ABL103 in Combination With Pembrolizumab, With or Without Taxane in Advanced or Metastatic Solid Tumors
A Multicenter, Open-label, Phase 1b/2 Trial of ABL103, a Bispecific Antibody of B7-H4 and 4-1BB, in Combination With Pembrolizumab With/Without Taxane in Subjects With Selected, Progressive, Locally Advanced (Unresectable) or Metastatic Solid Tumors
3 other identifiers
interventional
65
3 countries
6
Brief Summary
This study is to assess the safety and antitumor activity of ABL103 plus pembrolizumab, with or without taxane, in advanced or metastatic solid tumors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Aug 2025
Typical duration for phase_1
6 active sites
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 Start
First participant enrolled
August 6, 2025
CompletedFirst Submitted
Initial submission to the registry
August 8, 2025
CompletedFirst Posted
Study publicly available on registry
September 8, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 2, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 2, 2027
September 8, 2025
August 1, 2025
2.3 years
August 8, 2025
August 28, 2025
Conditions
Outcome Measures
Primary Outcomes (5)
Incidence of Dose-Limiting Toxicities (DLTs)
Day 1 to Day 21 (Safety Lead-in Part 1) and Day 1 to Day 28 (Safety Lead-in Part 2)
Incidence of Treatment-Emergent Adverse Events (TEAEs), Treatment-Related AEs, Serious AEs (SAEs), and Infusion-Related Reactions (IRRs)
From baseline through study completion, an average of 12 months
Recommended Dose for Expansion (RDE) Determination
From baseline through study completion, an average of 12 months
Objective Response Rate (ORR)
Up to approximately 30 months
Disease Control Rate (DCR)
Up to approximately 30 months
Secondary Outcomes (3)
Preliminary Objective Response Rate (ORR)
Up to approximately 30 months
Preliminary Disease Control Rate (DCR)
Up to approximately 30 months
Incidence of Anti-Drug Antibodies (ADA)
From baseline through study completion, an average of 12 months
Study Arms (5)
ABL103 (DL1) + pembrolizumab
EXPERIMENTALSafety Lead-in Part 1
ABL103 (DL2-1) + pembrolizumab + taxane
EXPERIMENTALSafety Lead-in Part 2
ABL103 (DL2) + pembrolizumab + taxane
EXPERIMENTALSafety Lead-in Part 2
Group 1) ABL103 + pembrolizumab + taxane
EXPERIMENTALDose-expansion Part
Group 2) ABL103 + pembrolizumab + taxane
EXPERIMENTALDose-expansion Part
Interventions
IV infusion
IV infusion
IV infusion
Eligibility Criteria
You may qualify if:
- Subject must understand and be willing to provide informed consent and be able to comply with the study procedures and restrictions.
- Subjects must be ≥18 years of age on the day of signing the informed consent form (ICF).
- Subject must have a histologically or cytologically confirmed locally advanced unresectable, or metastatic solid tumor.
- Subject must be relapsed or be refractory to available standard therapy or they must be intolerant of available standard therapy.
- Subject must meet Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 assessed 7 days before the first administration of the study drug.
- Subjects must be recovered from AEs from prior therapy to Grade 1 or the baseline grade more than 14 days prior to the first administration of the study drug, except alopecia or Grade 2 toxicities that are deemed stable or irreversible (e.g., peripheral neuropathy)
- Subjects who have AEs due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline. Subject with endocrine-related AEs who are adequately treated with hormone replacement or subjects who have ≤Grade 2 neuropathy are eligible.
- Subjects must have adequate hematologic, renal, hepatic, and thyroid function at screening and within 7 days prior to the first administration of study drug.
- Female subjects who are not surgically sterile or postmenopausal must agree to use a highly effective method of birth control (2 methods strongly recommended) during the study and for 6 months following the last dose of ABL103/pembrolizumab.
- Female subjects of childbearing potential must have a negative serum pregnancy test at screening and within 7 days prior to Cycle 1 Day 1 (C1D1).
- Male subjects with female partner(s) of childbearing potential must agree to use contraception and and must not donate sperm during the treatment period with ABL103 and taxane and for at least 6 months after the final administration of ABL103 and taxane.
- Male subjects with a pregnant or breastfeeding partner(s) must agree to remain abstinent or use a condom throughout the study period, and for at least 6 months after the final administration of ABL103 and taxane, and during the partner's pregnancy or breastfeeding period. When using a male condom, the partner must also use an additional method of contraception acceptable for female subjects.
You may not qualify if:
- Subject has received prior anticancer monoclonal antibody treatment or investigational therapy (agent or device) for which the pharmacologic or toxicity profile is not expected to have resolved prior to the first administration of the study drug. A minimum of 28 days is generally recommended for agents with known delayed toxicities or prolonged biological activity, unless otherwise justified.
- Subject has received prior radiotherapy within 2 weeks of the first administration of study drug, or has radiation-related toxicities, requiring corticosteroids.
- Subject has received any prior immunotherapy and was discontinued from the treatment due to a Grade 3 or higher irAE (except endocrine disorders that can be treated with replacement therapy) or was discontinued from that treatment due to Grade 2 myocarditis or recurrent Grade 2 pneumonitis.
- Subject has received radiation therapy to the lung that is \>30 Gy within 6 months of the first dose of study treatment.
- Subject has risk factors for bowel obstruction or bowel perforation, including, but not limited to a history of acute diverticulitis, intra-abdominal abscess, and abdominal carcinomatosis. Subjects with ovarian cancer with a history of abdominal carcinomatosis can be enrolled.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ABL Bio, Inc.lead
- Merck Sharp & Dohme LLCcollaborator
Study Sites (6)
UH Cleveland Medical Center
Cleveland, Ohio, 44106, United States
PASO Medical
Frankston, Victoria, 3199, Australia
Seoul National University Bundang Hospital
Seongnam, 13620, South Korea
Seoul National University Hospital
Seoul, 03080, South Korea
Asan Medical Center
Seoul, 05505, South Korea
Samsung Medical Center
Seoul, 06351, South Korea
MeSH Terms
Interventions
Study Officials
- STUDY DIRECTOR
Sangmi Lee
ABL Bio
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 8, 2025
First Posted
September 8, 2025
Study Start
August 6, 2025
Primary Completion (Estimated)
December 2, 2027
Study Completion (Estimated)
December 2, 2027
Last Updated
September 8, 2025
Record last verified: 2025-08