New dual-action antibody enters early trials for tough-to-treat cancers
NCT ID NCT04868877
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase study tests an experimental drug called MCLA-129, a bispecific antibody that targets two cancer-related proteins (EGFR and c-MET). It is for people with advanced non-small cell lung cancer, gastric cancer, esophageal cancer, head and neck cancer, or colorectal cancer that has worsened after standard treatments. The study aims to find the safest dose and check if the drug can shrink tumors, either alone or combined with chemotherapy or other targeted therapy.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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194 people
The number who actually took part.
- Started
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Apr 2021
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Part One: Patients with NSCLC, GC/GEJ, HNSCC, or ESCC who have failed prior standard first-line treatment. Patients must have progressed on or be intolerant to therapies that are known to provide clinical benefit. There is no limit to the number of prior treatment regimens. Part Two: Patients with NSCLC, HNSCC, other solid tumors and applicable mutations as determined by the investigator. * Availability of archival or a fresh tumor tissue sample. * Measurable disease as defined by RECIST version 1.1 by radiologic methods. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Life expectancy ≥ 12 weeks, as per Investigator. * Adequate organ function (as per protocol) Exclusion Criteria: * 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. * 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
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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ASST Grande Ospedale Metropolitano Niguarda
Milan, 22162, Italy
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ASST degli Spedali Civili di Brescia
Brescia, 25123, Italy
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Antwerp University Hospital
Edegem, 2650, Belgium
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Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Trento
Verona, 37126, Italy
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Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona
Salerno, 84131, Italy
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Azienda Ospedaliero - Universitaria San Luigi Gonzaga
Orbassano, 10043, Italy
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Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola-Malpighi
Bologna, 40138, Italy
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CHU Hopitaux de Bordeaux - Hôpital Saint-André
Bordeaux, 33000, France
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CHU de Lyon - Louis Pradel Hospital
Bron, 69677, France
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CHU de Nantes - Hôpital Nord Laennec
Nantes, 44093, France
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CHU de Poitiers
Poitiers, 86000, France
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Centre Hospitalier Intercommunal de Créteil
Créteil, 94010, France
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Centro Integral Oncológico Clara Campal
Madrid, 28050, Spain
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Clinique de l'Europe
Amiens, 80090, France
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Clínica Universidad de Navarra
Pamplona, 31008, Spain
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Clínica Universidad de Navarra -Madrid
Madrid, 28027, Spain
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Erasmus Medical Center
Rotterdam, Netherlands
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Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133, Italy
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Fundación Instituto Valenciano de Oncología (IVO)
Valencia, 46009, Spain
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Gachon University Gil Hospital
Incheon, 21565, South Korea
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Hospital General Universitario Gregorio Marañón
Madrid, 28007, Spain
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Hospital HM Delfos
Barcelona, 08023, Spain
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Hospital Quirón Madrid
Madrid, 28223, Spain
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Hospital Universitari i Politècnic La Fe
Valencia, 46026, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040, Spain
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Hospital Universitario Vall d'Hebron
Barcelona, 08035, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, 08025, Spain
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Hôpital Albert Calmette
Lille, 59037, France
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Hôpital Bichat - Claude-Bernard
Paris, 75877, France
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Hôpital Européen Georges Pompidou (HEGP)
Paris, 75908, France
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Hôpital d'Instruction des Armées Bégin
Saint-Mandé, 94163, France
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IOB Institute of Oncology - Hospital Quironsalud Barcelona
Barcelona, 8023, Spain
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Institut Jules Bordet
Anderlecht, Belgium
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Istituto Nazionale dei Tumori Regina Elena
Roma, Rome, 00144, Italy
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Krankenhaus Nordwest
Frankfurt am Main, Hesse, 60488, Germany
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L'Institut Paoli - Calmettes
Marseille, 13009, France
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Marie Wislez
Paris, 75014, France
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National Cancer Centre of Singapore
Singapore, 169610, Singapore
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Netherlands Cancer Institute
Amsterdam, Netherlands
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Next Oncology Virginia
Fairfax, Virginia, 22031, United States
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START Mountain Region
West Valley City, Utah, 84119, United States
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Samsung Medical Center
Seoul, 6351, South Korea
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Sana Klinikum Offenbach GmbH
Offenbach, 63069, Germany
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Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
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Seoul National University Hospital
Seoul, South Korea
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Severance Hospital - Yonsei Cancer Center
Seoul, South Korea
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The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, South Korea
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The Catholic University of Korea, St. Vincent's Hospital
Suwon, Gyeonggi-do, 16247, South Korea
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University Medical Center Groningen
Groningen, Netherlands
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University of California, Irvine
Orange, California, 92868, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a personalized menu keep cancer patients stronger through chemotherapy?
- Gut bacteria may hold clues to why some cancer treatments work better
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- Can immunotherapy before surgery stop early oral cancer from returning?