About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial design
Sequential
Treatments tested in this trial
MRG007
DrugMRG007 will be administrated as specified in the protocol.
5-Fluorouracil / Leucovorin Calcium
Drug5-Fluorouracil / Leucovorin Calcium will be administrated as specified in the protocol.
Bevacizumab
DrugBevacizumab will be administrated as specified in the protocol.
Oxaliplatin
DrugOxaliplatin will be administrated as specified in the protocol.
PD-1/VEGF antibody
DrugPD-1/VEGF antibody will be administrated as specified in the protocol.
Capecitabine
DrugCapecitabine will be administrated as specified in the protocol.
Treatment groups
Trial outcomes
Primary outcomes
Dose Limiting Toxicity (DLT)
Serious Adverse Events (SAEs)
Adverse Event (AE)
Recommended Phase 2 Dose(RP2D) and/or Maximum Tolerated Dose (MTD)
Secondary outcomes
Serum Concentration
Serum Concentration of ADC, TAb, free payload will be measured.
Anti-Drug Antibody (ADA)
The proportion of patients with positive ADA results.
Neutralizing antibody (NAb)
The proportion of patients with positive NAb results.
Duration of Response (DOR)
Sponsors and contacts
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