A Study to Evaluate the Efficacy and Safety of MRG003 in Patients With Advanced Gastric Cancer.

NCT ID: NCT05188209

Last Updated: 2022-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-24

Study Completion Date

2023-08-01

Brief Summary

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The objective of this study is to assess the safety, efficacy, pharmacokinetics, and immunogenicity of MRG003 in patients with EGFR-positive, HER2-negative, inoperable locally advanced or metastatic gastric cancer.

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Detailed Description

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Approximately 6054 patients will be enrolled to evaluate the safety and preliminarily efficacy of MRG003. Patients will receive 2.0 mg/kg dose of MRG003 intravenously every 3 weeks (Q3W) and may receive up to 24 months of MRG003 if there is evidence of clinical benefit to the patients.

Conditions

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Advanced or Metastatic Gastric Cancer Advanced or Metastatic Gastroesophageal Junction Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MRG003

On the first day of every 3 weeks, MRG003 will be administered via intravenous infusion at 2.0 mg/kg calculated based on the actual body weight

Group Type EXPERIMENTAL

MRG003

Intervention Type DRUG

Administered intravenously

Interventions

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MRG003

Administered intravenously

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* \- Willing to sign the ICF and follow the requirements specified in the protocol.
* Age: 18-75 years (including 18 and 75), both genders.
* Expected survival time≥3 months.
* Patients with histologically confirmed inoperable locally advanced or metastatic gastric adenocarcinoma.
* Tumor tissue must be EGFR positive and HER2 negative.
* Patients must have measurable lesions according to the Response Evaluation Criteria in Solid Tumors (RECIST v1.1).
* ECOG performance score 0 or 1.
* Organ functions and coagulation function must meet the basic requirements.
* No severe cardiac dysfunction with left ventricular ejection fraction (LVEF) ≥ 50%.
* Serum or urine pregnancy test negative within 7 days before the first dose of investigational drug.
* Patients with childbearing potential must use effective contraception during the treatment and for 6 months after the last dose of treatment.

Exclusion Criteria

* \- Squamous cell carcinoma, carcinoid, neuroendocrine carcinoma, undifferentiated carcinoma, or other gastric cancers,or adenocarcinoma with other pathological components that cannot be classified, or adenocarcin oma accompanied by other pathological components.
* History of hypersensitivity to any component of the study drug or to other EGFR-targeting agents.
* Antitumor biological therapy or immunotherapy, targeted small molecule therapy and have history of systemic chemotherapy within 4 weeks before the first administration of the investigational drug, or major surgery. Traditional Chinese medicine, Chinese patent medicine or traditional Chinese medicine formula with anti-tumor effect should not be used within 2 weeks before the first administration.
* Potent CYP3A4 inhibitors or inducers are in use and cannot be discontinued.
* Known active CNS metastasis.
* Uncontrolled pleural effusion, pericardial effusion or recurrent ascites.
* Patients with intestinal obstruction requiring treatment were excluded.
* Residual toxicity reactions caused by previous anti-tumor treatment or abnormal values of laboratory tests higher than grade 1 (CTCAE v5.0).

Peripheral neuropathy ≥ Grade 2 (NCICTCAE version 5.0).

* Uncontrolled or poorly controlled hypertension.
* Uncontrolled or poorly controlled heart disease.
* Known active hepatitis B or C.
* Active bacterial, viral, fungal, rickettsia, or parasitic infections that require systemic anti-infective treatment.
* Known history of malignancy.
* History of ophthalmologic abnormalities
* History of severe skin disease
* Moderate to severe dyspnea at rest caused by advanced cancer or its complications, or severe primary lung disease, oxygen saturation \< 93% in non-oxygen state, or history of any interstitial lung disease or interstitial lung disease (ILD) requiring oral or intravenous glucocorticoids or non-infectious pneumonia.
* Patients with a history of active bleeding, coagulopathy, or receiving coumarin anticoagulation therapy.
* History of pulmonary embolism or deep vein thrombosis within 6 months before the first administration of the investigational drug.
* Patients with a history of active bleeding, coagulopathy, or receiving coumarin anticoagulation therapy.

Decompensated cirrhosis of Child-Pugh class B, C

* Complicated with severe, uncontrolled infection or known human immunodeficiency virus (HIV) infection, or diagnosed as acquired immunodeficiency syndrome (AIDS); or uncontrolled autoimmune disease; or history of allogeneic tissue/organ transplantation, stem cell or bone marrow transplantation, or solid organ transplantation.
* Vaccination of live virus vaccine within 30 days before the first administration of the study drug. Inactivated seasonal influenza vaccine or approved COVID-19 vaccine is allowed.
* Uncontrolled intercurrent illness
* Patients requiring parenteral nutrition within 4 weeks
* Women who are lactating or pregnant.
* Other conditions that in the clinical judgement of the investigator make the patient not suitable for participation in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Miracogen Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aiping Zhou, Doctor

Role: PRINCIPAL_INVESTIGATOR

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Locations

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The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Henan Tumor Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status RECRUITING

Jinan Central Hospital

Jinan, Shandong, China

Site Status RECRUITING

Shandong Cancer Hospital

Jinan, Shandong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Program Director

Role: CONTACT

86-21-61637960

Facility Contacts

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Wenhua Xue, Secretary

Role: primary

0371-66295624

Baoxia He, Director

Role: primary

0371-65588007 ext. 0371-65588007

Fang Xu, Secretary

Role: primary

027-87670003 ext. 027-87670003

Xiaoran Zhang, Secretary

Role: primary

0531-86970712

Zhehai Wang, Secretary

Role: primary

0531-67626073

Other Identifiers

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MRG003-006

Identifier Type: -

Identifier Source: org_study_id

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