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NCT Number: NCT07607054

A First-in-human Phase I Study to Evaluate EMB-15 in Patients With Locally Advanced or Metastatic Solid Tumors.

The primary purpose of this study is to evaluate safety and tolerability profile of EMB-15, identify the recommended Phase 2 dose(s) (RP2Ds) for EMB-15. Pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity, and the anti-tumor activity of EMB-15 will also be assessed.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Sixth Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, 510655, China

Location status: Recruiting

Location contact

Mingfei Zhang

CONTACT

[email protected]

86-21-61951000

About this study

This is a first-in-human (FIH), open-label, Phase I, multicenter dose escalation study to identify the RP2D and to evaluate the safety, tolerability, pharmacokinetics, and antitumor activities of EMB-15 in adult patients with locally advanced/metastatic solid tumors who have progressed on available standard of care or for which no standard therapy exists.This is an open-label, non-randomized dose-escalation study comprising a dose-escalation phase and a dose-expansion phase. It's planned to recruit approximately 50 patients (the final number will be determined depending on the number of dose levels) with locally advanced or metastatic solid tumors. The trial consists of a screening period (Day -28 to Day -1), a step-up dose period (applicable only to doses with higher CRS risk, lasting 7 days or longer), a treatment period (28 days per cycle, up to 2 years), and a safety follow-up period (30 days after the last dose).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 1) Able to understand and willing to sign an ICF 2) Males or females with the age ≥ 18 years 3) Life expectancy > 3 months. 4) ECOG performance status 0 or 1 5) Patients must have histologically or cytologically confirmed locally advanced or metastatic solid tumors, without standard therapy.
  • Patients must provide archived tumor samples collected within 1 year. 7) Adequate hematological and organ function.

Exclusion criteria

  • Patients meeting any of the following criteria will not be enrolled:
  • Any prior ALPP/ALPG targeting therapy
  • Has received anticancer therapy, radiotherapy, or investigational drug within < 5 half-lives or 4 weeks (whichever is shorter) prior to study treatment;
  • Active autoimmune disease or history of autoimmune disease
  • Concurrent malignancy < 5 years prior to study entry
  • active infection
  • Severe or uncontrolled cardiovascular disease requiring treatment
  • Other severe medical conditions

Treatment and study plan

EMB-15

Biological

EMB-15 is a recombinant humanized bi-specific antibody against ALPP/ALPG and CD3

Primary outcomes

  1. incidence and severity of adverse events as assessed by CTCAE v6.0 and ASTCT.

    Time frame: Screening up to follow-up (30 days after the last dose)

    Incidence and severity of AE.

  2. Incidence of serious adverse events (SAE)

    Time frame: Screening up to follow-up (30 days after the last dose)

    Incidence of SAE.

  3. Incidence of dose interruptions

    Time frame: Screening up to follow-up (30 days after the last dose)

    Incidence of dose interruptions of EMB-15 during treatment as a measure of tolerability.

  4. Dose intensity

    Time frame: Screening up to follow-up (30 days after the last dose)

    Actual amount of drug taken by patients divided by the planned amount.

  5. The incidence of DLTs during the DLT evaluation period.

    Time frame: First infusion to the end of Cycle 1 (each cycle is 28 days)

    The Dose Limiting Toxicities (DLTs) are based on drug related adverse events and are specifically defined in study protocol.

Secondary outcomes

  1. Area under the serum concentration-time curve (AUC) of EMB-15

    Time frame: Through treatment until EOT visit, expected average 6 months

    Blood samples for serum PK analysis will be obtained (AUC).

  2. Maximum serum concentration (Cmax) of EMB-15

    Time frame: Through treatment until EOT visit, expected average 6 months

    Blood samples for serum PK analysis will be obtained (Cmax)

  3. Trough concentration (Ctrough) of EMB-15

    Time frame: Through treatment until EOT visit, expected average 6 months

    Blood samples for serum PK analysis will be obtained (Ctrough)

  4. Average concentration over a dosing interval (Css, avg)of EMB-15

    Time frame: Through treatment until EOT visit, expected average 6 months

    Blood samples for serum PK analysis will be obtained (Css, avg).

  5. Terminal half-life (T1/2) of EMB-15

    Time frame: Through treatment until EOT visit, expected average 6 months.

    Blood samples for serum PK analysis will be obtained (T1/2)

  6. Systemic clearance (CL) of EMB-15

    Time frame: Through treatment until EOT visit, expected average 6 months.

    Blood samples for serum PK analysis will be obtained (CL).

  7. Steady state volume of distribution (Vss) of EMB-15

    Time frame: Through treatment until EOT visit, expected average 6 months

    Blood samples for serum PK analysis will be obtained (Vss).

  8. Progression free survival (PFS) of EMB-15 as assessed by RECIST 1.1

    Time frame: From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months

    Preliminary anti-tumor activity of EMB-15 will be obtained (PFS).

  9. Duration of response of EMB-15 as assessed by RECIST 1.1

    Time frame: From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months

    Preliminary anti-tumor activity of EMB-15 will be obtained (DOR).

  10. Incidence and titer of anti-drug antibodies stimulated by EMB-15

    Time frame: Up to End of Treatment Follow Up Period (30 days after the last dose)

    Antibodies to EMB-15 will be assessed to evaluate potential immunogenicity.

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Shanghai EpimAb Biotherapeutics Co., Ltd.

Industry

Registry information

Official study title

A First-in-Human, Phase I, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetic Characteristics, and Preliminary Antitumor Activity of EMB-15 in Patients With Locally Advanced or Metastatic Solid Tumors

Important dates

Study start
2026
Primary completion
2029
Study completion
2029
First posted
May 26, 2026
Registry last updated
Jun 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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