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MGC018

Phase 2

Extensive-stage Small-cell Lung Cancer | ADC | Oncology |MacroGenics, Inc.|Trials Updated: Apr 13, 2026

MGC018 development status

Highest phase Phase 2
Registered trials 4 across 2 sponsors since Nov 2018

MGC018 target and mechanism

Molecular targetB7-H3
Target classAntigen
ModalityADC

Also known as vobramitamab duocarmazine

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment40

FDA Designations

No designations recorded

MGC018 clinical trials

MGC018 · 2 trials · 8 indications

Phase 2 1Phase 1 1
NCT06227546MGC018 in Patients With Relapsed or Refractory Extensive-Stage Small-Cell Lung CancerExtensive-stage Small-cell Lung Cancer
ACTIVE NOT_RECRUITING9 Analytics
PHASE2ACTIVE NOT_RECRUITING
MGC018 in Patients With Relapsed or Refractory Extensive-Stage Small-Cell Lung Cancer
Extensive-stage Small-cell Lung CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective Response Rate (ORR)
1 year

Investigator-Assessed ORR per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions as assessed by CT or magnetic resonance imaging (MRI) scans (with IV contrast unless contraindicated) of the chest, abdomen, and pelvis every 2 cycles (each cycle is a 28 day cycle). Reported as the number of patients with a complete response (CR) or partial response (PR); ORR = CR+PR; CR = Disappearance of all target lesions.Any pathological lymph nodes (whether target ornon-target) must have reduction in short axis to\<10 mm. PR= At least a 30% decrease in the sum ofdiameters of target lesions, taking as reference the baseline sum diameters.

Number of participants with adverse events (AEs)
Up to 2 years
Number of participants with serious adverse events (SAEs)
Up to 2 years
Number of participants with AEs leading to study treatment discontinuation
Up to 2 years

Secondary Endpoints

Incidence of Adverse Events
from start of treatment through 60 days after last treatment, approximately 1 year
Duration of Response (DOR)
1 year
Progression-free Survival (PFS) Median
1 year
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MCG018EXPERIMENTAL -
Cohort -1EXPERIMENTALvobramitamab duocarmazine at dose level -1 and lorigerlimab intravenously (IV) every 4 weeks
Cohort 1EXPERIMENTALvobramitamab duocarmazine at dose level 1 and lorigerlimab IV every 4 weeks
Cohort 2EXPERIMENTALvobramitamab duocarmazine at dose level 1 and lorigerlimab IV every 4 weeks
Cohort 3EXPERIMENTALvobramitamab duocarmazine at dose level 2 and lorigerlimab IV every 4 weeks
Cohort 4EXPERIMENTALvobramitamab duocarmazine at dose level 3 and lorigerlimab IV every 4 weeks
Cohort 5EXPERIMENTALvobramitamab duocarmazine at dose level 4 and lorigerlimab IV every 4 weeks
Cohort ExpansionEXPERIMENTALmaximum tolerated dose of vobramitamab duocarmazine and lorigerlimab IV every 4 weeks

Interventions

NameTypeDescription
MGC018DRUGIntravenous (IV) Infusion, 2.7 mg/kg on Day 1 of each 28 day cycle
vobramitamab duocarmazineBIOLOGICALVobramitamab duocarmazine is an antibody drug conjugate (ADC) targeted against B7-H3.
lorigerlimabBIOLOGICALLorigerlimab is a bispecific DART® molecule that binds PD-1 and CTLA-4.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Age greater than or equal to 18 years at time of signing Informed consent form (ICF) 2. Ability to comply with the study protocol, in the investigator's judgment. 3. Histologically or cytologically confirmed advanced small cell lung cancer that is not amenable to definitive t...

Countries:United States
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Frequently asked questions about MGC018

What is MGC018 used for?

MGC018 is being studied for the treatment of relapsed or refractory extensive-stage small-cell lung cancer. It is an investigational antibody-drug conjugate being developed by MacroGenics, Inc. for this oncology indication. It is not yet approved for commercial use and remains in clinical development.

What does MGC018 target?

MGC018 targets B7-H3, a cell-surface antigen. It is an antibody-drug conjugate designed to bind B7-H3 and deliver a cytotoxic payload to cells expressing that antigen. B7-H3 is the molecular target of the agent, and the trial in small-cell lung cancer uses biomarker selection.

Who makes MGC018?

MGC018 is being developed by MacroGenics, Inc., which trades on the Nasdaq under the ticker MGNX. MacroGenics is the sponsor of the clinical program evaluating the antibody-drug conjugate in extensive-stage small-cell lung cancer.

What phase is MGC018 in?

MGC018 is in Phase 2 clinical development. It is an investigational agent and has not been approved by the FDA. The ongoing study is a Phase 2 trial in patients with relapsed or refractory extensive-stage small-cell lung cancer.

What clinical trials is MGC018 in?

MGC018 is being evaluated in the Phase 2 trial NCT06227546, titled MGC018 in Patients With Relapsed or Refractory Extensive-Stage Small-Cell Lung Cancer. The study is active but not recruiting, is uncontrolled, is not randomized, and has enrolled 9 participants in the United States.

Who is eligible for the MGC018 trial?

The NCT06227546 trial enrolls adults aged 18 years and older of all sexes with relapsed or refractory extensive-stage small-cell lung cancer. It does not accept healthy volunteers, and participants are selected based on a biomarker. The study is being conducted in the United States.