Education and Training
A Study of Zenocutuzumab (MCLA-128) in Patients With Solid Tumors Harboring an NRG1 Fusion (eNRGy)
This is a Phase I/II, open-label, multi-center, multi-national, dose escalation, single agent study to assess the safety, tolerability, PK, PD, immunogenicity and anti-tumor activity of zenocutuzumab (MCLA-128) in patients with solid tumors harboring an NRG1 fusion (eNRGy)
Stanford is currently accepting patients for this trial.
Stanford Investigator(s):
Intervention(s):
- drug: zenocutuzumab (MCLA-128)
Eligibility
Inclusion Criteria:
- At least one measurable lesion according to RECIST v1.1 OR evaluable disease for a
limited number of patients (up to 15) in Group H;
- Performance status of ECOG 0 - 2;
- Estimated life expectancy of at least 12 weeks;
- Toxicities incurred as a result of previous anti-cancer therapy resolved to ≤Grade 1;
- Treatment with anti-cancer medication or investigational drugs within the following
intervals before the first dose of MCLA-128:
1. >14 days or >5 half-lives prior to study entry, whichever is shorter.
2. >14 days for radiotherapy.
- Recovery from major surgery or other complication to ≤ Grade 2 or baseline ;
- Absolute neutrophil count ≥1.5 x 109/L without colony stimulating factor support for
at least 7 days prior to screening;
- Platelets ≥75 x 109/L without transfusion support for at least 7 days prior to
screening;
- Hemoglobin ≥8 g/dL or ≥5 mmol/L;
- Alanine aminotransferase (ALT), aspartate aminotransferase (AST) ≤3 x upper limit of
normal (ULN) and total bilirubin ≤1.5 x ULN; in cases of metastatic liver involvement,
ALT/AST ≤5 x ULN and total bilirubin ≤2 x ULN will be allowed; in cases of antecedents
of Gilbert's syndrome when total bilirubin ≤3.0 x ULN or direct bilirubin ≤1.5 x ULN
will be allowed;
- Estimated glomerular filtration rate (GFR) of >30 mL/min
- Able to provide a tumor biopsy sample (fresh strongly preferred or else archival);
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for 6 month after
completion of study therapy;
- Patients must have received prior standard therapy appropriate for their tumor type
and stage of disease, or in the opinion of the Investigator, would be unlikely to
tolerate or derive clinically meaningful benefit from appropriate standard of care
therapy or no satisfactory alternative treatment options are available;
- Locally-advanced unresectable or metastatic solid tumor malignancy with documented
NRG1 gene fusion, identified through molecular assays such as next generation
sequencing-based assays [DNA or RNA], as routinely performed at CLIA or other
similarly-certified laboratories.
Exclusion Criteria:
- Pregnant or lactating;
- Presence of an active uncontrolled infection or an unexplained fever;
- Known hypersensitivity to any of the components of MCLA-128;
- Known HIV, active Hepatitis B without receiving antiviral treatment, or Hepatitis C;
patients treated for Hepatitis C and have undetectable viral loads are eligible
- Known symptomatic or unstable brain metastases;
- Patients with leptomeningeal metastases;
- Presence of LVEF <50% on the screening echocardiogram; or history or presence of any
significant cardiovascular disease, including unstable angina or myocardial infarction
within 12 months prior to screening, congestive heart failure (NYHA Class III or IV),
or ventricular arrhythmia requiring medication;
- Previous or concurrent malignancy (excluding non-basal cell carcinoma of skin or
carcinoma in situ of the uterine cervix) unless the tumor was treated with curative
intent more than 2 years prior to study entry;
- Presence of any other medical or psychological condition deemed by the Investigator to
be likely to interfere with a patient's ability to sign informed consent, cooperate or
participate in the study, or interfere with the interpretation of the results.
Ages Eligible for Study
18 Years - N/A
Genders Eligible for Study
All
Now accepting new patients
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Aja Macias
650-497-7499
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