Evidence map›Paper›PMID 42476725›Full record

Trial reportJournal for immunotherapy of cancer2026

Phase 1/2 study of IMC-C103C, a T cell receptor bispecific (MAGE-A4×CD3) ImmTAC targeting MAGE-A4-expressing malignancies.

Randy F Sweis, Ignacio Melero, Diwakar Davar, Elena Garralda, Omid Hamid, Hui Amy Chen, Thomas R Jeffry Evans, Kathleen N Moore, Joseph J Sacco, Fiona Thistlethwaite and 10 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03973333 (A Phase 1/2 First-in-human Study of the Safety and Efficacy of IMC-C103C as Single Agent and in Combination With Atezolizumab in HLA-A*0201-positive Patients With Advanced MAGE-A4-positive Cancer), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03973333 phase1 / phase2withdrawnnot on this map

A Phase 1/2 First-in-human Study of the Safety and Efficacy of IMC-C103C as Single Agent and in Combination With Atezolizumab in HLA-A*0201-positive Patients With Advanced MAGE-A4-positive Cancer

TypeinterventionalSponsorImmunocore LtdRan2019 to 2023Enrolled0ConditionsSelect Advanced Solid TumorsArmsIMC-C103C, Atezolizumab
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Randy F SweisThe University of Chicago, Chicago, Illinois, USA.
Ignacio MeleroClinica Universidad Navarra, CIMA and CIBERONC, Pamplona, Spain.ORCID http://orcid.org/0000-0002-1360-348X
Diwakar DavarUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-7846-8055
Elena GarraldaHospital Universitario Vall d'Hebron, Vall d'Hebron Institute of oncology (VHIO), Barcelona, Spain.
Omid HamidThe Angeles Clinical and Research Institute, a Cedars-Sinai Affiliate, Los Angeles, California, USA.
Hui Amy ChenUniversity of California Davis Comprehensive Cancer Center, Sacramento, California, USA.
Thomas R Jeffry EvansBeatson West of Scotland Cancer Centre, University of Glasgow, Glasgow, UK.
Kathleen N MooreThe University of Oklahoma Stephenson Cancer Center, Oklahoma City, Oklahoma, USA.
Joseph J SaccoClatterbridge Cancer Centre NHS Foundation Trust, Wirral, UK.
Fiona ThistlethwaiteThe Christie NHS Foundation Trust and University of Manchester, Manchester, UK.
Anja WilliamsSarah Cannon Research Institute, London, UK.
George R BlumenscheinDepartment of Thoracic and Head and Neck Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Margaret K CallahanUniversity of Connecticut School of Medicine, Farmington, Connecticut, USA.
Melissa L JohnsonSarah Cannon Research Institute at Tennessee Oncology, Nashville, Tennessee, USA.
Erin L SchenkUniversity of Colorado Anschutz Medical Center, Aurora, Colorado, USA.
Jason WustnerTranslational Medicine, Immunocore, Radnor, Pennsylvania, USA.
Sarah StanhopeTranslational Medicine, Immunocore, Abingdon, UK.
Kaixiang TaoBiometrics, Immunocore, Gaithersburg, Maryland, USA.
Shannon MarshallClinical Development, Immunocore, Gaithersburg, Maryland, USA.ORCID http://orcid.org/0009-0007-2148-2490
Juanita LopezDrug Development Unit, Institute of Cancer Research and the Royal Marsden Hospital, London, UK juanita.lopez@icr.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIMC-C103C is an ImmTAC bispecific (MAGE-A4×CD3) T cell engager targeting a peptide from the cancer-testis antigen MAGE-A4 presented by HLA-A*02:01. This phase 1/2 study in advanced solid tumors (IMC-C103C-101; NCT03973333) investigated the safety and preliminary anti-tumor activity of IMC-C103C.

methodsHLA-A*02:01

results68 patients were enrolled in 10 dose-escalation cohorts (n=56; 64% ovarian carcinoma (OC)) and one OC expansion cohort (n=12). In dose escalation, patients received doses ranging from 0.5 to 240 µg. The dose-limiting toxicity rate at the two highest dose levels (1/6 and 2/10) did not exceed the maximum tolerated dose. A lower-dose regimen of 15-45-140 µg, with clinical activity, and a more favorable tolerability profile, was selected as the expansion dose. There were no treatment-related discontinuations or deaths. The most common treatment-related adverse events were cytokine-mediated, including grade 1/2 cytokine release syndrome and associated symptoms. While MAGE-A4 expression was observed in most patient's tumors (71% positive), the level of expression was low (median H-score=16). Initial clinical and pharmacodynamic activity was observed at doses of 15 µg, with more consistent activity observed at doses ≥90 µg. At doses ≥90 µg, patients with MAGE-A4

conclusionsIMC-C103C was well tolerated at doses up to 140 µg, induced dose-dependent pharmacodynamic changes, and demonstrated clinical activity in multiple patients with MAGE-A4 TRIAL REGISTRATION NUMBER: NCT03973333.

Indexed as

Antigens, NeoplasmCD3 ComplexNeoplasm ProteinsNeoplasmsReceptors, Antigen, T-CellAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeAntigens, NeoplasmCD3 ComplexMAGEA4 protein, humanNeoplasm ProteinsReceptors, Antigen, T-CellImmunotherapyOvarian CancerSolid tumorT cell Receptor - TCR

Identifiers

PMID42476725
PMCPMC13386079

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.