NCT06763159

Brief Summary

HS-20124 is a novel DAR-8 antibody-drug conjugate (ADC) targeting CDH6. In preclinical studies, it inhibited tumor cell growth expressing CDH6 in vitro and in vivo. The first-in-human trial is conducted to assess the maximum tolerated dose (MTD) and dose limiting toxicity (DLT), to evaluate the pharmacokinetics, safety and preliminary anti-tumor activity of HS-20124 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
450

participants targeted

Target at P75+ for phase_1

Timeline
21mo left

Started Oct 2024

Typical duration 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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress48%
Oct 2024Dec 2027

Study Start

First participant enrolled

October 30, 2024

Completed
9 days until next milestone

First Submitted

Initial submission to the registry

November 8, 2024

Completed
2 months until next milestone

First Posted

Study publicly available on registry

January 8, 2025

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

January 8, 2025

Status Verified

November 1, 2024

Enrollment Period

2.2 years

First QC Date

November 8, 2024

Last Update Submit

January 1, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of complete response (CR) an

    To determine the MTD/MAD for further evaluation of IV administration of HS-20124 in subjects with advanced solid tumors

    3 weeks after initiation of treatment

  • Ⅰb (Dose-Expansion Stage): Objective response rate (ORR) determined by investigators according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

    Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of complete response (CR) and partial response (PR) \[Confirmed CR/PR assessment require at least one repeat (≥4 weeks)\]

    From the first dose up to PD or withdrawal from study, whichever came first.

Secondary Outcomes (8)

  • Incidence and severity of treatment-emergent adverse events

    From the first dose through 30 days post end of treatment

  • Observed maximum plasma concentration (Cmax)

    At the end of Cycle 1 (each cycle is 21 days)

  • Time to reach maximum plasma concentration (Tmax)

    At the end of Cycle 1 (each cycle is 21 days)

  • Terminal half-life (T1/2)

    At the end of Cycle 1 (each cycle is 21 days)

  • Percentage of participants with antibodies to HS-20124 in serum

    At the end of Cycle 1 (each cycle is 21 days)

  • +3 more secondary outcomes

Study Arms (2)

HS-20124 (Phase Ia:Dose escalation )

EXPERIMENTAL

HS-20124 for IV infusion of various dose strengths administered in 21 day dosing cycles

Drug: HS-20124 (Phase Ia:Dose escalation )

HS-20124 (Phase Ib: Dose expansion)

EXPERIMENTAL

The recommended dose from the dose-escalation stage and other potential doses will be further explored

Drug: HS-20124 (Phase Ib: Dose expansion)

Interventions

Participants will receive HS-20124 in 21 day dosing cycles. Participants will continue treatment until the end of the study in the absence of unacceptable toxicities and unequivocal disease progression.

HS-20124 (Phase Ia:Dose escalation )

Participants will receive HS-20124 in 21 day dosing cycles. Participants will continue treatment until the end of the study in the absence of unacceptable toxicities and unequivocal disease progression.

HS-20124 (Phase Ib: Dose expansion)

Eligibility Criteria

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

You may qualify if:

  • At least age of 18 years at screening;
  • Histologically or cytologically confirmed, locally advanced or metastatic solid tumors for which standard treatment either does not exist or has proven ineffective or unavailable or intolerable
  • At least one extra-cranial measurable lesion according to RECIST 1
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0\~1
  • Life expectancy \>= 12 weeks
  • Men or women should be using adequate contraceptive measures throughout the study;
  • Females subjects must not be pregnant at screening or have evidence of non-childbearing potential
  • Signed and dated Informed Consent Form

You may not qualify if:

  • Treatment with any of the following:
  • Previous or current treatment with CDH6 targeted therapy
  • Any cytotoxic chemotherapy and small molecule targeted anticancer drugs within 21 days or five half-livesprior to the first scheduled dose of HS-20124
  • Prior treatment with a monoclonal antibody or investigational agents within 28 days prior to the first scheduled dose of HS-20124
  • Radiotherapy with a limited field of radiation for palliation within 2 weeks, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks prior to the first scheduled dose of HS-20124
  • Major surgery within 4 weeks prior to the first scheduled dose of HS-20124 2. Subjects with previous or concurrent malignancies 3. Inadequate bone marrow reserve or organ dysfunction 4. Evidence of cardiovascular risk 5. Evidence of current severe or uncontrolled systemic diseases 6. Evidence of mucosal or internal bleeding within 1 month prior to the first scheduled dose of HS-20124 7. Severe infection within 4 weeks prior to the first scheduled dose of HS-20124 8. Subjects with current infectious diseases 9. History of neuropathy or mental disorders 10. Pregnant or lactating female 11. History of severe hypersensitivity reaction, severe infusion reaction or idiosyncrasy to drugs chemically related to HS-20124 or any of the components of HS-20124

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Affiliated Cancer Hospital of Fudan University

Shanghai, Shanghai Municipality, 201321, China

RECRUITING

Central Study Contacts

Xiaohua Wu, Doctor

CONTACT

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

November 8, 2024

First Posted

January 8, 2025

Study Start

October 30, 2024

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2027

Last Updated

January 8, 2025

Record last verified: 2024-11

Locations