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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 (May 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 May 2026

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

Cancer type

Tumor Agnostic

Colorectal Cancer

Gastric Cancer

Non-Small Cell Lung Carcinoma

Head and Neck Squamous Cell Carcinoma

Esophageal Carcinoma

Biomarker criteria

Required: KRAS oncogenic missense mutation (wild-type required)

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

Required: NRAS oncogenic missense mutation (wild-type required)

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

Required: BRAF oncogenic missense mutation (wild-type required)

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

Required: EGFR ectodomain mutation (wild-type required)

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

Required: HER2 (ERBB2) amplification (wild-type required)

no HER2 (ERBB2) amplification

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: EGFR wild-type

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

Required: HER2 (ERBB2) wild-type

Patients must be naive to prior anti-EGFR therapy

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

Disease stage

Metastatic disease required

metastatic or locally advanced disease not amenable to standard therapy with curative intent

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: platinum-based chemotherapy — adjuvant or multimodal for locally advanced disease

Patients treated with platinum-containing therapy only in the adjuvant setting, or in the context of multimodal therapy for locally advanced disease should have disease progression within 6 months of the last dose of platinum containing 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

Cannot have received: anti-PD-1 therapy

no previous exposure to anti PD-(L)1 therapies

Cannot have received: anti-PD-L1 therapy

no previous exposure to anti PD-(L)1 therapies

Lab requirements

Cardiac 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 →

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