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NCT Number: NCT06592638

A Phase 1 Dose Escalation Study of ZG006 in Patients With Small Cell Lung Cancer

This is a multi-center, open-label, Phase 1 clinical study of ZG006 in the US for the treatment of subjects with small cell lung cancer who have failed or are intolerant to available standard treatment. During the dose escalation stage, a standard "3+3" design will be used to assess the MTD/ recommended dose for the subsequent studies.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Zelgen Site 105, Orange, California, United States

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Small cell lung cancer (SCLC), who failed or intolerant to available standard treatments;
  • Tissue sample positive for DLL3 expression;
  • Life expectancy ≥ 3 months;
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1;
  • Female and Male patients must agree to use a reliable form of contraception during the study treatment period and for at least 6 months after the last dose of the study drug.

Exclusion criteria

  • Patients having received any of the following treatments:
  • Chemotherapy, biotherapy, endocrine therapy (except for hormone replacement), and biological targeted medicines ≤ 4 weeks before the study entry. Local palliative radiotherapy and a small molecule targeted therapy ≤ 2 weeks (or 5 half-lives, whichever is longer) before the study entry;
  • Systemic immunosuppressive medications, such as corticosteroid (doses > 10 mg/day prednisone or equivalent dose) within 14 days prior to the study entry;
  • Use of any vaccines against viral infections (COVID-19, influenza, varicella, etc.) within 4 weeks of study entry;
  • Patients received any blood transfusion, EPO, G-CSF, albumin infusion and renal replacement therapy within 14 days prior to study entry;
  • A history of severe, life-threatening immune-mediated adverse events or infusion-related reactions during previous anti-tumor immunotherapy, including events that led to permanent discontinuation of treatment;
  • Active infection (such as acute bacterial infection, tuberculosis, active hepatitis B/C, active syphilis, or active human immunodeficiency virus infection);
  • Known allergy to other mAbs or any antibody excipients; the history of a severe allergic reaction, anaphylactoid or other hypersensitivity reactions to humanized antibodies or fusion proteins;
  • A female who is pregnant or nursing;
  • Patients were deemed unsuitable for participating in the study by the investigator for any reason.

Treatment and study plan

ZG006

Drug

ZG006 will be administered as an intravenous (IV) infusion.

Primary outcomes

  1. The incidence of dose-limiting toxicity (DLT)

    Time frame: Up to 28 days

    An event is considered to be a DLT if the event occurs within the first 28 days of treatment and meets the dose-limiting toxicity criteria

  2. Maximum Tolerated Dose (MTD) of ZG006

    Time frame: Approximately 2 years

  3. Determine the Recommended Phase 2 Dose (RP2D)

    Time frame: Approximately 2 years

  4. Number of participants with adverse events (AEs)

    Time frame: Approximately 2 years

    The types and frequencies of adverse events (AEs) evaluated according to the National Cancer Institute Common Terminology Criteria for adverse events (NCI-CTCAE) version 5.0

  5. Number of participants with serious adverse events (SAEs)

    Time frame: Approximately 2 years

  6. Incidence of abnormal laboratory results

    Time frame: Approximately 2 years

Secondary outcomes

  1. Objective response rate (ORR)

    Time frame: Approximately 2 years

    ORR is defined as the percentage of participants achieving a confirmed complete response (CR) or partial response (PR) based on RECIST 1.1 criteria.

  2. Duration of response (DOR)

    Time frame: Approximately 2 years

    DOR is defined as the time from first evidence of response (CR or PR per RECIST 1.1) to earlier date of disease progression or death due to any cause

  3. Disease control rate (DCR)

    Time frame: Approximately 2 years

  4. Maximum plasma concentration (Cmax) of ZG006

    Time frame: Approximately 2 years

  5. Time to peak concentration (Tmax)

    Time frame: Approximately 2 years

  6. AUC from time zero to the last quantifiable concentration after dosing (AUC[0-t]) of ZG006

    Time frame: Approximately 2 years

  7. Terminal phase half-life (t1/2) of ZG006

    Time frame: Approximately 2 years

  8. Detection of anti-drug antibodies (ADA)

    Time frame: Approximately 2 years

Study contacts

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

Sponsors and collaborators

Lead sponsor

Suzhou Zelgen Biopharmaceuticals Co.,Ltd

Industry

Registry information

Official study title

A Phase 1 Dose Escalation Study of the Tolerability, Safety, Efficacy and Pharmacokinetics of ZG006 in Patients With Small Cell Lung Cancer

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Sep 19, 2024
Registry last updated
Aug 6, 2025

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

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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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