Phase 1 / 2 Study Evaluating MCLA-129 in Advanced NSCLC

2024-514461-19-00 Protocol MCLA-129-CL01 Phase I and Phase II (Integrated) - Other Ongoing, recruitment ended

Start 9 Sep 2021 · Status Ongoing, recruitment ended · 6 EU/EEA countries · 38 sites · Protocol MCLA-129-CL01

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruitment ended
Participants planned 287
Countries 6
Sites 38

Solid Tumors

1. To determine the Objective Response Rate 2. To characterize safety and tolerability of single-agent MCLA-129 and MCLA-129 in combination with chemotherapy and osimertinib 3. To characterize the PK of MCLA-129 4. To evaluate antitumor activity in terms of progression free survival (PFS) and duration of response (DOR)…

Key facts

Sponsor
Merus B.V.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
9 Sep 2021 → ongoing
Decision date (initial)
2024-10-18
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-514461-19-00
EudraCT number
2021-000203-20
ClinicalTrials.gov
NCT04868877

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Pharmacokinetic, Pharmacodynamic, Safety, Efficacy

1. To determine the Objective Response Rate
2. To characterize safety and tolerability of single-agent MCLA-129 and MCLA-129 in combination with chemotherapy and osimertinib
3. To characterize the PK of MCLA-129
4. To evaluate antitumor activity in terms of progression free survival (PFS) and duration of response (DOR)
5. To evaluate Overall Survival

Conditions and MedDRA coding

Solid Tumors

VersionLevelCodeTermSystem organ class
21.0 LLT 10049280 Solid tumour 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Signed informed consent form (ICF) before initiation of any study procedures
  2. Age ≥18 years at signing of ICF
  3. Patients with NSCLC, HNSCC, other solid tumors and applicable mutations as determined by the investigator
  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  5. Adequate cardiac and organ function
  6. Life expectancy ≥ 12 weeks, as per Investigator.

Exclusion criteria 7

  1. 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
  2. History of hypersensitivity reaction or any toxicity attributed to human proteins or any of the excipients that warranted permanent cessation of these agents
  3. Uncontrolled hypertension with appropriate treatment, or unstable angina
  4. History of clinically significant cardiovascular disease
  5. 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
  6. Patients with a history of interstitial lung disease (ILD)
  7. Pregnant or breastfeeding patients; 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-129.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 5

  1. Objective Response Rate (ORR)
  2. Frequency and severity of adverse events, serious adverse events, treatment discontinuations and modifications
  3. Pharmacokinetic parameters (CEOI, Cmax, C0h, AUC, CL, Vss, tmax and t1/2,) and population pharmacokinetics
  4. Progression-Free Survival (PFS) and Duration of Response (DOR)
  5. Overall Survival (OS)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 6

Docetaxel

SUB12492MIG · Substance

Active substance
Docetaxel
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

MCLA-129

PRD9156705 · Product

Active substance
MCLA-129
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Authorisation status
Not Authorised
MA holder
MERUS B.V.
Paediatric formulation
No
Orphan designation
No

Osimertinib

SUB176340 · Substance

Active substance
Osimertinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
relabelling

Osimertinib

SUB176340 · Substance

Active substance
Osimertinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
relabelling

Carboplatin

SUB06614MIG · Substance

Active substance
Carboplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
relabelling

Paclitaxel

SUB09583MIG · Substance

Active substance
Paclitaxel
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
relabelling

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Merus B.V.

Sponsor organisation
Merus B.V.
Address
Floor 3rd And 4th, Uppsalalaan 17 Uppsalalaan 17
City
Utrecht
Postcode
3584 CT
Country
Netherlands

Scientific contact point

Organisation
Merus B.V.
Contact name
Project Physician

Public contact point

Organisation
Merus B.V.
Contact name
Project Physician

Third parties 4

OrganisationCity, countryDuties
Q Squared Solutions Limited
ORG-100042527
Livingston, United Kingdom Other
Almac Clinical Services Limited
ORG-100017464
Craigavon, United Kingdom (Northern Ireland) Other
BioClinica GmbH
ORG-100032790
Munich, Germany Other
Fortrea Development Limited
ORG-100009463
Maidenhead, United Kingdom Other

Locations

6 EU/EEA countries · 38 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 23 2
France Ongoing, recruitment ended 46 10
Germany Ended 5 2
Italy Ongoing, recruitment ended 34 8
Netherlands Ongoing, recruitment ended 10 3
Spain Ongoing, recruitment ended 120 13
Rest of world
Korea, Republic of, United States
49

Investigational sites

Belgium

2 sites · Ongoing, recruitment ended
Institut Jules Bordet
Medical oncology department, Mijlenmeersstraat 90, 1070, Anderlecht
Antwerp University Hospital
Medical oncology department, Drie Eikenstraat 655, 2650, Edegem

France

10 sites · Ongoing, recruitment ended
Assistance Publique Hopitaux De Paris
Chest Oncologic Departement, 46 Rue Henri Huchard, 75877, Paris Cedex 18
Centre Hospitalier Universitaire De Nantes
Chest Oncologic Unit, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Direction Centrale Du Service De Sante Des Armees
Oncology / clinical research Unit, 69 Avenue De Paris, 94160, Saint-Mande
Institut Paoli Calmettes
Department of medical oncology, 232 Boulevard De Sainte Marguerite, Bp 156, Marseille
Hospices Civils De Lyon
Pneumology department, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire De Bordeaux
Medical Oncology Department, 1 Rue Jean Burguet, Cs 11261, Bordeaux Cedex
Centre Hospitalier Universitaire De Lille
Pulmonology and Thoracic Oncology department, Rue Michel Polonowski, 59000, Lille
Centre Hospitalier Universitaire De Poitiers
Regional Cancer Center, 2 Rue De La Miletrie, 86000, Poitiers
Centre Hospitalier Intercommunal Creteil
Pneumology department, 40 Avenue De Verdun, 94000, Creteil
Assistance Publique Hopitaux De Paris
Pneumology Department Chest Oncologic Unit, 27 Rue Du Faubourg Saint Jacques, 75014, Paris

Germany

2 sites · Ended
Krankenhaus Nordwest GmbH
Institut für Klinisch-Onkologische Forschung (IKF), Steinbacher Hohl 2-26, Praunheim, Frankfurt Am Main
Sana Klinikum Offenbach GmbH
Medizinische Klinik IV, Hämatologie und internistische Onkologie, Starkenburgring 66, 63069, Offenbach Am Main

Italy

8 sites · Ongoing, recruitment ended
ASST Grande Ospedale Metropolitano Niguarda
Hematology, Oncology and Molecular Medicine, Piazza Dell'ospedale Maggiore 3, 20162, Milan
I.F.O. Istituti Fisioterapici Ospitalieri
Medical Oncology, Via Elio Chianesi N 53, 00144, Rome
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Pulmonary Oncology, Regione Gonzole 10, 10043, Orbassano
Azienda Ospedaliera Universitaria San Giovanni Di Dio E Ruggi d'Aragona
Medical Oncology, Largo Citta' D'ippocrate 1, 84131, Salerno
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Oncology, Piazzale Spedali Civili 1, 25123, Brescia
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Medical Oncology, Via Pietro Albertoni 15, 40138, Bologna
Centro Ricerche Cliniche Di Verona S.r.l.
Oncology, Piazzale Ludovico Antonio Scuro 10, 37134, Verona
Fondazione IRCCS Istituto Nazionale Dei Tumori
Medical Oncology, Via Giacomo Venezian 1, 20133, Milan

Netherlands

3 sites · Ongoing, recruitment ended
Netherlands Cancer Institute
Pulmonology, Plesmanlaan 121, 1066 CX, Amsterdam
Universitair Medisch Centrum Groningen
Pulmonology, Hanzeplein 1, 9713 GZ, Groningen
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Pulmonary medicine, Dr. Molewaterplein 40, 3015 GD, Rotterdam

Spain

13 sites · Ongoing, recruitment ended
Clinica Universidad De Navarra
Medical Oncology, Pio XII Etorbidea 36, 31008, Pamplona
Fundacion Instituto Valenciano De Oncologia
Medical Oncology, Calle Professor Beltran Baguena 8, 46009, Valencia
Hospital Universitario Y Politecnico La Fe
Medical Oncology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Hospital Universitari Vall D Hebron
Medical Oncology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Hm Nou Delfos
Medical Oncology, Avinguda De Vallcarca 151, 08023, Barcelona
Hospital General Universitario Gregorio Maranon
Medical Oncology, Calle Del Doctor Esquerdo 46, 28007, Madrid
Hospital Universitario Fundacion Jimenez Diaz
Medical Oncology, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario 12 De Octubre
Medical Oncology, Avenida De Cordoba Sn, 28041, Madrid
Hospital Quironsalud Barcelona
Medical Oncology, Placa D'alfonso Comin 5-7, 08023, Barcelona
Clinica Universidad De Navarra
Medical Oncology, Calle Marquesado De Santa Marta 1, 28027, Madrid
Hospital Universitario Quironsalud Madrid
Medical Oncology, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital De La Santa Creu I Sant Pau
Medical Oncology, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital Universitario Hm Sanchinarro
Medical Oncology, Calle Ona 10, 28050, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2021-09-09 2022-01-26 2026-01-27
France 2022-10-26 2022-12-14 2026-01-27
Germany 2023-03-06 2025-03-13 2023-05-03 2025-03-13
Italy 2022-06-27 2022-10-04 2026-01-27
Netherlands 2023-01-17 2023-06-07 2026-01-27
Spain 2021-09-27 2021-12-02 2026-01-27

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 27 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-514461-19-00_Redacted 8.0
Recruitment arrangements (for publication) K_Recruitment arrangement_CTIS Placeholder N/A
Recruitment arrangements (for publication) K_Recruitment arrangement_CTIS Placeholder N/A
Recruitment arrangements (for publication) K_Recruitment arrangement_CTIS Placeholder N/A
Recruitment arrangements (for publication) K_Recruitment arrangement_CTIS Placeholder N/A
Recruitment arrangements (for publication) K_Recruitment arrangement_CTIS Placeholder N/A
Recruitment arrangements (for publication) K1_Recruitment and IC Procedure Form NA
Subject information and informed consent form (for publication) L1 SIS and ICF Pregnant Partner Du for NL 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main ENG_Redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main Phase 1_DU for NL_Redacted 9.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_FR_Redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_NL_Redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Phase 2_Du for NL_Redacted 9.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_ENG 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_FR 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_NL 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Biobanking ICF 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 9.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 11.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Redacted 6.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Carboplatin_CTIS Placeholder NA
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Docetaxel_CTIS Placeholder NA
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Osimertinib_CTIS Placeholder NA
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Paclitaxel_CTIS Placeholder NA

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-17 Netherlands Acceptable with conditions
2024-10-14
2024-10-14
2 SUBSTANTIAL MODIFICATION SM-1 2024-12-17 Acceptable with conditions 2025-01-22
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-05-08 Netherlands Acceptable with conditions 2025-05-08
4 NON SUBSTANTIAL MODIFICATION NSM-2 2026-02-12 Netherlands Acceptable with conditions 2026-02-12