A Study of MRG003 in the Treatment of Patients With EGFR-positive Advanced or Metastatic Solid Tumors
An Open-label, Multi-center, Phase I/II Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of MRG003 in Combination With HX008 in Patients With EGFR-positive Advanced Solid Tumors
1 other identifier
interventional
18
1 country
2
Brief Summary
The objective of this study is to assess the safety, efficacy, pharmacokinetics, and immunogenicity of MRG003 in combination with HX008 in patients with EGFR-positive advanced or metastatic solid tumors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Jun 2022
Typical duration for phase_1
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 30, 2022
CompletedFirst Submitted
Initial submission to the registry
January 6, 2023
CompletedFirst Posted
Study publicly available on registry
January 18, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2025
CompletedJanuary 18, 2023
January 1, 2023
2.8 years
January 6, 2023
January 15, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Maximum Tolerated Dose (MTD)
MTD is the highest dose with the proportion of DLT less than 1/3
Within 21 days after the first dose of the last patient of the MTD group
Recommended Phase II Dose (RP2D)
The dose level of MRG003 recommended for further clinical studies based on assessment of the safety, efficacy and PK data from this study.
Baseline to study completion (up to 12 months)
Objective Response Rate (ORR)
ORR is defined as the proportions of patients with a complete response (CR) and partial response (PR). ORR will be assessed by investigator according to RECIST v1.1.
Baseline to study completion (up to 12 months)
Secondary Outcomes (8)
Duration of Response (DOR)
Baseline to study completion (up to 12 months)
Disease Control Rate (DCR)
Baseline to study completion (up to 12 months)
Progression Free Survival (PFS)
Baseline to study completion (up to 12 months)
Overall Survival (OS)
Baseline to study completion (up to 12 months)
Immunogenicity (ADA)
Baseline to 90 days after the last dose.
- +3 more secondary outcomes
Study Arms (1)
MRG003+HX008
EXPERIMENTALMRG003 will be administrated via intravenous infusion at 1.5, 2.0 mg/kg (MTD=2.5 mg/kg) once on Day 1 of every 3 weeks (21-day cycle). HX008 will be administrated via intravenous infusion at 3 mg/kg once on Day 1 of every 3 weeks (21-day cycle).
Interventions
Eligibility Criteria
You may qualify if:
- Willing to sign the informed consent form and follow the requirements specified in the protocol.
- Aged 18 to 75 (including 18 and 75), both genders.
- BMI ≥17
- Life expectancy ≥ 12 weeks.
- Patients with EGFR-positive advanced or metastatic solid tumors, including non-small cell lung cancer (NSCLC), squamous cell carcinoma of head and neck (SCCHN), and nasopharyngeal carcinoma (NPC).
- EGFR-positive determined by immunohistochemistry (except NSCLC, SCCHN and NPC).
- Patients must have measurable lesions according to the Response Evaluation Criteria in Solid Tumors (RECIST v1.1).
- The score of ECOG for performance status is 0 or 1.
- No severe cardiac dysfunction.
- Acceptable liver, renal, and hematologic function.
- Patients with childbearing potential must use effective contraception during the treatment and for 6 months after the last dose of treatment.
You may not qualify if:
- History of hypersensitivity to any component of the investigational product.
- Prior treatment with chemotherapy, biological therapy, immunotherapy, radiotherapy, investigational drugs, attenuated live vaccines, immunomodulators, CYP3A4 inhibitors/inducers, antibody-drug conjugates, Received major surgery without complete recovery, etc.
- Treatment with MMAE/MMAF ADC drugs
- Central nervous system metastasis.
- Toxic reaction or abnormal value of laboratory test caused by previous anti-tumor treatment ≥ 2 (CTCAE v5.0)
- Presence of peripheral neuropathy ≥ Grade 2.
- Liver function Child Pugh Grade B or Grade C。
- Pleural and peritoneal effusion or pericardial effusion with clinical symptoms requiring drainage.
- Poorly controlled systemic diseases (hypertension and hyperglycemia, etc.)
- Evidence of active infection of hepatitis B, hepatitis C or HIV.
- Patients with poorly controlled heart diseases
- History of ophthalmic abnormalities.
- History of severe skin disease requiring oral or intravenous therapy.
- History of interstitial pneumonia, radiation pneumonia, severe chronic obstructive pulmonary disease, severe pulmonary insufficiency, symptomatic bronchospasm, etc.
- Active, known or suspected autoimmune disease or drug related immune disease or the disease history within the past 2 years.
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510060, China
Hunan Cancer Hospital
Changsha, Hunan, 410029, China
Study Officials
- PRINCIPAL INVESTIGATOR
Ruihua Xu, M.D.
Sun Yat-sen University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 6, 2023
First Posted
January 18, 2023
Study Start
June 30, 2022
Primary Completion
May 1, 2025
Study Completion
July 1, 2025
Last Updated
January 18, 2023
Record last verified: 2023-01
Data Sharing
- IPD Sharing
- Will not share