A Study of FG-B901 Monotherapy or Combination With Chemotherapy in Advanced or Metastatic Solid Tumors
An Open-Label, Multicenter Phase I/II Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of FG-B901 Injection as Monotherapy and in Combination With Standard or Investigator-Determined Chemotherapy in Subjects With Unresectable Locally Advanced or Metastatic Solid Tumors
1 other identifier
interventional
264
1 country
1
Brief Summary
FG-B901 is a recombinant humanized IgG2 bispecific antibody targeting PD-L1 and CD40. It is designed to provide PD-L1-dependent CD40 agonism, thereby enhancing selectivity for the tumor microenvironment and reducing systemic toxicity compared with conventional CD40 agonists. Preclinically, FG-B901 promotes antigen-presenting cell activation and synergizes with PD-L1/PD-1 blockade to potentiate T-cell anti-tumor immunity. This is an open-label, multicenter phase I/II trial in subjects with unresectable locally advanced or metastatic solid tumors. The primary objectives are to evaluate the safety, tolerability, and pharmacokinetics of FG-B901 as monotherapy and in combination with chemotherapy. Secondary objectives include preliminary anti-tumor efficacy (e.g., objective response rate, disease control rate, progression-free survival, and overall survival).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jul 2026
Typical duration for phase_1
1 active site
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
First Submitted
Initial submission to the registry
May 29, 2026
CompletedFirst Posted
Study publicly available on registry
June 3, 2026
CompletedStudy Start
First participant enrolled
July 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2029
June 3, 2026
May 1, 2026
1.4 years
May 29, 2026
May 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Safety assessed by Adverse Events (AEs)
An AE is any adverse medical event that occurs during a clinical study, whether or not related with medicinal product, including signs, symptoms, abnormal laboratory test results and diseases. The incidence and severity of AEs during the clinical study are recorded and analyzed.
Up to 24 months
Maximum Tolerated Dose (MTD)
MTD
21 days
Secondary Outcomes (8)
Objective Response Rate (ORR)
Up to 24 months
Disease control rate (DCR)
Up to 24 months
Progression Free Survival (PFS)
Up to 24 months
Duration Of Response (DOR)
Up to 24 months
Overall Survival (OS)
Up to 24 months
- +3 more secondary outcomes
Study Arms (4)
Monotherapy Dose Escalation Cohort
EXPERIMENTALNine dose levels of FG-B901 will be tested according to an accelerated titration method followed by a adaptive BOIN design.
Monotherapy Dose Expansion Cohort
EXPERIMENTALOnce the effective dose has been determined, 1\~2 expansion cohorts will be opened to evaluate the efficacy and safety of the selected dose.
Combined-therapy Dose Escalation Cohort
EXPERIMENTALThree dose levels of FG-B901 will be tested according to an accelerated titration method followed by a adaptive BOIN design.
Combined-therapy Dose Expansion Cohort
EXPERIMENTALOnce the effective dose has been determined, 1\~2 expansion cohorts will be opened to evaluate the efficacy and safety of the selected dose.
Interventions
Accelerated titration method, IV infusion Q3W; Adaptive BOIN design, IV infusion Q3W. (21-day cycles)
standard or investigator-determined chemotherapy depending on the type of tumors.
Eligibility Criteria
You may qualify if:
- Voluntarily sign the informed consent form, understand the study, are willing to comply with and have the ability to complete all trial procedures;
- Age 18-75 years (inclusive), any gender;
- Have histologically or cytologically confirmed locally advanced or metastatic solid tumors, and have failed standard therapy, or are intolerant to standard therapy, or for whom standard therapy is not available;
- Able to provide tumor tissue specimens and peripheral blood samples that meet testing requirements, or provide prior test reports that meet the requirements;
- ECOG performance status of 0 or 1;
- Expected survival ≥3 months;
- Have at least one measurable tumor lesion according to RECIST 1.1 criteria;
- Adequate cardiac, bone marrow, liver, renal function;
You may not qualify if:
- Have received a live vaccine within 3 months prior to randomization;
- Have received radiotherapy within 4 weeks prior to randomization;
- Have received other anti-tumor drug therapy within 4 weeks or within 5 half-lives of the anti-tumor drug prior to randomization;
- Have undergone major surgery within 4 weeks prior to randomization;
- Have received any clinical study drug treatment within 4 weeks prior to randomization;
- Have undergone major surgery within 4 weeks prior to randomization;
- Have a history of other (non-study tumor) malignancies within 3 years prior to randomization;
- Have received any organ transplant or bone marrow transplant;
- Have previously received any tumor necrosis factor receptor (TNFR) agonist antibody therapy, such as anti-CD40, anti-OX40, anti-CD137, anti-CD27, anti-CD357 antibodies, etc;
- Have experienced Grade ≥3 immune-related adverse events (irAEs) from prior immunotherapy;
- Have a history of severe allergic reactions or are allergic to the investigational drug (FG-B901);
- Have a history of central nervous system metastases and/or carcinomatous meningitis;
- Have adverse reactions from prior treatments that have not recovered to CTCAE v5.0 Grade ≤1 (excluding alopecia and anemia) prior to randomization;
- Have a history of severe respiratory disease;
- Have experienced a clinically significant cardiac disease within 6 months before the first dose of study drug;
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Fudan University Shanghai Cancer Center
Shanghai, China
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
May 29, 2026
First Posted
June 3, 2026
Study Start
July 1, 2026
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
July 1, 2029
Last Updated
June 3, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share