NCT07591155

Brief Summary

This study is an open-label, multicenter, dose-escalation and expansion, non-randomized Phase I clinical study to evaluate the safety, tolerability, pharmacokinetic characteristics, and preliminary efficacy of BL-ARC002 for injection in patients with locally advanced or metastatic solid tumors.

Trial Health

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Trial Health Score

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

Enrollment
22

participants targeted

Target at P25-P50 for phase_1

Timeline
18mo left

Started May 2026

Geographic Reach
1 country

1 active site

Status
not yet 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 Progress4%
May 2026Dec 2027

Study Start

First participant enrolled

May 1, 2026

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

May 9, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 15, 2026

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

May 15, 2026

Status Verified

May 1, 2026

Enrollment Period

1.6 years

First QC Date

May 9, 2026

Last Update Submit

May 9, 2026

Conditions

Outcome Measures

Primary Outcomes (3)

  • Phase Ia: Dose limiting toxicity (DLT)

    DLTs are assessed according to NCI-CTCAE v5.0 during the first cycle and defined as occurrence of any of the toxicities in DLT definition if judged by the investigator to be possibly, probably or definitely related to study drug administration.

    Up to 42 days after the first dose

  • Phase Ia: Maximum tolerated dose (MTD)

    MTD is defined as the highest dose level at which no more than 1 in 6 participants experienced a DLT during the first cycle.

    Up to 42 days after the first dose

  • Phase Ib: Recommended Phase II Dose (RP2D)

    The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for phase II study, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation study of BL-ARC002.

    Up to approximately 24 months

Secondary Outcomes (11)

  • Treatment-Emergent Adverse Event (TEAE)

    Up to approximately 24 months

  • Cmax

    Up to approximately 24 months

  • Tmax

    Up to approximately 24 months

  • T1/2

    Up to approximately 24 months

  • AUC0-t

    Up to approximately 24 months

  • +6 more secondary outcomes

Study Arms (1)

BL-ARC002

EXPERIMENTAL

Participants receive BL-ARC002 for the first cycle (6 weeks). Participants with clinical benefit could receive additional treatment for more cycles. The administration will be terminated because of disease progression or intolerable toxicity occurring or other reasons.

Drug: BL-ARC002

Interventions

Administration by intravenous infusion for a cycle of 6 weeks.

BL-ARC002

Eligibility Criteria

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

You may qualify if:

  • Voluntarily sign the informed consent form and comply with the protocol requirements;
  • No gender restrictions;
  • Age: ≥18 and ≤75 years (Phase Ia); ≥18 years (Phase Ib);
  • Expected survival time ≥3 months;
  • Histopathologically and/or cytologically confirmed locally advanced or metastatic solid tumors that have failed standard treatment;
  • Agree to provide archived tumor tissue specimens or fresh tissue samples from the primary or metastatic lesions within the past 2 years;
  • Must have at least one measurable lesion as defined by RECIST v1.1;
  • Eastern Cooperative Oncology Group performance status of 0 or 1;
  • Toxicities from prior anti-tumor therapy must have recovered to ≤ Grade 1 as defined by NCI-CTCAE v5.0;
  • No severe cardiac dysfunction, with left ventricular ejection fraction ≥50%;
  • Organ function levels must meet the required criteria;
  • Coagulation function: International normalized ratio ≤1.5 and activated partial thromboplastin time ≤1.5 × upper limit of normal;
  • Urine protein ≤2+ or ≤1000 mg/24 hours;
  • For premenopausal women of childbearing potential, a pregnancy test must be performed within 7 days before starting treatment, with serum pregnancy test being negative, and they must not be breastfeeding; all enrolled patients (regardless of sex) must practice adequate barrier contraception throughout the entire treatment period and for 6 months after treatment completion.

You may not qualify if:

  • Use of chemotherapy, biotherapy, immunotherapy, etc., within 4 weeks or 5 half-lives prior to the first dose;
  • History of serious heart disease;
  • QT interval prolongation, complete left bundle branch block, or third-degree atrioventricular block;
  • Active autoimmune diseases and inflammatory diseases;
  • Diagnosis of another malignancy within 5 years prior to the first dose;
  • Hypertension inadequately controlled by two antihypertensive medications;
  • History of ILD requiring steroid therapy, current ILD, or ≥ Grade 2 radiation pneumonitis;
  • Active symptoms of central nervous system metastasis;
  • History of allergy to recombinant humanized or human-mouse chimeric antibodies, or allergy to any excipient component of BL-ARC002;
  • Prior organ transplantation or allogeneic hematopoietic stem cell transplantation;
  • Cumulative anthracycline dose \> 360 mg/m² from prior (neo)adjuvant anthracycline-based therapy;
  • Positive for human immunodeficiency virus antibody, active tuberculosis, active hepatitis B virus infection, or active hepatitis C virus infection;
  • Active infection requiring systemic therapy;
  • Participation in another clinical trial within 4 weeks prior to the first dose;
  • Pregnancy or breastfeeding;
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Location

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

May 9, 2026

First Posted

May 15, 2026

Study Start

May 1, 2026

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

May 15, 2026

Record last verified: 2026-05

Locations