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Non-Small Cell Lung Cancer MetastaticPhase 1/2NCT04868877

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

A Phase 1/2 study testing MCLA-129, Osimertinib and Chemotherapy in people with Non-Small Cell Lung Cancer Metastatic and Gastric Cancer, run by Merus B.V. at 51 sites in 9 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial 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… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
MCLA-129, Osimertinib and Chemotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
194 participants
Where
51 sitesin 9 countries
Study dates
28 Apr 2021to 1 Oct 2026
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Central nervous system metastases that are untreated or symptomatic, or require radiation, 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 drug within 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 that have major delayed toxicity (e.g., mitomycin C, nitrosoureas), a washout period of 6 weeks 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 not eligible.
  • Persistent grade >1 clinically significant toxicities related to prior antineoplastic therapies (except for alopecia); stable sensory neuropathy ≤ grade 2 NCI-CTCAE v5.0 and hypothyroidism ≤ grade 2 which is stable on hormone replacement are allowed.
Show all 14Show fewer
  • History of hypersensitivity reaction or any toxicity attributed to human proteins or any of the excipients that warranted permanent cessation of these agents. History of hypersensitivity 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 ILD or pneumonitis.
  • Previous or concurrent malignancy, excluding non-basal cell carcinomas of skin or carcinoma in situ of the uterine cervix, unless the tumor was treated with curative or palliative intent and in the opinion of the Investigator, with Sponsor agreement, the previous or concurrent malignancy condition does not affect the assessment of safety and efficacy of the study drug.
  • Current serious illness or medical conditions including, but not limited to uncontrolled active infection, clinically significant pulmonary, metabolic or psychiatric 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 viral load are allowed. In

Trial locations and contacts

51 sites in 9 countries.

51 sites in 9 countries

Spain13 sites
  • Hospital HM Delfos

    Barcelona, 08023

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08025

  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035

  • IOB Institute of Oncology - Hospital Quironsalud Barcelona

    Barcelona, 8023

  • Hospital General Universitario Gregorio Marañón

    Madrid, 28007

  • Clínica Universidad de Navarra -Madrid

    Madrid, 28027

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid, 28040

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Centro Integral Oncológico Clara Campal

    Madrid, 28050

  • Hospital Quirón Madrid

    Madrid, 28223

  • Clínica Universidad de Navarra

    Pamplona, 31008

  • Fundación Instituto Valenciano de Oncología (IVO)

    Valencia, 46009

  • Hospital Universitari i Politècnic La Fe

    Valencia, 46026

Other trials in Spain

France12 sites
  • Clinique de l'Europe

    Amiens, 80090

  • CHU Hopitaux de Bordeaux - Hôpital Saint-André

    Bordeaux, 33000

  • CHU de Lyon - Louis Pradel Hospital

    Bron, 69677

  • Centre Hospitalier Intercommunal de Créteil

    Créteil, 94010

  • Hôpital Albert Calmette

    Lille, 59037

  • L'Institut Paoli - Calmettes

    Marseille, 13009

  • CHU de Nantes - Hôpital Nord Laennec

    Nantes, 44093

  • Marie Wislez

    Paris, 75014

  • Hôpital Bichat - Claude-Bernard

    Paris, 75877

  • Hôpital Européen Georges Pompidou (HEGP)

    Paris, 75908

  • CHU de Poitiers

    Poitiers, 86000

  • Hôpital d'Instruction des Armées Bégin

    Saint-Mandé, 94163

Other trials in France

Italy8 sites
  • Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola-Malpighi

    Bologna, 40138

  • ASST degli Spedali Civili di Brescia

    Brescia, 25123

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milan, 20133

  • ASST Grande Ospedale Metropolitano Niguarda

    Milan, 22162

  • Azienda Ospedaliero - Universitaria San Luigi Gonzaga

    Orbassano, 10043

  • Istituto Nazionale dei Tumori Regina Elena

    Roma, Rome, 00144

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

    Salerno, 84131

  • Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Trento

    Verona, 37126

Other trials in Italy

South Korea6 sites
  • Gachon University Gil Hospital

    Incheon, 21565

  • Samsung Medical Center

    Seoul, 6351

  • Seoul National University Hospital

    Seoul

  • Severance Hospital - Yonsei Cancer Center

    Seoul

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

    Seoul

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

    Suwon, Gyeonggi-do, 16247

Other trials in South Korea

United States4 sites
  • Next Oncology Virginia

    Fairfax, Virginia, 22031

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • University of California, Irvine

    Orange, California, 92868

  • START Mountain Region

    West Valley City, Utah, 84119

Other trials in United States

Netherlands3 sites
  • Netherlands Cancer Institute

    Amsterdam

  • University Medical Center Groningen

    Groningen

  • Erasmus Medical Center

    Rotterdam

Other trials in Netherlands

Belgium2 sites
  • Institut Jules Bordet

    Anderlecht

  • Antwerp University Hospital

    Edegem, 2650

Other trials in Belgium

Germany2 sites
  • Krankenhaus Nordwest

    Frankfurt am Main, Hesse, 60488

  • Sana Klinikum Offenbach GmbH

    Offenbach, 63069

Other trials in Germany

Singapore1 site
  • National Cancer Centre of Singapore

    Singapore, 169610

Other trials in Singapore

About this study

Official title: Phase 1/2 Dose Escalation and Expansion Study Evaluating MCLA-129, a Human Anti-EGFR and Anti-c-MET Bispecific Antibody, in Patients With Advanced NSCLC and Other Solid Tumors

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.

Being tested
MCLA-129, Osimertinib, Chemotherapy
Keywords
MCLA-129, EGFR inhibitor, NSCLC, C-MET, GC/GEJ, Head and Neck Cancer
Medical subject headings
Stomach Neoplasms, Esophageal Squamous Cell Carcinoma, Squamous Cell Carcinoma of Head and Neck, Colorectal Neoplasms, Head and Neck Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MCLA-129Drug

    Also called bispecific

    full length IgG1 bispecific antibody that specifically targets the receptor tyrosine kinases EGFR and c-MET

  • OsimertinibDrug

    Also called Tagrisso

    Approved, 3rd-generation EGFR-TKI

  • ChemotherapyDrug

    administrated by IV infusion

Study groups in NCT04868877
Study groupRoleWhat they receive
Part 2 NSCLC Second-line or more harboring EGFR exon 20 InsertionExperimentalParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D).
Receives: Drug: MCLA-129
Part 2 NSCLC Second-line or more harboring cMet exon 14 skipping mutationExperimentalParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D).
Receives: Drug: MCLA-129
Part 2 Selected solid tumors with or without an EGFR or cMet alterationExperimentalParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D).
Receives: Drug: MCLA-129
Part 2 NSCLC First-line harboring EGFR sensitizing mutationsExperimentalParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and Osimertinib orally once daily starting at a dose of 80mg.
Receives: Drug: MCLA-129; Drug: Osimertinib
Part 2 NSCLC Second-line or more, osimertinib resistant (combo with osimertinib)ExperimentalParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and Osimertinib orally once daily starting at a dose of 80mg.
Receives: Drug: MCLA-129; Drug: Osimertinib
Part 2 NSCLC Second-line or more, osimertinib resistant (combo with chemotherapy)ExperimentalParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and chemotherapy every three weeks per standard of care according to local guidance.
Receives: Drug: MCLA-129; Drug: Chemotherapy
Part 2 NSCLC Third-line or more, osimertinib resistant, platinum resistant (combo with chemotherapy)ExperimentalParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and chemotherapy every three weeks per standard of care according to local guidance.
Receives: Drug: MCLA-129; Drug: Chemotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D)

    To determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of single-agent MCLA-129 as well as in combination with chemotherapy in patients with NSCLC, GC/GEJ adenocarcinoma, HNSCC or ESCC, with disease progression after prior therapy for advanced/metastatic disease.

    Measured: First 28 days of treatment

  2. To evaluate clinical activity, as assessed by ORR

    To evaluate the ORR of MCLA-129 monotherapy or in combination with an EGFR TKI or chemotherapy in molecularly defined populations of advanced/metastatic solid tumors.

    Measured: From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.

Secondary outcomes (9)
  1. To evaluate preliminary antitumor activity in terms of BOR

    To evaluate preliminary antitumor activity of MCLA-129 monotherapy as well as in combination with an EGFR TKI or chemotherapy in terms of best overall response (BOR)

    Measured: From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.

  2. To evaluate preliminary antitumor activity in terms of DCR

    To evaluate preliminary antitumor activity of single-agent MCLA-129 as well as in combination with an EGFR TKI or with chemotherapy in terms of Disease Control Rate (DCR).

    Measured: From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.

  3. To evaluate preliminary antitumor activity in terms of DoR

    To evaluate preliminary antitumor activity of single-agent MCLA-129 as well as in combination with an EGFR TKI or with chemotherapy in terms of Duration of Response (DoR)

    Measured: From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.

  4. To evaluate progression-free survival (PFS)

    To evaluate progression-free survival (PFS) of single-agent MCLA-129 as well as in combination with an EGFR TKI or with chemotherapy.

    Measured: From first dose until RECIST progression or until 1 year after treatment, whichever occurs first.

  5. To evaluate overall survival (OS)

    To evaluate overall survival (OS) of single-agent MCLA-129 as well as in combination with an EGFR TKI or with chemotherapy.

    Measured: From first dose until RECIST progression or until 1 year after treatment, whichever occurs first.

  6. Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 of single-agent MCLA-129 as well as in combination with an EGFR TKI or with chemotherapy

    Measured: From first dose until study treatment discontinuation

  7. Proportion of patient with treatment discontinuations of single-agent MCLA-129 as well as in combination with an EGFR TKI or with chemotherapy.

    Measured: From first dose until study treatment discontinuation

  8. AE, regardless of relationship to study treatment

    Measured: From first dose until study treatment discontinuation

  9. All safety endpoints

    including vital sign, lab, ECG, ECHO, 4 weeks CT scan, Eye exam

    Measured: From first dose until study treatment discontinuation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2021
  2. Study start28 Apr 2021
  3. Primary completion1 Oct 2026
  4. Study completion1 Oct 2026

Why it stopped: The Sponsor terminated the trial early for strategic business reasons. This isn't related to any safety/efficacy/clinical activity/benefit-risk concern with petosemtamab. Ongoing participants will have access to treatment outside of this trial.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
194 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04868877
Sponsor's protocol ID
MCLA-129-CL01
Other IDs
2024-514461-19-00
Status last verified
Oct 2026
First submitted
9 Apr 2021
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing MCLA-129, Osimertinib and Chemotherapy in people with Non-Small Cell Lung Cancer Metastatic and Gastric Cancer, run by Merus B.V. at 51 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in Spain, France, Italy, South Korea, United States and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: The Sponsor terminated the trial early for strategic business reasons. This isn't related to any safety/efficacy/clinical activity/benefit-risk concern with petosemtamab. Ongoing participants will have access to treatment outside of this trial.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) (time frame: First 28 days of treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2026.

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