A Study of JSKN027 in Patients With Advanced Solid Tumors

This is a first-in-human, open-label, multicenter Phase 1 (Ia/Ib) clinical study conducted in China to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary antitumor activity of JSKN027 in patients with advanced malignant solid tumors, and to determine the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D).

The study consists of two parts: a dose-escalation phase (Part Ia) and a dose-expansion phase (Part Ib). In Part Ia, an accelerated titration design followed by an i3+3 dose-escalation design will be used to evaluate multiple dose levels of JSKN027 and assess its safety and tolerability. In Part Ib, multiple expansion cohorts will be enrolled based on tumor type to further evaluate the safety and preliminary efficacy of JSKN027 at selected dose levels. Initial expansion cohorts are planned for patients with colorectal cancer (CRC), non-small cell lung cancer (NSCLC), and hepatocellular carcinoma (HCC).

Inclusion criteria

• Age ≥ 18 years at the time of signing the ICF.
• ECOG performance status 0-1.
• Estimated life expectancy ≥ 3 months.
• Histologically or cytologically confirmed advanced or metastatic malignant solid tumor.
• For dose escalation (Part Ia): disease has progressed on standard therapy.
• For dose expansion (Part Ib): participants with prespecified tumor types (e.g., colorectal cancer, non-small cell lung cancer, hepatocellular carcinoma, and other selected solid tumors) who have progressed on standard therapy.
• At least one measurable extracranial lesion per RECIST v1.1.
• Adequate bone marrow function within 7 days prior to enrollment (e.g., ANC ≥ 1.5×10^9/L, hemoglobin ≥ 90 g/L, platelets ≥ 100×10^9/L).
• Adequate hepatic function within 7 days prior to enrollment (e.g., total bilirubin, AST/ALT, ALP within protocol-defined limits; albumin ≥ 30 g/L).
• Adequate renal function within 7 days prior to enrollment (e.g., serum creatinine ≤ 1.5×ULN or creatinine clearance ≥ 60 mL/min; urine protein within acceptable limits).
• Adequate coagulation function within 7 days prior to enrollment (e.g., PT/INR and aPTT within protocol-defined limits).
• Adequate cardiac function (e.g., LVEF ≥ 50%).
• Women of childbearing potential must have a negative pregnancy test within 7 days prior to enrollment.
• Participants of reproductive potential agree to use highly effective contraception from ICF signing until 7 months after the last dose.

Exclusion criteria

• Active central nervous system (CNS) disease (e.g., active brain metastases or leptomeningeal disease).
• Received an investigational agent within 28 days or 5 half-lives (whichever is shorter) prior to first dose.
• Major surgery within 28 days prior to first dose or planned major surgery during the study.
• History of severe immune-related adverse events or prior toxicity that would preclude safe participation, as judged by the investigator.
• Significant gastrointestinal disorders that increase risk of perforation, bleeding, obstruction, or interfere with study participation.
• Active or uncontrolled interstitial lung disease (ILD) or non-infectious pneumonitis, or suspected ILD/pneumonitis at screening.
• Active autoimmune disease requiring systemic immunosuppression (exceptions may apply for limited, stable conditions).
• Active hepatitis B or C, HIV infection, or other clinically significant immunodeficiency/infection not adequately controlled per local standards.
• Prior allogeneic organ or bone marrow transplant.
• Known hypersensitivity to the study drug or its excipients, or history of severe hypersensitivity to similar biologic agents.
• Pregnant or breastfeeding.
• Any condition that, in the investigator's judgment, would compromise participant safety or compliance.