Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID07522879

Becotatug Vedotin (MRG003) Combined With Epirubicin as Neoadjuvant Therapy for EGFR-Positive, Unresectable Recurrent Sinonasal Adenoid Cystic Carcinoma

Led by Eye & ENT Hospital of Fudan University · Updated on 2026-05-12

40

Participants Needed

1

Research Sites

91 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying a new combination treatment for patients with EGFR-positive, unresectable recurrent sinonasal adenoid cystic carcinoma, a type of cancer that affects the sinus and nasal areas. This prospective, multicenter, single-arm phase II clinical trial aims to find out if combining Becotatug vedotin (MRG003) with epirubicin before surgery can improve the rate of tumor shrinkage enough to allow for successful surgery or better disease control. The study is sponsored by the Eye & ENT Hospital of Fudan University and involves 40 patients. Participants receive three cycles of neoadjuvant therapy given every 21 days. Each cycle includes an intravenous infusion of Becotatug vedotin at 2.0 mg/kg and epirubicin at 75 mg/m² on the first day. After completing three cycles, patients are evaluated for tumor response and potential eligibility for surgery. The study also includes a translational research part where tumor samples are used to create organoid models to test drug sensitivity. During the study, patients undergo imaging tests to measure tumor response about 21 days after the last treatment cycle. Safety and side effects are monitored from the first dose until about 30 days after the final treatment. Surgery assessments occur within four weeks after therapy completion to evaluate surgical outcomes. Patients are then followed for up to 48 months to monitor disease control, progression-free survival, and overall survival. An independent safety board reviews the trial data after the first 20 patients are enrolled to ensure participant safety.

CONDITIONS

Brief Title

A Study of Becotatug Vedotin (MRG003) Combined With Epirubicin as Neoadjuvant Therapy for EGFR-Positive, Unresectable Recurrent Sinonasal Adenoid Cystic Carcinoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older, male or female
  • Histopathologically confirmed recurrent sinonasal adenoid cystic carcinoma after prior surgery and/or radiotherapy
  • Positive EGFR expression by immunohistochemistry
  • Tumor deemed unresectable by a multidisciplinary team
  • At least one measurable lesion in the skull base or sinonasal region (longest diameter 10 mm or more)
  • ECOG performance status of 0 or 1
  • Adequate bone marrow, liver, kidney, and heart function
  • Able to provide informed consent and comply with study procedures
Not Eligible

You will not qualify if you...

  • Prior treatment with antibody-drug conjugates containing monomethyl auristatin E
  • Systemic chemotherapy with epirubicin or other anthracyclines within 6 months before enrollment
  • Active uncontrolled infection or autoimmune disease needing systemic therapy
  • Symptomatic or urgent central nervous system metastases
  • Severe allergic reaction to study drug components
  • Pregnant or breastfeeding women, or those planning pregnancy within 6 months after last treatment
  • Medical or psychosocial conditions that interfere with study participation or increase risk

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Approximately 9 weeks

Participants receive Becotatug vedotin (MRG003) and epirubicin intravenously on day 1 of each 21-day cycle for 3 cycles as neoadjuvant therapy.

3 treatment visits (in-person), one every 21 days

Surgery and Immediate Post-operative Care

Duration - Up to 4 weeks

Participants undergo surgery if the tumor becomes resectable, within 4 weeks after completing neoadjuvant therapy.

1 surgery visit and several post-operative visits

Follow-up

Duration - Up to 48 months

Participants are monitored for disease progression and survival after treatment completion.

Visits every 3 months for 2 years, then every 6 months up to 5 years

Trial Site Locations

Total: 1 location

1

Eye & ENT Hospital of Fudan University

Shanghai, China

Actively Recruiting

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Research Team

Q

Quan Liu, Director

W

Wanpeng Li, mid-level

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Phase II study of lapatinib in recurrent or metastatic epidermal growth factor receptor and/or erbB2 expressing adenoid cystic carcinoma and non adenoid cystic carcinoma malignant tumors of the salivary glands.

Mark Agulnik, Ezra W E Cohen, Roger B Cohen...

https://pubmed.ncbi.nlm.nih.gov/17761983

Immunohistochemical study of epidermal growth factor receptor in adenoid cystic carcinoma of salivary gland origin.

Marilena Vered, Efraim Braunstein, Amos Buchner

https://pubmed.ncbi.nlm.nih.gov/12112535

Systemic therapy in the management of metastatic or locally recurrent adenoid cystic carcinoma of the salivary glands: a systematic review of the last decade.

Jiawei Zhou, Guo Zhao, Shuhang Wang...

https://pubmed.ncbi.nlm.nih.gov/39097677

Proton therapy and/or helical tomotherapy for locally advanced sinonasal skull base adenoid cystic carcinoma: Focus on experience of the Institut Curie and review of literature.

Antoine Mavrikios, Farid Goudjil, Arnaud Beddok...

https://pubmed.ncbi.nlm.nih.gov/37097003