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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06242470
Registration number
NCT06242470
Ethics application status
Date submitted
12/01/2024
Date registered
5/02/2024
Titles & IDs
Public title
A Study of MGC026 in Participants With Advanced Solid Tumors
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Scientific title
A Phase 1/1b First-in-Human, Open Label, Dose Escalation and Cohort Expansion Study of MGC026 in Participants With Advanced Solid Tumors
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Secondary ID [1]
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CP-MGC026-01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Solid Tumor
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Advanced Cancer
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Metastatic Cancer
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Squamous Cell Carcinoma of Head and Neck
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Non Small Cell Lung Cancer
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Small-cell Lung Cancer
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Bladder Cancer
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Sarcoma
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Endometrial Cancer
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0
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Melanoma
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Castration Resistant Prostatic Cancer
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Cervical Cancer
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0
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Colorectal Cancer
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Gastric Cancer
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Gastro-esophageal Cancer
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Pancreas Cancer
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Clear Cell Renal Cell Carcinoma
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Hepatocellular Carcinoma
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Platinum-resistant Ovarian Cancer
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Condition category
Condition code
Cancer
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Non melanoma skin cancer
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Cancer
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Kidney
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Cancer
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0
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Lung - Mesothelioma
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Cancer
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0
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0
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Lung - Non small cell
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Cancer
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0
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Lung - Small cell
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Cancer
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0
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Womb (Uterine or endometrial cancer)
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Cancer
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Pancreatic
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Cancer
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Head and neck
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Cancer
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - MGC026 Dose Escalation
Treatment: Other - MGC026 Dose for Expansion
Experimental: Cohort 1 -
Experimental: Cohort 2 -
Experimental: Cohort 3 -
Experimental: Cohort 4 -
Experimental: Cohort 5 -
Experimental: Cohort 6 -
Experimental: Expansion cohort 1 -
Experimental: Expansion cohort 2 -
Experimental: Expansion cohort 3 -
Experimental: Expansion cohort 4 -
Treatment: Other: MGC026 Dose Escalation
Escalating doses of MGC026
Treatment: Other: MGC026 Dose for Expansion
MGC026 recommended dose for expansion
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with adverse events (AEs) and serious AEs (SAEs)
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Assessment method [1]
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Timepoint [1]
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Throughout the study, up to 135 weeks
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Secondary outcome [1]
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Overall response rate in advanced solid tumors
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Assessment method [1]
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The objective response rate (ORR) per RECIST v1.1 is estimated as the proportion of participants in the Response Evaluable population who achieve best overall response of complete response (CR) or partial response (PR) (called responders). Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) is used to classify responses.
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Timepoint [1]
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Throughout the study, up to 135 weeks
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Secondary outcome [2]
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Duration of response (DoR) in advanced solid tumors
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Assessment method [2]
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DoR is defined as the time from the date of initial response (CR or PR) to the date of first documented progression or death from any cause, whichever occurs first. (RECIST 1.1) is used to classify responses.
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Timepoint [2]
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Throughout the study, up to 135 weeks
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Secondary outcome [3]
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ORR rate in metastatic castration resistant prostate cancer (mCRPC)
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Assessment method [3]
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The ORR per Prostate Cancer Working Group 3 (PCWG3) criteria is estimated as the proportion of participants in the Response Evaluable population who achieve best overall response of CR or PR (called responders).
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Timepoint [3]
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Throughout the study, up to 135 weeks
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Secondary outcome [4]
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DoR in mCRPC
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Assessment method [4]
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DoR is defined as the time from the date of initial response (CR or PR) to the date of first documented progression, per PCWG3 criteria or death from any cause, whichever occurs first.
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Timepoint [4]
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Throughout the study, up to 135 weeks
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Secondary outcome [5]
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Mean (standard deviation [SD]) of MGC026 maximum serum concentration (Cmax)
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Assessment method [5]
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The maximum concentration in the bloodstream at the end of the infusion.
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Timepoint [5]
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Day 1 of every 21-day cycle, throughout the study, average of 1 year.
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Secondary outcome [6]
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Mean (SD) of MGC026 area under the time concentration curve (AUC)
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Assessment method [6]
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Calculated exposure to MGC026
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Timepoint [6]
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Day 1 of every 21-day cycle, throughout the study, average of 1 year.
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Secondary outcome [7]
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Number of participants who develop anti-MGC026 antibodies (immunogenicity)
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Assessment method [7]
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Development of anti-MGC026 antibodies in the bloodstream
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Timepoint [7]
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Day 1 of every 21-day cycle, throughout the study, average of 1 year.
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Eligibility
Key inclusion criteria
* Adults = 18 years old, able to provide informed consent
* Adequate performance and laboratory parameters
* Unresectable, locally advanced or metastatic solid tumors including: squamous cell cancer (SCC) of the head and neck, esophageal SCC, squamous and non-squamous non-small cell lung cancer, small cell lung cancer, bladder cancer, sarcoma, endometrial cancer, melanoma, castration resistant prostate cancer, breast cancer, ovarian cancer, cervical cancer, colorectal cancer gastric or gastroesophageal cancer, pancreatic carcinoma, clear cell renal cell cancer or hepatocellular cancer.
* Measurable disease per RECIST v1.1. Participants with metastatic CRPC without measurable disease are eligible.
* Must be willing to use highly effective methods of birth control from the time of consent through 7 months after discontinuation of MGC026.
* Not pregnant or breastfeeding.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
* Another cancer that required treatment within the past 2 years, with the exception of those with low risk of cancer spreading or death such as adequately treated non melanomatous skin cancer, localized prostate cancer (Gleason Score < 6), or carcinoma in situ.
* Patients with history of prior central nervous system (CNS) metastasis must have been treated, be asymptomatic, and not have concurrent treatment for CNS disease, progression of CNS metastases on magnetic resonance imaging, computed tomography or positron emission tomography, or history of leptomeningeal disease or cord compression at the time of enrollment.
* Treatment with surgery, systemic cancer therapy, immunotherapy, chimeric antigen receptor-T therapy, or anti-hormonal within protocol specified intervals.
* Prior autologous or allogeneic stem cell or solid organ transplant.
* Clinically significant cardiovascular, pulmonary, or gastrointestinal disorders.
* Active viral, bacterial, or systemic fungal infection requiring parenteral treatment within 1 week of first study drug administration.
* Known history of hepatitis B or C infection or known positive test for hepatitis B surface antigen or core antigen, or hepatitis C polymerase chain reaction.
* Known positive testing for human immunodeficiency virus or history of acquired immune deficiency syndrome.
* History of primary immunodeficiency.
* Major trauma or major surgery within 4 weeks of first study drug administration.
* Known hypersensitivity to recombinant proteins.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
6/03/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2028
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Actual
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Sample size
Target
230
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,SA,VIC
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Recruitment hospital [1]
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ICON Cancer Centre Wesley - Auchenflower
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Recruitment hospital [2]
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ICON Cancer Centre Kurralta Park - Kurralta Park
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Recruitment hospital [3]
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Austin Health- Olivia Newton John Cancer Center - Heidelberg
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Recruitment postcode(s) [1]
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4066 - Auchenflower
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Recruitment postcode(s) [2]
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5037 - Kurralta Park
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Recruitment postcode(s) [3]
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3084 - Heidelberg
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Michigan
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Country [2]
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United States of America
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State/province [2]
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Oregon
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Country [3]
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United States of America
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State/province [3]
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Texas
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Country [4]
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United States of America
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State/province [4]
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Utah
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
MacroGenics
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The study is designed to understand the safety, tolerability, pharmacokinetics, immunogenicity, and preliminary antitumor activity of MGC026 in participants with relapsed or refractory, unresectable, locally advanced or metastatic solid tumors The study has a dose escalation portion and a cohort expansion portion of the study. Participants will receive MGC026 by intravenous (IV) infusion. The dose of MGC026 will be assigned at the time of enrollment. Participants may receive up to 35 treatments if there are no severe side effects and as long as the cancer does not get worse. Participants will be monitored for side effects, and progression of cancer, have blood samples collected for routing laboratory work, and blood samples collected for research purposes.
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Trial website
https://clinicaltrials.gov/study/NCT06242470
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Denise Casey, MD
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Address
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MacroGenics
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Global Trial Manager
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Address
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Country
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Phone
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301-251-5172
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06242470