NCT07700667

Brief Summary

The purpose of this study is to evaluate the safety, tolerability and preliminary antitumor activity of SKB500 combinations in patients with Esophageal Squamous Cell Carcinoma. The study is divided into three parts: the safety run-in phase, randomized enrollment phase and cohort expansion phase.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for phase_2

Timeline
42mo left

Started Jul 2026

Typical duration for phase_2

Geographic Reach
1 country

23 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

First Submitted

Initial submission to the registry

July 8, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 14, 2026

Completed
16 days until next milestone

Study Start

First participant enrolled

July 30, 2026

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2029

Last Updated

July 14, 2026

Status Verified

July 1, 2026

Enrollment Period

2.4 years

First QC Date

July 8, 2026

Last Update Submit

July 8, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Objective Response Rate (ORR)

    Objective Response Rate (ORR) is the percentage of participants who achieved a best overall response of Complete Response (CR) or Partial Response (PR), assessed by investigator based on RECIST version 1.1.

    up to 24 months

  • Incidence and severity of adverse events (AEs) and serious adverse event(SAEs)

    Incidence and severity of adverse events (AEs) and serious adverse event(SAEs) graded by Common Terminology Criteria for Adverse Events (CTCAE) v6.0, as well as clinically significant abnormal laboratory findings.

    up to 24 months

Secondary Outcomes (7)

  • Progression-free survival (PFS)

    up to 24 months

  • Duration of response (DOR)

    up to 24 months

  • Disease control rate (DCR)

    up to 24 months

  • Overall Survival (OS)

    up to 24 months

  • Pharmacokinetic Parameter Maximum Plasma Concentration (Cmax) of SKB500-ADC, SKB500-TAB and free payload

    up to 24 months

  • +2 more secondary outcomes

Other Outcomes (1)

  • Biomarkers

    During the screening period, tumor tissue samples should be provided for PD-L1, B7-H3, SLFN11 testing

Study Arms (4)

Cohort 1. SKB500+Tislelizumab

EXPERIMENTAL

Participants will receive Tislelizumab followed by SKB500

Drug: SKB500Drug: Tislelizumab

Cohort 2. SKB500+Tislelizumab+5-FU

EXPERIMENTAL

Participants will receive Tislelizumab followed by SKB500, 5-FU

Drug: SKB500Drug: TislelizumabDrug: 5 - FU

Cohort 3. SKB500+Tislelizumab+ Cisplatin

EXPERIMENTAL

Participants will receive Tislelizumab followed by SKB500, Cisplatin

Drug: SKB500Drug: TislelizumabDrug: Cisplatin

Cohort 4. SKB500+Tislelizumab+ Cisplatin+5-FU

EXPERIMENTAL

Participants will receive Tislelizumab followed by SKB500, Cisplatin, 5-FU

Drug: SKB500Drug: TislelizumabDrug: CisplatinDrug: 5 - FU

Interventions

SKB500DRUG

SKB500 will be administered as an intravenous infusion(IV), every 3 weeks on Day 1 of each 21-day cycle.

Cohort 1. SKB500+TislelizumabCohort 2. SKB500+Tislelizumab+5-FUCohort 3. SKB500+Tislelizumab+ CisplatinCohort 4. SKB500+Tislelizumab+ Cisplatin+5-FU

Tislelizumab will be administered as an intravenous infusion(IV) every 3 weeks on Day 1 of each 21-day cycle .

Cohort 1. SKB500+TislelizumabCohort 2. SKB500+Tislelizumab+5-FUCohort 3. SKB500+Tislelizumab+ CisplatinCohort 4. SKB500+Tislelizumab+ Cisplatin+5-FU

Cisplatin will be administered as an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.

Cohort 3. SKB500+Tislelizumab+ CisplatinCohort 4. SKB500+Tislelizumab+ Cisplatin+5-FU
5 - FUDRUG

5-FU will be administered as an intravenous infusion(IV) every 3 weeks on Day 1-5 of each 21-day cycle.

Cohort 2. SKB500+Tislelizumab+5-FUCohort 4. SKB500+Tislelizumab+ Cisplatin+5-FU

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥18 years and ≤75 years
  • Histologically or cytologically confirmed unresectable locally advanced, recurrent or metastatic esophageal squamous cell carcinoma (ESCC), who are ineligible for curative-intent therapies:
  • Safety run-in phase (Cohort 1, 2 and 3): received no more than 1 prior line of systemic therapy for locally advanced or metastatic ESCC.
  • Safety run-in phase (Cohort 4), randomized enrollment phase and cohort expansion phase: no prior systemic therapy for locally advanced or metastatic ESCC.
  • Participants are required to provide tumor tissue samples for biomarker analysis.
  • Has at least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Life expectancy ≥ 12 weeks.

You may not qualify if:

  • Histology or cytology confirms the presence of concurrent adenocarcinoma components.
  • Leptomeningeal, brainstem, spinal, spinal cord compression, or active CNS metastases.
  • Risk of esophagotracheal/esophagopleural fistula, or symptomatic invasion/compression of vital organs/major blood vessels.
  • Active autoimmune disease requiring systemic therapy within past 2 years.
  • Weight loss ≥10% within 4 weeks prior to the first dose, or Nutritional Risk Index (NRI) \< 83.5.
  • Severe infection within 4 weeks or active infection requiring systemic treatment within 2 weeks pre-dose.
  • Uncontrolled comorbidities (e.g., decompensated liver cirrhosis, nephrotic syndrome, uncontrolled metabolic disorders, Grade ≥2 peripheral neuropathy).
  • Cardiovascular/cerebrovascular events within 6 months pre-dose (e.g., Myocardial Infarction, unstable angina, acute/persistent ischemia, Grade 3/4 Heart Failure, symptomatic/uncontrolled arrhythmia, Cerebrovascular Accident, Transient Ischemic Attack).
  • Uncontrolled hypertension, diabetes, or recurrent pleural/pericardial/abdominal effusion requiring drainage.
  • History of interstitial lung disease (ILD) or noninfectious pneumonitis that require steroid treatment, or currently has ILD/noninfectious pneumonitis.
  • Unresolved to grade ≤ 1 of prior anti-cancer treatment toxicities criteria per CTCAE v6.0.
  • Previously received B7-H3-targeted agents, including antibody, antibodydrug conjugate (ADC), and other agents.
  • Previously received treatment with an ADC that consists of a topoisomerase l inhibitor.
  • Pregnant or lactating women.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (23)

Jilin Cancer Hospital

Changchun, China

Location

Chengdu Fifth People's Hospital

Chengdu, China

Location

Sichuan Cancer Hospital & Institute

Chengdu, China

Location

West China Hospital, Sichuan University

Chengdu, China

Location

Chongqing University Three Gorges Hospital

Chongqing, China

Location

Fujian Cancer Hospital

Fuzhou, China

Location

Harbin Medical University Cancer Hospital

Ha’erbin, China

Location

Cancer Hospital of Shandong First Medical University

Jinan, China

Location

Yunnan Cancer Hospital

Kunming, China

Location

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, China

Location

The Second Affiliated Hospital of Nanchang University

Nanchang, China

Location

Jiangsu Cancer Hospital

Nanjing, China

Location

Jiangsu Province Hospital

Nanjing, China

Location

Guangxi Medical University Cancer Hospital

Nanning, China

Location

Cancer Hospital of Dalian University of Technology

Shenyang, China

Location

The Fourth Hospital of Hebei Medical University

Shijiazhuang, China

Location

Shiyan Renmin Hospital

Shiyan, China

Location

Shanxi Cancer Hospital

Taiyuan, China

Location

Tianjin Medical University Cancer Institute & Hospital

Tianjin, China

Location

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, China

Location

Yichang Central People's Hospital

Yichang, China

Location

Henan Cancer Hospital

Zhengzhou, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, China

Location

MeSH Terms

Conditions

Esophageal Squamous Cell Carcinoma

Interventions

tislelizumabCisplatinFluorouracil

Condition Hierarchy (Ancestors)

Carcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms, Squamous CellEsophageal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteHead and Neck NeoplasmsDigestive System DiseasesEsophageal DiseasesGastrointestinal Diseases

Intervention Hierarchy (Ancestors)

Chlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 8, 2026

First Posted

July 14, 2026

Study Start

July 30, 2026

Primary Completion (Estimated)

December 31, 2028

Study Completion (Estimated)

December 31, 2029

Last Updated

July 14, 2026

Record last verified: 2026-07

Locations