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Solid Tumours Harboring NRG1 FusionPhase 2NCT02912949

A Study of Zenocutuzumab (MCLA-128) in Patients With Solid Tumors Harboring an NRG1 Fusion (eNRGy)

A Phase 2 study testing zenocutuzumab (MCLA-128) in people with Solid Tumours Harboring NRG1 Fusion and NSCLC Harboring NRG1 Fusion, run by Partner Therapeutics, Inc. at 64 sites in 18 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

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) Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
zenocutuzumab (MCLA-128)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
250 participants
Where
64 sitesin 18 countries
Study dates
Jan 2015to 31 Dec 2026
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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:
  • more than 14 days or more than 5 half-lives prior to study entry, whichever is shorter.
Show all 18Show fewer
  • more than 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 more than 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.

Who cannot join

  • 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;
Show all 9Show fewer
  • Presence of LVEF below 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 ability to sign informed consent, cooperate or participate in the study, or interfere with the interpretation of the results.

Trial locations and contacts

64 sites in 18 countries.

64 sites in 18 countries

United States26 sites
  • Emory Winship Cancer Institute

    Atlanta, Georgia

  • Billings Clinic Cancer Center

    Billings, Montana

  • Dana Farber Cancer Center

    Boston, Massachusetts

  • St. James Healthcare

    Butte, Montana

  • The Oncology Institute of Hope and Innovation

    Cerritos, California

  • Karmanos Cancer Center

    Detroit, Michigan, 48201

  • Hematology-Oncology Specialist of Fredericksburg

    Fredericksburg, Virginia

  • Memorial Cancer Institute

    Hollywood, Florida

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas

  • University of California Irvine

    Irvine, California

  • Cancer Specialists of North Florida

    Jacksonville, Florida

  • Mayo Clinic

    Jacksonville, Florida

  • Memorial Sloan Kettering Cancer Center

    New York, New York

  • Stanford University

    Palo Alto, California

  • University of Pennsylvania

    Philadelphia, Pennsylvania

  • Mayo Clinic

    Phoenix, Arizona

  • Mayo Clinic

    Rochester, Minnesota

  • Northwest Oncology & Hematology

    Rolling Meadows, Illinois

  • Huntsman Cancer Institute

    Salt Lake City, Utah

  • Utah Cancer Specialists

    Salt Lake City, Utah

  • Sharp Memorial Hospital

    San Diego, California

  • Virginia Mason Hospital & Seattle Medical Center

    Seattle, Washington

  • Averra Medical Group

    Sioux Falls, South Dakota

  • Hematology Oncology Associates

    Spokane, Washington

  • Northwest Medical Specialties

    Tacoma, Washington

  • Georgetown University

    Washington D.C., District of Columbia

Other trials in United States

Spain6 sites
  • Vall D'Hebron Institute of Oncology (VHIO)

    Barcelona, 08035

  • START Hospital Fundación Jiménez Diaz

    Madrid, 28040

  • START Hospital Universitario Madrid Sanchinarro

    Madrid, 28050

  • Hospital 12 de Octubre

    Madrid

  • Clínica Universidad de Navarra

    Pamplona

  • Instituto Valenciano Oncologia

    Valencia

Other trials in Spain

France5 sites
  • Centre Leon Berard

    Lyon

  • Hospital Louis Pradel, FR

    Lyon

  • Institut Gustave Roussy

    Paris, 94805

  • Hopital Cochin

    Paris

  • Hopital Curie

    Paris

Other trials in France

Japan4 sites
  • National Cancer Center Hospital

    Chūōku

  • St. Marianna University School of Medicine Hospital

    Kawasaki

  • Osaka International Cancer Institute

    Osaka

  • National Cancer Center East

    Tokyo

Other trials in Japan

Germany3 sites
  • Asklepios Klinik Altona

    Hamburg

  • Asklepios Kliniken Hamburg GmbH

    Hamburg

  • Deutsches Krebsforschungszentrum

    Heidelberg

Other trials in Germany

Italy3 sites
  • Niguarda Cancer Centre

    Milan, 20162

  • Ospedale San Raffaele

    Milan

  • Istituti Fisioterapici Ospitalieri

    Roma

Other trials in Italy

Netherlands3 sites
  • NKI

    Amsterdam, 1066 CX

  • Amsterdam Medical Center

    Amsterdam

  • Radboud University Medical Center

    Nijmegen

Other trials in Netherlands

South Korea3 sites
  • Samsung Medical Center

    Seoul

  • Seoul National University College of Medicine

    Seoul

  • Severance Hospital- Yonsei Cancer Center

    Seoul

Other trials in South Korea

Israel2 sites
  • Shaare Zedek Medical Center

    Jerusalem

  • Sheba Medical Center

    Tel Aviv

Other trials in Israel

Austria1 site
  • Salzburger Universitatsklinikum

    Salzburg

Other trials in Austria

Belgium1 site
  • UZ Leuven

    Leuven

Other trials in Belgium

Canada1 site
  • Princess MargaretCancer Centre

    Toronto, Ontario, M5G2M9

Other trials in Canada

Denmark1 site
  • Rigshospitalet

    Copenhagen

Other trials in Denmark

Norway1 site
  • University Hospital Oslo

    Oslo, 0379

Other trials in Norway

Singapore1 site
  • National Cancer Centre of Singapore PTE LTD

    Singapore, Singapore

Other trials in Singapore

Sweden1 site
  • Karolinska Universitetssjukhuset

    Solna

Other trials in Sweden

Taiwan1 site
  • National Taiwan University Hospital 7

    Taipei

Other trials in Taiwan

United Kingdom1 site
  • Sarah Cannon Research Institute

    London

Other trials in United Kingdom

About this study

Official title: A Phase I/II Study of MCLA-128, a Full Length IgG1 Bispecific Antibody Targeting HER2 and HER3, in Patients With Solid Tumors (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)

Read the detailed description

Study Design :

This open label (all participants know the identity of the study drug), multicenter (more than one study site), first-in-human study consisting of 2 parts. Part 1 is a dose escalation and Part 2 is a dose expansion cohort. Part 1 has been completed.

Part 2 new patient populations examine:

  • Group F: Patients with NSCLC with documented NRG1 fusion
  • Group G: Patients with pancreatic adenocarcinoma with documented NRG1 fusion

For these new patient populations, Part 2 will further characterize the safety and tolerability of the selected dose level of zenocutuzumab (MCLA-128), as well as assessment of CBR, defined as the proportion of patients with a CR, PR or durable SD (SD for at least 24 weeks in duration). For the new patient populations, overall response rate (ORR) and duration of response (DOR) will be described.

The study consists of 3 periods: Screening period (up to 28 days prior to the first dose of study drug); Treatment period (treatment cycles of 28 days); and Follow Up period (through 30 days after the last dose and quarterly checks for survival data for up to 2 years). Participants safety will be monitored throughout the study.

Being tested
zenocutuzumab (MCLA-128)
Keywords
Bispecific Antibody IgG1, HER2, HER3, MCLA-128, Antibodies, Bispecific, Immunologic Factors, NRG1 fusion, Solid tumor, Pancreatic cancer, PDAC, Non-small cell lung cancer, NSCLC, zenocutuzumab
Medical subject headings
Lethal Congenital Contracture Syndrome 2, Pancreatic Neoplasms, Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • zenocutuzumab (MCLA-128)Drug

    Also called bispecific, MCLA-128

    full length IgG1 bispecific antibody targeting HER2 and HER3

Study groups in NCT02912949
Study groupRoleWhat they receive
Part 2 Pancreatic adenocarcinoma harboring NRG1 fusionExperimentalParticipants will receive intravenous infusion of 750 mg of zenocutuzumab (MCLA-128) (the recommended Phase 2 dose (RP2D)) every 2 weeks.
Receives: Drug: zenocutuzumab (MCLA-128)
Part 2 NSCLC cancer harboring NRG1 fusionExperimentalParticipants will receive intravenous infusion of 750 mg of zenocutuzumab (MCLA-128) (the recommended Phase 2 dose (RP2D)) every 2 weeks.
Receives: Drug: zenocutuzumab (MCLA-128)
Part 2 Solid tumour (basket) harboring NRG1 fusionExperimentalParticipants will receive intravenous infusion of 750 mg of zenocutuzumab (MCLA-128) (the recommended Phase 2 dose (RP2D)) every 2 weeks.
Receives: Drug: zenocutuzumab (MCLA-128)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective overall response rate (ORR) as per local investigator's assessment

    Evaluation of clinical benefit assessed by RECIST v1.1 determining objective overall response rate (ORR)

    Measured: 36 months

  2. Duration of response per RECIST v1.1 as per local Investigator's assessment.

    To assess durability of anti-tumor activity of MCLA-128 in patients with NRG1 fusions as assessed locally

    Measured: 36 Months

Secondary outcomes (17)
  1. Overall response rate as per Blinded Independent Central Review (BICR)

    Assess the anti-tumor response of zenocutuzumab (MCLA-128) by RECIST v1.1 as assessed centrally

    Measured: 36 months

  2. Clinical Benefit Rate (CBR) of zenocutuzumab (MCLA-128) assessed locally and BICR

    CBR assessed as the proportion of patients in whom a complete response (CR) or partial response (PR) or stable disease (SD) is observed (where SD duration is a minimum of 24 weeks) by RECIST v1.1 .

    Measured: 36 months

  3. Duration of Response as per BICR

    To assess durability of anti-tumor activity of MCLA-128 in patients with NRG1 fusions as assessed centrally

    Measured: 36 months

  4. Time to response per RECIST v1.1. as per local investigator assessment

    To assess time to onset of response in patients with NRG1 fusions as assessed locally

    Measured: 36 months

  5. Time to response per RECIST v1.1. as per BICR

    To assess time to onset of response in patients with NRG1 fusions as assessed centrally

    Measured: 36 months

  6. Characterize the safety and tolerability of zenocutuzumab (MCLA-128)

    Number of participants with Adverse Events (AE) and Serious Adverse Events (SAE)

    Measured: 6-12 months

  7. Maximum plasma concentration [Cmax]

    Assess the Cmax of zenocutuzumab (MCLA-128)

    Measured: 36 months

  8. Volume of distribution [V]

    Assess the volume of distribution of zenocutuzumab (MCLA-128)

    Measured: 36 months

  9. Volume of distribution at steady state [Vss]

    Assess the volume of distribution of zenocutuzumab (MCLA-128) at steady state

    Measured: 36 months

  10. Area under the concentration versus time curve from time zero to time t [AUC0-t]

    Assess the Area under the concentration versus time curve from time zero to time t [AUC0-t] of zenocutuzumab (MCLA-128)

    Measured: 36 months

  11. half-life [t1/2]

    Assess the half-life of zenocutuzumab (MCLA-128)

    Measured: 36 months

  12. area under the concentration versus time curve [AUC0-∞]

    Assess the area under the concentration versus time curve [AUC0-∞] of zenocutuzumab (MCLA-128)

    Measured: 36 months

  13. time to reach maximum concentration [tmax]

    Assess the time to reach maximum concentration [tmax] of zenocutuzumab (MCLA-128)

    Measured: 36 months

  14. Incidence of anti-drug antibodies against zenocutuzumab (MCLA-128)

    Assess the Incidence of anti-drug antibodies against zenocutuzumab (MCLA-128)

    Measured: 36 months

  15. serum titers of anti-drug antibodies

    Assess serum titers of anti-drug antibodies

    Measured: 36 months

  16. Evaluation of progression free survival (PFS)

    Measured: 36 months

  17. Evaluation of overall survival (OS)

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Sep 2016 (estimated)
  2. Study startJan 2015
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02912949
Sponsor's protocol ID
MCLA-128-CL01
Other IDs
2014-003277-42, 2014
Status last verified
Apr 2025
First submitted
16 Aug 2016
Last updated
29 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cleary JM, Springfeld C, Arnold D, Hollebecque A, Gbolahan O, Nagasaka M, Siena S, Opdam F, Sunakawa Y, Cassier PA, Trikha G, Gort EH, Florou V, Greil R, La Porte PF, Gandhi PJ, Garner F, Wasserman E, Adeyemi S, Schram AM. Efficacy and Tolerability of Zenocutuzumab in Advanced NRG1 Fusion-Positive Cholangiocarcinoma: Results From the eNRGy Phase II Trial. J Clin Oncol. 2026 Oct 20;44(30):2908-2918. doi: 10.1200/JCO-25-03128. Epub 2026 Jul 1.

    PubMed 42385125
  • Schram AM, Goto K, Kim DW, Macarulla T, Hollebecque A, O'Reilly EM, Ou SI, Rodon J, Rha SY, Nishino K, Duruisseaux M, Park JO, Neuzillet C, Liu SV, Weinberg BA, Cleary JM, Calvo E, Umemoto K, Nagasaka M, Springfeld C, Bekaii-Saab T, O'Kane GM, Opdam F, Reiss KA, Joe AK, Wasserman E, Stalbovskaya V, Ford J, Adeyemi S, Jain L, Jauhari S, Drilon A; eNRGy Investigators. Efficacy of Zenocutuzumab in NRG1 Fusion-Positive Cancer. N Engl J Med. 2025 Feb 6;392(6):566-576. doi: 10.1056/NEJMoa2405008.

    PubMed 39908431
  • Kim DW, Schram AM, Hollebecque A, Nishino K, Macarulla T, Rha SY, Duruisseaux M, Liu SV, Al Hallak MN, Umemoto K, Wesseler C, Cleary JM, Springfeld C, Neuzillet C, Joe A, Jauhari S, Ford J, Goto K. The phase I/II eNRGy trial: Zenocutuzumab in patients with cancers harboring NRG1 gene fusions. Future Oncol. 2024;20(16):1057-1067. doi: 10.2217/fon-2023-0824. Epub 2024 Feb 13.

    PubMed 38348690

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing zenocutuzumab (MCLA-128) in people with Solid Tumours Harboring NRG1 Fusion and NSCLC Harboring NRG1 Fusion, run by Partner Therapeutics, Inc. at 64 sites in 18 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 29 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in United States, Spain, France, Japan, Germany and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective overall response rate (ORR) as per local investigator's assessment (time frame: 36 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02912949, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2025.

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