NCT05367635

Brief Summary

This is a multicenter, open-label, multiple-dose dose finding and expansion study to evaluate the safety, tolerability, pharmacokinetic(PK) profile, and anti-tumor efficacy of SKB315 for injection in patients with advanced solid tumors.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
246

participants targeted

Target at P75+ for phase_1

Timeline
26mo left

Started Mar 2022

Longer than P75 for phase_1

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress67%
Mar 2022Jun 2028

Study Start

First participant enrolled

March 16, 2022

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

April 21, 2022

Completed
19 days until next milestone

First Posted

Study publicly available on registry

May 10, 2022

Completed
4.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2028

Last Updated

May 8, 2026

Status Verified

May 1, 2026

Enrollment Period

4.3 years

First QC Date

April 21, 2022

Last Update Submit

May 5, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Phase 1a: Dose Limiting Toxicities (DLT)

    Incidence of Dose Limiting Toxicities

    From data of initial dose until up to 21/28 days for treatment

  • Phase 1b: Objective Response Rate (ORR)

    The sum of the number of cases with Complete Response (CR) and Partial Response (PR) in all treated tumor patients (CR + PR) divided by the total number of cases.

    Up to 2 years

Secondary Outcomes (3)

  • Progression Free Survival (PFS)

    Up to 2 years

  • Duration of Response (DOR)

    Up to 2 years

  • Overall Survival (OS)

    Up to 2 years

Study Arms (3)

Phase 1a:Dose escalation

EXPERIMENTAL

Eleven dose levels are tentatively planned for Phase 1a

Drug: SKB315 for injection

Phase 1b: Dose expansion

EXPERIMENTAL

The dose of SKB315 for injection in Phase 1b is selected based on the Phase 1a monotherapy dose escalation study.

Drug: SKB315 for injection

Phase 1b combination

EXPERIMENTAL

The dose of SKB315 for injection in Phase 1b is selected based on the Phase 1a monotherapy dose escalation study.

Drug: SKB315 for injectionDrug: Drug: Tagitanlimab Drug: Capecitabine

Interventions

SKB315 for injection is an Antibody Drug Conjugates (ADC) drug targeting Claudin18.2. The strength of SKB315 is 200 mg/vial.

Phase 1a:Dose escalationPhase 1b combinationPhase 1b: Dose expansion

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Ia\&Ib(monotherapy):1) Male or female patients aged 18 to 80 years (inclusive) at the time of signing the informed consent form (ICF); 2) Patients with histologically and/or cytologically confirmed advanced solid tumors who have failed standard of care, or who have no available standard of care regimen, or who are unqualified for standard of care; 3) Consent to provide archival or fresh tumor tissue slides for immunohistochemistry (IHC) assessment, and advanced solid tumors with Claudin 18.2 expression as determined by IHC; 4) Presence of at least one measurable lesion based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1; 5) Eastern Cooperative Oncology Group (ECOG) score of 0 or 1; 6) Estimated survival ≥ 3 months as judged by the investigator; 7) Adequate organ and bone marrow function (no blood components and cytokines are allowed within 2 weeks prior to the first dose) ; 8) Have recovered to ≤ Grade 1 (according to national cancer institute (NCI) common terminology criteria adverse events (CTCAE) V5.0) from previously treated toxicity prior to the first dose of study treatment; 9) Patients of childbearing potential (male or female) must use effective medical contraception during the study and for 6 months after the end of dosing; 10) Patients voluntarily participate in the study, sign the ICF, and will be able to comply with the protocol-specified visits and relevant procedures.
  • Age 18 to 80 years old (including boundary values);
  • Histopathologically confirmed unresectable locally advanced, recurrent, or metastatic adenocarcinoma of the gastric and gastroesophageal junction 3 positive CLDN18.2 expression in tumor tissue;
  • \. ECOG score 0-1; 5. Expected survival ≥3 months; 6. There is at least one measurable lesion that meets the RECIST 1.1 criteria; 7. Adequate bone marrow and organ function

You may not qualify if:

  • Ia\&Ib(monotherapy)1) Received other drugs in clinical study, major surgeries, or any other anti-tumor therapies within 4 weeks prior to the first dose of study treatment; 2) Received any previous therapy targeting Claudin18.2; 3) Plan to receive any other anti-tumor therapy during the study; 4) Received strong cytochrome P450 3A4(CYP3A4) inhibitors or inducers within 2 weeks prior to the first dose of study treatment or within 5 half-lives of drug elimination, whichever is longer; 5) Have other malignancies within 5 years prior to signing of ICF; 6) Pregnant or lactating women; 7) Known history of allergy to any component of SKB315 or other monoclonal antibodies (mAbs); 8) Known history of alcohol abuse (consumption of more than 14 units of alcohol per week or drug abuse); 9) Patients with active hepatitis B or hepatitis C; 10) Human immunodeficiency virus (HIV) positive; 11) Active severe digestive disease; 12) History of major cardiovascular diseases 13) Confirmed serious lung disease or lung disease that may impair the respiratory reserve function of the patient as judged by the investigator; 14) History of serious dementia, altered mental status, or any psychiatric disorder; 15) Concomitant or known metastases to brain or central nervous system; 16) Have clinically significant systemic diseases that may adversely affect the safety of the study; 17) Subjects who may have poor compliance with the clinical study or have other factors based on which the investigator considers that the subjects are not appropriate to participate in the study.
  • Ib(combination)
  • HER2 expression in tumor tissue is positive.
  • Has a history of brain metastases.
  • Additional malignancy within the five years prior to the first administration.
  • Has an active autoimmune disease or a history of autoimmune disease.
  • Received systemic use of corticosteroids or other immunosuppressants for immunosuppressive effects within 14 days prior to the first administration.
  • A history of immunodeficiency, including a positive HIV test; Presence of active hepatitis B or hepatitis C.
  • In the investigator's judgment, the subjects has other factors that could have affected the study results or led to the forced termination of the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality, 300060, China

RECRUITING

MeSH Terms

Interventions

Injections

Intervention Hierarchy (Ancestors)

Drug Administration RoutesDrug TherapyTherapeutics

Study Officials

  • Yi Ba, Professor

    Tianjin Medical University Cancer Institute and Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Yi Ba, Professor

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 21, 2022

First Posted

May 10, 2022

Study Start

March 16, 2022

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2028

Last Updated

May 8, 2026

Record last verified: 2026-05

Locations