Overview
Sponsor-declared trial summary
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
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | LLT | 10049280 | Solid tumour | 10029104 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Signed informed consent form (ICF) before initiation of any study procedures
- Age ≥18 years at signing of ICF
- Patients with NSCLC, HNSCC, other solid tumors and applicable mutations as determined by the investigator
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Adequate cardiac and organ function
- Life expectancy ≥ 12 weeks, as per Investigator.
Exclusion criteria 7
- 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
- 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 with appropriate treatment, or unstable angina
- History of clinically significant cardiovascular disease
- 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
- Patients with a history of interstitial lung disease (ILD)
- 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
- Objective Response Rate (ORR)
- Frequency and severity of adverse events, serious adverse events, treatment discontinuations and modifications
- Pharmacokinetic parameters (CEOI, Cmax, C0h, AUC, CL, Vss, tmax and t1/2,) and population pharmacokinetics
- Progression-Free Survival (PFS) and Duration of Response (DOR)
- Overall Survival (OS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 6
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
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
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
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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |