Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT04429542

Study of Safety and Tolerability of BCA101 Monotherapy and in Combination Therapy in Patients With EGFR-driven Advanced Solid Tumors

Led by Bicara Therapeutics · Updated on 2025-08-15

292

Participants Needed

20

Research Sites

365 weeks

Total Duration

On this page

Sponsors

B

Bicara Therapeutics

Lead Sponsor

M

Merck Sharp & Dohme LLC

Collaborating Sponsor

AI-Summary

What this Trial Is About

The investigational drug to be studied in this protocol, BCA101, is a first-in-class compound that targets both EGFR with TGFβ. Based on preclinical data, this bifunctional antibody may exert synergistic activity in patients with EGFR-driven tumors.

CONDITIONS

Official Title

Study of Safety and Tolerability of BCA101 Monotherapy and in Combination Therapy in Patients With EGFR-driven Advanced Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient must have measurable disease that can be biopsied and be willing to provide tumor samples for analysis.
  • Patient must have an Eastern Cooperative Oncology Group performance status of 1 or less.
  • Patients must have evaluable or measurable disease confirmed by CT or MRI scans within 21 days before screening.
  • For single agent BCA101 expansion: Patients with cutaneous squamous cell carcinoma who have received or are intolerant or ineligible for prior anti-PD-1 therapy, and no prior anti-EGFR antibody treatment in metastatic or unresectable disease.
  • For combination BCA101 and pembrolizumab expansion: Patients with metastatic or unresectable head and neck squamous cell carcinoma with a Combined Positive Score of 1 or more, no prior systemic therapy in recurrent/metastatic setting (with exceptions), and required tissue samples for biomarker analysis.
  • Patients with squamous carcinoma of the anal canal who have had 1 to 2 prior chemotherapy treatments and no prior immune checkpoint inhibitors.
  • Patients with squamous non-small cell lung cancer stage IV who progressed on one prior systemic therapy and no prior anti-EGFR antibody treatment in metastatic setting.
  • Patients with colorectal cancer who have received 2 to 3 prior systemic therapies including two standard regimens.
Not Eligible

You will not qualify if you...

  • Exposure to anti-EGFR antibodies within 4 weeks before first dose.
  • Prior treatment with any anti-TGFb2 therapy.
  • History of grade 2 or higher intolerance or hypersensitivity to cetuximab or anti-EGFR therapy.
  • Pregnant or breastfeeding women.
  • Need for systemic corticosteroids above 10 mg prednisone daily or other immunosuppressive drugs within 14 days before first dose, except topical or localized steroids.
  • History of hematologic malignancy or other solid tumors unless disease-free for 2 years, excluding certain low-risk tumors.
  • HIV infection with CD4 count below 250 cells/uL or not on stable antiretroviral therapy with low viral load.
  • Active chronic hepatitis B infection not on suppressive antiviral therapy.
  • History of hepatitis C without completed curative treatment or with detectable viral load.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 20 locations

1

Moores Cancer Center UC San Diego Health

La Jolla, California, United States, 92093

Actively Recruiting

2

Keck School of Medicine of USC

Los Angeles, California, United States, 90033

Actively Recruiting

3

UCLA

Los Angeles, California, United States, 90095

Actively Recruiting

4

University of California, Davis Comprehensive Cancer Center

Sacramento, California, United States, 95817

Actively Recruiting

5

H. Lee Moffitt Cancer Center and Research Institute, Inc

Tampa, Florida, United States, 33612

Actively Recruiting

6

Dana Farber/Partners Cancer Care Inc

Boston, Massachusetts, United States, 02115

Actively Recruiting

7

Memorial Sloan Kettering

New York, New York, United States, 10017

Actively Recruiting

8

Columbia University Herbert Irving Comprehensive Cancer Center

New York, New York, United States, 10032

Actively Recruiting

9

Levine Cancer Institute

Charlotte, North Carolina, United States, 28204

Actively Recruiting

10

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

11

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States, 15232

Actively Recruiting

12

Rhode Island Hospital

Providence, Rhode Island, United States, 02903

Actively Recruiting

13

Medical University of South Carolina, Hollings Cancer Center

Charleston, South Carolina, United States, 29425

Actively Recruiting

14

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232

Actively Recruiting

15

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

16

Chris O'Brien Lifehouse

Camperdown, New South Wales, Australia, 2050

Actively Recruiting

17

Calvary Mater Newcastle

Waratah, New South Wales, Australia, 2298

Actively Recruiting

18

Austin Hospital

Heidelberg, Victoria, Australia, 3084

Actively Recruiting

19

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia, 3000

Actively Recruiting

20

Princess Margaret Cancer Centre

Toronto, Ontario, Canada, M5G 2M9

Actively Recruiting

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Research Team

D

David Bohr

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Study of Safety and Tolerability of BCA101 Monotherapy and in Combination Therapy in Patients With EGFR-driven Advanced Solid Tumors | DecenTrialz