On October 26, 2022 Merus N.V. (Nasdaq: MRUS) ("Merus", "the Company", "we", or "our"), a clinical-stage oncology company developing innovative, full-length multispecific antibodies (Biclonics and Triclonics), reported the publication of interim data as of an August 15, 2022 data cutoff, from the ongoing phase 1/2 trial of the bispecific antibody MCLA-129, on the 34th EORTC/NCI/AACR Symposium on Molecular Targets and Cancer Therapeutics (ENA Symposium) website (Press release, Merus, OCT 26, 2022, View Source [SID1234622424]). MCLA-129 is a fully human ADCC enhanced IgG1 Biclonics bispecific antibody that binds to EGFR and c-MET and is being investigated in patients with advanced non-small cell lung cancer (NSCLC) and other solid tumors. This phase 1/2 study has completed the dose escalation phase and is on-going in the dose expansion phase.
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The poster is now available on the Merus website and will be presented at the 34th ENA Symposium in Barcelona, Spain on Friday, October 28, 2022, 10:00-15:00 CET.
"These initial data provide encouraging clinical evidence that MCLA-129 has the potential to be meaningful in patients with solid tumors including NSCLC," said Dr. Andrew Joe, Chief Medical Officer at Merus. "We look forward to continuing the dose expansion portion of this trial to further evaluate the efficacy and safety of MCLA-129 both as monotherapy and in combination with a third generation EGFR TKI."
As of the May 8, 2022 cutoff date, 20 patients were treated with MCLA-129 across doses of 100, 300, 600, 1000, and 1500 mg every two weeks. These patients were followed for safety and efficacy through a data cutoff of August 15, 2022, with 18 evaluable for efficacy, with two discontinuing before the second infusion (1 patient due to investigator decision, clinical progression; and 1 patient passing away due to an unrelated AE).
As of the August 15, 2022 cutoff date:
Median age of patients was 65.5 years (range 43-79)
Tumor types enrolled included:
14 patients with EGFR mutant (mt) NSCLC (8 Del19, 4 L858R, 1 exon 20 insertion [EGFRex20], 1 other)
2 patients with c-MET exon 14 mt (MetEx14) NSCLC
1 patient with c-MET amplified gastric adenocarcinoma
1 patient with esophageal squamous cell cancer
2 patients with head and neck squamous cell carcinoma (HNSCC)
Antitumor activity observed by investigator review, include:
2 confirmed partial responses observed
4 additional patients had >20% tumor shrinkage
Time on treatment:
Median duration of exposure was 12.6 weeks (range: 3-43 weeks)
Six of the 20 patients remained on-going as of the data cutoff date
MCLA-129 was observed to be well tolerated based on 20 patients who received one or more doses of MCLA-129 across all dose levels tested:
No dose limiting toxicities (DLTs) were reported
Most frequent AEs were infusion-related reactions (IRR)
90% of patients experienced IRR AEs of any grade, one patient (5%) experienced a grade 3, no grade 4 or 5 AEs were observed
The majority of AEs occurred during the first infusion
No treatment-related grade 4 or 5 AEs reported
No patients discontinued MCLA-129 treatment due to drug-related toxicity
No interstitial lung disease reported
Based on pharmacokinetic and pharmacodynamic data, and the safety profile an initial recommend phase 2 dose was selected at 1500 mg every two weeks.
As October 2022, 33 patients have been enrolled in the dose escalation and dose expansion phases of the trial. The additional 13 patients enrolled did not yet have an opportunity to be evaluated for response as of the August 15, 2022 data cutoff. The MCLA-129 trial is ongoing in the dose expansion phase, treating patients with MCLA-129 monotherapy in MetEx14 NSCLC, EGFRex20 NSCLC, HNSCC, as well as in combination with a third generation EGFR tyrosine kinase inhibitor (TKI) in treatment naïve EGFRmt NSCLC and in patients with EGFRmt NSCLC that have progressed on Tagrisso (osimertinib).
Presentation Details:
Title: MCLA-129, a human anti-EGFR and anti-c-MET bispecific antibody, in patients with advanced NSCLC and other solid tumors: an ongoing phase 1/2 study
First author: Prof. Sai-Hong Ignatius Ou, Department of Medicine, Division of Hematology Oncology, University of California Irvine School of Medicine, US
Session: New Therapies in Immuno Oncology
Date: Friday, October 28, 2022
Time: 10:00-15:00 CET
Abstract #: 341
Poster #: PB121
The poster is now available on-demand throughout the conference on the conference website and on the Publications page of our website.
Company Conference Call and Webcast Information
Merus will hold a conference call and webcast for investors on Wednesday, October 26, 2022 at 13:30 CET/7:30am ET to discuss the MCLA-129 initial clinical data and provide a program update. A replay will be available after the completion of the call in the Investors and Media section of our website for a limited time.
About MCLA-129
MCLA-129 is an antibody-dependent cellular cytotoxicity-enhanced Biclonics that is designed to inhibit the EGFR and c-MET signaling pathways in solid tumors. Preclinical data have shown that MCLA-129 can effectively treat TKI-resistant non-small cell lung cancer (NSCLC) in xenograft models of cancer. MCLA-129 is designed to have two complementary mechanisms of action: blocking growth and survival pathways to stop tumor expansion and recruitment and enhancement of immune effector cells to eliminate the tumor.