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OncoMatch/Clinical Trials/NCT03526835

A Study of Bispecific Antibody MCLA-158 in Patients With Advanced Solid Tumors

Is NCT03526835 recruiting? Yes, currently enrolling (Sep 2026). This Phase 1/2 trial studies multiple treatments including MCLA-158 and MCLA-158 + Pembrolizumab for advanced/metastatic solid tumors.

Phase 1/2RecruitingMerus B.V.NCT03526835Data as of Sep 2026Location: International · 7 countries

Treatment: MCLA-158 · MCLA-158 + Pembrolizumab · MCLA-158 + FOLFIRI · MCLA-158 + FOLFOXThis is a Phase 1/2 open-label, multi-center, multi-national study with an initial dose escalation part to determine the recommended Phase II dose (RP2D) of MCLA-158 single agent in patients with mCRC. The dose escalation part has been completed and the RP2D will be further evaluated in an expansion part of the study. Cohorts of selected solid tumor indications for which there is evidence of EGFR dependency and potential sensitivity to EGFR inhibition will be evaluated including head and neck cancer and metastatic colorectal cancer (mCRC). The study will further assess the safety, tolerability, PK, PD, immunogenicity, and anti-tumor activity of MCLA-158 in monotherapy or in combination with other therapies.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

MCLA-158 + Pembrolizumab

Other

MCLA-158MCLA-158 + FOLFIRIMCLA-158 + FOLFOX

Cancer type

Tumor Agnostic

Colorectal Cancer

Gastric Cancer

Esophageal Carcinoma

Non-Small Cell Lung Carcinoma

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: MSI1 microsatellite stable

A microsatellite stable (MSS) tumor

Required: KRAS wild-type

Patients must be RAS/ RAF WT as determined using tumor tissue (primary or metastatic) by an appropriate tumor tissue based assay

Required: NRAS wild-type

Patients must be RAS/ RAF WT as determined using tumor tissue (primary or metastatic) by an appropriate tumor tissue based assay

Required: BRAF wild-type

Patients must be RAS/ RAF WT as determined using tumor tissue (primary or metastatic) by an appropriate tumor tissue based assay

Required: PD-L1 (CD274) expression (CPS ≥1)

tumors expressing programmed cell death protein ligand 1 (PD-L1), combined positive score (CPS) ≥1, as determined by a Food and Drug Administration (FDA) approved test in the US, or by an approved equivalent test in other countries

Excluded: KRAS missense mutation

No oncogenic missense mutations in KRAS, NRAS, BRAF, or EGFR ectodomain

Excluded: NRAS missense mutation

No oncogenic missense mutations in KRAS, NRAS, BRAF, or EGFR ectodomain

Excluded: BRAF missense mutation

No oncogenic missense mutations in KRAS, NRAS, BRAF, or EGFR ectodomain

Excluded: EGFR ectodomain missense mutation

No oncogenic missense mutations in KRAS, NRAS, BRAF, or EGFR ectodomain

Excluded: HER2 (ERBB2) amplification

no HER2 (ERBB2) or KRAS amplification

Excluded: KRAS amplification

no HER2 (ERBB2) or KRAS amplification

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: platinum-based chemotherapy — HNSCC, recurrent or metastatic disease

patients who have progressed on or after, or are intolerant to, anti-PD-(L)1 therapy and platinum therapy as monotherapy or in combination with other agents

Must have received: anti-PD-1 therapy — HNSCC, recurrent or metastatic disease

patients who have progressed on or after, or are intolerant to, anti-PD-(L)1 therapy and platinum therapy as monotherapy or in combination with other agents

Must have received: chemotherapy with oxaliplatin, irinotecan, and a fluoropyrimidine — mCRC, metastatic setting

Received ≥2 and no more than 4 lines of prior therapy in the metastatic setting including: 1. Chemotherapy with oxaliplatin, irinotecan, and a fluoropyrimidine

Must have received: anti-VEGF therapy — mCRC, metastatic setting

Received ≥2 and no more than 4 lines of prior therapy in the metastatic setting including: 2. Targeted therapy with an anti-VEGF therapy

Cannot have received: EGFR inhibitor

no previous exposure to EGFR inhibitors

Cannot have received: anti-EGFR therapy

Patients must be naive to prior anti-EGFR therapy

Lab requirements

Blood counts

Kidney function

Liver function

Cardiac function

Left ventricular ejection fraction (LVEF) ≥ 50% by echocardiogram (ECHO) or multiple gated acquisition scan (MUGA)

Adequate organ function; Left ventricular ejection fraction (LVEF) ≥ 50% by echocardiogram (ECHO) or multiple gated acquisition scan (MUGA).

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • UCSD · La Jolla, California
  • USC Norris Comprehensive Cancer Center · Los Angeles, California
  • Sharp Healthcare · San Diego, California
  • Rocky Mountain Cancer Centers · Lone Tree, Colorado
  • Florida Cancer Specialists · Fort Myers, Florida

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT03526835 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior EGFR inhibitor, anti-EGFR therapy disqualifies patients from enrollment.

Does this trial require MSI1?

Yes, MSI1 microsatellite stable is a required biomarker for enrollment.

Does this trial require KRAS?

Yes, KRAS wild-type is a required biomarker for enrollment.

Does this trial require NRAS?

Yes, NRAS wild-type is a required biomarker for enrollment.

Are patients with KRAS alterations eligible?

No. KRAS missense mutation is an exclusion criterion.

Are patients with NRAS alterations eligible?

No. NRAS missense mutation is an exclusion criterion.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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