Study of Anti-CEACAM5 ADC M9140 in Participants With Advanced Solid Tumors (PROCEADE PanTumor)

NCT ID: NCT06710132

Last Updated: 2025-12-19

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/PHASE2

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-29

Study Completion Date

2028-01-26

Brief Summary

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The PROCEADE PanTumor study aims to investigate M9140 in multiple tumor types which express carcinoembryonic antigen-related cell adhesion molecule 5 (CEACAM5) and it is therefore designed as a matrix study. This study aims to assess the antitumor activity, tolerability, safety, and pharmacokinetics (PK) of M9140 as monotherapy or in combination treatments in adult participants with locally advanced/metastatic CEACAM5 expressing tumors. There will be 3 substudies under this Master Protocol that may be conducted in parallel.

* PROCEADE PanTumor: A Phase 1b/2, Multicenter, Open-Label Study of Anti-CEACAM5 Antibody-Drug Conjugate M9140 in Participants with Advanced Gastric Cancer (Substudy GC);
* PROCEADE PanTumor: A Phase 1b/2, Multicenter, Open-Label Study of Anti-CEACAM5 Antibody-Drug Conjugate M9140 in Participants with Advanced Non-Small Cell Lung Cancer (Substudy NSCLC);
* PROCEADE PanTumor: A Phase 1b/2, Multicenter, Open Label Study of Anti-CEACAM5 Antibody-Drug Conjugate M9140 in Participants With Advanced Pancreatic Cancer (Substudy PDAC).

Detailed Description

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The study follows a master protocol concept with several separate substudies in specific indications.

* Substudy GC: The study duration per participant is on an average approximately 10 months. This includes a 28-day Screening period, infusion (approximately 1 hour) on Day 1 of every cycle, and Safety Follow-up Visit 30 (± 3) days after the last dose of M9140.
* Substudy NSCLC: Study duration per participant is approximately 12 months. This includes a 28-day Screening period, infusion (approximately 1 hour) on Day 1 of every cycle, and Safety Follow-up Visit 30 (± 3) days after the last dose of M9140.
* Substudy PDAC: Study duration per participant is on an average approximately 8 months. This includes a 28-day Screening period, infusion (approximately 1 hour) on Day 1 of every cycle, and Safety Follow-up Visit 30 (±3) days after the last dose of M9140.

Conditions

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Solid Tumors Gastric Cancer Non-Small Cell Lung Cancer (NSCLC) Pancreatic Cancer Pancreatic Ductal Adenocarcinoma (PDAC)

Keywords

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ADC TOP1 inhibitor Gastric Cancer Gastroesophageal junction cancer Non-Small Cell Lung Cancer Pancreatic Cancer Solid Tumors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Substudy GC: M9140 Monotherapy - Part A CEACAM5 High

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

All participants will receive 2.8 milligram per kilogram (mg/kg) M9140 intravenously (i.v.) every 3 weeks (q3w) on Day 1 of consecutive 21-day cycles.

Substudy GC: M9140 Monotherapy - Part B CEACAM5 Low

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

All participants will receive 2.8 milligram per kilogram (mg/kg) M9140 intravenously (i.v.) every 3 weeks (q3w) on Day 1 of consecutive 21-day cycles.

Substudy NSCLC: M9140 Monotherapy - Part A CEACAM5 High EGFR Wt

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

All participants will receive 2.8 milligram per kilogram (mg/kg) M9140 intravenously (i.v.) every 3 weeks (q3w) on Day 1 of consecutive 21-day cycles.

Substudy NSCLC: M9140 Monotherapy - Part B CEACAM5 High EGFR mut

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

All participants will receive 2.8 milligram per kilogram (mg/kg) M9140 intravenously (i.v.) every 3 weeks (q3w) on Day 1 of consecutive 21-day cycles.

Substudy PDAC: M9140 Monotherapy - Part A CEACAM5 High

Group Type EXPERIMENTAL

M9140

Intervention Type DRUG

All participants will receive 2.8 milligram per kilogram (mg/kg) M9140 intravenously (i.v.) every 3 weeks (q3w) on Day 1 of consecutive 21-day cycles.

Interventions

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M9140

All participants will receive 2.8 milligram per kilogram (mg/kg) M9140 intravenously (i.v.) every 3 weeks (q3w) on Day 1 of consecutive 21-day cycles.

Intervention Type DRUG

Other Intervention Names

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Precemtabart tocentecan

Eligibility Criteria

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Inclusion Criteria

* Participants are capable of signing informed consent as defined in protocol
* 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
* Participant must have at least 1 lesion that is measurable using RECIST v1.1.

Substudy GC:

* Participants in Part A and Part B with documented histopathological diagnosis of advanced or metastatic, HER2 negative, gastric or GEJ (with an epicenter 2 centimeter (cm) proximal or distal to the GEJ) adenocarcinoma, who were intolerant/refractory to or progressed after systemic therapies for the advanced/metastatic stage that must have included (provided there is no medical contraindication and these agents are locally approved and available) a fluoropyrimidine and a platinum agent and an Immune checkpoint inhibitors (ICI) for participants with a known microsatellite instability-high (MSI-H) status or participants whose tumor express PD-L1 with a CPS greater than or equal (\>=) 1
* Participants must have received and progressed (according to RECIST 1.1) on at least 1 line of therapy for the treatment of advanced/metastatic disease but no more than 2
* Participants in Part A with CEACAM5high GC/GEJC (defined as IHC \>= 2+ staining in \>= 50% of tumor cells)
* Participants in Part B with CEACAM5low GC/GEJC (defined as IHC \>= 2+ staining in less than (\<) 50% of tumor cells)

Substudy NSCLC:

* Participants in Part A and Part B with histologically or cytologically documented advanced (Stage III not eligible for resection or curative radiation) or metastatic NSCLC with or without driver genomic alterations
* Participants must have been intolerant/refractory to or progressed after systemic therapies for the advanced/metastatic stage
* Participants must have received and progressed (according to RECIST 1.1) on at least 1 line of therapy for the treatment of advanced/metastatic disease but no more than 3
* Participants who received a platinum-containing regimen or a targeted therapy as (neo)-adjuvant therapy for early-stage disease, if relapse or metastases occurred during or within 3 months after regimen completion, are considered to have received a line of treatment in the advanced setting
* Participants in Part A with CEACAM5 high-expressing EGFR tumors (including participants with any driver genomic alterations other than EGFR mutations
* Participants in Part B with CEACAM5 high known EGFR mutated tumors as assessed according to local clinical practice

Substudy PDAC:

* Participants with histologically or cytologically confirmed advanced or metastatic PDAC, who were intolerant/refractory to or progressed after systemic therapies for the advanced metastatic stage that must have included (provided there is no medical contraindications, and these agents are locally approved and available; FOLFIRINOX regimen or NALIRIFNOX regimen or Nab-paclitaxel/gemcitabine regimen
* Participants must have received and progressed (according to RECIST 1.1) on at least one 1 line of therapy for the treatment of advanced/metastatic disease but no more than 2
* All participants will be screened using an IHC test to define CEACAM5 expression. Only participants with CEACAM5high expressing tumors will be eligible

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
* Cardiac arrhythmia, 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)

Substudy GC - Participants with prior therapy with irinotecan

Substudy NSCLC:

\- Participants with prior therapy with irinotecan

Substudy PDAC: none
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role collaborator

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

Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Locations

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University of California - Los Angeles - 300208353

Santa Monica, California, United States

Site Status RECRUITING

Providence Medical Foundation

Santa Rosa, California, United States

Site Status RECRUITING

Prisma Health Cancer Institute, ITOR, CRU

Greenville, South Carolina, United States

Site Status RECRUITING

Baptist Memorial Health Care -Memphis

Memphis, Tennessee, United States

Site Status RECRUITING

University of Texas M. D. Anderson Cancer Center - Partner

Houston, Texas, United States

Site Status RECRUITING

NEXT Virginia

Fairfax, Virginia, United States

Site Status RECRUITING

Flinders Medical Centre

Bedford Park, , Australia

Site Status RECRUITING

Nepean Cancer Care Centre

Kingswood, , Australia

Site Status RECRUITING

Mater Misericordiae Ltd - PARENT

South Brisbane, , Australia

Site Status RECRUITING

Macquarie University Hospital - PARENT

Sydney, , Australia

Site Status RECRUITING

Ordensklinikum Linz Krankenhaus der Elisabethinen Linz - Pneumology

Linz, , Austria

Site Status RECRUITING

LKH - Universitätsklinikum der PMU Salzburg - Innere Med III/Hämatologie und Onkologie

Salzburg, , Austria

Site Status RECRUITING

Institut Bergonié - Service d'Oncologie Médicale

Bordeaux, , France

Site Status RECRUITING

Centre Georges François Leclerc - Unité de Phase I

Dijon, , France

Site Status RECRUITING

Centre Oscar Lambret - cancerologie generale

Lille, , France

Site Status RECRUITING

Hopital Albert Calmette - CHU Lille - CHU Lille - Institut Coeur Poumon

Lille, , France

Site Status RECRUITING

Hôpital Européen Georges Pompidou - Hématologie Oncologie

Paris, , France

Site Status RECRUITING

Hôpital Saint-Antoine - Oncologie Médicale

Paris, , France

Site Status RECRUITING

ICO - Site René Gauducheau - Service d'Oncologie medicale

Saint-Herblain, , France

Site Status RECRUITING

Hôpital Foch - Service d'Oncologie Médicale

Suresnes, , France

Site Status RECRUITING

Hopital Rangueil - Service d'Oncologie médicale

Toulouse, , France

Site Status RECRUITING

Institut Gustave Roussy - Pathologie Thoracique

Villejuif, , France

Site Status RECRUITING

Arcispedale S. Maria Nuova Azienda Ospedaliera di Reggio Emilia - Servizio di Oncologia

Reggio Emilia, , Italy

Site Status RECRUITING

Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Dipartimento di Medicina Interna e Scienze Mediche

Roma, , Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria Ospedali Riuniti - UOC Clinica di Oncologia Medica

Torrette Di Ancona, , Italy

Site Status RECRUITING

National Cancer Center Hospital

Chūōku, , Japan

Site Status RECRUITING

Nara Medical University Hospital - Dept of Oncology

Kashihara-shi, , Japan

Site Status RECRUITING

Cancer Institute Hospital of JFCR

Kōtoku, , Japan

Site Status RECRUITING

Saiseikai Kumamoto Hospital - 300175708

Kumamoto, , Japan

Site Status RECRUITING

Kurume University Hospital

Kurume-shi, , Japan

Site Status RECRUITING

Niigata Cancer Center Hospital - 300176282

Niigata, , Japan

Site Status RECRUITING

Kindai University Hospital

Osakasayama-shi, , Japan

Site Status RECRUITING

NHO Hokkaido Cancer Center - 300175802

Sapporo, , Japan

Site Status RECRUITING

Pusan National University Hospital

Busan, , South Korea

Site Status RECRUITING

Kyungpook National University Chilgok Hospital

Daegu, , South Korea

Site Status RECRUITING

Chonnam National University Hwasun Hospital

Hwasun-gun, , 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

Korea University Guro Hospital

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 - Division of Infectious Diseases

Seoul, , South Korea

Site Status RECRUITING

Hospital Universitario Reina Sofia - Dept of Oncology

Córdoba, Córdoba, Spain

Site Status RECRUITING

ICO Badalona - Hospital Universitari Germans Trias i Pujol - Servicio de Oncologia Medica

Badalona, , Spain

Site Status RECRUITING

Hospital Clinic de Barcelona - Servicio de Oncologia

Barcelona, , Spain

Site Status RECRUITING

Hospital HM Nou Delfos - START Barcelona

Barcelona, , Spain

Site Status RECRUITING

ICO l'Hospitalet - Hospital Duran i Reynals - Servicio de Oncologia

L'Hospitalet de Llobregat, , Spain

Site Status RECRUITING

Hospital General Universitario Gregorio Marañon - Servicio de Oncologia Medica

Madrid, , Spain

Site Status RECRUITING

Centro Integral Oncologico Clara Campal - Unidad de Fase I-Oncologica

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Fundacion Jimenez Diaz - START Madrid FJD - Oncology Phase I

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Ramon y Cajal - Servicio de Oncologia

Madrid, , Spain

Site Status RECRUITING

NEXT Madrid - Hospital Universitario Quironsalud Madrid

Pozuelo de Alarcón, , Spain

Site Status RECRUITING

Hospital Universitario Virgen Macarena - Oncology Service

Seville, , Spain

Site Status RECRUITING

Hospital Universitari i Politecnic La Fe - Oncology Department

Valencia, , Spain

Site Status RECRUITING

Countries

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Germany United States Australia Austria France Italy Japan South Korea Spain

Central Contacts

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Communication Center

Role: CONTACT

Phone: +496151725200

Email: [email protected]

Facility Contacts

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Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Related Links

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Other Identifiers

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2024-517817-34-00

Identifier Type: OTHER

Identifier Source: secondary_id

2024-517818-15-00

Identifier Type: OTHER

Identifier Source: secondary_id

2024-517819-74-00

Identifier Type: OTHER

Identifier Source: secondary_id

MS202329_0010

Identifier Type: -

Identifier Source: org_study_id