ClinicalTrials.gg
RecruitingNCT07360314Updated Oct 20, 2026

Anti-Ly6E Exatecan ADC M7437 in Advanced Solid Tumors

A Phase 1 interventional study of M7437 and M7437 in Advanced Solid Tumors, sponsored by EMD Serono Research & Development Institute, Inc.. Recruiting at 9 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by EMD Serono Research & Development Institute, Inc. (part of Merck KGaA, Darmstadt, Germany) · Phase 1, Interventional, and Other

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Oct 20, 2026Site recruiting status changedPrimary completion movedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
138
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

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).

02

Conditions studied

  • Advanced Solid Tumors

Keywords

  • Ly6E expression
  • Topoisomerase I inhibitor (TOP1i)
  • NSCLC
  • Breast cancer
  • Gastric cancer
  • Head and neck squamous cell carcinoma
  • Ovarian cancer
  • Pancreatic ductal adenocarcinoma
  • Systemic antibody-drug conjugate therapy (ADC) therapy
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 138 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

EMD Serono Research & Development Institute, Inc. is the lead sponsor of 87 studies on the registry; 8 are open to participants now.

Of its 47 completed or terminated interventional studies of FDA-regulated products, 38 (81%) have results posted.

First submitted after EMD Serono Research & Development Institute, Inc. became part of Merck KGaA, Darmstadt, Germany.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants have proven advanced solid tumors with known prevalent and high Ly6E expression, Disease characteristic: Participants should have an unresectable locally advanced or solid tumor that is 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 , 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 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

Exclusion Criteria:

  • Participant has a history of another 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 , 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.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
138 participants (estimated)

Study arms

  • Experimental
    Part 1: Dose-escalation Cohort

    Drug: M7437

  • Experimental
    Part 2: Dose-Expansion Cohort

    Drug: M7437

Interventions

  • DrugM7437

    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.

  • DrugM7437

    Participants will receive M7437 at a dose that was determined as recommended dose for expansion (RDE) in Part 1.

06

What researchers measure

Primary outcomes

  1. Dose-escalation Cohort: Occurences of Dose Limiting Toxicities (DLTs)

    Time frame: DLT period is 21 days (cycle 1)

  2. Dose-escalation Cohort: Number of Participants With Treatment-Emergent Adverse Event (TEAEs) and Adverse Event (AEs)

    Time frame: Up to end of Part 1 of study (approximately 1 year 8 months)

Secondary outcomes

  1. Dose-escalation Cohort: Plasma Concentration of M7437

    Time frame: Cycle 1 Day 1: Pre-dose, 0.25, 6, 24, 96, 168 and 336 hours post-dose; Cycle 3 Day 1: Pre-dose, 0.25, 6 and 168 hours post-dose; Pre-dose at Day 1 of Cycles 2, 4, 6, 8 until end of treatment (approximately 1 year 8 months) (Each Cycle length=21 days)

  2. Dose-escalation Cohort: Overall Response (OR) According to Response Evaluation Criteria inSolid Tumor (RECIST) version 1.1 criteria as Assessed by Investigator

    Time frame: From the date of first documented complete response (CR) or partial response (PR), whichever occurs first, until the first documented disease recurrence or progressive disease (PD) (assessed upto [approximately 1 year 8 months])

  3. Change From The Baseline Qtc (Δqtc) At Predefined Timepoints Based on Triplicate Electrocardiogram (ECG) Measurements

    Time frame: Baseline, Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 5, Cycle 1 Day 8, Cycle 2 Day 1, Cycle 3 Day 1 (each cycle is of 21 days)

07

Study locations

7 of 9 sites recruiting
  • Yale University - Yale University School of Medicine
    New Haven, Connecticut 06510, United States
    Recruiting
    • · Contact203-785-6221
    • Patricia M LoRusso · Principal investigator
  • Carolina BioOncology Institute, LLC - Cancer Therapy and Research Center
    Huntersville, North Carolina 28078, United States
    Recruiting
    • · Contact704-947-6599
    • John D Powderly · Principal investigator
  • NEXT Houston
    Galveston, Texas 77001, United States
    Recruiting
    • Jennifer M Segar · Principal investigator
  • NEXT Oncology - PARENT
    San Antonio, Texas 78229, United States
    Recruiting
    • · Contact210-595-5670
    • Ildefonso Ismael Rodriguez Rivera · Principal investigator
  • Princess Margaret Cancer Centre
    Toronto, Canada
    Recruiting
    • · ContactSpreafico
    • Anna Spreafico · Principal investigator
  • BC Cancer - Vancouver - BC Cancer Agency
    Vancouver, Canada
    Not yet recruiting
    • · Contact6048776000
    • Anna Tinker · Principal investigator
  • National Cancer Center Hospital
    Tokyo, Japan
    Recruiting
    • · Contact+81335422511
    • Noboru Yamamoto · Principal investigator
  • Hospital Universitari Vall d'Hebron - VHIO - Oncology - Phase I Unit
    Barcelona, 08035, Spain
    Not yet recruiting
    • Elena Garralda Cabanas · Principal investigator
  • NEXT Madrid - Hospital Universitario Quironsalud Madrid
    Madrid, Spain
    Recruiting
    • · Contact+34666209969
    • Valentina Boni · Principal investigator
08

References and documents

Individual participant data

Plan to share: No — IPD will not be shared for Phase I interventional or observational studies. Further information on how to request data can be found on our website bit.ly/IPD21.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2026 (actual). Primary completion is estimated for Sep 2028, 31 months after the start.

Of 388 industry-sponsored phase 1 interventional studies under Breast Neoplasms, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 56. This study's planned 31 months is below that.

Counting every sponsor, half of 759 studies reached it within 44 months; a quarter within 25 and three quarters within 66.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 13, 2026
First posted
Jan 22, 2026
StartActual
Feb 13, 2026
Primary completionEst.
Sep 28, 2028
CompletionEst.
Mar 28, 2029
Last update
Oct 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
Yale University - Yale University School of Medicine is now Recruiting
Oct 20, 2026
Primary completion
Sep 20, 2028→Sep 28, 2028
Sep 29, 2026
Show all 2 updates
  1. Oct 20, 2026
    Yale University - Yale University School of Medicine is now Recruiting
    + 1 other change: verification date
  2. Sep 29, 2026
    Primary completion Sep 20, 2028→Sep 28, 2028

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07360314
Responsible party
Sponsor
First posted
Jan 22, 2026
Start date
Feb 13, 2026
Primary completion
Sep 28, 2028 (estimated)
Completion
Mar 28, 2029 (estimated)
Last update
Oct 20, 2026

Study contacts

US Medical Information
Contact
eMediUSA@emdserono.com
888-275-7376
Communication Center
Contact
service@emdgroup.com
+49 6151 72 5200
Medical Responsible
study director · EMD Serono Research & Development Institute, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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