ClinicalTrials.gg
RecruitingNCT07822399Updated Oct 30, 2026

A Study of MGC030 in Participants With Advanced Solid Tumors

A Phase 1 interventional study of MGC030 in Urothelial Cancer, GastroEsophageal Cancer and Colorectal Cancer, sponsored by MacroGenics. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by MacroGenics · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2026; still recruiting 1 month later.
Updated Oct 30, 2026Now RecruitingFirst site in United States+2 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
314
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study is designed to characterize safety, tolerability, pharmacokinetics (PK), immunogenicity, and preliminary anti-tumor activity of MGC030. Participants with relapsed or refractory, unresectable, locally advanced or metastatic solid tumors of select types.

The main question the study aims to answer is:

  • What types of side effects will participants experience when receiving MGC030?
  • Can MGC030 cause cancer to shrink, remain stable, or able to control disease progression of participants with advanced solid tumors? Participants will
  • Undergo screening procedures to determine eligibility
  • Receive study treatments initially every 3 weeks.
  • Have blood samples taken for routine and research tests
  • Have other examinations to check heart and lung function, and general health status
  • Be asked about any side effects that may be happening or other medications you are taking. The study doctor will provide treatment for side effects, if necessary.
  • Have the study doctor assess your tumor status at regular intervals to determine how you are responding to treatment.
02

Conditions studied

  • Urothelial Cancer
  • GastroEsophageal Cancer
  • Colorectal Cancer
  • Esophageal Cancer
  • Gastric Cancer (GC)
  • Pancreatic Cancer
03

In context

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

This study's planned enrollment of 314 is above the median of 76 across 4,800 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

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.

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 in dose escalation cohorts must have proven unresectable, locally advanced or solid tumor limited to one of the following types: urothelial cancer, colorectal cancer (CRC), gastric or gastroesophageal junction (GEJ) cancer, esophageal cancer, or pancreatic carcinoma that is to standard therapy, or for which standard therapy does not exist, has proven to be intolerable, or has been refused by the participant.
  • Participants in expansion cohorts must have histologically proven, unresectable, locally advanced or metastatic solid tumors

    • Urothelial cancer with progression following platinum-containing chemotherapy for metastatic or locally advanced/unresectable cancer, or within 12 months from completion of or adjuvant platinum-containing chemotherapy for localized muscle-invasive cancer.
    • Gastric/GEJ carcinoma with progression during or following at least 1 systemic therapy.
    • Esophageal cancer with progression during or following at least 1 systemic therapy.
    • CRC with progression during or following treatment with at least 2 (containing a fluoropyrimidine plus a platinum analogue and/or irinotecan) for metastatic disease.

      • CRC harboring an activating EGFR mutation must have progressed during or following at least one EGFR targeted therapy, if available.
      • Participants should have received no more than 4 prior lines of systemic therapy for advanced or metastatic disease.
    • Pancreatic cancer with progression during or following at least 1 systemic therapy. Participants should have received no more than 2 prior lines of cytotoxic chemotherapy for advanced or metastatic disease.
  • Participants must have at least one lesion that meets the definition of by v1.1.
  • Participants must have an available archival or formalin-fixed paraffin-embedded tumor tissue or be willing to undergo a procedure to obtain a fresh tumor sample.
  • Participants have acceptable physical condition and laboratory values.
  • Participants of must agree to use highly effective methods of .
  • Participants must not be pregnant, planning to be pregnant, or breastfeeding.

Exclusion criteria

Exclusion Criteria:

  • Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
  • Active or .
  • Prior stem cell, tissue, or solid organ transplant.
  • Another that required treatment within the past 2 years, with the exception of those with a negligible risk of or death such as adequately treated non-melanomatous skin cancer, localized prostate cancer (Gleason Score \< 6), or carcinoma in situ.
  • History of primary immunodeficiency.
  • Active viral, bacterial, or fungal infection
  • Prior treatment with Topoisomerase 1-based ADCs for cancer.
  • Prior treatment with major surgery, mediastinal or lung radiation, vaccination with , systemic cancer treatment, chimeric antigen receptor (CAR)-T cell therapy, or experimental treatment within 4 weeks of the start of study treatment.
Terms in these criteria, in plain language(14)

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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

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

Study arms

  • Experimental
    Dose escalation Cohort 1

    MGC030 Dose Level 1

    Biological: MGC030

  • Experimental
    Dose escalation Cohort 2

    MGC030 Dose Level 2

    Biological: MGC030

  • Experimental
    Dose escalation Cohort 3

    MGC030 Dose Level 3

    Biological: MGC030

  • Experimental
    Dose escalation Cohort 4

    MGC030 Dose Level 4

    Biological: MGC030

  • Experimental
    Dose escalation Cohort 5

    MGC030 Dose Level 5

    Biological: MGC030

  • Experimental
    Dose escalation Cohort 6

    MGC030 Dose Level 6

    Biological: MGC030

  • Experimental
    Dose Optimization Cohort 1

    Dose Optimization Dose Level 1

    Biological: MGC030

  • Experimental
    Dose Optimization Cohort 2

    Dose Optimization Dose Level 2

    Biological: MGC030

  • Experimental
    Expansion Cohort 1

    Recommended dose for expansion

    Biological: MGC030

  • Experimental
    Expansion Cohort 2

    Recommended dose for expansion

    Biological: MGC030

  • Experimental
    Expansion Cohort 3

    Recommended dose for expansion

    Biological: MGC030

  • Experimental
    Expansion Cohort 4

    Recommended dose for expansion

    Biological: MGC030

  • Experimental
    Expansion Cohort 5

    Recommended dose for expansion

    Biological: MGC030

Interventions

  • BiologicalMGC030

    Antibody-drug conjugate

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events (AEs), serious AEs (SAEs), AEs leading to dose interruption, AEs leading to dose reduction or treatment discontinuation, does limiting toxicities and AEs of special interest.

    Time frame: Throughout the study, estimated duration 2 years.

Secondary outcomes

  1. Mean concentrations MGC030 antibody-drug conjugate, total antibody and unconjugated payload.

    Time frame: Throughout the study treatment period, up to 2 years

  2. Number of Participants Who Develop Anti-Drug Antibodies to MGC030

    Time frame: Throughout the study treatment period, up to 2 years

  3. Objective response rate

    The ORR per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 is estimated as the proportion of participants in the Response Evaluable Population who achieve Best Overall Response of Complete Response or Partial Response.

    Time frame: Throughout the study treatment period, up to 2 years

  4. Duration of Response

    DoR is defined as the time from the date of initial response (CR or PR) to the date of first documented progression or death from any cause, whichever occurs first.

    Time frame: Throughout the study treatment period, up to 2 years.

07

Study locations

1 of 1 sites recruiting
  • START New York-Long Island
    Lake Success, New York 11042, United States
    Recruiting
    • Geraldine O'Sullivan Coyne · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 Oct 2026 (actual). Primary completion is estimated for Sep 2028, 23 months after the start.

Of 268 industry-sponsored phase 1 interventional studies under Colorectal Neoplasms, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 66. This study's planned 23 months is below that.

Counting every sponsor, half of 434 studies reached it within 48 months; a quarter within 31 and three quarters within 69.

Start moved once since we started tracking on Sep 25, 2026: Sep 2026 → Oct 2026, on Oct 30, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Sep 10, 2026
First posted
Sep 16, 2026
StartActual
Oct 7, 2026was Sep 2026
Primary completionEst.
Sep 2028
CompletionEst.
Mar 2029
Last update
Oct 30, 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.
Status
Not yet recruiting→Recruiting
changed Oct 30, 2026
Sites
1 site added — first site in United States
Show site
  • START New York-Long Island · Lake Success, United States
Oct 30, 2026
Start date
Sep 2026→Oct 7, 2026 (actual)
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in United States
    Show site
    • START New York-Long Island · Lake Success, United States
    Start date Sep 2026→Oct 7, 2026 (now actual)
    + 1 other change: verification date

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
NCT07822399
Lead sponsor
MacroGenics
Responsible party
Sponsor
First posted
Sep 16, 2026
Start date
Oct 7, 2026
Primary completion
Sep 2028 (estimated)
Completion
Mar 2029 (estimated)
Last update
Oct 30, 2026

Study contacts

Global Trial Manager
Contact
info@macrogenics.com
301-251-5172
Frank Perabo, MD, PhD
study director · MacroGenics

Oversight

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

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