Advanced Solid TumorsPhase 1/2NCT07093970
A Study of MRG006A in the Treatment of Patients With Advanced Solid Tumors
A Phase 1/2 study testing MRG006A in people with Advanced Solid Tumors, run by Lepu Biopharma Co., Ltd. at 2 sites in China.
Trial summary
The objective of this study is to assess the safety, efficacy, pharmacokinetics, and immunogenicity of MRG006A in patients with advanced solid tumors. Read more about this study
- Who is it for?
- Ages 17 to 85 years
- Conditions the study is for
- Advanced Solid Tumors
- What is being tested?
- MRG006A
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 343 participants
- Where
- 2 sitesChina
- Study dates
- 24 Jul 2024to 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 17 to 85 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Understand and provide written informed consent and comply with the requirements set forth in the protocol.
- age ≥ 18 years, ≤ 75 years.
- Expected survival ≥ 3 months.
- For patients with stage I and II disease, tumor tissue samples for GPC3 and P53 testing must be provided.
- Patients with histologically or cytologically confirmed advanced solid tumors.
- At least one measurable lesion according to RECISTv1.1 and mRECIST (HCC patients).
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- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Organ function must meet basic requirements.
- Women who are pregnant or breastfeeding are not included in this study.
- Female and male patients of childbearing potential must agree to take adequate measures.
Who cannot join
- Moderate and above thoracoabdominal pelvic fluid and pericardial effusion with clinical symptoms.
- History of liver failure and hepatic encephalopathy.
- Portal vein tumor thrombus involving both the main portal vein and left and right branches, or involving both the main portal vein and mesenteric vein needs to be excluded. The tumor involves the vena cava, or has formed a vena cava tumor thrombus.
- Residual toxicity due to previous anti-tumor therapy or clinically significant laboratory abnormalities higher than grade 1 (CTCAEv5.0).
- For liver cancer, previous or current central nervous system metastases and/or meningeal metastases. Patients with treated stable brain metastases from non-hepatic cancers may participate.
- Patients at high risk of bleeding.
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- Severe cardiac insufficiency within 6 months prior to enrollment.
- Pulmonary embolism or deep venous thrombosis within 3 months before the first study drug treatment;
- History of gastrointestinal perforation, fistula, and bowel obstruction, extensive bowel resection, Crohn 's disease, ulcerative colitis, or chronic diarrhea for the past 6 months.
- Patients with double cancer and multiple cancer.
- Uncontrolled or poorly controlled disease.
- History of ventricular tachycardia or torsades de pointes.
- Previous or combined interstitial pneumonia, severe chronic obstructive pulmonary disease with respiratory failure, severe pulmonary insufficiency, symptomatic bronchospasm and other medical history;
- Allergic reactions to any component or excipient of MRG006A, or known Grade ≥ 3 allergic reactions to other prior anti-GPC3 or other monoclonal antibodies.
- Acute or chronic active hepatitis B or C infection.
- Active or clinically poorly controlled serious infection.
- Receiving anti-tuberculosis treatment or receiving anti-tuberculosis treatment within 1 year before the first dose.
- People infected with human immunodeficiency virus (HIV), known syphilis infection requiring treatment.
- Use of systemic corticosteroids within 4 weeks prior to first treatment.
- Use of strong CYP3A4 inducers, strong CYP3A4 inhibitors within 14 days or 5 times the half-life prior to the first dose.
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
China2 sites, 2 recruiting
- Recruiting
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100021
Hong Zhao, M.D, 86-10-87787100, zhou.jian@zs-hospital.sh.cn
- Recruiting
Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200032
Jian Zhou, M.D, 86-21-64041990, pumczhaohong@126.com
About this study
Official title: A Phase I/II, Open-label, Multi-center, Dose Escalation and Expansion Study to Assess the Safety, Tolerability, Efficacy and Pharmacokinetics of MRG006A in Patients With Advanced Solid Tumors
The objective of this study is to assess the safety, efficacy, pharmacokinetics, and immunogenicity of MRG006A in patients with advanced solid tumors.
Read the detailed description
This study consists of two parts. Phase I is a dose escalation study to determine the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) of MRG006A. Phase II is a dose expansion study to further assess the efficacy, safety, pharmacokinetics and immunogenicityof MRG006A at confirmed RP2D.
- Conditions
- Advanced Solid Tumors
- Being tested
- MRG006A
- Keywords
- MRG006A, Antibody Drug Conjugate (ADC), Advanced Solid Tumors
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MRG006ADrug
Administrated intravenously
| Study group | Role | What they receive |
|---|---|---|
| MRG006A | Experimental | All patients in Phase I and Phase II will be administrated MRG006A on Day 1 of every 3 weeks (21-day cycle). Receives: Drug: MRG006A |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Tolerated Dose (MTD) - Phase I
The highest dose confirmed wherein less than 2 out of 6, or < 33% of evaluable patients in a treatment cohort experiences dose-limiting toxicity (DLT).
Measured: Baseline to the end of the first treatment cycle (each cycle is 21 days).
Recommended Phase II Dose (RP2D) - Phase I
The dose level of MRG006A recommended for further clinical studies based on assessment of the safety, efficacy and PK data from this study.
Measured: Baseline to study completion (up to 24 months).
Adverse Events (AEs) - Phase I
Any reaction, side effect, or untoward event that occurs during the course of the clinical trial whether or not the event is considered related to the study drug.
Measured: Baseline to 30 days after the last dose of study treatment.
Serious Adverse Events (SAEs) - Phase I
Adverse events that are fatal, life-threatening, or result in hospitalization or prolonged hospitalization, persistent or significant disability/incapacity/substantial disruption of the ability to lead a normal life, congenital anomaly/birth defect or major medical events or reactions.
Measured: Baseline to 30 days after the last dose of study treatment.
Objective Response Rate (ORR)- Phase II
ORR is defined as the proportion of subjects with CR and PR assessed by IRC and investigator according to RECIST v1.1 and mRECIST(HCC patients). And determine the objective response rate (CR + PR) and its 95% confidence interval.
Measured: Baseline to study completion (up to 24 months).
Secondary outcomes (12)
Objective Response Rate (ORR) - Phase I
ORR is defined as the proportion of subjects with CR and PR assessed by IRC and investigator according to RECIST v1.1 and mRECIST(HCC patients). And determine the objective response rate (CR + PR) and its 95% confidence interval.
Measured: Baseline to study completion (up to 24 months).
Overall Survive (OS)- Phase II
The time from start of study treatment to date of death as a result of any cause.
Measured: Baseline to study completion (up to 24 months).
Duration of Response (DoR)
The time interval between the date of the earliest qualifying response and the date of disease progression or death for any cause, whichever occurs earlier.
Measured: Baseline to study completion (up to 24 months).
Disease Control Rate (DCR)
The proportion of patients who achieve CR, PR, or stable disease (SD) after treatment.
Measured: Baseline to study completion (up to 24 months).
Progression Free Survival (PFS)
The time from the date of first study dose to disease progression or death whichever occurs first.
Measured: Baseline to study completion (up to 24 months).
Cmax
Maximum observed blood concentration
Measured: Baseline to 30 days after the last dose of study treatment.
Tmax
Time to reach the maximum blood concentration.
Measured: Baseline to 30 days after the last dose of study treatment.
AUC0-t
Area under the blood concentration-time curve from time 0 to the time of last quantifiable concentration.
Measured: Baseline to 30 days after the last dose of study treatment.
Incidence of anti-drug antibody (ADA)
The proportion of patients with positive ADA results.
Measured: Baseline to 30 days after the last dose of study treatment.
QT interval corrected by Fridericia's formula(QTcF)
Evaluate the effect of MRG006A on the prolongation of QT interval corrected by heart rate using Fridericia's formula (QTcF) in patients with advanced solid tumors.
Measured: Baseline to 15 days after the third dose of study treatment.
Adverse Events (AEs) - Phase II
Any reaction, side effect, or untoward event that occurs during the course of the clinical trial whether or not the event is considered related to the study drug.
Measured: Baseline to 30 days after the last dose of study treatment.
Serious Adverse Events (SAEs) - Phase II
Adverse events that are fatal, life-threatening, or result in hospitalization or prolonged hospitalization, persistent or significant disability/incapacity/substantial disruption of the ability to lead a normal life, congenital anomaly/birth defect or major medical events or reactions.
Measured: Baseline to 30 days after the last dose of study treatment.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jul 2025
- Study start24 Jul 2024
- Primary completionDec 2027 (estimated)
- Study completionDec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Solid TumorsStudies of the same condition, open and under way.
- More trials run by Lepu Biopharma 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 343 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Lepu Biopharma Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jian Zhou, M.D., Principal investigator, Fudan UniversityHong Zhao, M.D., Principal investigator, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07093970
- Sponsor's protocol ID
- MRG006A-001
- Status last verified
- Jan 2026
- First submitted
- 22 Jul 2025
- Last updated
- 22 Jan 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 22 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II, Open-label, Multi-center, Dose Escalation and Expansion Study to Assess the Safety, Tolerability, Efficacy and Pharmacokinetics of MRG006A in Patients With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT07093970
- Acronym / sponsor ID
- MRG006A-001
- Conditions
- Advanced Solid Tumors
- Keywords
- MRG006A, Antibody Drug Conjugate (ADC), Advanced Solid Tumors
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 343 participants (estimated)
- Lead sponsor
- Lepu Biopharma Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 24 Jul 2024 (actual)
- Primary completion
- Dec 2027 (estimated)
- Study completion
- Dec 2028 (estimated)
- First posted
- 30 Jul 2025 (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.
The objective of this study is to assess the safety, efficacy, pharmacokinetics, and immunogenicity of MRG006A in patients with advanced solid tumors.
Detailed description
This study consists of two parts. Phase I is a dose escalation study to determine the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) of MRG006A. Phase II is a dose expansion study to further assess the efficacy, safety, pharmacokinetics and immunogenicityof MRG006A at confirmed RP2D.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| MRG006A | Experimental | Drug: MRG006AAll patients in Phase I and Phase II will be administrated MRG006A on Day 1 of every 3 weeks (21-day cycle). |
Who may qualify
- Ages
- 17 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (10 listed)
- Understand and provide written informed consent and comply with the requirements set forth in the protocol.
- age ≥ 18 years, ≤ 75 years.
- Expected survival ≥ 3 months.
- For patients with stage I and II disease, tumor tissue samples for GPC3 and P53 testing must be provided.
- Patients with histologically or cytologically confirmed advanced solid tumors.
Key exclusion criteria (20 listed)
- Moderate and above thoracoabdominal pelvic fluid and pericardial effusion with clinical symptoms.
- History of liver failure and hepatic encephalopathy.
- Portal vein tumor thrombus involving both the main portal vein and left and right branches, or involving both the main portal vein and mesenteric vein needs to be excluded. The tumor involves the vena cava, or has formed a vena cava tumor thrombus.
- Residual toxicity due to previous anti-tumor therapy or clinically significant laboratory abnormalities higher than grade 1 (CTCAEv5.0).
- For liver cancer, previous or current central nervous system metastases and/or meningeal metastases. Patients with treated stable brain metastases from non-hepatic cancers may participate.
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 |
|---|---|---|
| MRG006AAdministrated intravenously | Drug | MRG006A |
Primary outcome
Maximum Tolerated Dose (MTD) - Phase I
Time frame: Baseline to the end of the first treatment cycle (each cycle is 21 days).
The highest dose confirmed wherein less than 2 out of 6, or < 33% of evaluable patients in a treatment cohort experiences dose-limiting toxicity (DLT).
Recommended Phase II Dose (RP2D) - Phase I
Time frame: Baseline to study completion (up to 24 months).
The dose level of MRG006A recommended for further clinical studies based on assessment of the safety, efficacy and PK data from this study.
Adverse Events (AEs) - Phase I
Time frame: Baseline to 30 days after the last dose of study treatment.
Any reaction, side effect, or untoward event that occurs during the course of the clinical trial whether or not the event is considered related to the study drug.
Serious Adverse Events (SAEs) - Phase I
Time frame: Baseline to 30 days after the last dose of study treatment.
Adverse events that are fatal, life-threatening, or result in hospitalization or prolonged hospitalization, persistent or significant disability/incapacity/substantial disruption of the ability to lead a normal life, congenital anomaly/birth defect or major medical events or reactions.
Objective Response Rate (ORR)- Phase II
Time frame: Baseline to study completion (up to 24 months).
ORR is defined as the proportion of subjects with CR and PR assessed by IRC and investigator according to RECIST v1.1 and mRECIST(HCC patients). And determine the objective response rate (CR + PR) and its 95% confidence interval.
12 secondary outcomes
Objective Response Rate (ORR) - Phase I
Time frame: Baseline to study completion (up to 24 months).
Overall Survive (OS)- Phase II
Time frame: Baseline to study completion (up to 24 months).
Duration of Response (DoR)
Time frame: Baseline to study completion (up to 24 months).
Disease Control Rate (DCR)
Time frame: Baseline to study completion (up to 24 months).
Progression Free Survival (PFS)
Time frame: Baseline to study completion (up to 24 months).
Cmax
Time frame: Baseline to 30 days after the last dose of study treatment.
Tmax
Time frame: Baseline to 30 days after the last dose of study treatment.
AUC0-t
Time frame: Baseline to 30 days after the last dose of study treatment.
Incidence of anti-drug antibody (ADA)
Time frame: Baseline to 30 days after the last dose of study treatment.
QT interval corrected by Fridericia's formula(QTcF)
Time frame: Baseline to 15 days after the third dose of study treatment.
Adverse Events (AEs) - Phase II
Time frame: Baseline to 30 days after the last dose of study treatment.
Serious Adverse Events (SAEs) - Phase II
Time frame: Baseline to 30 days after the last dose of study treatment.
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 22 Jan 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.
Jian Zhou, M.D. principal investigator
Fudan University
Hong Zhao, M.D. principal investigator
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2 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 MRG006A in people with Advanced Solid Tumors, run by Lepu Biopharma Co., Ltd. at 2 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 10 inclusion and 20 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 22 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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 Program Director (86-21-61637960, clinicaltrials@miracogen.com.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maximum Tolerated Dose (MTD) - Phase I (time frame: Baseline to the end of the first treatment cycle (each cycle is 21 days).). The study lists 5 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 22 Jan 2026.