A Study of Becotatug Vedotin (MRG003) Combined With Epirubicin as Neoadjuvant Therapy for EGFR-Positive, Unresectable Recurrent Sinonasal Adenoid Cystic Carcinoma
NCT07522879 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2026-05-12
Summary
This prospective, multicenter clinical study aims to evaluate the efficacy and safety of neoadjuvant therapy with MRG003 (Becotatug vedotin) combined with epirubicin in patients with EGFR-positive, unresectable recurrent sinonasal adenoid cystic carcinoma (SNACC). The primary question is whether this combination can achieve a sufficient objective response rate (ORR) to enable subsequent radical surgery or improve disease control.
Conditions
- Adenoid Cystic Carcinoma
- Sinonasal Carcinoma
Interventions
- DRUG
-
Becotatug Vedotin
Becotatug vedotin (also known as MRG003) is an antibody-drug conjugate (ADC) targeting epidermal growth factor receptor (EGFR). It consists of a recombinant anti-EGFR humanized monoclonal antibody conjugated to the microtubule-disrupting agent monomethyl auristatin E (MMAE) via a valine-citrulline linker. It is administered intravenously at 2.0 mg/kg on day 1 of each 21-day cycle for 3 cycles. Epirubicin is an anthracycline chemotherapeutic agent that inhibits topoisomerase II, thereby interfering with DNA replication and transcription. It is administered intravenously at 75 mg/m² on day 1 of each 21-day cycle for 3 cycles.
Sponsors & Collaborators
-
Eye & ENT Hospital of Fudan University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-01
- Primary Completion
- 2028-10-01
- Completion
- 2030-07-01
Countries
- China
Study Locations
More Related Trials
-
Becotatug Vedotin as Adjuvant Therapy For High-risk Nasopharyngeal Carcinoma
NCT07303283 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Becotatug Vedotin Plus Pucotenlimab and Cisplatin for Locally Advanced Head and Neck Squamous Cell Carcinoma
NCT07393477 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Study of MRG003 in Combination With Pucotenlimab Versus Chemotherapy in the Treatment of Patients With Recurrent or Metastatic Nasopharyngeal Carcinoma
NCT06976190 ·Status: RECRUITING ·Phase: PHASE3
-
A Study to Evaluate the Efficacy and Safety of MRG003 in Patients With Advanced Gastric Cancer.
NCT05188209 ·Status: UNKNOWN ·Phase: PHASE2
-
A Phase II Clinical Trial of Anti-EGFR Antibody-drug Conjugate (ADC) Combined With or Without Immune Checkpoint Inhibitors in the Neoadjuvant Treatment of Resectable Locally Advanced Head and Neck Squamous Cell Carcinoma
NCT07381075 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Reduced-dose Radiotherapy for Low-risk Stage III Patients With Nasopharyngeal Carcinoma
NCT03668730 ·Status: UNKNOWN ·Phase: PHASE2
-
Combining PET/CT and EBV DNA to Evaluate the Hazard of Progression in the Follow-up of Locally Advanced NPC
NCT03601390 ·Status: COMPLETED
-
Vebrekotuzumab ± Anti-PD-1 in Pretreated Advanced ESCC
NCT07403136 ·Status: RECRUITING ·Phase: PHASE2
-
A Study to Evaluate the Efficacy and Safety of MRG003 in Patients With Recurrent Metastatic Nasopharyngeal Carcinoma
NCT05126719 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Study to Evaluate the Efficacy and Safety of MRG003 in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of Head and Neck
NCT04868162 ·Status: RECRUITING ·Phase: PHASE2
-
Epirubicin Interventional Chemotherapy for Sinonasal Adenoid Cystic Carcinoma (SNACC): A Prospective Study
NCT07320508 ·Status: RECRUITING ·Phase: PHASE2
-
Clinical Trial Comparing Induction Treatment With EGFR-ADC MRG003 Alone or in Combination With the Anti PD1 Pucotenlimab, Followed by Radiochemotherapy in Locally Advanced Squamous Cell Cancers of the Head and Neck
NCT06959108 ·Status: RECRUITING ·Phase: PHASE2
-
Bevacizumab, Cisplatin, Radiation Therapy, and Fluorouracil in Treating Patients With Stage IIB, Stage III, Stage IVA, or Stage IVB Nasopharyngeal Cancer
NCT00408694 ·Status: COMPLETED ·Phase: PHASE2
-
Anti-EGFR Therapy Plus IMRT Concurrent Chemoradiotherapy in Locally Advanced NPC Resistant to Induction Chemotherapy
NCT04508816 ·Status: COMPLETED ·Phase: PHASE2
-
Nab-paclitaxel Combined with Bevacizumab in the Treatment of Metastatic Extrapulmonary Neuroendocrine Carcinoma
NCT04705519 ·Status: COMPLETED ·Phase: PHASE2
-
Ivonescimab Combined With Chemoradiotherapy in High-Risk Locoregionally Advanced Nasopharyngeal Carcinoma
NCT07064902 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Multidisciplinary Approach for Poor Prognosis Sinonasal Tumors in Inoperable Patients
NCT02099188 ·Status: UNKNOWN ·Phase: PHASE2
-
A Phase II Study of Icotinib in Treating Patients With Advanced Nasopharyngeal Carcinoma
NCT02328261 ·Status: UNKNOWN ·Phase: PHASE2
-
Two Cycles Versus Three Cyclle of CCRT for Low Risk Locoregionally Advanced Nasopharyngeal Carcinoma
NCT02871518 ·Status: UNKNOWN ·Phase: PHASE2
-
Short Course Radiotherapy With Sequential Disitamab Vedotin Combined With S-1 and Sintilimab as Whole Course Neoadjuvant Therapy for HER2 Expressed Locally Progressive Gastric Cancer
NCT06487429 ·Status: RECRUITING ·Phase: PHASE2
-
Multidisciplinary Approach for Poor Prognosis Sinonasal Tumors in Operable Patients
NCT02099175 ·Status: UNKNOWN ·Phase: PHASE2
-
PD-1 Inhibitor Therapy Versus Radiotherapy in MPR Patients With Locally Advanced HNSCC After Neoadjuvant Immunochemotherapy (HNC-SYSU-006)
NCT07090707 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Erbitux Combined With Chemo-radiotherapy in Esophageal Squamous Cell Carcinoma
NCT00815308 ·Status: COMPLETED ·Phase: PHASE2
-
Osimertinib Combined With Bevacizumab in Patients With Brain Metastasis Epidermal Growth Factor Receptor (EGFR) Mutation Positive Metastatic Non-Small Cell Lung Cancer
NCT05104281 ·Status: UNKNOWN ·Phase: PHASE3
-
NBI Combined With MRI to Guide CTV Optimization in Eccentric Nasopharyngeal Carcinoma
NCT06167109 ·Status: RECRUITING ·Phase: NA