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NCT Number: NCT07622524

A Phase I Study of CS5007 in Participants With Advanced Solid Tumors

This is a first-in-human (FIH), open-label, and multi-center Phase I study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity of CS5007 as monotherapy in participants with advanced solid tumors. The study is comprised of a Phase Ia dose escalation and Phase Ib dose expansion.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Evidence of a personally signed and dated informed consent document.
  • Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Being ≥ 18 years of age on the day of signing informed consent.
  • Pathologically or cytologically confirmed, unresectable advanced solid tumors.
  • Participants must have at least one measurable lesion according to RECIST Version1.1.
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
  • Adequate organ function.
  • Life expectancy ≥ 3 months.
  • Fertile men and women of childbearing potential must agree to use an effective method of birth control from providing signed consent and for 180 days after the last study drug administration

Exclusion criteria

  • Has disease that is suitable for local treatment administered with curative intent.
  • Has a history of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
  • Known primary central nervous system (CNS) tumor or solid tumor CNS metastasis that is symptomatic, untreated, or requires therapy.
  • Has life-threatening bleeding event or severe bleeding within 3 months prior to first dose.
  • Has uncontrolled pleural effusion, pericardial effusion, or ascites.
  • Has immune deficient disease or received systemic immunosuppressive treatment.
  • Has intestinal obstruction,or history of inflammatory bowel disease,or chronic diarrhea.
  • Has history of (non-infectious) interstitial lung disease/pneumonitis that required steroids.
  • Has active infections requiring systemic therapy.
  • Has significant cardiovascular disease or cerebrovascular accident within specified timeframes prior to first dose.
  • Insufficient washout from prior anti-tumor therapy.
  • Received live vaccine within 28 days prior to first dose.
  • History of allogeneic organ or hematopoietic stem cell transplantation.
  • History of hypersensitivity to excipients of study drug or any monoclonal antibody.
  • Any toxic effects of prior therapy unresolved to Grade ≤1.
  • Active alcohol or drug abuse.
  • Pregnant or breastfeeding women.
  • Other acute or chronic medical or psychiatric conditions that may increase risk or interfere with study results, in the investigator's judgment.

Treatment and study plan

CS5007

Drug

CS5007 will be administered via intravenous (IV) infusion on Day 1 of repeated 21-day cycles (Q3W).

Primary outcomes

  1. [Dose Escalation] Maximum tolerated dose (MTD) of CS5007

    Time frame: Cycle 1 (Up to 21 Days)

    Participants will receive CS5007 via intravenous (IV) infusion on Day 1 of repeated 21-day cycles (Q3W). The MTD will be determined, if any, by the number of participants who experience a dose limiting toxicity (DLT).

  2. [Dose Escalation] Tentative recommended Phase II dose (RP2D) of CS5007

    Time frame: Up to approximately 2 years

    The selection of tentative RP2D will be based on consideration of overall safety information together with available pharmacokinetic, pharmacodynamic, and efficacy data. The tentative RP2D may be the MTD or a lower dose within the tolerable dose range.

  3. [Dose Escalation] The incidence and severity of adverse events (AEs)

    Time frame: Up to approximately 2 years

  4. [Dose Expansion] Objective response rate (ORR) evaluated by investigators per RECIST v1.1

    Time frame: Up to approximately 2 years

Secondary outcomes

  1. [Dose Escalation & Expansion] Area under the curve (AUC) of CS5007

    Time frame: Up to approximately 2 years

  2. [Dose Escalation & Expansion] Maximum concentration (Cmax) of CS5007

    Time frame: Up to approximately 2 years

  3. [Dose Escalation & Expansion] Time to maximum concentration (Tmax) of CS5007

    Time frame: Up to approximately 2 years

  4. [Dose Escalation & Expansion] Elimination half-life (t1/2) of CS5007

    Time frame: Up to approximately 2 years

  5. [Dose Escalation & Expansion] Clearance (CL) of CS5007

    Time frame: Up to approximately 2 years

  6. [Dose Escalation & Expansion] Volume of distribution (Vz) of CS5007

    Time frame: Up to approximately 2 years

  7. [Dose Escalation & Expansion] Trough concentration (Ctrough) of CS5007

    Time frame: Up to approximately 2 years

  8. [Dose Escalation & Expansion] Accumulation ratio (R) of CS5007

    Time frame: Up to approximately 2 years

  9. [Dose Escalation & Expansion] Number of participants with anti-CS5007 antibodies

    Time frame: Up to approximately 2 years

  10. [Dose Escalation] Objective response rate (ORR) evaluated by investigators per RECIST v1.1

    Time frame: Up to approximately 2 years

  11. [Dose Escalation & Expansion] Duration of response (DOR) evaluated by investigators per RECIST v1.1

    Time frame: Up to approximately 2 years

  12. [Dose Escalation & Expansion] Disease control rate (DCR) evaluated by investigators per RECIST v1.1

    Time frame: Up to approximately 2 years

  13. [Dose Expansion] The incidence and severity of adverse events (AEs)

    Time frame: Up to approximately 2 years

Study contacts

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

Sponsors and collaborators

Lead sponsor

CStone Pharmaceuticals

Industry

Registry information

Official study title

A Phase I, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Anti Tumor Activities of CS5007, a Novel EGFR and HER3 Bispecific Antibody-Drug Conjugate, in Participants With Advanced Solid Tumors

Important dates

Study start
2026
Primary completion
2028
Study completion
2029
First posted
Jun 3, 2026
Registry last updated
Jun 18, 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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