NCT07700160

Brief Summary

This is a multicenter, open-label, multiple-dose, FIH Phase 1/2a trial. The Phase 1 portion uses Bayesian optimal interval (BOIN) design to escalate and determine the MTD and/or RP2D with potential backfill cohorts. The Phase 2a portion consists of dose optimization followed by cohort expansion to confirm safety and tolerability and to further evaluate the efficacy of the selected RP2D in selected solid tumor malignancies for VBC108.

Trial Health

67
Monitor

Trial Health Score

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

Enrollment
230

participants targeted

Target at P75+ for phase_1

Timeline
38mo left

Started Jul 2026

Typical duration for phase_1

Geographic Reach
3 countries

12 active sites

Status
not yet 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 Progress2%
Jul 2026Sep 2029

First Submitted

Initial submission to the registry

July 7, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 13, 2026

Completed
Same day until next milestone

Study Start

First participant enrolled

July 13, 2026

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 7, 2029

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 17, 2029

Last Updated

July 13, 2026

Status Verified

July 1, 2026

Enrollment Period

3 years

First QC Date

July 7, 2026

Last Update Submit

July 7, 2026

Conditions

Outcome Measures

Primary Outcomes (4)

  • Incidence of dose-limiting toxicities (DLT) as defined in the protocol

    Number of patients with at least 1 dose-limiting toxicity (DLT), which is any toxicity defined as a DLT in the Clinical Study Protocol

    From time of first dose of VBC108 to end of DLT period ( 21 days)

  • Incidence of Serious Adverse Events

    Number of patients with serious adverse events by system organ class and preferred term

    From time of Informed Consent to 30 days post last dose of VBC108

  • Incidence of Adverse Events (AEs)

    Number of patients with adverse events by system organ class and preferred term

    From time of Informed Consent to 30 days post last dose of VBC108

  • Objective Response Rate (ORR)

    The percentage or number of patients with a confirmed investigator assessed complete or partial response according to response criteria in solid tumours (RECIST v1.1)

    From first dose of VBC108 to disease progression or death, up to approximately 2 years

Study Arms (6)

VBC108 Dose Level 1

EXPERIMENTAL

Phase 1 dose escalation and backfill: VBC108 at Dose Level 1

Drug: VBC108

VBC108 Dose Level 2

EXPERIMENTAL

Phase 1 dose escalation and backfill: VBC108 at Dose Level 2

Drug: VBC108

VBC108 Dose Level 3

EXPERIMENTAL

Phase 1 dose escalation and backfill: VBC108 at Dose Level 3

Drug: VBC108

VBC108 Dose Level 4

EXPERIMENTAL

Phase 1 dose escalation and backfill: VBC108 at Dose Level 4

Drug: VBC108

VBC108 Dose Level 5

EXPERIMENTAL

Phase 1 dose escalation and backfill: VBC108 at Dose Level 5

Drug: VBC108

VBC108 Dose Level recommended Phase 2 dose (RP2D)

EXPERIMENTAL

Phase 2a expansion cohort: VBC108 at recommended Phase 2 dose (RP2D) across tumor-specific cohorts

Drug: VBC108

Interventions

VBC108DRUG

VBC108

VBC108 Dose Level 1VBC108 Dose Level 2VBC108 Dose Level 3VBC108 Dose Level 4VBC108 Dose Level 5VBC108 Dose Level recommended Phase 2 dose (RP2D)

Eligibility Criteria

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

You may qualify if:

  • The participant or the participant's legally acceptable representative is willing and able to provide a written ICF before initiating any trial procedure.
  • Histologically or cytologically confirmed unresectable advanced/metastatic solid tumor .
  • At least one measurable lesion as assessed by the investigator according to RECIST v1.1 criteria.
  • Male or female adults (defined as ≥ 18 years of age).
  • ECOG performance status 0-1.
  • Life expectancy greater than 12 weeks.
  • Archived tumor tissue sample available or able to undergo a fresh biopsy collection.
  • Adequate organ and bone marrow function.
  • Participants must meet the minimum washout period requirements before the first dose of investigational drug.

You may not qualify if:

  • Any unresolved toxicity of Grade ≥2 from previous anti-cancer treatment.
  • Known or suspected brain metastases, or spinal cord compression.
  • Prior treatment with an ADC targeting CLDN18.2x CDH17 bispecific ADC.
  • Prior treatment with any ADC carrying a topoisomerase I inhibitor (TOP1i) payload.
  • Prior treatment with CLDN18.2 targeting CAR-T.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

City of Hope Medical Center

Duarte, California, 91010, United States

Location

START Midwest, LLC

Grand Rapids, Michigan, 49546, United States

Location

Laura and Issac Perlmutter Cancer Center

New York, New York, 10016, United States

Location

Next Oncology - Oncology

San Antonio, Texas, 78229, United States

Location

NEXT Oncology Virginia

Fairfax, Virginia, 22031, United States

Location

GenesisCare North Shore

St Leonards, New South Wales, 2065, Australia

Location

One Clinical Research

Perth, Western Australia, 6009, Australia

Location

Beijing Cancer Hospital

Beijing, Beijing Municipality, 100142, China

Location

Beijing GoBroad Hospital

Beijing, Beijing Municipality, 102200, China

Location

Zhongshan Hospital

Shanghai, Shanghai Municipality, 200032, China

Location

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310009, China

Location

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, 310022, China

Location

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

July 7, 2026

First Posted

July 13, 2026

Study Start

July 13, 2026

Primary Completion (Estimated)

July 7, 2029

Study Completion (Estimated)

September 17, 2029

Last Updated

July 13, 2026

Record last verified: 2026-07

Locations