Anti-CEACAM5 ADC M9140 in Advanced Solid Tumors (PROCEADE-CRC-01)

NCT ID: NCT05464030

Last Updated: 2025-12-04

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-04

Study Completion Date

2026-08-07

Brief Summary

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The purpose of this first-in-human study is to evaluate the safety, tolerability, pharmacokinetics, and preliminary clinical activity of M9140 in advanced solid tumors. This study contains 2 parts: Dose escalation (Part 1) and dose expansion (Part 2).

Study details include:

* Study Duration per participant: Approximately 4 months for Part 1 and 8 months for Part 2
* M9140 is not available through an expanded access program

Detailed Description

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Conditions

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Colorectal Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1: M9140

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

M9140 will be administered at an escalated dose until Maximum tolerated dose (MTD) and/or a safe recommended Dose for Expansion (RDE) is determined in Part 1 of the study.

Part 2A: M9140

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

M9140 will be further investigated in part 2 of the study and includes dose optimization, an alternative administration regimen and combination regimen.

Part 2B: M9140

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

M9140 will be further investigated in part 2 of the study and includes dose optimization, an alternative administration regimen and combination regimen.

Part 2C: M9140 + Bevacizumab +/-Capecitabine

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

M9140 will be further investigated in part 2 of the study and includes dose optimization, an alternative administration regimen and combination regimen.

Bevacizumab

Intervention Type DRUG

Bevacizumab will be administered intravenously as per standard of care.

Capecitabine

Intervention Type DRUG

Capecitabine will be administered orally as per standard of care.

Part 2D: M9140 + 5-fluorouracil + Folinic acid + Bevacizumab

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

M9140 will be further investigated in part 2 of the study and includes dose optimization, an alternative administration regimen and combination regimen.

5-fluorouracil (5-FU)

Intervention Type DRUG

5-FU will be administered intravenously as per standard of care.

Folinic acid

Intervention Type DRUG

Folinic acid will be administered intravenously as per standard of care.

Interventions

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M9140

M9140 will be administered at an escalated dose until Maximum tolerated dose (MTD) and/or a safe recommended Dose for Expansion (RDE) is determined in Part 1 of the study.

Intervention Type DRUG

M9140

M9140 will be further investigated in part 2 of the study and includes dose optimization, an alternative administration regimen and combination regimen.

Intervention Type DRUG

Bevacizumab

Bevacizumab will be administered intravenously as per standard of care.

Intervention Type DRUG

Capecitabine

Capecitabine will be administered orally as per standard of care.

Intervention Type DRUG

5-fluorouracil (5-FU)

5-FU will be administered intravenously as per standard of care.

Intervention Type DRUG

Folinic acid

Folinic acid will be administered intravenously as per standard of care.

Intervention Type DRUG

Other Intervention Names

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Precemtabart tocentecan Precemtabart tocentecan

Eligibility Criteria

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Inclusion Criteria

* Participants with documented histopathological diagnosis of locally advanced or metastatic colorectal cancer (CRC), who were intolerant/refractory to or progressed after standard systemic therapies for the advanced/metastatic stage, if locally indicated and available to the participant. Participants with a known microsatellite instability high (MSI-H) status must have received treatment with an immune checkpoint inhibitor (if locally indicated and available) unless contraindicated.
* Eastern Cooperative Oncology Group Performance Status (ECOG PS) below or equal to 1
* Participants with adequate hematologic, hepatic and renal function as defined in protocol

Exclusion Criteria

* Participant has a history of malignancy within 3 years before the date of enrollment (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, benign prostate neoplasm/hypertropia, or malignancy that in the opinion of the Investigator, with concurrence with the Sponsor's Medical Monitor, is considered cured with minimal risk of recurrence within 3 years)
* Participants with known brain metastases, except those meeting the following criteria: Brain metastases that have been treated locally and are clinically stable for at least 4 weeks prior to the start of treatment; No ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable)
* Participants with diarrhea (liquid stool) or ileus Grade \> 1
* Participants with active chronic inflammatory bowel disease (e.g., ulcerative colitis, Crohn's disease, intestinal perforation) and/or bowel obstruction
* Unstable angina, myocardial infarction, congestive heart failure (New York Heart Association \[NYHA\] \>= II) or a coronary revascularization procedure within 180 days of study entry. Calculated QTc average (using the Fridericia correction calculation) of \> 470 milliseconds (ms)
* Cerebrovascular accident/stroke (\< 6 months prior to enrollment)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role collaborator

EMD Serono Research & Development Institute, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

EMD Serono Research & Development Institute, Inc.

Locations

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Aichi Cancer Center Hospital

Nagoya, , Japan

Site Status RECRUITING

Kindai University Hospital

Osakasayama-shi, , Japan

Site Status RECRUITING

Shizuoka Cancer Center

Sunto-gun, , Japan

Site Status RECRUITING

Kanagawa Cancer Center

Yokohama, , Japan

Site Status RECRUITING

California Cancer Associates for Research & Excellence, Inc.

Encinitas, California, United States

Site Status COMPLETED

California Cancer Associates for Research & Excellence, Inc.

Fresno, California, United States

Site Status COMPLETED

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status RECRUITING

Mary Crowley Cancer Research

Dallas, Texas, United States

Site Status RECRUITING

MD Anderson Cancer Center - Oncology

Houston, Texas, United States

Site Status RECRUITING

NEXT Oncology

San Antonio, Texas, United States

Site Status RECRUITING

The Ottawa Hospital Cancer Centre

Ottawa, , Canada

Site Status RECRUITING

University Health Network - Princess Margaret Cancer Centre

Toronto, , Canada

Site Status RECRUITING

National Cancer Center Hospital - Dept of Gastroenterology

Chūōku, , Japan

Site Status RECRUITING

National Cancer Center Hospital East

Kashiwa-shi, , Japan

Site Status RECRUITING

Saitama Cancer Center

Kitaadachi-gun, , Japan

Site Status RECRUITING

Cancer Institute Hospital of JFCR

Kōtoku, , Japan

Site Status RECRUITING

Kyungpook National University Chilgok Hospital

Daegu, , South Korea

Site Status RECRUITING

National Cancer Center

Goyang-si, , South Korea

Site Status RECRUITING

Seoul National University Bundang Hospital

Seongnam, , South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status RECRUITING

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital del Mar

Barcelona, , Spain

Site Status RECRUITING

Hospital HM Nou Delfos

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitari Vall d'Hebron - VHIR

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Reina Sofia

Córdoba, , Spain

Site Status RECRUITING

ICO l'Hospitalet - Hospital Duran i Reynals

L'Hospitalet de Llobregat, , Spain

Site Status RECRUITING

Centro Integral Oncologico Clara Campal

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Fundacion Jimenez Diaz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Quironsalud Madrid - NEXT Oncology

Madrid, , Spain

Site Status RECRUITING

Complejo Hospitalario Universitario de Santiago

Santiago de Compostela, , Spain

Site Status RECRUITING

Hospital Universitario Virgen del Rocio

Seville, , Spain

Site Status RECRUITING

Countries

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United States Canada Japan South Korea Spain

Central Contacts

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US Medical Information

Role: CONTACT

888-275-7376

Communication Center

Role: CONTACT

+49 6151 72 5200

Facility Contacts

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Role: primary

Role: primary

Role: primary

References

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Kopetz S, Boni V, Kato K, Raghav KPS, Vieito M, Pallis A, Habermehl C, Siddiqui A, Courlet P, Sloot W, Raab-Westphal S, Hart F, Rodriguez-Rivera I. Precemtabart tocentecan, an anti-CEACAM5 antibody-drug conjugate, in metastatic colorectal cancer: a phase 1 trial. Nat Med. 2025 Oct;31(10):3504-3513. doi: 10.1038/s41591-025-03843-z. Epub 2025 Jul 30.

Reference Type RESULT
PMID: 40739424 (View on PubMed)

Related Links

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https://medical.emdserono.com/en_US/home.html

US Medical Information website, Medical Resources

Other Identifiers

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2022-500508-23-00

Identifier Type: OTHER

Identifier Source: secondary_id

MS202329_0001

Identifier Type: -

Identifier Source: org_study_id

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