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Published on: July 25, 2020
MDX-2001-101 study protocol: a phase I/IIa, multicenter, first-in-human, open-label clinical trial evaluating MDX2001
Ecaterina Dumbrava1, Anna Minchom2, Jason Henry3
1Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
MDX2001 is a tetraspecific T-cell engager-expander antibody engineered to recognize four distinct antigens: cellular mesenchymal-epithelial transition factor (c-MET) and trophoblast antigen 2 (TROP2) to direct T cells to tumor cells, CD3 to activate T cells, and CD28 to enhance T-cell survival and proliferation. MDX2001 has demonstrated potent antitumor activity in nonclinical studies over a wide range of tumor types. Here, we present the protocol design for study MDX-2001-101, a multicenter, open-label, phase I/IIa clinical trial designed to evaluate the safety, tolerability, and antitumor effects of MDX2001 in patients with advanced solid tumors. The study comprises a phase Ia dose escalation guided by a Bayesian optimal interval design with a targeted maximum tolerated dose toxicity rate of 30%, a phase Ib dose expansion, and a phase IIa indication expansion.
Insights
MDX2001, a novel tetraspecific antibody, targets cellular mesenchymal-epithelial transition factor (c-MET) and trophoblast antigen 2 (TROP2) to direct T cells to tumors. This antibody shows potent antitumor activity and will be evaluated in a phase I/IIa clinical trial.
Area of Science:
- Oncology
- Immunotherapy
- Antibody Engineering
Background:
- MDX2001 is a tetraspecific T-cell engager-expander antibody.
- It targets cellular mesenchymal-epithelial transition factor (c-MET), trophoblast antigen 2 (TROP2), CD3, and CD28.
- MDX2001 has shown potent antitumor activity in preclinical studies across various tumor types.
Purpose of the Study:
- To evaluate the safety and tolerability of MDX2001 in patients with advanced solid tumors.
- To assess the antitumor effects of MDX2001.
- To determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D).
Main Methods:
- Study MDX-2001-101 is a multicenter, open-label, phase I/IIa clinical trial.
- Phase Ia involves dose escalation using a Bayesian optimal interval design.
- Phase Ib and IIa involve dose expansion and indication expansion, respectively.
Main Results:
- Preclinical studies demonstrated potent antitumor activity of MDX2001.
- The clinical trial is designed to evaluate safety, tolerability, and antitumor effects.
- Specific results from the clinical trial are pending.
Conclusions:
- MDX2001 is a promising T-cell engager-expander antibody with demonstrated preclinical efficacy.
- The phase I/IIa trial will provide crucial safety and efficacy data for advanced solid tumors.
- MDX2001 has the potential to offer a new therapeutic option for cancer patients.
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