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Precemtabart tocentecan

Phase 3

Metastatic Colorectal Cancer | Small molecule | Oncology |Merck KGaA|Trials Updated: Oct 22, 2026

Precemtabart tocentecan development status

Highest phase Phase 3
Registered trials 4 across 2 sponsors since Jul 2022

Precemtabart tocentecan target and mechanism

ModalitySmall molecule

Also known as Precem-TcT, M9140

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials4
Total Enrollment1,436

FDA Designations

No designations recorded

Precemtabart tocentecan clinical trials

Precemtabart tocentecan · 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 363 trials (matched to "Metastatic Colorectal Cancer")

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Recent Changes (Last 90 Days)

LOWOct 22, 2026NCT06710132lastUpdatePostDate: changed
LOWOct 22, 2026NCT06710132lastUpdatePostDate: changed
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

Frequently asked questions about Precemtabart tocentecan

What is Precemtabart tocentecan?

Precemtabart tocentecan is an investigational small molecule oncology drug being developed by Merck KGaA for the treatment of metastatic colorectal cancer. It is currently in Phase 3 clinical development and has not been approved by the FDA. It is being studied in patients with previously treated metastatic colorectal cancer.

What is Precemtabart tocentecan used for?

Precemtabart tocentecan is being developed for the treatment of metastatic colorectal cancer. Specifically, it is under investigation for patients with previously treated metastatic colorectal cancer. It is not yet approved for any indication and remains an investigational therapy in Phase 3 clinical testing.

Who is developing Precemtabart tocentecan?

Precemtabart tocentecan is being developed by Merck KGaA, which trades under the ticker MKGAF. Merck KGaA is the sponsor of the ongoing Phase 3 clinical trial evaluating the drug in metastatic colorectal cancer.

What phase is Precemtabart tocentecan in?

Precemtabart tocentecan is in Phase 3 clinical development. The drug is being evaluated in a single active Phase 3 trial that is currently recruiting participants. It has not completed any trials and is not FDA approved.

What clinical trials is Precemtabart tocentecan in?

Precemtabart tocentecan is being studied in one active Phase 3 trial, NCT07549412, titled PROCEADE-CRC-03. The trial is recruiting approximately 1,020 participants with previously treated metastatic colorectal cancer across multiple countries. It compares Precemtabart tocentecan with or without bevacizumab against trifluridine/tipiracil plus bevacizumab.