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M9140

Phase 3

Colorectal Cancer | Small molecule | Oncology |Merck KGaA|Trials Updated: Oct 8, 2026

M9140 development status

Highest phase Phase 3 (NCT07549412)
Phase scored for MKGAFPhase 1
Registered trials 4 across 2 sponsors since Jul 2022

M9140 target and mechanism

ModalitySmall molecule

Also known as Precemtabart tocentecan

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials4
Total Enrollment1,436

FDA Designations

No designations recorded

M9140 clinical trials

M9140 · 4 trials · 7 indications

Phase 3 1Phase 1 3
NCT07549412A Study of Precemtabart Tocentecan With or Without Bevacizumab Compared to Trifluridine/Tipiracil Plus Bevacizumab in Participants With Previously Treated Metastatic Colorectal Cancer (PROCEADE-CRC-03)Metastatic Colorectal Cancer
RECRUITING1,020 Analytics
PHASE3RECRUITING
A Study of Precemtabart Tocentecan With or Without Bevacizumab Compared to Trifluridine/Tipiracil Plus Bevacizumab in Participants With Previously Treated Metastatic Colorectal Cancer (PROCEADE-CRC-03)
Metastatic Colorectal CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Arm 1, 2 and 3: Overall Survival
Time from date of randomization to death, assessed approximately up to average of 19 months
Substudies GC/NSCLC/PDAC: Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Time from first study treatment to (planned) final assessment at approximately 48 months
Number of Participants With Dose Limiting Toxicities (DLTs)
Up to 21 days (Each cycle is of 21 days)
Number of Participants with Treatment-Emergent Adverse Events (TEAEs)
Up to 8 months
Part 1: Number of Participants with Dose Limiting Toxicities (DLTs) and Adverse Events (AEs)
up to 4 months
Part 1: Recommended Dose Expansion (RDE) of M9140
up to 4 months
Parts 2B, 2C and 2D: Number of Participants with Dose Limiting Toxicities (DLTs) and Adverse Events (AEs)
up to 8 months
Part 2A: Number of Participants with Adverse Events (AEs)
up to 8 months
Part 2A: Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Time from first study treatment throughout the study duration until progressive disease or death up to approximately 8 months
Part 2A: Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Time from first study treatment to planned assessment at approximately 8 months

Secondary Endpoints

Arm 1 and Arm 2: Overall Survival
Time from date of randomization to death, assessed approximately up to average of 19 months
Progression Free Survival (PFS)
Time from randomization to the first occurrence of disease progression or death, whichever occurs first (assessed up to average of 19 months)
Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigator
Up to average of 19 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1: Precemtabart tocentecan (Precem-TcT) MonotherapyEXPERIMENTAL -
Arm 2: Precem-TcT plus BevacizumabEXPERIMENTAL -
Arm 3: Trifluridine/Tipiracil (FTD-TPI) plus BevacizumabACTIVE_COMPARATOR -
Substudy GC: M9140 Monotherapy - Part A CEACAM5 HighEXPERIMENTAL -
Substudy GC: M9140 Monotherapy - Part B CEACAM5 LowEXPERIMENTAL -
Substudy NSCLC: M9140 Monotherapy - Part A CEACAM5 High EGFR WtEXPERIMENTAL -
Substudy NSCLC: M9140 Monotherapy - Part B CEACAM5 High EGFR mutEXPERIMENTAL -
Substudy PDAC: M9140 Monotherapy - Part A CEACAM5 HighEXPERIMENTAL -
M9140EXPERIMENTAL -
Part 1: M9140EXPERIMENTAL -
Part 2A: M9140EXPERIMENTAL -
Part 2B: M9140EXPERIMENTAL -
Part 2C: M9140 + Bevacizumab +/-CapecitabineEXPERIMENTAL -
Part 2D: M9140 + 5-fluorouracil + Folinic acid + BevacizumabEXPERIMENTAL -

Interventions

NameTypeDescription
Precemtabart tocentecanDRUGPrecem-TcT, administered, once every 3 weeks intravenously, on Day 1 of each 21-day cycle.
BevacizumabDRUGBevacizumab, administered intravenously every 3 weeks on Day 1 of each 21-day cycle or every 2 weeks on Day 1 and Day 15 of each 28-day cycle.
Trifluridine/Tipiracil (FTD-TPI)DRUGFTD-TPI, tablet, administered orally twice daily, on Days 1 to 5 and Days 8 to 12 of each 28-day cycle.
M9140DRUGAll participants will receive 2.8 milligram per kilogram (mg/kg) M9140 intravenously (i.v.) every 3 weeks (q3w) on Day 1 of consecutive 21-day cycles.
CapecitabineDRUGCapecitabine will be administered orally as per standard of care.
5-fluorouracil (5-FU)DRUG5-FU will be administered intravenously as per standard of care.
Folinic acidDRUGFolinic acid will be administered intravenously as per standard of care.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites92

Inclusion Criteria: * Participants with documented histopathological diagnosis of metastatic colorectal cancer, who were intolerant to, or whose disease was refractory to, or progressed after standard systemic therapies and no more than 2 previous systemic treatment regimens in the metastatic setti...

Countries:United StatesArgentinaAustraliaAustriaBelgiumCanadaChinaFranceGermanyHong KongItalyJapanNetherlandsPolandSouth KoreaSpainTaiwanUnited Kingdom
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Competitive Landscape -Colorectal Cancer 361 trials

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Recent Changes (Last 90 Days)

LOWOct 8, 2026NCT07549412lastUpdatePostDate: changed
LOWOct 8, 2026NCT07549412lastUpdatePostDate: changed
LOWOct 8, 2026NCT07549412lastUpdatePostDate: changed
LOWSep 9, 2026NCT07549412lastUpdatePostDate: changed
LOWSep 9, 2026NCT07549412lastUpdatePostDate: changed
LOWAug 14, 2026NCT07549412lastUpdatePostDate: changed
LOWAug 14, 2026NCT07549412lastUpdatePostDate: changed
LOWAug 11, 2026NCT06806046lastUpdatePostDate: changed
LOWAug 11, 2026NCT06806046lastUpdatePostDate: changed
MEDIUMJul 30, 2026NCT05464030Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHJul 30, 2026NCT06710132Enrollment: 250 → 184
MEDIUMJul 30, 2026NCT05464030Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHJul 30, 2026NCT06710132Enrollment: 250 → 184
LOWJul 24, 2026NCT07549412lastUpdatePostDate: changed
LOWJul 24, 2026NCT07549412lastUpdatePostDate: changed

Frequently asked questions about M9140

What is M9140?

M9140 is an investigational small molecule oncology drug being developed by Merck KGaA for the treatment of colorectal cancer and other advanced solid tumors. It is in Phase 1 clinical development and has not been approved for any indication. M9140 is being studied in patients with colorectal cancer, gastric cancer, non-small cell lung cancer, pancreatic cancer, and pancreatic ductal adenocarcinoma.

What is M9140 used for?

M9140 is being studied for the treatment of colorectal cancer and other advanced solid tumors, including gastric cancer, non-small cell lung cancer, pancreatic cancer, and pancreatic ductal adenocarcinoma. It is an investigational therapy in Phase 1 clinical development and is not approved for any use. All studies enroll adults aged 18 years and older.

Who makes M9140?

M9140 is being developed by Merck KGaA, which trades under the ticker MKGAF. The company is running the clinical development program for M9140 across multiple countries, including the United States, China, Japan, South Korea, Spain, France, Germany, Italy, Austria, Canada, and Australia.

What phase is M9140 in?

M9140 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory agency. Two Phase 1 trials are currently active, and no trials have been completed. The studies are enrolling or have enrolled adults with advanced solid tumors, including colorectal cancer.

What clinical trials is M9140 in?

M9140 is being evaluated in Phase 1 trials including NCT05464030 (PROCEADE-CRC-01) in colorectal cancer, NCT06710132 (PROCEADE PanTumor) in advanced solid tumors, and NCT06806046 in Chinese participants with solid tumors and colorectal cancer. All three studies are active but not recruiting, and they include sites across North America, Europe, and Asia.

How many patients are enrolled in M9140 trials?

The M9140 clinical program has a total planned enrollment of 220 patients across its trials. The PROCEADE-CRC-01 study (NCT05464030) accounts for 220 participants, the PROCEADE PanTumor study (NCT06710132) enrolled 184, and the Chinese solid tumor study (NCT06806046) enrolled 12. All trials are Phase 1 and enroll adults aged 18 and older.