A Study of JMT203 in Patients With Cancer Cachexia

NCT06868849 | Recruiting Phase 1

• 1 other identifier: JMT203-001
• Study Type: interventional
• Target: 307
• Locations: 1 country
• Sites: 1

Brief Summary

A Phase Ia/II, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of JMT203 in Patients with Cancer Cachexia

Conditions

Non Small Cell Lung Cancer; Pancreatic Cancer; Cancer Cachexia; Colorectal Cancer Cachexia; Pancreatic Cancer Cachexia

Outcome Measures

Primary Outcomes (6)

• Phase Ia: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs).

  Up to 90 days after the last dose of JMT203

• Phase Ia: Incidence of dose-limiting toxicity (DLT) events

  Up to 21 days after the first dose of JMT203

• Phase Ia: MTD (if applicable).

  Up to 90 days post last dose

• Phase Ia: RDE.

  Up to 90 days post last dose

• Phase Ib: Average change in body weight from baseline at each assessment timepoint within 12 weeks.

  Within 12 weeks from baseline

• Phase II: RP3D

  Approximately 1 year from baseline

Secondary Outcomes (13)

• Phase Ia: Area under the curve from time "0" to the time of the last measurable concentration (AUC0-t) of JMT203

  Up to 90 days after the last dose of JMT203

• Phase Ia: Maximum measured plasma concentration (Cmax) of JMT203

  Up to 90 days after the last dose of JMT203

• Phase Ia: Time when Cmax occurred (Tmax) of JMT203

  Up to 90 days after the last dose of JMT203

• Phase Ia: Incidence of anti-drug antibodies (ADA).

  Up to 90 days after the last dose of JMT203

• Phase Ia: Average change in body weight from baseline at each assessment timepoint within 12 weeks.

  Within 12 weeks from baseline

Study Arms (4)

Experimental: Dose Escalation, Dose Expansion Phase

EXPERIMENTAL

Dose escalation (Phase Ia) - Five dose levels of JMT203 will be tested in patients with cancer cachexia according to an accelerated titration design combined with a "3+3" dose escalation scheme. If the highest predefined dose group demonstrates good safety and tolerability during dose escalation, further discussion will be held on whether to proceed to a higher dose group or to explore doses between two existing groups. Dose expansion (Phase Ia) - Based on pharmacokinetics (PK), preliminary efficacy, and safety data, 1 to 3 dose levels that are potentially effective will be selected. Cohort expansion- One to three potentially effective dose groups will be selected for expansion based on PK, preliminary efficacy, and safety data, with a maximum of 24 participants per group in principle (including participants from the same dose group in the dose-escalation phase).

Drug: JMT203 Injection

Experimental: JMT203 50 mg

EXPERIMENTAL

Double blind phase (Phase II)：JMT203 50 mg administered subcutaneously every 3 weeks over a 12-week treatment period.

Drug: JMT203 Injection

Experimental: JMT203 150 mg

EXPERIMENTAL

Double blind phase (Phase II)：JMT203 150 mg administered subcutaneously every 3 weeks over a 12-week treatment period; Open-Label Treatment Phase (Phase II): JMT203 administered subcutaneously at 150 mg or at the RP3D (once established in this study) for up to 51 weeks.

Drug: JMT203 Injection

Experimental: Placebo

PLACEBO COMPARATOR

Double blind phase (Phase II)：Placebo administered subcutaneously every 3 weeks over a 12-week treatment period;

Drug: JMT203 Injection

Interventions

JMT203 Injection DRUG

Drug：JMT203 Injection * Anti-GFRAL monoclonal antibody * Will be injected subcutaneously once per cycle (3 weeks, on Day 1) for 12 weeks, or will be injected subcutaneously once per cycle (3 weeks, on Day 1).

Experimental: Dose Escalation, Dose Expansion Phase

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥ 18 years old;
• Voluntarily participate in the study and sign the informed consent form;
• Age ≥ 18 years old;
• Voluntarily participate in the study and sign the informed consent form;
• Malignant solid tumors confirmed histologically or cytologically, with ongoing or completed anti-tumor treatment, and no significant tumor progression within 28 days prior to the first drug administration，and the investigator estimates that the participant will not require a switch to another anticancer therapy due to disease progression during the first treatment cycle (21 days). For the Phase II portion:
• Cohort A (participants with colorectal cancer cachexia): Must meet the following treatment status: currently receiving or about to initiate investigator-selected second-line standard anticancer therapy, with no more than 5 cycles of second-line therapy, and not suitable for immune checkpoint inhibitors.;
• Cohort B (participants with pancreatic cancer cachexia): Must meet the following treatment status: currently receiving or about to initiate investigator-selected first-line standard anticancer therapy, with no more than 3 cycles of first-line therapy, and not suitable for targeted therapy.;
• Cohort C (participants with cachexia from other solid tumors): Currently receiving or have completed investigator-selected standard anticancer therapy, with no more than three prior lines of therapy.
• Diagnosed with cancer cachexia according to the criteria of the 2011 International Consensus on Cancer Cachexia: Definition and Classification, combined with characteristics of the Chinese population, i.e., presenting with one of the following within 6 months (previous weight data must be supported by written documentation approved by the sponsor): involuntary weight loss \>5%, or weight loss \>2% when Body Mass Index （BMI） \<18.5 kg/m²;
• Adequate organ function, meeting relevant laboratory test standards （without transfusion or hematopoietic growth factor support within 14 days prior to testing）:
• Eastern Cooperative Oncology Group Performance Status (ECOG PS) score: ≤1;
• \. Eastern Cooperative Oncology Group Performance Status （ECOG PS）score: ≤2;
• Estimated survival ≥4 months;
• Fertile eligible patients must use adequate contraceptive measures from the time of signing the informed consent form until 6 months after the last drug administration; female patients of childbearing age must have a negative serum pregnancy test within 7 days before the first drug administration.

You may not qualify if:

• Presence of reversible causes leading to decreased food intake;
• Patients with dysphagia or poor food digestion and absorption, including gastrointestinal obstruction, active inflammatory bowel disease, or short bowel syndrome;
• Patients with cachexia caused by clearly identified other causes, such as severe chronic obstructive pulmonary disease, uncontrolled thyroid disease, vital organ failure, or Acquired Immune Deficiency Syndrome （AIDS）;
• Patients receiving tube feeding or parenteral nutrition therapy during the screening period;
• Patients who have taken any prescription medications for appetite enhancement or improve weight loss within 28 days or 5 half-lives (whichever is shorter) before the first study drug administration, including but not limited to anamorelin, medroxyprogesterone acetate, dronabinol, medical marijuana, etc.;
• Initiation of systemic glucocorticoids (prednisone \>10 mg/day or equivalent doses of other similar drugs) or other immunosuppressive therapies within 28 days before the first study drug administration, excluding pretreatment for antitumor therapy;
• Patients with a BMI exceeding 30 kg/m²;
• Patients who have undergone major surgery within 4 weeks before the first study drug administration and have not recovered, or are expected to undergo major surgery during the study;
• Patients who have received other clinical study medications within 4 weeks or 5 half-lives (whichever is shorter) before the first study drug administration;
• Patients with severe infections requiring intravenous antibiotics, antivirals, or antifungals during the screening period;
• Patients with difficult-to-control moderate to large amounts of serous cavity effusion, such as pericardial effusion or pleural/abdominal/pelvic effusion, within 14 days before the first study drug administration;
• Patients with a second primary active malignancy within 2 years before the first study drug administration, excluding locally curable tumors that have undergone radical treatment (e.g., resected basal cell or squamous cell skin cancer, superficial bladder cancer, breast carcinoma in situ);
• Patients with active central nervous system metastases (brain metastases, carcinomatous meningitis, and spinal cord metastases), except for those with controlled lesions confirmed by imaging studies within 28 days before the first use of the investigational product;
• History of severe cardiovascular disease, including but not limited to:
• Severe cardiac rhythm or conduction abnormalities, such as ventricular arrhythmias requiring clinical intervention, second- or third-degree atrioventricular block, etc.;

Sponsors & Collaborators

• Shanghai JMT-Bio Inc.: lead

Study Sites (1)

Sir run run shaw Hospital

Zhejiang, China

RECRUITING

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung; Pancreatic Neoplasms

Condition Hierarchy (Ancestors)

Carcinoma, Bronchogenic; Bronchial Neoplasms; Lung Neoplasms; Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases; Digestive System Neoplasms; Endocrine Gland Neoplasms; Digestive System Diseases; Pancreatic Diseases; Endocrine System Diseases

Central Study Contacts

Clinical Trials Information Group Officer

CONTACT

86-0311-69085587; ctr-contact@cspc.cn

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Model Details: There is no comparison group.

Study Record Dates

• First Submitted: February 18, 2025
• First Posted: March 11, 2025
• Study Start: May 15, 2024
• Primary Completion (Estimated): August 14, 2027
• Study Completion (Estimated): May 15, 2029
• Last Updated: May 22, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)