A Phase 1/2 interventional study of Margetuximab 10 mg/kg and Margetuximab 15 mg in Gastric Cancer, Stomach Cancer and Esophageal Cancer, sponsored by MacroGenics. Completed at 28 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-17.
Sponsored by MacroGenics · Phase 1/2, Interventional, and Treatment
This main purpose of this clinical study is to learn about the safety and activity of margetuximab and pembrolizumab combination treatment in patients with HER2+ gastric and gastroesophageal junction cancer.
Detailed Description: Both margetuximab and pembrolizumab are monoclonal antibodies used in combination to treat HER2+ gastric and gastroesophageal junction cancer. This study has two parts: Dose Escalation and Dose Expansion. The Dose Escalation phase of the study will evaluate safety of escalating doses of the combination treatment. The Dose Expansion phase will evaluate safety and activity of the combination in patients with gastric or gastroesophageal cancer once the final dose and schedule are defined. In addition, a cohort of patients with HER2+ 3+ gastric cancer patients will be enrolled in the Dose Expansion Phase.
2,851 studies on the registry are indexed under Stomach Neoplasms; 864 are open to participants now.
This study's enrollment of 95 is above the median of 67 across 2,096 interventional studies indexed under Stomach Neoplasms.
Browse Stomach Neoplasms studies →MacroGenics is the lead sponsor of 42 studies on the registry; 4 are open to participants now.
Of its 17 completed or terminated interventional studies of FDA-regulated products, 11 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
margetuximab administered in combination with pembrolizumab
Biological: Margetuximab 10 mg/kg · Biological: Pembrolizumab
margetuximab administered in combination with pembrolizumab
Biological: Margetuximab 15 mg · Biological: Pembrolizumab
Margetuximab treatment is administered intravenously (IV) once every 21-day cycle
Also known as: MGAH22
Margetuximab treatment is administered IV once every 21-day cycle
Also known as: MGAH22
Pembrolizumab treatment is administered IV once every 21-day cycle
Also known as: MK-3475
Number of Patients With Dose Limiting Toxicities
Characterize maximum tolerated dose (MTD) or maximum administered dose (MAD) (if no MTD is defined) of margetuximab when administered in combination with pembrolizumab
Time frame: 21 days
Number of Patients With Adverse Events (AEs) and Serious Adverse Events (SAEs).
The number of patients that experience either an AE or a SAE during the study participation
Time frame: up to 24 months
Number of Patients With a Complete Response (CR) or Partial Response (PR) to Treatment
Investigate the preliminary anti-tumor activity as measured by response to treatment of margetuximab when administered in combination with pembrolizumab, using conventional Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Time frame: 12 months
Number of Patients With a Complete Response (CR) or Partial Response (PR) to Treatment Using irRC Criteria
Investigate the preliminary anti-tumor activity, as measured by objective response rate (ORR) of margetuximab when administered in combination with pembrolizumab, using immune-related response criteria (irRC).
Time frame: 12 Months
Duration of Response
Duration of response is calculated at the time from CR or PR to relapse or cancer progression.
Time frame: up to 24 months
Overall Survival (OS)
The median length of time between first dose of study medication and death from any cause.
Time frame: 24 Months
Progression Free Survival (PFS)
The interval between the first dose of study medication and progression of disease or death from any cause.
Time frame: 24 Months
Change From Baseline in Pharmacodynamic Markers in Whole Blood
The planned assessment included examination of markers of T-cell activation
Time frame: from first dose to the end of treatment, average about 12 months
Analysis of HER2 Tumor Cell Membrane Expression in Biopsy Specimens Before and After Treatment
Time frame: from first dose to the end of treatment, average 12 months.
Number of Patients Who Develop Treatment-emergent Anti-drug Antibodies to Margetuximab (Immunogenicity)
Time frame: Assessed Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Day 1 of every odd cycle, and end of treatment visit, average 12 months
Maximum Concentration of Margetuximab at Steady State
Measurement of PK characteristics is limited to margetuximab. No analysis of pembrolizumab was conducted.
Time frame: At end of infusion on Cycle 1, Day 1. Cycle 2, Day 1; Cycle 3, Days 1 and 2; Cycle 5 Day 1, Cycle 7 Day 1, and end of treatment visit, average 12 months
Area Under the Concentration Time Curve at Steady State (AUC ss)
AUC is a mathematical calculation that describes the variation in drug concentration in the blood over time.
Time frame: Predose and at end of infusion on Cycle 1, Days 1, 2 and 8: Cycle 2, Day 1; Cycle 3, Days 1 and 2; Cycle 5 Day 1, Cycle 7 Day 1, and end of treatment visit, average 12 months
Clearance
Drug clearance is the amount of drug removed from the bloodstream by the body per unit of time.
Time frame: Predose and at end of infusion on Cycle 1, Days 1, 2 and 8: Cycle 2, Day 1; Cycle 3, Days 1 and 2; Cycle 5 Day 1, Cycle 7 Day 1, and end of treatment visit, average 12 months.
Volume of Distribution at Steady State
The volume of distribution is related to a whether how much drug is distributed to body tissues, or remains in the bloodstream.
Time frame: Predose and at end of infusion on Cycle 1, Days 1, 2 and 8: Cycle 2, Day 1; Cycle 3, Days 1 and 2; Cycle 5 Day 1, Cycle 7 Day 1, and end of treatment visit average 12 months .
Terminal Half-life
Terminal half-life is the time required to divide the plasma concentration by two after reaching pseudo-equilibrium.
Time frame: Predose and at end of infusion on Cycle 1, Days 1, 2 and 8: Cycle 2, Day 1; Cycle 3, Days 1 and 2; Cycle 5 Day 1, Cycle 7 Day 1, and end of treatment visit average 12 months .
| Milestone | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Started | 3 | 92 |
| Completed | 0 | 5 |
| Not completed | 3 | 87 |
| Withdrew: Adverse event | 1 | 8 |
| Withdrew: Death | 0 | 1 |
| Withdrew: Physician decision | 1 | 2 |
| Withdrew: Withdrawal by subject | 0 | 1 |
| Withdrew: Progression of cancer | 1 | 72 |
| Withdrew: Decreased heart function | 0 | 1 |
| Withdrew: Concern for anemia | 0 | 1 |
| Withdrew: No measurable cancer for evaluation | 0 | 1 |
Characterize maximum tolerated dose (MTD) or maximum administered dose (MAD) (if no MTD is defined) of margetuximab when administered in combination with pembrolizumab
| Participants | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Number of Patients With Dose Limiting Toxicities | 0 | 0 |
The number of patients that experience either an AE or a SAE during the study participation
| Participants | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Number of Patients With Adverse Events (AEs) and Serious Adverse Events (SAEs). | 3 | 86 |
Investigate the preliminary anti-tumor activity as measured by response to treatment of margetuximab when administered in combination with pembrolizumab, using conventional Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
| Participants | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Number of Patients With a Complete Response (CR) or Partial Response (PR) to Treatment | 0 | 18 |
Investigate the preliminary anti-tumor activity, as measured by objective response rate (ORR) of margetuximab when administered in combination with pembrolizumab, using immune-related response criteria (irRC).
| Participants | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Number of Patients With a Complete Response (CR) or Partial Response (PR) to Treatment Using irRC Criteria | 0 | 19 |
Duration of response is calculated at the time from CR or PR to relapse or cancer progression.
| months | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Duration of Response | — | 12.1 (2.79 to 26.68) |
The median length of time between first dose of study medication and death from any cause.
| months | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Overall Survival (OS) | 7.0 (2.37 to 9.66) | 12.7 (9.07 to 14.62) |
The interval between the first dose of study medication and progression of disease or death from any cause.
| months | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Progression Free Survival (PFS) | 1.4 (1.31 to 2.76) | 2.7 (0.37 to 4.34) |
The planned assessment included examination of markers of T-cell activation
No measurements were reported for this outcome.
No measurements were reported for this outcome.
| Participants | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Number of Patients Who Develop Treatment-emergent Anti-drug Antibodies to Margetuximab (Immunogenicity) | 1 | 4 |
Measurement of PK characteristics is limited to margetuximab. No analysis of pembrolizumab was conducted.
| mcg/mL | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Maximum Concentration of Margetuximab at Steady State | 197 ± 0.249 | 318 ± 0.168 |
AUC is a mathematical calculation that describes the variation in drug concentration in the blood over time.
| mcg/mL* day | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Area Under the Concentration Time Curve at Steady State (AUC ss) | 1710 ± 0.358 | 2720 ± 0.329 |
Drug clearance is the amount of drug removed from the bloodstream by the body per unit of time.
| liters per day | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Clearance | 0.381 ± 0.0394 | 0.329 ± 0.296 |
The volume of distribution is related to a whether how much drug is distributed to body tissues, or remains in the bloodstream.
| liters | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Volume of Distribution at Steady State | 7.7 ± 0.306 | 6.37 ± 0.205 |
Terminal half-life is the time required to divide the plasma concentration by two after reaching pseudo-equilibrium.
| day | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Terminal Half-life | 17.2 ± 0.312 | 16.2 ± 0.286 |
Collected over All AEs and SAEs were collected from the time of first dose through 28 days after the last dose or until the start of another anti-cancer treatment, whichever was earlier, average 12 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | 3/3 (100%) | 2/3 (66.7%) | 3/3 (100%) |
| Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | 69/92 (75%) | 38/92 (41.3%) | 86/92 (93.5%) |
| Event | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| Infective exacerbation of chronic obstructive airways diseaseInfections and infestations | 1/3 | 0/92 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 1/3 | 0/92 |
| Acute respiratory failureRespiratory, thoracic and mediastinal disorders | 1/3 | 0/92 |
| AnaemiaBlood and lymphatic system disorders | 0/3 | 9/92 |
| Obstruction gastricGastrointestinal disorders | 0/3 | 4/92 |
| Gastric haemorrhageGastrointestinal disorders | 0/3 | 2/92 |
| Oesophageal haemorrhageGastrointestinal disorders | 0/3 | 2/92 |
| Small intestinal obstructionGastrointestinal disorders | 0/3 | 2/92 |
| Upper gastrointestinal haemorrhageGastrointestinal disorders | 0/3 | 2/92 |
| PyrexiaGeneral disorders | 0/3 | 2/92 |
| Event | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) |
|---|---|---|
| DiarrhoeaGastrointestinal disorders | 1/3 | 26/92 |
| ConstipationGastrointestinal disorders | 1/3 | 10/92 |
| FatigueGeneral disorders | 1/3 | 25/92 |
| Infusion related reactionInjury, poisoning and procedural complications | 1/3 | 12/92 |
| Decreased appetiteMetabolism and nutrition disorders | 1/3 | 16/92 |
| Back painMusculoskeletal and connective tissue disorders | 1/3 | 12/92 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 1/3 | 5/92 |
| AnaemiaBlood and lymphatic system disorders | 0/3 | 29/92 |
| NauseaGastrointestinal disorders | 0/3 | 23/92 |
| PruritusSkin and subcutaneous tissue disorders | 0/3 | 18/92 |
| Age, Continuous(years) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| Mean | 62.7 ± 9.87 | 60.2 ± 12.83 | 60.3 ± 12.71 |
| Sex: Female, Male(Participants) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| Female | 0 | 17 | 17 |
| Male | 3 | 75 | 78 |
| Ethnicity (NIH/OMB)(Participants) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 2 | 2 |
| Not Hispanic or Latino | 3 | 88 | 91 |
| Unknown or Not Reported | 0 | 2 | 2 |
| Race (NIH/OMB)(Participants) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 1 |
| Asian | 0 | 51 | 51 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 3 | 3 |
| White | 3 | 34 | 37 |
| More than one race | 0 | 1 | 1 |
| Unknown or Not Reported | 0 | 2 | 2 |
| Region of Enrollment(participants) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| Canada | 0 | 3 | 3 |
| South Korea | 0 | 42 | 42 |
| Singapore | 0 | 8 | 8 |
| United States | 3 | 38 | 41 |
| Taiwan | 0 | 1 | 1 |
| ECOG Performance Status(participants) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| 0 | 0 | 33 | 33 |
| 1 | 3 | 59 | 62 |
| Primary tumor location(participants) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| Gastric | 0 | 61 | 61 |
| Gastroesophageal junction | 3 | 31 | 34 |
| HER2 status using immunohistochemistry (IHC)(Participants) | Margetuximab (10 mg/kg) Plus Pembrolizumab (200 mg) | Margetuximab (15 mg/kg) Plus Pembrolizumab (200 mg) | Total |
|---|---|---|---|
| IHC 2+ | 2 | 21 | 23 |
| IHC 3+ | 1 | 71 | 72 |
2 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
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MacroGenics