Recruiting
Anti-Ly6E Exatecan ADC M7437 in Advanced Solid Tumors
The purpose of this first-in-human (FIH) study is to evaluate the safety, tolerability, Pharmacokinetics (PK), and preliminary clinical activity of M7437 in participants with locally advanced or metastatic solid tumors with known Ly6E expression, including non-small cell lung cancer (NSCLC), triple-negative breast cancer (TNBC), epithelial ovarian carcinoma (EOC), squamous cell carcinoma of the head and neck (SCCHN), pancreatic ductal adenocarcinoma (PDAC), and gastric cancer (GC).
ClinicalTrials.gov IDNCT07360314
PhasePHASE1
Enrollment138
SponsorEMD Serono Research & Development Institute, Inc.
Age18 Years
SexALL
Conditions studied
Advanced Solid Tumors
About this study
The purpose of this first-in-human (FIH) study is to evaluate the safety, tolerability, Pharmacokinetics (PK), and preliminary clinical activity of M7437 in participants with locally advanced or metastatic solid tumors with known Ly6E expression, including non-small cell lung cancer (NSCLC), triple-negative breast cancer (TNBC), epithelial ovarian carcinoma (EOC), squamous cell carcinoma of the head and neck (SCCHN), pancreatic ductal adenocarcinoma (PDAC), and gastric cancer (GC).
Interventions
- Drug: M7437 — Participants will receive M7437 as an intravenous infusion at a dose corresponding to their assigned cohort. Dose escalation will occur between cohorts, with 3-4 participants enrolled at each dose level before proceeding to the next higher dose.
- Drug: M7437 — Participants will receive M7437 at a dose that was determined as recommended dose for expansion (RDE) in Part 1.
Primary outcomes
- Dose-escalation Cohort: Occurences of Dose Limiting Toxicities (DLTs) (DLT period is 21 days (cycle 1))
- Dose-escalation Cohort: Number of Participants With Treatment-Emergent Adverse Event (TEAEs) and Adverse Event (AEs) (Up to end of Part 1 of study (approximately 1 year 8 months))
Eligibility information
Inclusion Criteria:
* Participants have histologically proven advanced solid tumors with known prevalent and high Ly6E expression, Disease characteristic: Participants should have an unresectable locally advanced or metastatic solid tumor that is refractory to standard therapies, or have no standard therapies, or for which no standard therapy is judged appropriate by the Investigator.
For each tumor type, participants have received prior lines of therapy, where locally available:
* Non-small cell lung cancer (nonsquamous or squamous)
* Triple-negative breast cancer
* Squamous cell carcinoma of head and neck
* Pancreatic ductal adenocarcinoma
* Gastric cancer
* Epithelial ovarian cancer
* Participants with ECOG Performance Status (ECOG) less than and equal to (\<=) 1
* Participants must have blood, liver, and kidney function within safe levels.
* Other protocol defined inclusion criteria may apply
Exclusion Criteria:
* Participant has a history of another malignancy within 3 years before the date of enrollment (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, benign prostate neoplasm/hyperplasia, or malignancy that in the opinion of the Investigator, with concurrence with the Sponsor's Medical Monitor, is considered cured with minimal risk of recurrence within 3 years before the date of enrollment). History of hematopoietic allogenic transplantation.
* Participants with known brain metastases, except those meeting both of the following criteria:
1. All brain metastases have been treated locally and are clinically stable for at least 4 weeks prior to the start of treatment.
2. No ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable).
* Participants with diarrhea (liquid stool) or ileus Grade more than (\>) 1 within 1 week of Cycle1Day1.
* Participants with active chronic inflammatory bowel disease and/or bowel obstruction.
* Participants with history of serious gastrointestinal bleeding within 3 months of Cycle1Day1.
* Other protocol defined exclusion criteria may apply.
Study locations
- Yale University - Yale University School of Medicine, New Haven, Connecticut 06510 United States
- Carolina BioOncology Institute, LLC - Cancer Therapy and Research Center, Huntersville, North Carolina 28078 United States
- NEXT Houston, Galveston, Texas 77001 United States
- NEXT Oncology - PARENT, San Antonio, Texas 78229 United States
- Princess Margaret Cancer Centre, Toronto, Canada
- BC Cancer - Vancouver - BC Cancer Agency, Vancouver, Canada
- National Cancer Center Hospital, Tokyo, Japan
- Hospital Universitari Vall d'Hebron - VHIO - Oncology - Phase I Unit, Barcelona, 08035 Spain
- NEXT Madrid - Hospital Universitario Quironsalud Madrid, Madrid, Spain
Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.