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NCT Number: NCT06166888

A Study of AK131 in Patients With Advanced Solid Tumors

This is a phase Ia/Ib study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of AK131 in advanced solid tumor patients

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Written and signed informed consent.
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
  • Life expectancy ≥3 months.
  • Histologically or cytologically documented unresectable advanced or metastatic malignant tumor that has failed or intolerant of standard therapy, or for which no effective standard therapy is available.
  • Subject must have at least one measurable lesion according to RECIST Version1.1.
  • Adequate organ function.
  • Female subjects of childbearing potential and male subjects with female partners of childbearing potential must agree to use effective barrier methods of contraception during the study and for 120 days after last dose of study drug.

Exclusion criteria

  • Any malignancy other than the disease under study within the past 3 years except for radically cured local cancers.
  • Being involved in another clinical study, except for observational clinical studies or follow-up period of interventional studies.
  • Receipt of any anti-CD73 treatment.
  • Anticancer therapy within 4 weeks prior to the first dose of investigational product.
  • Experienced a toxicity that led to permanent discontinuation of prior immunotherapy.
  • Subjects with spinal cord compression or active brain metastases, except for subjects with untreated and asymptomatic brain metastases or with stable brain metastases after treatment.
  • Subjects with pleural effusion, pericardial effusion, or ascites requiring repeated drainage.
  • Subjects whose imaging shows that the tumor has invaded important blood vessels or the investigator judges that the tumor is very likely to invade important blood vessels and cause fatal bleeding during the study.
  • Toxicities of prior anticancer therapy have not resolved to ≤ Grade 1.
  • Patients with clinically significant cardio-cerebrovascular disease.
  • Active autoimmune diseases or history of autoimmune diseases that may relapse.
  • History of interstitial lung disease or noninfectious pneumonitis.
  • Major surgery, trauma,unhealed wound, ulcer or fracture within 4 weeks prior to first dose of investigational product.
  • Any condition that required systemic treatment with corticosteroids or other immunosuppressive agents within 14 days prior to the first dose of investigational product.
  • Receipt of live attenuated vaccines within 4 weeks prior to the first dose of investigational product.
  • Known allergy or reaction to any component of the AK131 formulation.
  • Previous organ transplantation or allogeneic hematopoietic stem cell transplantation.
  • Any other conditions that, in the opinion of the Investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results.

Treatment and study plan

AK131

Drug

AK131 is an anti-PD-1 and CD73 bispecific antibody

Primary outcomes

  1. Number of subjects with dose limiting toxicities (DLTs)

    Time frame: During the first 4 weeks

    DLTs will be assessed during the first 4 weeks of treatment. DLTs are defined as toxicities that meet pre-defined severity criteria, and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the DLT observation period.

  2. Number of subjects with adverse events (AEs)

    Time frame: From the time of informed consent signed through 90 days after the last dose of study drug

    AE refers to any untoward medical occurrence or deterioration of existing medical event after the subject signed the ICF, whether or not considered related to the study treatment.

Secondary outcomes

  1. Serum PK concentration of AK131

    Time frame: From first dose of study drug through 30 days after last dose of study drug

    Serum PK concentration of AK131 in individual subjects at different time points after AK131 administration

  2. Number of subjects who develop detectable anti-drug antibodies (ADAs)

    Time frame: From first dose of study drug through 30 days after last dose of study drug

    The immunogenicity of AK131 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs)

  3. Objective response rate (ORR)

    Time frame: Up to approximately 2 years

    ORR is defined as the proportion of subjects with confirmed CR or confirmed PR (based on RECIST Version 1.1).

  4. Disease control rate (DCR)

    Time frame: Up to approximately 2 years

    DCR is defined as the proportion of subjects with CR, PR, or SD (based on RECIST Version 1.1).

  5. Progression-free survival (PFS)

    Time frame: Up to approximately 2 years

    PFS is defined as the time from the start of treatment until the first documentation of disease progression (based on RECIST Version 1.1) or death due to any cause, whichever occurs first.

  6. Time to response (TTR)

    Time frame: Up to approximately 2 years

    TTR is defined as the time from the start of the treatment to the first objective tumor response observed for patients who achieved CR or PR (based on RECIST Version 1.1).

  7. Duration of Response (DoR)

    Time frame: Up to approximately 2 years

    DoR is defined as the duration from the first documentation of objective response to the first documented disease progression (based on RECIST Version 1.1) or death due to any cause, whichever occurs first.

  8. Overall survival (OS)

    Time frame: Up to approximately 2 years

    OS defined as the time from the first dose to death from any cause.

Study contacts

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

Ting Liu, MD

CONTACT

[email protected]

+86(0760)8987 3999

Sponsors and collaborators

Lead sponsor

Akeso

Industry

Registry information

Official study title

A Phase Ia/Ib, Multicenter and Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Anti-tumor Activity of Anti-PD-1 and CD73 Bispecific Antibody AK131 in Patients With Advanced Solid Tumors

Important dates

Study start
2024
Primary completion
2026
Study completion
2028
First posted
Dec 12, 2023
Registry last updated
Jan 17, 2024

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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