Yan Leyfman: New Hope in Irinotecan-Refractory Metastatic Colorectal Cancer
Jul 31, 2025, 12:25

Yan Leyfman: New Hope in Irinotecan-Refractory Metastatic Colorectal Cancer

Yan Leyfman, Co-Founder and Executive Director of MedNews Week, shared a post on LinkedIn about a paper by Scott Kopetz et al. published in Nature Medicine:

“New Hope in mCRC:

At PROCEADECRC01 Phase 1 trial, Precem-TcT (anti-CEACAM5 ADC with exatecan payload) shows promising activity in irinotecan-refractory metastatic colorectal cancer.

Key Highlights:

  • Targets CEACAM5, overexpressed in CRC
  • Confirmed PRs in 7.5% (15% unconfirmed); all at ≥2.4 mg/kg
  • Median PFS: 6.7 months at ≥2.4 mg/kg
  • Favorable safety profile: No ILD or ocular toxicity
  • Stable linker–payload confirmed by PK data
  • Ongoing dose optimization at 2.4 and 2.8 mg/kg Q3W

Early signals support Precem-TcT as a potential option for heavily pretreated mCRC.”

Title: Precemtabart tocentecan, an anti-CEACAM5 antibody–drug conjugate, in metastatic colorectal cancer: a phase 1 trial

Authors: Scott Kopetz, Valentina Boni, Ken Kato, Kanwal P. S. Raghav, Maria Vieito, Athanasios Pallis, Christina Habermehl, Abdul Siddiqui, Perrine Courlet, Willem Sloot, Sabine Raab-Westphal, Felix Hart & Ildefonso Rodriguez-Rivera

You can read the Full Article in Nature Medicine.

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