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NSCLC Harboring NRG1 FusionPhase 2NCT05588609

Study Evaluating Zenocutuzumab in Patients With or Without Molecularly Defined Cancers

A Phase 2 study testing Afatinib Oral Tablet, Enzalutamide Pill and Abiraterone acetate tablets in people with NSCLC Harboring NRG1 Fusion and Metastatic Castration-resistant Prostate Cancer, run by Partner Therapeutics, Inc. at 7 sites in United States.

Terminated

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

Official record
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Trial summary

This is a Phase II, open-label, 2-arm, multicenter, international study designed to evaluate the efficacy of zenocutuzumab alone or in combination in patients with the following diagnoses: Group A: NRG1+ NSCLC Group B: mCRPC Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Afatinib Oral Tablet, Enzalutamide Pill and Abiraterone acetate tablets
Could I receive a placebo?
No, everyone receives an active treatment
How many people
13 participants
Where
7 sitesUnited States
Study dates
17 Nov 2022to 3 Jul 2025
Phase
Phase 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

  • Signed informed consent before initiation of any study procedures.
  • Age ≥ 18 years at signature of informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Estimated life expectancy of ≥ 12 weeks.
  • Left ventricular ejection fraction (LVEF) ≥ 50% by echocardiogram (ECHO) or multi-gated acquisition scan (MUGA).
  • Adequate organ function:
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  • Absolute neutrophil count ≥ 1.5 × 109/L.
  • Hemoglobin ≥ 9 g/dL.
  • Platelets ≥ 100 × 109/L.
  • Serum calcium within normal ranges (or corrected with supplements).
  • Alanine aminotransferase (ALT), aspartate aminotransferase (AST) ≤ 2.5 × upper limit of normal (ULN) (in case of liver involvement by malignancy, ALT/AST ≤ 5 × ULN will be allowed).
  • Total bilirubin ≤ 1.5 × ULN (in case of Gilbert disease, total bilirubin ≤ 3 × ULN will be allowed).
  • Estimated glomerular filtration rate of > 30 mL/min based on the Cockroft-Gault formula (Appendix D).
  • Serum albumin > 3.0 g/dL.
  • Availability of a representative tumor specimen, either a formalin-fixed paraffin embedded (FFPE) de novo (ie, obtained up to 2 months before signing of the informed consent form [ICF]) or an FFPE archival tumor sample, preferably collected within 2 years of the start of study treatment. A fresh FFPE sample is preferred.
  • Sexually active male and female patients of childbearing potential must agree to use contraceptive measures.
  • A1. Have histologically confirmed locally advanced, unresectable, or metastatic NSCLC harboring an NRG1 gene fusion detected by DNA- or RNA-based next generation sequencing in a tumor sample or in plasma-cell free DNA. A2. Have received prior standard therapy appropriate for the tumor type and disease or must be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy in the opinion of the Investigator or have no satisfactory available treatment options. A3. Have at least 1 measurable lesion per RECIST v1.1. A4. Able to swallow oral medications and absence of gastrointestinal conditions (eg, malabsorption, resection) deemed to jeopardize intestinal absorption.
  • Inclusion Criteria: (Group B Only) B1. Histologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell features. B2. Metastatic disease documented by at least 2 bone lesions on whole body bone scintigraphy, or soft tissue disease documented by computed tomography (CT) scan/magnetic resonance imaging (MRI). B3. Ongoing androgen deprivation with a serum testosterone level ≤ 1.73 nmol/L (≤ 50 ng/dL) at Screening. B4. Current ongoing therapy with a next-generation AR signaling inhibitor (enzalutamide or abiraterone) started at least 90 days before Screening. B5. Progressive disease by PCWG3 criteria B6. Able to swallow oral medications and absence of gastrointestinal conditions (eg, malabsorption, resection) deemed to jeopardize intestinal absorption.

Who cannot join

  • 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.
  • Previous exposure to anti-HER3-directed therapies.
  • Known leptomeningeal involvement.
  • Participation in another interventional clinical trial or treatment with any investigational drug within 4 weeks before study entry.
  • Chronic use of high-dose oral corticosteroid therapy (> 10 mg of prednisone- equivalent a day).
  • Uncontrolled hypertension (systolic blood pressure > 150 mmHg and/or diastolic blood pressure > 100 mmHg) or unstable angina.
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  • History of congestive heart failure Class II-IV by New York Heart Association criteria, or serious cardiac arrhythmia requiring treatment (except atrial fibrillation, or paroxysmal supraventricular tachycardia).
  • History of myocardial infarction within 6 months of study entry.
  • History of prior or concomitant malignancies (other than excised nonmelanoma skin cancer, cured in situ cervical carcinoma, or low-grade Ta or T1 urothelial carcinoma of the bladder that has undergone potentially curative therapy) within 3 years of study entry.
  • Current serious illness or medical conditions including, but not limited to uncontrolled active infection, and clinically significant pulmonary, metabolic, or psychiatric disorders.
  • Patients with the following known infectious diseases:
  • Known active hepatitis B infection (hepatitis B surface antigen [HBsAg] positive) without receiving antiviral treatment.
  • Known positive test for hepatitis C virus (HCV) RNA.
  • Known human immunodeficiency virus (HIV)-positive patients unless the CD4+ count is ≥ 300/μL, viral load is undetectable, and the patient is currently receiving highly active antiretroviral therapy.
  • Exclusion Criteria: (Group A) A1. Patients previously exposed to afatinib. A2. History of interstitial lung disease (ILD), ILD-like adverse reactions (such as lung infiltration, pneumonitis, acute respiratory distress syndrome, allergic alveolitis), or radiation pneumonia requiring steroid therapy.
  • Exclusion Criteria: (Group B) B1. More than 2 lines of a second-generation hormonal agent for metastatic disease.
  • B2. More than 2 lines of systemic chemotherapy for metastatic disease. B3. Patients with only nonmeasurable lesions other than bone metastasis (eg, pleural effusion, ascites, other visceral locations). B4. A history of seizure or any condition predisposing patient to seizure within 12 months before study treatment, including history of unexplained loss of consciousness or transient ischemic attack, for patients receiving enzalutamide.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

United States7 sites
  • The Center for Cancer and Blood Disorders

    Bethesda, Maryland, 20817

  • TriHealth Cancer Institute

    Cincinnati, Ohio, 45220

  • University Hospitals - Seidman Cancer Center

    Cleveland, Ohio, 44106

  • Florida Cancer Specialists

    Lake Mary, Florida, 32746

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Northwest Medical Specialties

    Tacoma, Washington, 98405

  • The Oncology Institute of Hope & Innovation

    Whittier, California, 90603

Other trials in United States

About this study

Official title: A Phase 2 Study Evaluating Activity of Zenocutuzumab (MCLA-128) in Patients With or Without Molecularly Defined Cancers

This is a Phase II, open-label, 2-arm, multicenter, international study designed to evaluate the efficacy of zenocutuzumab alone or in combination in patients with the following diagnoses:

Group A: NRG1+ NSCLC Group B: mCRPC

Read the detailed description

Study Design:

This is an open label (all participants know the identity of the study drug), multicenter (more than one study site), study consisting of 2 parts:

Group A (NRG1+ NSCLC): Approximately 50 NRG1+NSCLC patients will be enrolled and will receive zenocutuzumab in combination with afatinib 40 mg orally once daily.

Group B (mCRPC): Up to 40 mCRPC patients will be enrolled and will receive zenocutuzumab in combination with the AR targeting agent enzalutamide or abiraterone on which they experienced disease progression immediately before study entry.

For the administration of zenocutuzumab in combination in Groups A and B, the Treatment Period will include 2 phases, an initial safety run-in phase, and an expansion phase with an interim efficacy analysis.

The study will consist of 4 periods: Screening, Treatment, Safety Follow-up, and Long-term Follow up.

Being tested
Afatinib Oral Tablet, Enzalutamide Pill, Abiraterone acetate tablets, MCLA-128

What participants receive

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

  • Afatinib Oral TabletDrug

    Also called GILOTRIF®, GIOTRIF®

    anti epidermal growth factor receptor (EGFR)/HER2 agent

  • Enzalutamide PillDrug

    Also called XTANDI®

    second-generation androgen receptor antagonist

  • Abiraterone acetate tabletsDrug

    Also called ZYTIGA®

    androgen synthesis inhibitor

  • MCLA-128Biological

    Also called Zenocutuzumab

    full length IgG1 bispecific antibody targeting HER2 and HER3

Study groups in NCT05588609
Study groupRoleWhat they receive
Part 1: NSCLC harboring NRG1+ fusionExperimentalParticipants will receive intravenous infusion of 750 mg of zenocutuzumab once every 2 weeks in combination with afatinib 40 mg orally once daily.
Receives: Drug: Afatinib Oral Tablet; Biological: MCLA-128
Part 1: mCRPCExperimentalParticipants will receive intravenous infusion of 750 mg of zenocutuzumab once every 2 weeks in combination with the AR targeting agent they experienced disease progression on prior to study entry: enzalutamide 160 mg orally once daily or abiraterone 1000 mg orally once daily with prednisone 5 mg orally twice daily.
Receives: Drug: Enzalutamide Pill; Drug: Abiraterone acetate tablets; Biological: MCLA-128
Part 2: NSCLC harboring NRG1+ fusionExperimentalParticipants will receive intravenous infusion of 750 mg of zenocutuzumab once every 2 weeks in combination with afatinib 40 mg orally once daily.
Receives: Drug: Afatinib Oral Tablet; Biological: MCLA-128
Part 2: mCRPCExperimentalParticipants will receive intravenous infusion of 750 mg of zenocutuzumab once every 2 weeks in combination with the AR targeting agent they experienced disease progression on prior to study entry: enzalutamide 160 mg orally once daily or abiraterone 1000 mg orally once daily with prednisone 5 mg orally twice daily
Receives: Drug: Enzalutamide Pill; Drug: Abiraterone acetate tablets; Biological: MCLA-128

What is being measured

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

  1. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of response.

    Objective Response Rate (ORR) by local assessment per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  2. Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of Prostate-Specific antigen level ≥ 50% (PSA50) response.

    PSA50 response rate

    Measured: Every 4 weeks until study ends, approximately 2 years

Secondary outcomes (25)
  1. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator

    Objective Response Rate (ORR) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  2. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator

    Duration of Response (DOR) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  3. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator

    Time to Response (TTR) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  4. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review

    Objective Response Rate (ORR) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  5. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review

    Duration of Response (DOR) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  6. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review

    Time to Response (TTR) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  7. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review

    Progression-free Survival (PFS) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  8. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator

    Progression-free Survival (PFS) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  9. Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of survival

    Overall Survival (OS)

    Measured: Continuous through study completion, up to 2 years

  10. Group A: Evaluate safety and tolerability of zenocutuzumab in combination with afatinib

    Frequency and nature of adverse events (AEs) that are related to treatment as assessed by Common Terminology Criteria for AEs (CTCAE) version 5.0

    Measured: continuous through study completion, an average of 9 months

  11. Group A: Maximum plasma concentration [Cmax] of zenocutuzumab when given in combination with afatinib

    Cmax

    Measured: 12 months

  12. Group A: Characterize immunogenicity of zenocutuzumab.

    Incidence of antidrug antibodies against zenocutuzumab

    Measured: 12 months

  13. Group A: Area under the concentration versus time curve from time zero to time t [AUC0-t] of zenocutuzumab when given in combination with afatinib

    AUC0-t

    Measured: 12 months

  14. Group A: Area under the concentration versus time curve [AUC0-∞] of zenocutuzumab when given in combination with afatinib

    AUC0-∞

    Measured: 12 months

  15. Group A: Area under the concentration versus time curve [AUC0-∞] of afatinib when given in combination with zenocutuzumab

    AUC0-∞

    Measured: 12 months

  16. Group A: Area under the concentration versus time curve from time zero to time t [AUC0-t] afatinib when given in combination with zenocutuzumab

    AUC0-t

    Measured: 12 months

  17. Group A: Maximum plasma concentration [Cmax] afatinib when given in combination with zenocutuzumab

    Cmax

    Measured: 12 months

  18. Group A: Characterize immunogenicity of zenocutuzumab.

    Serum titers of antidrug antibodies against zenocutuzumab

    Measured: 12 months

  19. Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of antitumor activity as assessed by local investigator.

    Objective Response Rate (ORR) per RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  20. Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of Prostate-specific antigen level ≥ 30% (PSA30) response.

    PSA30 response rate

    Measured: Every 4 weeks until study ends, approximately 2 years

  21. Group B: Evaluate efficacy zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of survival parameters

    Radiographic Progression Free Survival (rPFS) by local investigator per Prostate Cancer Clinical Trials Working Group 3 Modified Response Evaluation Criteria in Solid Tumors (PCWG3-modified RECIST) v1.1 and Overall Survival (OS)

    Measured: Continuous through study completion, up to 2 years

  22. Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of antitumor activity as assessed by local investigator.

    Duration of Response (DOR) per PCWG3-modified RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  23. Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of antitumor activity as assessed by local investigator.

    Time to Response (TTR) per PCWG3-modified RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  24. Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of Prostate-specific antigen level ≥ 30% (PSA30) response.

    time to Prostate-specific antigen (PSA) progression per PCWG3-modified RECIST v1.1

    Measured: Every 8 weeks until study ends, approximately 2 years

  25. Group B: Evaluate safety and tolerability of zenocutuzumab in combination with enzalutamide or abiraterone acetate.

    Frequency and nature of adverse events (AEs) that are related to treatment as assessed by Common Terminology Criteria for AEs (CTCAE) version 5.0

    Measured: continuous through study completion, an average of 6 months

Timeline

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

  1. First posted20 Oct 2022
  2. Study start17 Nov 2022
  3. Primary completion3 Jul 2025
  4. Study completion3 Jul 2025

Why it stopped: Merus terminated the study early due to changes in organizational priorities.

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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Parallel assignment
Masking
None (open label)
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05588609
Sponsor's protocol ID
MCLA-128-CL03
Status last verified
Apr 2026
First submitted
14 Oct 2022
Last updated
27 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Afatinib Oral Tablet, Enzalutamide Pill and Abiraterone acetate tablets in people with NSCLC Harboring NRG1 Fusion and Metastatic Castration-resistant Prostate Cancer, run by Partner Therapeutics, Inc. at 7 sites in United States.

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 18 inclusion and 17 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 27 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United States. 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 phase mean?

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: Merus terminated the study early due to changes in organizational priorities.). 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?

Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of response. (time frame: Every 8 weeks until study ends, approximately 2 years). 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 27 Apr 2026.

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