NCT07317505

Brief Summary

The goal of this clinical trial is to test JMT108, a type of drug called a bispecific antibody in adult patients with locally advanced or metastatic solid tumors. The main questions it aims to answer are:

  • To assess the safety and tolerability of JMT108 at increasing doses and determine the dose and schedule to be used in the second part of the study (Phase 1a)
  • To assess effectiveness of JMT108 in participants with locally advanced or metastatic tumors (Phase 1b)
  • To evaluate how quickly JMT108 is metabolized by the body (pharmacokinetics or PK)
  • To evaluate if antibodies to the study drug develop (immunogenicity)
  • To evaluate preliminary efficacy to the drug
  • To explore the pharmacodynamic (PD) characteristics of JMT108
  • To explore the correlation between biomarker levels and preliminary efficacy Participants will:
  • Provide written informed consent
  • Undergo screening tests to ensure they are eligible for study treatment
  • Attend all required study visits and receive JMT108 by intravenous injection every 2 weeks until the study doctor determines study treatment should be stopped, based on how well a participant is doing on treatment
  • Be followed for progression every 3 months for up to 2 years

Trial Health

77
On Track

Trial Health Score

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

Enrollment
270

participants targeted

Target at P75+ for phase_1 cancer

Timeline
41mo left

Started Dec 2025

Typical duration for phase_1 cancer

Geographic Reach
1 country

3 active sites

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 Progress11%
Dec 2025Sep 2029

First Submitted

Initial submission to the registry

November 25, 2025

Completed
7 days until next milestone

Study Start

First participant enrolled

December 2, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 5, 2026

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2029

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2029

Last Updated

January 21, 2026

Status Verified

January 1, 2026

Enrollment Period

3.6 years

First QC Date

November 25, 2025

Last Update Submit

January 19, 2026

Conditions

Keywords

cancersolid tumorsadvanced malignantcolorectal cancerhepatocellular cancergastric cancermelanoma

Outcome Measures

Primary Outcomes (2)

  • Number of participants with Dose Limiting Toxicities as assessed by NCI CTCAE v5.0 (excluding cytokine release syndrome, CRS).

    To evaluate the safety and tolerability of JMT108 to determine the dose and schedule to be used in phase 1b.

    through study completion, an average of 1 year

  • Number of participants with Tumor Response as assessed by RECIST version 1.1 criteria

    To evaluate preliminary efficacy of JMT108 injection as monotherapy in participants with advanced malignant tumors.

    through study completion, an average of 1 year

Secondary Outcomes (5)

  • JMT108 Pharmacokinetics: Area under the concentration time curve over the dosing interval

    through study completion, an average of 1 year

  • JMT108 Pharmacokinetics: Elimination half-life (t1/2)

    through study completion, an average of 1 year

  • JMT 108 Pharmacokinetics: Clearance (CL)

    through study completion, an average of 1 year

  • JMT108 Objective response rate (ORR)

    through study completion, an average of 1 year

  • JMT108 Immunogenicity: Number of participants with anti-drug-antibody (ADA)

    through study completion, an average of 1 year

Other Outcomes (3)

  • JMT 108 Pharmacodynamics: Changes in immune cell levels: CD8+ T cells, CD4+ T cells, NK cells, PD-1+ immune cells

    through study completion, an average of 1 year

  • JMT 108 Pharmacodynamics: Changes in cytokine levels (including but not limited to): IL-6, IL-8, TNF-α, IFN-γ

    through study completion, an average of 1 year

  • JMT108 Correlatives: Correlation of baseline PD-L1 expression with anti-tumor activity

    through study completion, an average of 1 year

Study Arms (3)

Phase 1a Dose Escalation

EXPERIMENTAL

In the dose escalation phase, dose escalation will be conducted using a BOIN design. A total of 4 dose levels-0.1 mg/kg, 0.3 mg/kg, 1 mg/kg, and 2 mg/kg-will be sequentially escalated.

Drug: JMT108

Phase 1a Dose Expansion

EXPERIMENTAL

During the dose escalation process, dose expansion and/or exploration of different dosing frequencies (e.g., Q3W) will be conducted for the dose level that the SMC evaluates as safe/ tolerable and where anti-tumor activity is also observed.

Drug: JMT108

Phase 1b Cohort Expansion

EXPERIMENTAL

Participants may be enrolled in the cohort expansion study with tumor types including but not limited to Cohort 1: lung cancer, Cohort 2: colorectal cancer, Cohort 3: hepatic cancer, Cohort 4: gastric cancer, Cohort 5: melanoma and Cohort 6: other malignant tumors (including cervical cancer, renal cancer, bile duct cancer, squamous cell head and neck cell cancer, etc.). Based on the results of Phase 1a, the SMC will discuss and determine the administration dose and frequency for the cohort expansion study. If necessary, several different doses/frequencies may be selected for cohort expansion.

Drug: JMT108

Interventions

JMT108DRUG

Administered by intravenous injection

Phase 1a Dose EscalationPhase 1a Dose ExpansionPhase 1b Cohort Expansion

Eligibility Criteria

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

You may qualify if:

  • Age ≥18 years
  • Participants with histologically or cytologically confirmed locally advanced or metastatic solid tumors who are unresponsive or intolerant to all standard of care or have no standard of care available
  • At least one evaluable tumor lesion according to RECIST v1.1.
  • ECOG performance status score ≤2.
  • Expected survival ≥ 3 months

You may not qualify if:

  • Active central nervous system metastases and/or leptomeningeal metastases
  • AEs from prior therapy which have not recovered to Grade ≤1 or baseline as per NCI CTCAE v5.0
  • Prior therapy
  • Any other unapproved investigational drugs or treatments within 4 weeks prior to the first dose of the investigational drug (C1D1).
  • Chemotherapy, radiotherapy, biological therapy, endocrine therapy, targeted therapy, immunotherapy, or other anti-tumor therapies within 4 weeks prior to the first dose of the investigational drug, except in the following situations:
  • Nitrosoureas or mitomycin C within 6 weeks prior to the first dose of the investigational drug;
  • Use of oral fluoropyrimidines and small-molecule targeted drugs within 2 weeks or 5 half-lives of the drug (whichever is longer) prior to the first dose of the investigational drug;
  • Use of herbal medicine/products with anti-tumor indications within 2 weeks prior to the first dose of the investigational drug.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Carolina BioOncology Institute

Huntersville, North Carolina, 28078, United States

RECRUITING

NEXT Dallas

Dallas, Texas, 75039, United States

RECRUITING

NEXT Virginia

Fairfax, Virginia, 22031, United States

RECRUITING

MeSH Terms

Conditions

NeoplasmsColorectal NeoplasmsLiver NeoplasmsStomach NeoplasmsMelanoma

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesLiver DiseasesStomach DiseasesNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsSkin DiseasesSkin and Connective Tissue Diseases

Central Study Contacts

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 25, 2025

First Posted

January 5, 2026

Study Start

December 2, 2025

Primary Completion (Estimated)

July 1, 2029

Study Completion (Estimated)

September 1, 2029

Last Updated

January 21, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Locations