About this trial
This study is testing different dosing schedules of EMB-01 in patients with advanced colorectal cancer whose disease has recurrent or progressed on previous treatments. Patients will be randomly assigned to one of two dosing schedules: EMB-01 once weekly, or once weekly for 6 weeks then every two weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Able to understand and willing to sign the informed consent form (ICF).
Male or female aged ≥ 18 years.
Histologically or cytologically confirmed unresectable or metastatic left-sided colorectal cancer (primary tumor from splenic flexure to rectum) with at least one measurable lesion according to RECIST v1.1.
ECOG performance status ≤ 1.
Disqualifiers
Presence of KRAS/NRAS exon 2, 3, 4 mutations, BRAF V600 mutation, HER2 positivity (IHC3+ or amplification), RET fusion, NTRK fusion, or other molecular mutations affecting anti-EGFR or cMET efficacy(Investigator and sponsor discussion recommended if applicable), based on central lab testing or prior treatment history.
Life expectancy < 3 months.
Residual adverse events (AEs) from prior anti-cancer therapy > CTCAE grade 1.
Primary CNS malignancy or symptomatic CNS metastases (brain, leptomeningeal, or arachnoid). Patients with asymptomatic CNS metastases may be eligible if no local radiotherapy is needed, or radiotherapy was completed ≥ 4 weeks prior to study treatment.
Trial design
Parallel
Treatments tested in this trial
EMB-01 1600 mg administered once weekly throughout the study
DrugParticipants receive EMB-01 at a dose of 1600 mg administered once weekly (QW) throughout the study.
EMB-01 1600 mg once weekly for 6 weeks, then every 2 weeks thereafter
DrugParticipants receive EMB-01 at a dose of 1600 mg administered once weekly (QW) for the first 6 weeks, followed by 1600 mg administered every 2 weeks (Q2W) thereafter.
Treatment groups
Trial outcomes
Primary outcomes
Objective response rate
Objective response rate of EMB-01 at different dose levels
Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0
Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0
Secondary outcomes
Best Overall Response (BOR) as assessed by RECIST v1.1
Best Overall Response (BOR) as assessed by RECIST v1.1
Cmax
PK parameter Cmax of EMB-01 at different dose levels
ADA
Incidence of anti-drug antibodies (ADA) of EMB-01 at different dose levels
Ctrough
Measured trough concentration (Ctrough) of EMB-01
Sponsors and contacts
Click on the lead sponsor to view all of their trials.