NCT07737600

Brief Summary

This is a Phase Ib/II clinical study to evaluate the safety, tolerability, pharmacokinetics (PK), and efficacy of MRG007 combination therapy in patients with advanced colorectal cancer.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
316

participants targeted

Target at P75+ for phase_1

Timeline
41mo left

Started Aug 2026

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 27, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 30, 2026

Completed
2 days until next milestone

Study Start

First participant enrolled

August 1, 2026

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2029

Last Updated

July 30, 2026

Status Verified

July 1, 2026

Enrollment Period

2.3 years

First QC Date

July 27, 2026

Last Update Submit

July 27, 2026

Conditions

Keywords

MRG007Advanced Colorectal CancerCDH17ADC

Outcome Measures

Primary Outcomes (5)

  • Dose Limiting Toxicity (DLT)

    From the first dose to 30 days after the last dose

  • Serious Adverse Events (SAEs)

    From the first dose to 30 days after the last dose

  • Adverse Event (AE)

    From the first dose to 30 days after the last dose

  • Recommended Phase 2 Dose(RP2D) and/or Maximum Tolerated Dose (MTD)

    From the first dose to 30 days after the last dose

  • Objective Response Rate (ORR)

    Assessments will be performed every 6 weeks (± 7 days) following the first dose.

Secondary Outcomes (5)

  • PK/Immunogenicity

    up to 2 yesrs

  • Duration of Response (DOR)

    Through study completion, an average 2 years

  • Disease Control Rate (DCR)

    Through study completion, an average 2 years

  • Progression-Free Survival (PFS)

    Through study completion, an average 2 years

  • Overall Survival (OS)

    Through study completion, an average 2 years

Study Arms (4)

MRG007+5-Fluorouracil/Leucovorin Calcium+Bevacizumab

EXPERIMENTAL
Drug: MRG007Drug: 5-Fluorouracil/Leucovorin CalciumDrug: Bevacizumab

MRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+Bevacizumab

EXPERIMENTAL
Drug: MRG007Drug: 5-Fluorouracil/Leucovorin CalciumDrug: BevacizumabDrug: Oxaliplatin

MRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+PD-1/VEGFPD-1/VEGF antibody

EXPERIMENTAL
Drug: MRG007Drug: 5-Fluorouracil/Leucovorin CalciumDrug: OxaliplatinDrug: PD-1/VEGF antibody

MRG007+Capecitabine+ Oxaliplatin+Bevacizumab

EXPERIMENTAL
Drug: MRG007Drug: BevacizumabDrug: OxaliplatinDrug: Capecitabine

Interventions

MRG007DRUG

MRG007 will be administrated as specified in the protocol.

MRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+BevacizumabMRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+PD-1/VEGFPD-1/VEGF antibodyMRG007+5-Fluorouracil/Leucovorin Calcium+BevacizumabMRG007+Capecitabine+ Oxaliplatin+Bevacizumab

5-Fluorouracil/Leucovorin Calcium will be administrated as specified in the protocol.

MRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+BevacizumabMRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+PD-1/VEGFPD-1/VEGF antibodyMRG007+5-Fluorouracil/Leucovorin Calcium+Bevacizumab

Bevacizumab will be administrated as specified in the protocol.

MRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+BevacizumabMRG007+5-Fluorouracil/Leucovorin Calcium+BevacizumabMRG007+Capecitabine+ Oxaliplatin+Bevacizumab

Oxaliplatin will be administrated as specified in the protocol.

MRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+BevacizumabMRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+PD-1/VEGFPD-1/VEGF antibodyMRG007+Capecitabine+ Oxaliplatin+Bevacizumab

PD-1/VEGF antibody will be administrated as specified in the protocol.

MRG007+5-Fluorouracil/Leucovorin Calcium+ Oxaliplatin+PD-1/VEGFPD-1/VEGF antibody

Capecitabine will be administrated as specified in the protocol.

MRG007+Capecitabine+ Oxaliplatin+Bevacizumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Expected survival of ≥ 3 months.
  • Tumor tissue specimens must be provided for relevant biomarker testing. If archived tissue specimens are unavailable, a new biopsy must be performed.
  • Pathologically confirmed, unresectable locally advanced or metastatic colorectal adenocarcinoma.
  • At least one measurable lesion according to RECIST v1.1 criteria. Measurable lesions should not have received prior radiotherapy; however, measurable lesions located within a prior radiation field or after local therapy may be selected as target lesions if disease progression is confirmed.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
  • Adequate organ function must be demonstrated.
  • Sexually active males and females of childbearing potential must agree to use highly effective contraceptive measures from the time of signing the informed consent form until 6 months after the last dose of the investigational drug. Females of childbearing potential include premenopausal females and postmenopausal females within 1 year after menopause. Females of childbearing potential must have a negative serum pregnancy test result ≤ 7 days prior to the first dose and before randomization.

You may not qualify if:

  • Trial participants with known deficient mismatch repair/microsatellite instability-high (dMMR/MSI-H).
  • Trial participants with synchronous or multiple primary malignancies.
  • Residual toxicity ≥ Grade 2 resulting from prior anti-tumor therapy.
  • Symptomatic central nervous system (CNS) metastases and/or leptomeningeal metastases.
  • History of severe cardiovascular disease.
  • Cerebrovascular accident, pulmonary embolism, or deep vein thrombosis occurring within 3 months prior to the first dose of the investigational drug; thrombosis associated with implanted venous ports or catheters; or superficial vein thrombosis, except for patients with stable thrombosis after standard anticoagulation therapy. Prophylactic use of low-dose low-molecular-weight heparin is permitted.
  • Clinically symptomatic moderate or larger volume pleural, ascitic, or pelvic effusions requiring clinical intervention, or clinically symptomatic pericardial effusion.
  • History of gastrointestinal perforation and/or fistula within 6 months prior to the first dose of the investigational drug that has not healed following surgical treatment; risk of bowel obstruction or bowel perforation; extensive bowel resection; poorly controlled Crohn's disease, ulcerative colitis, or other gastrointestinal autoimmune or inflammatory diseases; presence of pyloric obstruction and/or persistent recurrent vomiting.
  • Active chronic hepatitis B, active hepatitis C, or human immunodeficiency virus (HIV) infection.
  • Hypersensitivity to any component or excipient of MRG007, or known ≥ Grade 3 hypersensitivity to other prior anti-CDH17 antibodies or other monoclonal antibodies.
  • Body weight loss ≥ 10% during the screening period. Any severe and/or uncontrolled systemic disease that, in the opinion of the investigator and the sponsor, renders the participant unsuitable for participation in this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Peking University cancer Hospital

Beijing, Beijing Municipality, 100142, China

Location

MeSH Terms

Interventions

FluorouracilLeucovorinBevacizumabOxaliplatinCapecitabine

Intervention Hierarchy (Ancestors)

UracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsCoordination ComplexesOrganic ChemicalsDeoxycytidineCytidinePyrimidine NucleosidesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 27, 2026

First Posted

July 30, 2026

Study Start

August 1, 2026

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

December 1, 2029

Last Updated

July 30, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Locations