Status:

UNKNOWN

A Study of MRG002 in the Treatment of HER2-positive Unresectable, Locally Advanced or Metastatic Biliary Tract Cancer

Lead Sponsor:

Shanghai Miracogen Inc.

Conditions:

Advanced or Metastatic Biliary Tract Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

The objective of this study is to assess the safety, efficacy, pharmacokinetics, and immunogenicity of MRG002 as single agent in HER2-positive unresectable locally advanced or metastatic biliary tract...

Detailed Description

The study consists of two stages. In Phase IIa, 25-31 eligible subjects will be enrolled to evaluate the safety and preliminary efficacy of MRG002. Based on the initial safety and efficacy data obtain...

Eligibility Criteria

Inclusion

  • Willing to sign the ICF and follow the requirements specified in the protocol.
  • Aged 18 to 75 (including 18 and 75), both genders.
  • Expected survival time ≥ 12 weeks.
  • Patients with unresectable locally advanced or metastatic biliary tract cancer confirmed by histopathology.
  • Failed in the prior one or more standard therapies.
  • HER2 positive (IHC 3 + or IHC 2 +) in the tumor specimens confirmed by central laboratory test.
  • Archival or biopsy tumor specimens should be provided (primary or metastatic).
  • Patients must have measurable lesions according to the Response Evaluation Criteria in Solid Tumors (RECIST v1.1).
  • ECOG performance score 0 or 1.
  • Prior anti-tumor treatment-related AEs (NCI CTCAE v5.0 Criteria) have recovered to ≤ Grade 1 (except alopecia, non-clinically significant or asymptomatic laboratory abnormalities).
  • No severe cardiac dysfunction with left ventricular ejection fraction (LVEF) ≥ 50%.
  • Organ function must meet the basic requirements.
  • Coagulation function must meet the basic requirements.
  • Patients of childbearing potential must take effective contraceptive measures during the treatment and for 6 months after the last dose of treatment.

Exclusion

  • History of hypersensitivity to any component of MRG002 or history of hypersensitivity of ≥ Grade 3 to trastuzumab.
  • Received chemotherapy, radiotherapy, biologicals, immunotherapy, or other anti-tumor drugs within 4 weeks prior to the first MRG002 treatment.
  • Presence of clinical manifestation of biliary obstruction.
  • Patients with clinical symptoms such as pleural, abdominal or pericardial effusion requiring puncture drainage.
  • Presence of central nervous system (CNS) metastasis and/or neoplastic meningitis.
  • Any severe or uncontrolled systemic diseases.
  • Patients with poorly controlled heart diseases.
  • Evidence of active infections, including but not limited to Hepatitis B, Hepatitis C, or human immunodeficiency virus (HIV) infection.
  • History of other primary malignancies.
  • History of interstitial pneumonia, severe chronic obstructive pulmonary disease, severe pulmonary insufficiency, symptomatic bronchospasm, etc.
  • Peripheral neuropathy greater than Grade 1.
  • History of cirrhosis (decompensated cirrhosis Child-Pugh class B and C).
  • Patients with active autoimmune disease or a history of autoimmune disease, who are using immunosuppressive agents, or systemic hormone therapy and still receiving within 2 weeks prior to enrollment.
  • Received anti-tumor vaccine treatment 4 weeks prior to the first dose or planning to participate in anti-tumor vaccine trials.
  • Female patents with a positive serum pregnancy test or who are breast-feeding or who do not agree to take adequate contraceptive measures during the treatment and for 6 months after the last dose of study treatment.
  • Other conditions inappropriate for participation in this clinical trial, at the discretion of the investigator.

Key Trial Info

Start Date :

June 7 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2023

Estimated Enrollment :

86 Patients enrolled

Trial Details

Trial ID

NCT04837508

Start Date

June 7 2021

End Date

August 1 2023

Last Update

December 10 2021

Active Locations (7)

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Page 1 of 2 (7 locations)

1

The first affiliated hospital of bengbu medical college

Bengbu, Anhui, China, 233004

2

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China, 100000

3

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China, 100730

4

ZhuJiang Hospital of Southern Medical University

Guangzhou, Guangdong, China, 510280