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MCLA-129

Phase 1

Non-Small Cell Lung Cancer Metastatic | Small molecule | Oncology |Merus N.V.|Trials Updated: Feb 19, 2026

MCLA-129 development status

Highest phase Phase 1
Registered trials 2 across 2 sponsors since May 2021

MCLA-129 target and mechanism

Molecular targetEGFR
Target classReceptor
ModalitySmall molecule

Also known as bispecific

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment194

FDA Designations

No designations recorded

MCLA-129 clinical trials

MCLA-129 · 1 trial · 5 indications

Phase 1 1
NCT04868877Phase 1/2 Study Evaluating MCLA-129, a Human Anti-EGFR, Anti-c-MET Bispecific Antibody, in Advanced NSCLC and Other Solid Tumors, Alone and in CombinationNon-Small Cell Lung Cancer Metastatic
ACTIVE NOT_RECRUITING194 Analytics
PHASE1ACTIVE NOT_RECRUITING
Phase 1/2 Study Evaluating MCLA-129, a Human Anti-EGFR, Anti-c-MET Bispecific Antibody, in Advanced NSCLC and Other Solid Tumors, Alone and in Combination
Non-Small Cell Lung Cancer MetastaticUnlock trial analytics

Study Endpoints

Primary Endpoints

To determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D)
First 28 days of treatment

To determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of single-agent MCLA-129 as well as in combination with chemotherapy in patients with NSCLC, GC/GEJ adenocarcinoma, HNSCC or ESCC, with disease progression after prior therapy for advanced/metastatic disease.

To evaluate clinical activity, as assessed by ORR
From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.

To evaluate the ORR of MCLA-129 monotherapy or in combination with an EGFR TKI or chemotherapy in molecularly defined populations of advanced/metastatic solid tumors.

Secondary Endpoints

To evaluate preliminary antitumor activity in terms of BOR
From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.
To evaluate preliminary antitumor activity in terms of DCR
From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.
To evaluate preliminary antitumor activity in terms of DoR
From first dose until RECIST progression or initiation of an alternative treatment, whichever occurs first.
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 2 NSCLC Second-line or more harboring EGFR exon 20 InsertionEXPERIMENTALParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D).
Part 2 NSCLC Second-line or more harboring cMet exon 14 skipping mutationEXPERIMENTALParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D).
Part 2 Selected solid tumors with or without an EGFR or cMet alterationEXPERIMENTALParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D).
Part 2 NSCLC First-line harboring EGFR sensitizing mutationsEXPERIMENTALParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and Osimertinib orally once daily starting at a dose of 80mg.
Part 2 NSCLC Second-line or more, osimertinib resistant (combo with osimertinib)EXPERIMENTALParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and Osimertinib orally once daily starting at a dose of 80mg.
Part 2 NSCLC Second-line or more, osimertinib resistant (combo with chemotherapy)EXPERIMENTALParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and chemotherapy every three weeks per standard of care according to local guidance.
Part 2 NSCLC Third-line or more, osimertinib resistant, platinum resistant (combo with chemotherapy)EXPERIMENTALParticipants will receive intravenous infusion of MCLA-129 every two weeks at the recommended Phase II dose (RP2D) and chemotherapy every three weeks per standard of care according to local guidance.

Interventions

NameTypeDescription
MCLA-129DRUGfull length IgG1 bispecific antibody that specifically targets the receptor tyrosine kinases EGFR and c-MET
OsimertinibDRUGApproved, 3rd-generation EGFR-TKI
ChemotherapyDRUGadministrated by IV infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites51

Part One: Patients with NSCLC, GC/GEJ, HNSCC, or ESCC who have failed prior standard first-line treatment. Patients must have progressed on or be intolerant to therapies that are known to provide clinical benefit. There is no limit to the number of prior treatment regimens. Part Two: Patients with ...

Countries:United StatesBelgiumFranceGermanyItalyNetherlandsSingaporeSouth KoreaSpain
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Competitive Landscape -Non-Small Cell Lung Cancer 541 trials (matched to "Non-Small Cell Lung Cancer Metastatic")

Top 20 of 90 competitors

CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK37PHASE3Pembrolizumab, Olaparib, Sacituzumab tirumotecan, Intismeran autogene, Pembrolizumab Berahyaluronidase alfa
Revolution Medicines, Inc.RVMD9PHASE3Daraxonrasib, Zoldonrasib, Elironrasib, RMC-5127
Eli Lilly and CompanyLLY18PHASE3Selpercatinib, Pemetrexed, Abemaciclib, Olomorasib, LY3537982
AbbVie, Inc.ABBV12PHASE3ABBV-1480, Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab, Budigalimab
AstraZeneca PLCAZN68PHASE3Datopotamab deruxtecan, Durvalumab, Oleclumab, Monalizumab, Tremelimumab
Gilead Sciences, Inc.GILD7PHASE3Sacituzumab govitecan, Zimberelimab, Domvanalimab, Etrumadenant, TUB-040- Dose escalation
Bristol-Myers Squibb CompanyBMY24PHASE3Repotrectinib, Nivolumab, Pumitamig, Relatlimab, Adagrasib
Johnson & JohnsonJNJ19PHASE3Lazertinib, Amivantamab, JNJ-90301900, JNJ-86974680, Cetrelimab
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Pumitamig, BNT326, BNT116, BNT324
Pfizer Inc.PFE20PHASE3Lorlatinib, Crizotinib, Avelumab, Talazoparib, Axitinib
Amgen Inc.AMGN4PHASE3ABP 234, Sotorasib, Anvumetostat
Novartis AG Sponsored ADRNVS12PHASE3Opnurasib, TNO155, DKY709, Spartalizumab, trametinib
GSK plc Sponsored ADRGSK3PHASE3Dostarlimab, Belrestotug, Nelistotug, Cobolimab
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib
Summit Therapeutics IncSMMT2PHASE3Ivonescimab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Rina-S, GEN1042
Regeneron Pharmaceuticals, Inc.REGN7PHASE2Cemiplimab, Marlotamig, Fianlimab, REGN5093
Nuvalent, Inc. Class ANUVL1PHASE3Neladalkib
BeOne Medicines Ltd. Sponsored ADRONC7PHASE3Tislelizumab, BGB-A445, LBL-007, BGB-15025, BGB-43395
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Frequently asked questions about MCLA-129

What is MCLA-129 used for in Non-Small Cell Lung Cancer Metastatic?

MCLA-129 is an investigational bispecific antibody being studied for the treatment of metastatic non-small cell lung cancer (NSCLC). It is also being evaluated in other solid tumors, including gastric cancer, esophageal squamous cell carcinoma, head and neck squamous cell carcinoma, and colorectal cancer. The drug is currently in Phase 1 clinical development.

What does MCLA-129 target?

MCLA-129 targets EGFR, the epidermal growth factor receptor. It is designed as a bispecific antibody that also targets c-MET, as indicated by its description as a human anti-EGFR, anti-c-MET bispecific antibody. This dual targeting approach is being investigated for its potential in treating certain solid tumors.

Who makes MCLA-129?

MCLA-129 is being developed by Merus N.V., a biopharmaceutical company. Merus is publicly traded on the Nasdaq under the ticker symbol MRUS. The company is conducting clinical trials to evaluate the safety and efficacy of MCLA-129 in patients with advanced solid tumors.

What phase is MCLA-129 in?

MCLA-129 is currently in Phase 1 clinical development. The drug is being studied in a Phase 1/2 trial, but it is not yet approved by regulatory authorities. It remains an investigational agent, and its safety and effectiveness have not been fully established.

What clinical trials is MCLA-129 in?

MCLA-129 is being evaluated in clinical trial NCT04868877, a Phase 1/2 study in advanced NSCLC and other solid tumors, both alone and in combination. The trial is active but not recruiting, with an enrollment of 194 participants across multiple countries, including the United States, Belgium, France, and others.

Is MCLA-129 the same as a bispecific antibody?

Yes, MCLA-129 is a bispecific antibody, specifically a human anti-EGFR, anti-c-MET bispecific antibody. This means it is designed to bind to two different targets, EGFR and c-MET, which are involved in tumor growth. This dual-targeting mechanism is being studied for its potential therapeutic benefit.