NCT07179081

Brief Summary

This Phase I clinical trial is a dose-escalation, multicenter study in patients with advanced solid tumors. It includes tolerance studies of sequential multiple oral doses of AL58805 and pharmacokinetic studies of single and multiple doses, analyzing the tolerance range of multiple doses, observing the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) in solid tumor patients, and assessing the reversibility of toxicity and the relationship between toxicity and dose.

Trial Health

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Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Dec 2020

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 Start

First participant enrolled

December 20, 2020

Completed
4.7 years until next milestone

First Submitted

Initial submission to the registry

September 5, 2025

Completed
12 days until next milestone

First Posted

Study publicly available on registry

September 17, 2025

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 26, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 26, 2026

Completed
Last Updated

September 17, 2025

Status Verified

September 1, 2025

Enrollment Period

5.1 years

First QC Date

September 5, 2025

Last Update Submit

September 15, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Dose-limiting toxicity

    It is the evaluation of dose-limiting toxicity (DLT) and general safety that occur during the single administration and the first continuous administration treatment cycle. The evaluation depends on the criteria for DLT. The parameters used to assess safety in this study include adverse events, physical examinations, vital signs (especially blood pressure), and laboratory tests (including serum chemistry, hematology, urine routine, and electrocardiogram (ECG), etc.)

    From signing the ICF until 28 days after the first dosing

Secondary Outcomes (7)

  • Tmax

    Conduct testing within 1 month after all subjects collect plasma samples at all time points required by the protocol.

  • Css_min

    Conduct testing within 1 month after all subjects collect plasma samples at all time points required by the protocol.

  • Css_av

    Conduct testing within 1 month after all subjects collect plasma samples at all time points required by the protocol.

  • T1/2

    Conduct testing within 1 month after all subjects collect plasma samples at all time points required by the protocol.

  • CL or CL/F

    Conduct testing within 1 month after all subjects collect plasma samples at all time points required by the protocol.

  • +2 more secondary outcomes

Study Arms (1)

AL58805

EXPERIMENTAL

20mg 、40mg QD; 20mg 、30mg、40mg、50mg、60mg BID;

Drug: AL58805

Interventions

Oral,Multiple administrations, once or twice daily(20mg 、40mg QD; 20mg 、30mg、40mg、50mg、60mg BID;)

AL58805

Eligibility Criteria

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

You may qualify if:

  • Subjects must meet all the following criteria to be eligible:
  • Patients with histologically or cytologically confirmed advanced tumors (including but not limited to lymphoma, colorectal cancer, breast cancer, pancreatic cancer, lung cancer, head and neck cancer, bladder cancer, cholangiocarcinoma) who lack effective standard treatment options or have failed conventional standard treatments (due to disease progression or intolerable toxicity).
  • Previous treatment with cytotoxic chemotherapy, with at least 4 weeks between the end of chemotherapy and enrollment, and recovery from previous chemotherapy toxicities to ≤ Grade 1 (except alopecia).
  • Must have measurable lesions according to RECIST 1.1 criteria.
  • Major organ function: Absolute neutrophil count (ANC) ≥1.5 × 10\^9/L (1500/mm3), platelets ≥75 × 10\^9/L, hemoglobin ≥9g/dL. Serum total bilirubin ≤2 × upper limit of normal (ULN). Serum creatinine ≤1.5 × ULN or creatinine clearance ≥50 mL/min. For patients without liver metastases, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 × ULN; for patients with liver metastases, ALT and AST ≤5 × ULN. Left ventricular ejection fraction (LVEF) ≥ lower limit of normal.
  • Age ≥18 years; ECOG performance status (PS) 0 or 1.
  • Expected survival time of at least 12 weeks.
  • No malabsorption or other gastrointestinal diseases affecting drug absorption.
  • For women of childbearing potential: Negative pregnancy test before treatment and use of medically approved contraception during treatment and for 3 months after treatment ends. Must be non-lactating.
  • For male subjects: Surgical sterilization or use of medically approved contraception during treatment and for 3 months after treatment ends.
  • Ability to understand and sign informed consent.

You may not qualify if:

  • Subjects meeting any of the following criteria will be excluded:
  • Known allergy to the investigational drug or drugs with similar chemical structures.
  • Use of unapproved drugs or other investigational drugs within 30 days before enrollment.
  • Status of the organ systems:
  • Current symptomatic brain metastases or leptomeningeal metastases, or central nervous system (CNS) metastases with uncontrolled symptoms within 8 weeks of first dose.
  • Uncontrolled hypertension requiring multiple medications (Grade 2 or higher). Acute myocardial infarction within 6 months. Current arrhythmias (e.g., long QT syndrome, Bazett's corrected QTc ≥480 ms). NYHA Class III or IV heart failure. Poorly controlled diabetes. Any unstable systemic disease (including active infection, angina, hepatic, renal, or metabolic diseases).
  • Presence of ascites or pleural effusion (CTCAE 5.0 ≥ Grade 2). Persistent diarrhea (average watery stools ≥1 per day). History of definite neurological or psychiatric disorders (e.g., epilepsy, dementia, mood disorders).
  • Patients with active/venous thrombosis events within 6 months, such as cerebrovascular accidents (including transient ischemic attacks), deep vein thrombosis and pulmonary embolism.
  • Previous treatment with the investigational drug.
  • Concurrent other anti-tumor treatments. Other conditions deemed unsuitable by the investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hunan Cancer Hospital

Changsha, Hunan, 410013, China

RECRUITING

Study Officials

  • Dongfang Li

    Hunan Cancer Hospital

    PRINCIPAL INVESTIGATOR
  • Yongchang Zhang

    Hunan Cancer Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
SCREENING
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 5, 2025

First Posted

September 17, 2025

Study Start

December 20, 2020

Primary Completion

January 26, 2026

Study Completion

January 26, 2026

Last Updated

September 17, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations