Solid TumorPhase 1/2NCT04930432
Study of MCLA-129, a Human Bispecific EGFR and cMet Antibody, in Patients With Advanced NSCLC and Other Solid Tumors
A Phase 1/2 study testing MCLA-129 in people with Solid Tumor and Non-Small Cell Lung Cancer, run by Betta Pharmaceuticals Co., Ltd. at 87 sites in China.
Trial summary
This is a multi-center, open-label, Phase I/II clinical study of MCLA-129 as monotherapy in patients with advanced solid tumors to evaluate the safety, pharmacokinetic characteristics and antitumor activity of MCLA-129. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumor, Non-Small Cell Lung Cancer, Head and Neck Cancer
- What is being tested?
- MCLA-129
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 400 participants
- Where
- 87 sitesChina
- Study dates
- 24 Sep 2021to 30 Dec 2028
- Phase
- Phase 1/2
- 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
- Subjects are ≥ 18 years of age, regardless of gender.
- Subjects must have histologically or cytologically confirmed metastatic or unresectable advanced NSCLC or other solid tumors (including but not limited to head and neck cancer, colorectal cancer, etc.), have disease progression after standard treatment, or are intolerant to standard treatment, or refuse standard treatment (Refusal of standard treatment does not apply to Part 2).
- For Part 1, subjects must be diagnosed with EGFR positive and/or MET positive by testing.
- For patients with advanced NSCLC, EGFR positive is defined as: EGFR mutation or EGFR amplification. MET positive is defined as: MET amplification or MET exon 14 skipping mutation.
- For patients with other advanced solid tumors other than NSCLC, EGFR positive is defined as: High EGFR expression or EGFR amplification. MET positive is defined as: c-Met high expression or MET amplification.
- For Part 2, patients shall meet the inclusion criteria for each cohort by biomarker testing.
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- Cohort A: Patients with advanced NSCLC who are previously diagnosed with EGFR mutations and treated with third-generation EGFR-TKIs for drug resistance.
- Cohort B: Advanced NSCLC patients diagnosed with EGFR exon 20 insertion mutation (Exon20ins).
- Cohort C: Advanced NSCLC patients with MET amplification. Cohort D: Advanced NSCLC patients with MET exon 14 skipping mutation (Exon14 skipping).
- Cohort E: Patients with locally advanced or recurrent metastatic colorectal cancer (CRC) could not undergo curative treatment.
- Cohort F: Other advanced solid tumors that have failed or are intolerant to standard therapy.
- Cohort G: Patients with locally advanced or metastatic MET-amplified or MET-overexpressing other driver gene-negative non-small cell lung cancer, gastric/gastroesophageal junction adenocarcinoma [including signet ring cell carcinoma, mucinous adenocarcinoma, and hepatoid adenocarcinoma], or recurrent/metastatic [R/M] head and neck squamous cell carcinoma [primary sites: oral cavity, oropharynx, hypopharynx, or larynx], who are not candidates for curative treatment.
- For subjects in the dose escalation phase of Part 1, evaluable lesions must be present; other subjects must have measurable lesions that meet the definition of RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
- Expected survival ≥3 months.
- Have adequate organ function (no blood transfusion or use of blood component or G-CSF support within 14 days before testing).
- Willing and able to follow the trial and follow-up procedures.
- Able to understand the nature of the trial and voluntarily sign the written informed consent form.
Who cannot join
- For colorectal cancer subjects, HER-2 positivity (IHC 2+/3+ or FISH/NGS+) confirmed by local or central laboratory genetic testing.
- Have received an investigational product or anti-tumor drug treatment within 14 days before the first dose of MCLA-129 or within 5 half-lives of the drug (whichever is longer). For cohort E1, the interval between the last dose of EGFR monoclonal antibody and the first dose of MCLA-129 was less than 6 months.
- Have undergone a major surgery and radiotherapy (local palliative radiotherapy is allowed 2 weeks or more prior to the first dose) within 4 weeks prior to the first dose of MCLA-129.
- For patients with colorectal cancerr, head and neck squamous cell carcinoma, or gastric/gastroesophageal junction adenocarcinoma: patients who have previously received systemic anti-tumor therapy beyond the third line (excluding maintenance therapy).
- For subjects with non-small cell lung cancer only: have received more than 2 prior lines of cytotoxic chemotherapy for locally advanced or metastatic diseases (excluding maintenance therapy).
- For advanced NSCLC patients with EGFR Exon20ins mutation: have received prior EGFR-TKI therapy (e.g., poziotinib, TAK-788, DZD9008, CLN-081, or furmonertinib, etc.) that is known to be effective against Exon20ins.
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- Prior use of EGFR/c-Met bispecific antibody or ADC drugs (such as Amivantamab, EMB-01, GB263T, PM1080/HS-20117, TAVO412, YH013/ DM005, SHR-9839 or AZD9592 etc.).
- Prior to the first dose of MCLA-129, previous treatment-related toxicities have not resolve to Grade 1 or below (CTCAE 5.0 criteria), except for alopecia.
- Have had other malignancies within the past 3 years, except for cancers that have been totally cured or locally cured, such as basal or squamous cell carcinoma of the skin, cervical cancer in situ, or breast cancer in situ.
- Patients with primary malignant tumor of central nervous system, or metastases to meninges, spinal cord compression, or at risk of cerebral hemorrhage, or concomitantly with symptomatic brain metastases, or new therapy naive brain metastases. For cohorts E, F and G (excluding NSCLC patients): Patients with known brain metastases and/or meningeal metastases, or primary malignant tumor of central nervous system. Subjects with neurological symptoms shall have a brain CT/MRI scan to exclude brain metastases.
- With clinically significant cardiovascular and cerebrovascular diseases.
- Active hepatitis B (positive hepatitis B surface antigen (HBsAg) or core antibody (HBcAb) and serum HBV DNA ≥ 2,000 IU/mL [equivalent to 104 copies/mL]), positive hepatitis C virus antibody, HIV antibody and treponema pallidum antibody.
- Subjects with a history of interstitial lung disease or current clinical evidence of interstitial lung disease, including drug-induced Interstitial lung disease, radiation pneumonitis or pulmonary fibrosis. Subjects who could not be ruled out for suspected interstitial lung disease/pulmonary fibrosis through imaging examinations during screening, or those with uncontrolled/unstable non-infectious pneumonitis/pulmonary inflammation are excluded.
- Presence of a serious disease or medical condition currently, including but not limited to uncontrolled active infection, uncontrolled pleural or peritoneal effusion, unstable/uncontrolled tuberculosis, active gastrointestinal diseases, gastrointestinal obstruction or perforation risks, and clinically significant pulmonary, metabolic or psychiatric diseases.
- Females of childbearing potential, pregnant or breastfeeding women with a positive serum pregnancy test 7 days before the start of treatment, and male and female subjects who are unwilling to use effective contraceptive measures or plan to have a child throughout the treatment period and within 3 months after the end of treatment.
- Patients with known allergic reactions and hypersensitivity reactions, or be allergic to MCLA-129 or any of its excipients.
- Patients with poor compliance, inability or unwillingness to follow the study and/or follow-up procedure listed in the protocol, or patients who are not suitable to participate in this trial, as determined by the investigator.
Trial locations and contacts
87 sites in 1 country. Contact the study team or a site near you to ask about taking part.
87 sites in 1 country
China87 sites, 87 recruiting
- Recruiting
Affiliated Hospital of Hebei University
Baoding
- Recruiting
Beijing Cancer Hospital
Beijing
- Recruiting
Beijing Friendship Hospital, Capital Medical University
Beijing
- Recruiting
Beijing Tongren Hospital
Beijing
- Recruiting
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Beijing
- Recruiting
Peking University International Hospital
Beijing
- Recruiting
The Fifth Medical Center of PLA Ceneral Hospital
Beijing
- Recruiting
The First Affiliated Hospital of Bengbu Medical College
Bengbu
- Recruiting
The First Affiliated Hospital of Bengbu Medical University
Bengbu
- Recruiting
Cangzhou Hospital of Integrated TCM-WM·Hebei
Cangzhou
- Recruiting
China-Japan Union Hospitai Of Jilin University
Ch’ang-ch’un
- Recruiting
Ji Lin Cancer Hospital
Changchun
- Recruiting
Hunan Cancer Hospital
Changsha
- Recruiting
The Second Xiangya Hospital of Central South University
Changsha
- Recruiting
Xiangya Hospital of Central South University
Changsha
- Recruiting
Sichuan Cancer Hospital
Chengdu
- Recruiting
West China Hospital, Sichuan University
Chengdu
- Recruiting
Chifeng Municipal Hospital
Chifeng
- Recruiting
Army Medical Center of PLA
Chongqing
- Recruiting
Chongqing University Cancer Hospital
Chongqing
- Recruiting
The First Affiliated Hospital of Dalian Medical University
Dalian
- Recruiting
Fujian Cancer Hospital
Fuzhou
- Recruiting
Fuzhou Pulmonary Hospital of Fujian
Fuzhou
- Recruiting
The 900 Hospital of the Joint Service Support Force of the People's Liberation Army of China
Fuzhou
- Recruiting
First Affiliated Hospital Of Gannan Medical University
Ganzhou
- Recruiting
Guangdong Province Traditional Chinese Medical Hospital
Guangzhou
- Recruiting
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou
- Recruiting
The Frist Affiliated Hospital of Guangzhou Medical College
Guangzhou
- Recruiting
The Sixth Affiliated Hospital, Sun Yat-sen University
Guangzhou
- Recruiting
Cancer Hospital affiliated to Harbin Medical University
Ha’erbin
- Recruiting
Harbin Medical University cancer hospital
Ha’erbin
- Recruiting
Cancer Hospital of The University of Chinese Academy of Sciences
Hangzhou
- Recruiting
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou
- Recruiting
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou
- Recruiting
Zhejiang Cancer Hospital
Hangzhou
- Recruiting
Hanzhong Central Hospital
Hanzhong
- Recruiting
Harbin Medical University Cancer Hospital
Harbin
- Recruiting
The Second Hospital of Anhui Medical University
Hefei
- Recruiting
Henan Cancer Hospital (Affiliated Cancer Hospital of Zhengzhou University)
Henan
- Recruiting
Inner Mongolia People's Hospital
Hohhot
- Recruiting
Jiangxi cancer hospital
Jiangxi
- Recruiting
The First Hospital of Jilin University
Jilin City
- Recruiting
Shandong Cancer Hospital & institute
Jinan
- Recruiting
Yunnan Cancer Hospital
Kunming
- Recruiting
The First Hospital of Lanzhou University
Lanzhou
- Recruiting
Jiangxi Cancer Hospital
Nanchang
- Recruiting
General Hospital of Eastern Theater Command
Nanjing
- Recruiting
Jiangsu Cancer Hospital
Nanjing
- Recruiting
Jiangsu Province Hospital
Nanjing
- Recruiting
Nanjing Drum Tower Hospital
Nanjing
- Recruiting
Guangxi Medical University Cancer Center
Nanning
- Recruiting
Nantong Tumor Hospital
Nantong
- Recruiting
Qingdao Central Hospital
Qingdao
- Recruiting
The Affiliated Hospital of Qingdao University
Qingdao
- Recruiting
First Hospital of Qinhuangdao
Qinhuangdao
- Recruiting
ShangHai Chest Hospital
Shanghai
- Recruiting
Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine
Shanghai
- Recruiting
Cancer Hospital of Shantou University Medical College
Shantou
- Recruiting
Liaoning Cancer Hospital & Institute
Shenyang
- Recruiting
Liaoning Cancer Hospital
Shenyang
- Recruiting
The First Hospital of China Medical University
Shenyang
- Recruiting
Cancer Hospital of Chinese Academy of Medical Sciences Shenzhen Hospital
Shenzhen
- Recruiting
Shenzhen People's Hospital
Shenzhen
- Recruiting
The First Affiliated Hospital of Soochow University
Suzhou
- Recruiting
Shanxi Provincial Cancer Hospital
Taiyuan
- Recruiting
Taizhou Hospital of Zhejiang Province
Taizhou
- Recruiting
General Hospital of Tianjin Medical University
Tianjin
- Recruiting
Tianjin Medical University Cancer Institute & Hospital
Tianjin
- Recruiting
Tonghua Central Hospital
Tonghua
- Recruiting
Weifang People's Hospital
Weifang
- Recruiting
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou
- Recruiting
Hubei Cancer Hospital
Wuhan
- Recruiting
Renmin Hospital of Wuhan University/Hubei General Hospital
Wuhan
- Recruiting
Union Hospital, Tongji Medical College Huazhong University of Science and Technolog
Wuhan
- Recruiting
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan
- Recruiting
Zhongnan Hospital Affiliated to Wuhan University
Wuhan
- Recruiting
The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital)
Wuhu
- Recruiting
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an
- Recruiting
The First Affiliated Hospital Of Xiamen University
Xiamen
- Recruiting
Xuzhou Central Hospital
Xuzhou
- Recruiting
Yantai Yuhuangding Hospital
Yantai
- Recruiting
The No. 2 People's Hospital of Yibin Sichuan
Yibin
- Recruiting
Hospital of Ningxia Medical University
Yinchuan
- Recruiting
He Nan Cancer Hospital
Zhengzhou
- Recruiting
Henan Provincial People's Hospital
Zhengzhou
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou
- Recruiting
Henan Provincial People's Hospital
Zhenzhou
About this study
Official title: A Phase I/II Study of MCLA-129, a Human Anti-EGFR and Anti-c-Met Bispecific Antibody, in Patients With Advanced NSCLC and Other Solid Tumors, Evaluating Safety, Pharmacokinetic Characteristics and Antitumor Activity
This is a multi-center, open-label, Phase I/II clinical study of MCLA-129 as monotherapy in patients with advanced solid tumors to evaluate the safety, pharmacokinetic characteristics and antitumor activity of MCLA-129.
Read the detailed description
This is a multicenter, open-label, single-agent phase I/II clinical study of MCLA-129 in patients with advanced solid tumors to evaluate the safety, pharmacokinetic profile, and antitumor activity of MCLA-129. The study consists of two parts: Part I is a phase I dose- finding study in patients with advanced solid tumors, including a dose escalation phase and a dose expansion phase; Part II is a phase II parallel cohort expansion study to further evaluate the efficacy, safety and PK profile of MCLA-129 in sub-cohorts of patients with advanced non-small cell lung cancer and other solid tumors.
- Being tested
- MCLA-129
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Head and Neck Neoplasms, Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MCLA-129Drug
MCLA-129 will be administered by intravenous infusion on the 28-day treatment cycle.
| Study group | Role | What they receive |
|---|---|---|
| Part 1: dose escalation and dose expansion | Experimental | Participants will receive intravenous infusion of MCLA-129 every two weeks (Q2W) or every weeks (QW) at different dose in each dose level. Receives: Drug: MCLA-129 |
| Part 2: cohort expansion | Experimental | Participants will receive intravenous infusion of MCLA-129 every two weeks (Q2W) at the recommended Phase II dose (RP2D) in each cohort. Receives: Drug: MCLA-129 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose-Limiting Toxicity (DLT) in Part 1
To determine the dose-limiting toxicity (DLT) of single agent MCLA-129 in patients with advanced solid tumors in Part 1.
Measured: First 28 days of treatment
Maximum Tolerated Dose (MTD) in Part 1
To determine the maximum tolerated dose (MTD) of single agent MCLA-129 in patients with advanced solid tumors in Part 1.
Measured: First 28 days of treatment
Overall Response Rate (ORR) in Part 2
To evaluate the efficacy of MCLA-129 at RP2D in patients with advanced NSCLC and other solid tumors in each cohort in Part 2 in terms of overall response rate (ORR)
Measured: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Treatment-Emergent Adverse Event (TEAE) in Part 1 and 2
To evaluate the safety of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of treatment-emergent adverse event (TEAE)
Measured: Until 30 days after the last dosing
Secondary outcomes (15)
Half-life [t1/2] in Part 1 and 2
To evaluate the population PK profile of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of half-life (t1/2)
Measured: Until 30 days after the last dosing
Apparent volume of distribution [VSS] in Part 1 and 2
To evaluate the population PK profile of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of apparent volume of distribution [VSS]
Measured: Until 30 days after the last dosing
Maximum plasma concentration [Cmax] in Part 1 and 2
To evaluate the population PK profile of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of maximum plasma concentration [Cmax]
Measured: Until 30 days after the last dosing
Time to reach maximum concentration [Tmax] in Part 1 and 2
To evaluate the population PK profile of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of time to reach maximum concentration [Tmax]
Measured: Until 30 days after the last dosing
Area under the concentration versus time curve from time zero to time t [AUC0-t] in Part 1 and 2
To evaluate the population PK profile of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of area under the concentration versus time curve from time zero to time t [AUC0-t]
Measured: Until 30 days after the last dosing
Area under the concentration versus time curve [AUC0-∞] in Part 1 and 2
To evaluate the population PK profile of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of area under the concentration versus time curve [AUC0-∞]
Measured: Until 30 days after the last dosing
Overall Response Rate (ORR) in Part 1
To evaluate the efficacy of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 in terms of overall response rate (ORR)
Measured: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Disease Control Rate (DCR) in Part 1 and 2
To evaluate the efficacy of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of disease control rate (DCR)
Measured: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Progression-Free Survival (PFS) in Part 1 and 2
To evaluate the efficacy of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of progression-free survival (PFS)
Measured: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Clinical benefit rate (CBR) in Part 1 and 2
To evaluate the efficacy of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of clinical benefit rate (CBR)
Measured: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Duration of Response (DOR) in Part 1 and 2
To evaluate the efficacy of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of duration of response (DOR)
Measured: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Time to response (TTR) in Part 1 and 2
To evaluate the efficacy of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of time to response (TTR)
Measured: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Overall Survival (OS) in Part 1 and 2
To evaluate the efficacy of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of overall survival (OS)
Measured: From date of first treatment every 6 weeks until death or withdrawal, whichever came first, approximately 2 years
Anti-Drug Antibody (ADA) in Part 1 and 2
To assess the Incidence of anti-drug antibodies in serum blood against MCLA-129 following administration of MCLA-129
Measured: Until 30 days after the last dosing
Cytokines in Part 1
To assess the changes in cytokine levels in serum blood following administration of MCLA-129
Measured: Before and after each administration on day 1 and day 15
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2021
- Study start24 Sep 2021
- Primary completion30 Apr 2028 (estimated)
- Study completion30 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Solid TumorStudies of the same condition, open and under way.
- More trials run by Betta Pharmaceuticals Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 400 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Betta Pharmaceuticals Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jie Wang, PhD, Study chair, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04930432
- Sponsor's protocol ID
- BTP-21711
- Status last verified
- Feb 2026
- First submitted
- 31 May 2021
- Last updated
- 10 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II Study of MCLA-129, a Human Anti-EGFR and Anti-c-Met Bispecific Antibody, in Patients With Advanced NSCLC and Other Solid Tumors, Evaluating Safety, Pharmacokinetic Characteristics and Antitumor Activity
- ClinicalTrials.gov ID
- NCT04930432
- Acronym / sponsor ID
- BTP-21711
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 400 participants (estimated)
- Lead sponsor
- Betta Pharmaceuticals Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 24 Sep 2021 (actual)
- Primary completion
- 30 Apr 2028 (estimated)
- Study completion
- 30 Dec 2028 (estimated)
- First posted
- 18 Jun 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multi-center, open-label, Phase I/II clinical study of MCLA-129 as monotherapy in patients with advanced solid tumors to evaluate the safety, pharmacokinetic characteristics and antitumor activity of MCLA-129.
Detailed description
This is a multicenter, open-label, single-agent phase I/II clinical study of MCLA-129 in patients with advanced solid tumors to evaluate the safety, pharmacokinetic profile, and antitumor activity of MCLA-129. The study consists of two parts: Part I is a phase I dose- finding study in patients with advanced solid tumors, including a dose escalation phase and a dose expansion phase; Part II is a phase II parallel cohort expansion study to further evaluate the efficacy, safety and PK profile of MCLA-129 in sub-cohorts of patients with advanced non-small cell lung cancer and other solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Part 1: dose escalation and dose expansion | Experimental | Drug: MCLA-129Participants will receive intravenous infusion of MCLA-129 every two weeks (Q2W) or every weeks (QW) at different dose in each dose level. |
| Part 2: cohort expansion | Experimental | Drug: MCLA-129Participants will receive intravenous infusion of MCLA-129 every two weeks (Q2W) at the recommended Phase II dose (RP2D) in each cohort. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Subjects are ≥ 18 years of age, regardless of gender.
- Subjects must have histologically or cytologically confirmed metastatic or unresectable advanced NSCLC or other solid tumors (including but not limited to head and neck cancer, colorectal cancer, etc.), have disease progression after standard treatment, or are intolerant to standard treatment, or refuse standard treatment (Refusal of standard treatment does not apply to Part 2).
- For Part 1, subjects must be diagnosed with EGFR positive and/or MET positive by testing.
- For patients with advanced NSCLC, EGFR positive is defined as: EGFR mutation or EGFR amplification. MET positive is defined as: MET amplification or MET exon 14 skipping mutation.
- For patients with other advanced solid tumors other than NSCLC, EGFR positive is defined as: High EGFR expression or EGFR amplification. MET positive is defined as: c-Met high expression or MET amplification.
Key exclusion criteria (17 listed)
- For colorectal cancer subjects, HER-2 positivity (IHC 2+/3+ or FISH/NGS+) confirmed by local or central laboratory genetic testing.
- Have received an investigational product or anti-tumor drug treatment within 14 days before the first dose of MCLA-129 or within 5 half-lives of the drug (whichever is longer). For cohort E1, the interval between the last dose of EGFR monoclonal antibody and the first dose of MCLA-129 was less than 6 months.
- Have undergone a major surgery and radiotherapy (local palliative radiotherapy is allowed 2 weeks or more prior to the first dose) within 4 weeks prior to the first dose of MCLA-129.
- For patients with colorectal cancerr, head and neck squamous cell carcinoma, or gastric/gastroesophageal junction adenocarcinoma: patients who have previously received systemic anti-tumor therapy beyond the third line (excluding maintenance therapy).
- For subjects with non-small cell lung cancer only: have received more than 2 prior lines of cytotoxic chemotherapy for locally advanced or metastatic diseases (excluding maintenance therapy).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MCLA-129MCLA-129 will be administered by intravenous infusion on the 28-day treatment cycle. | Drug | Part 1: dose escalation and dose expansion, Part 2: cohort expansion |
Primary outcome
Dose-Limiting Toxicity (DLT) in Part 1
Time frame: First 28 days of treatment
To determine the dose-limiting toxicity (DLT) of single agent MCLA-129 in patients with advanced solid tumors in Part 1.
Maximum Tolerated Dose (MTD) in Part 1
Time frame: First 28 days of treatment
To determine the maximum tolerated dose (MTD) of single agent MCLA-129 in patients with advanced solid tumors in Part 1.
Overall Response Rate (ORR) in Part 2
Time frame: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
To evaluate the efficacy of MCLA-129 at RP2D in patients with advanced NSCLC and other solid tumors in each cohort in Part 2 in terms of overall response rate (ORR)
Treatment-Emergent Adverse Event (TEAE) in Part 1 and 2
Time frame: Until 30 days after the last dosing
To evaluate the safety of MCLA-129 in patients with advanced NSCLC and other solid tumors in Part 1 and 2 in terms of treatment-emergent adverse event (TEAE)
15 secondary outcomes
Half-life [t1/2] in Part 1 and 2
Time frame: Until 30 days after the last dosing
Apparent volume of distribution [VSS] in Part 1 and 2
Time frame: Until 30 days after the last dosing
Maximum plasma concentration [Cmax] in Part 1 and 2
Time frame: Until 30 days after the last dosing
Time to reach maximum concentration [Tmax] in Part 1 and 2
Time frame: Until 30 days after the last dosing
Area under the concentration versus time curve from time zero to time t [AUC0-t] in Part 1 and 2
Time frame: Until 30 days after the last dosing
Area under the concentration versus time curve [AUC0-∞] in Part 1 and 2
Time frame: Until 30 days after the last dosing
Overall Response Rate (ORR) in Part 1
Time frame: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Disease Control Rate (DCR) in Part 1 and 2
Time frame: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Progression-Free Survival (PFS) in Part 1 and 2
Time frame: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Clinical benefit rate (CBR) in Part 1 and 2
Time frame: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Duration of Response (DOR) in Part 1 and 2
Time frame: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Time to response (TTR) in Part 1 and 2
Time frame: From date of first treatment every 6 weeks until disease progression, death or withdrawal, whichever came first, approximately 2 years
Overall Survival (OS) in Part 1 and 2
Time frame: From date of first treatment every 6 weeks until death or withdrawal, whichever came first, approximately 2 years
Anti-Drug Antibody (ADA) in Part 1 and 2
Time frame: Until 30 days after the last dosing
Cytokines in Part 1
Time frame: Before and after each administration on day 1 and day 15
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Feb 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Jie Wang, PhD study chair
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
87 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing MCLA-129 in people with Solid Tumor and Non-Small Cell Lung Cancer, run by Betta Pharmaceuticals Co., Ltd. at 87 sites in China.
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 17 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: looking for participants now, as of the sponsor's last update on 10 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 87 sites in China. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
Contact Wanlin Chen, Master (18258270120, wanlin.chen@bettapharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dose-Limiting Toxicity (DLT) in Part 1 (time frame: First 28 days of treatment). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 10 Feb 2026.