
Lung
Melanoma skin
Mycosis Fungoides
Other Digestive Organ
Other Endocrine System
Other Female Genital
Other Male Genital
Other Respiratory and Intrathoracic Organs
Other Skin
Other Urinary
Ovary
Pancreas
Prostate
Rectum
Small Intestine
Soft Tissue
Stomach
Thyroid
Unknown Sites
Urinary Bladder

Study Description

This is a Phase I/II, open-label, multi-center, multi-national, dose escalation, single agent study to assess the safety, tolerability, PK, PD, immunogenicity and anti-tumor activity of zenocutuzumab (MCLA-128) in patients with solid tumors harboring an NRG1 fusion.

Eligibility

At least one measurable lesion according to RECIST v1.1 OR evaluable disease for a limited number of patients (up to 10) in Group H;

Performance status of ECOG 0 or 1;

Estimated life expectancy of at least 12 weeks;

Toxicities incurred as a result of previous anti-cancer therapy resolved to ≤Grade 1;

Treatment with anti-cancer medication or investigational drugs within the following intervals before the first dose of MCLA-128:

>14 days or >5 half-lives prior to study entry, whichever is shorter.

>14 days for radiotherapy.

Recovery from major surgery or other complication to ≤ Grade 2 or baseline ;

Absolute neutrophil count ≥1.5 x 109/L without colony stimulating factor support;

Platelets ≥100 x 109/L;

Hemoglobin ≥8 g/dL or ≥2.2 mmol/L;

Alanine aminotransferase (ALT), aspartate aminotransferase (AST) ≤3 x upper limit of normal (ULN) and total bilirubin ≤1.5 x ULN; in cases of metastatic liver involvement, ALT/AST ≤5 x ULN and total bilirubin ≤2 x ULN will be allowed; in cases of antecedents of Gilbert's syndrome when total bilirubin ≤3.0 x ULN or direct bilirubin ≤1.5 x ULN will be allowed;

Estimated glomerular filtration rate (GFR) of >30 mL/min

Able to provide a tumor biopsy sample (fresh strongly preferred or else archival);

Not pregnant or nursing

Pregnant or lactating;

Presence of an active uncontrolled infection or an unexplained fever;

Known hypersensitivity to any of the components of MCLA-128;

Known HIV, active Hepatitis B or Hepatitis C; patients treated for Hepatitis C and have undetectable viral loads are eligible

Known symptomatic or unstable brain metastases;

Patients with leptomeningeal metastases

Presence of congestive heart failure or Left Ventricular Ejection Fraction<50% or history of significant cardiac disease, unstable angina, myocardial infarction or ventricular arrhythmia requiring medication.

Previous or concurrent malignancy (excluding non-basal cell carcinoma of skin or carcinoma in situ of the uterine cervix) unless the tumor was treated with curative intent more than 2 years prior to study entry;

Presence of any other medical or psychological condition deemed by the Investigator to be likely to interfere with a patient's ability to sign informed consent, cooperate or participate in the study, or interfere with the interpretation of the results.

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