NCT05744427

Brief Summary

This is an open, multicenter study of phase I/II in Chinese subjects with unresectable locally advanced/metastatic solid tumors. It is divided into the dose escalation period and the cohort expansion period. A total of 8 dose groups (Q3W on the first day of intravenous administration) were designed in the dose escalation period. The initial dose was 1.0mg/kg administered Q3W, with a DLT observation period of 21 days. In the dose expansion phase, 7 cohorts were established.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
725

participants targeted

Target at P75+ for phase_1

Timeline
8mo left

Started Mar 2023

Typical duration for phase_1

Geographic Reach
1 country

34 active sites

Status
active not recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress83%
Mar 2023Dec 2026

First Submitted

Initial submission to the registry

January 10, 2023

Completed
2 months until next milestone

First Posted

Study publicly available on registry

February 27, 2023

Completed
16 days until next milestone

Study Start

First participant enrolled

March 15, 2023

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2026

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

February 2, 2026

Status Verified

January 1, 2026

Enrollment Period

3.4 years

First QC Date

January 10, 2023

Last Update Submit

January 29, 2026

Conditions

Outcome Measures

Primary Outcomes (4)

  • DLT (dose escalation period) in phase 1.

    Incidence of dose-limiting toxicity (DLT) in the dose escalation period

    Up to 12 months

  • Maximum Tolerated Dose (MTD) or RP2D in phase 1。

    MTD (Maximum tolerated Dose) is the dose for which the isotonic estimate of the toxicity rate is closest to the target toxicity rate based on the BOIN Design

    Up to 12 months

  • Percentage of Participants Experiencing Any Treatment Emergent Adverse Events and Serious Treatment Emergent Adverse Events in phase 1.

    TEAE and SAE were graded according to CTCAE 5.0

    Throughout the duration of the study, approximately 2 years

  • Objective Response Rate (ORR) in phase 2

    Objective response rate (ORR) was defined as the proportion of participants who achieve either complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)

    Throughout the duration of the study, approximately 2 years

Secondary Outcomes (8)

  • Clinical benefit rates (CBR)

    Throughout the duration of the study, approximately 2 years

  • Progression Free Survival (PFS)

    Throughout the duration of the study, approximately 2 years

  • Cmax of JSKN003

    Throughout the duration of the study, approximately 2 years

  • Tmax of JSKN003

    Throughout the duration of the study, approximately 2 years

  • AUC of JSKN003

    Throughout the duration of the study, approximately 2 years

  • +3 more secondary outcomes

Study Arms (8)

Dose escalation and expansion period

EXPERIMENTAL

in dose escalation and expansion period,total 8 dose groups were designed. Subjects will be give dose 1.0, 2.1, 4.2, 5.2, 6.3, 7.3, 8.4 and 10.5 mg/kg Q3W based on DLT results.

Drug: JSKN003

cohort 1 in phase II

EXPERIMENTAL
Drug: JSKN003

cohort 2 in phase II

EXPERIMENTAL
Drug: JSKN003

cohort 3 in phase II

EXPERIMENTAL
Drug: JSKN003

cohort 4 in phase II

EXPERIMENTAL
Drug: JSKN003

cohort 5 in phase II

EXPERIMENTAL
Drug: JSKN003

cohort 6 in phase II

EXPERIMENTAL
Drug: JSKN003

cohort 7 in phase II

EXPERIMENTAL
Drug: JSKN003

Interventions

JSKN003 should be administered intravenously on the first day of each 3-week cycle.

Dose escalation and expansion periodcohort 1 in phase IIcohort 2 in phase IIcohort 3 in phase IIcohort 4 in phase IIcohort 5 in phase IIcohort 6 in phase IIcohort 7 in phase II

Eligibility Criteria

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

You may qualify if:

  • Subject is at least 18 years old, male or female, and willing to follow the study procedure on the date of signing the informed consent;
  • ECOG score 0 or 1, expected survival ≥12 weeks;
  • Unresectable locally advanced or metastatic solid tumors with pathologic documented confirmation.
  • Measurable lesions at baseline according to RECIST 1.1 criteria; If the subject has only one measurable lesion at baseline, the lesion area must not have received prior radiotherapy or there is evidence of significant progression after the end of radiotherapy.
  • Agrees to provide adequate paraffin sections or fresh tissue specimens of the tumor for testing;
  • Laboratory tests within 7 days or cardiac ultrasound within 28 days prior to the first dose meet the protocol criteria.
  • Adequate washout from prior therapy prior to the first dose.
  • A fertile female subject or a fertile male subject with fertile partner agrees to use highly effective contraception (annual failure rate less than 1%) from the time of initial dosing to 180 days after the end of dosing. Pregnancy test results must be negative for fertile female subjects within 7 days prior to initial administration (fertile women are defined as premenopausal women with no recorded tubal ligation or hysterectomy, or women who have been menopausal for less than 1 year);

You may not qualify if:

  • Subjects with untreated active brain metastases or meningeal metastases;
  • History of other primary malignant tumors;
  • Previously received topoisomerase I inhibitor antibody conjugate drug;
  • Has uncontrolled comorbidities as specified by the protocol;
  • Past or current history of interstitial pneumonia/lung disease requiring systemic hormonal therapy, or suspected interstitial pneumonia/lung disease that cannot be ruled out by imaging during screening;
  • Subjects with uncontrolled large serous cavity effusion or moderate to large serous cavity effusion requiring repeated drainage (recurrent within 2 weeks after intervention) such as pleural effusion, pericardial effusion, ascites, etc.;
  • Toxicity from previous antitumor therapy has not resolved to Grade 1 or lower as defined by NCI-CTCAE v5.0.
  • Systemic corticosteroids (≥10 mg/ day of prednisone, or equivalent of other corticosteroids) or immunosuppressant therapy were required within 14 days prior to initial administration in this study;
  • Has a history of life-threatening anaphylaxis or known hypersensitivity to any component or excipient in the JSKN003 drug formulation.
  • History of trastuzumab-induced anaphylaxis (Grade ≥3), angioedema, or severe hypotension.
  • Subjects with gastrointestinal tumors who are known to have lost 10% or more of their body weight within three months prior to signing the informed consent form.
  • Other conditions that the investigator considers unsuitable to participate in this clinical trial, including but not limited to psychiatric disorders, alcoholism or drug abuse.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (34)

Beijing Cancer Hospital

Beijing, China

Location

Beijing Friendship Hospital

Beijing, China

Location

Beijing Luhe Hospital

Beijing, China

Location

Hunan Cancer Hospital

Changsha, China

Location

Fujian Cancer Hospital

Fuzhou, China

Location

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, China

Location

Sun Yat-sen University Cancer Prevention Center

Guangzhou, China

Location

Run Run Shaw Hospital, Zhejiang University School of Medicine

Hangzhou, China

Location

The First Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, China

Location

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, China

Location

Zhejiang Cancer Hospital

Hangzhou, China

Location

Affiliated Cancer Hospital of Harbin Medical University

Ha’erbin, China

Location

Anhui Provincal Hospital

Hefei, China

Location

Shandong Cancer Hospital

Jinan, China

Location

Linyi City Cancer Hospital

Linyi, China

Location

Linyi City People's Hospital

Linyi, China

Location

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, China

Location

The Second Affiliated Hospital of Nanchang University

Nanchang, China

Location

Gulou Hospital Affiliated to Nanjing University School of Medicine

Nanjing, China

Location

Jiangsu Cancer Hospital

Nanjing, China

Location

Jiangsu Provincial People's Hospital

Nanjing, China

Location

The First Affiliated Hospital of Nanjing Medical University/Jiangsu Provincial People's Hospital

Nanjing, China

Location

Affiliated Cancer Hospital of Guangxi Medical University

Nanning, China

Location

Nantong Cancer Hospital

Nantong, China

Location

Affiliated Hospital of Qingdao University

Qingdao, China

Location

Affiliated Cancer Hospital of Fudan University

Shanghai, China

Location

Changhai Hospital

Shanghai, China

Location

Fudan University Shanghai Cancer Center

Shanghai, China

Location

Shanghai East Hospital

Shanghai, China

Location

The Second Affiliated Hospital of Soochow University

Suzhou, China

Location

Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Wuhan, China

Location

Zhongnan Hospital of Wuhan University

Wuhan, China

Location

Xuzhou Central Hospital

Xuzhou, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, China

Location

Study Officials

  • Jiong Wu

    Fudan University

    PRINCIPAL INVESTIGATOR
  • Jian Zhang

    Fudan University

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

January 10, 2023

First Posted

February 27, 2023

Study Start

March 15, 2023

Primary Completion (Estimated)

July 30, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

February 2, 2026

Record last verified: 2026-01

Locations