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NCT Number: NCT06763159

A Study of HS-20124 in Patients with Advanced Solid Tumors

HS-20124 is a novel DAR-8 antibody-drug conjugate (ADC) targeting CDH6. In preclinical studies, it inhibited tumor cell growth expressing CDH6 in vitro and in vivo. The first-in-human trial is conducted to assess the maximum tolerated dose (MTD) and dose limiting toxicity (DLT), to evaluate the pharmacokinetics, safety and preliminary anti-tumor activity of HS-20124 in Patients With Advanced Solid Tumors.

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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

Affiliated Cancer Hospital of Fudan University

Shanghai, Shanghai Municipality, 201321, China

Location status: Recruiting

Location contact

About this study

This is a Phase 1a/1b open-label, multicenter study with dose escalation and dose expansion cohorts to evaluate the safety, tolerability, PK and preliminary efficacy of HS-20124 in patients with advanced solid tumors.

The dose escalation will utilize rolling-6 design. In phase of dose expansion, preliminary efficacy will be evaluated in planned expansion cohorts that include patients with specific advanced solid tumor types.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • At least age of 18 years at screening;
  • Histologically or cytologically confirmed, locally advanced or metastatic solid tumors for which standard treatment either does not exist or has proven ineffective or unavailable or intolerable
  • At least one extra-cranial measurable lesion according to RECIST 1
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0~1
  • Life expectancy >= 12 weeks
  • Men or women should be using adequate contraceptive measures throughout the study;
  • Females subjects must not be pregnant at screening or have evidence of non-childbearing potential
  • Signed and dated Informed Consent Form

Exclusion criteria

1.Treatment with any of the following:

  • Previous or current treatment with CDH6 targeted therapy
  • Any cytotoxic chemotherapy and small molecule targeted anticancer drugs within 21 days or five half-livesprior to the first scheduled dose of HS-20124
  • Prior treatment with a monoclonal antibody or investigational agents within 28 days prior to the first scheduled dose of HS-20124
  • Radiotherapy with a limited field of radiation for palliation within 2 weeks, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks prior to the first scheduled dose of HS-20124
  • Major surgery within 4 weeks prior to the first scheduled dose of HS-20124 2. Subjects with previous or concurrent malignancies 3. Inadequate bone marrow reserve or organ dysfunction 4. Evidence of cardiovascular risk 5. Evidence of current severe or uncontrolled systemic diseases 6. Evidence of mucosal or internal bleeding within 1 month prior to the first scheduled dose of HS-20124 7. Severe infection within 4 weeks prior to the first scheduled dose of HS-20124 8. Subjects with current infectious diseases 9. History of neuropathy or mental disorders 10. Pregnant or lactating female 11. History of severe hypersensitivity reaction, severe infusion reaction or idiosyncrasy to drugs chemically related to HS-20124 or any of the components of HS-20124

Treatment and study plan

HS-20124 (Phase Ia:Dose escalation )

Drug

Participants will receive HS-20124 in 21 day dosing cycles. Participants will continue treatment until the end of the study in the absence of unacceptable toxicities and unequivocal disease progression.

HS-20124 (Phase Ib: Dose expansion)

Drug

Participants will receive HS-20124 in 21 day dosing cycles. Participants will continue treatment until the end of the study in the absence of unacceptable toxicities and unequivocal disease progression.

Primary outcomes

  1. Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of complete response (CR) an

    Time frame: 3 weeks after initiation of treatment

    To determine the MTD/MAD for further evaluation of IV administration of HS-20124 in subjects with advanced solid tumors

  2. Ⅰb (Dose-Expansion Stage): Objective response rate (ORR) determined by investigators according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

    Time frame: From the first dose up to PD or withdrawal from study, whichever came first.

    Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of complete response (CR) and partial response (PR) [Confirmed CR/PR assessment require at least one repeat (≥4 weeks)]

Secondary outcomes

  1. Incidence and severity of treatment-emergent adverse events

    Time frame: From the first dose through 30 days post end of treatment

    AE assessed by investigator exclusively related to subject's underlying disease or medical condition [graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0]. Any untoward medical occurrence in a clinical study participant, whether or not considered related to the medicinal product. Incidence and severity of AEs are assessed according to vital signs, laboratory variables, physical examination, electrocardiogram, etc.

  2. Observed maximum plasma concentration (Cmax)

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

    Cmax will be obtained following administration of the first dose of HS-20124 during the first cycle

  3. Time to reach maximum plasma concentration (Tmax)

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

    Tmax will be obtained following administration of the first dose of HS-20124 during the first cycle

  4. Terminal half-life (T1/2)

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

    Apparent terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by λz.

  5. Percentage of participants with antibodies to HS-20124 in serum

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

    Serum samples were collected for the determination of anti-drug antibody (ADA) at designated time points

  6. ORR determined by investigators according to RECIST 1.1 (dose-escalation stage)

    Time frame: during the intervention

    Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of CR and PR (Confirmed CR/PR assessment require at least 1 repeat).

  7. Duration of response (DOR) determined by investigators according to RECIST 1.1

    Time frame: during the intervention

    DoR was defined as the period from the first occurrence of CR or PR to PD or death from any cause. If no PD or death after CR/PR, the cut-off date of progression-free survival (PFS) would be used [Confirmed CR/PR assessment require at least one repeat (≥4 weeks)].

  8. Progression-free survival (PFS) determined by investigators according to RECIST 1.1

    Time frame: From the randomization/first dose up to PD or death, whichever came first

    Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). PFS was defined as the time from random assignment (dose expansion stage) or first dose (dose escalation stage) to PD or death from any cause

Study contacts

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

Xiaohua Wu, Doctor

CONTACT

[email protected]

021-64175590-88503

Sponsors and collaborators

Lead sponsor

Hansoh BioMedical R&D Company

Industry

Registry information

Official study title

A Phase I, Open-label, Multicenter Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Efficacy of HS-20124 in Patients with Advanced Solid Tumors

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Jan 8, 2025
Registry last updated
Jan 8, 2025

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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