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NCT Number: NCT06187402

A Study of LM-24C5 For Advanced Solid Tumors

To assess the safety and tolerability, obtain the recommended phase 2 dose (RP2D)/optimal biologic dose (OBD) and/or Maximum Tolerated Dose (MTD) for LM-24C5 in subjects with advanced solid tumors.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

University of Southern California (USC) - Norris Comprehensive Cancer Center, Los Angeles, California, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Subjects who are fully informed of the purpose, nature, method and possible adverse reactions of the study, and are willing to participate in the study and sign the informed consent form (ICF) prior to any study related procedures.
  • Aged ≥18 years old when sign the ICF, male or female.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1, and no deterioration within 2 weeks prior to the first dose.
  • Life expectancy ≥ 3 months.
  • Subjects must have histological or cytological confirmation of recurrent or refractory advanced solid tumors, and have progressed on standard therapy, or are intolerable for available standard therapy, or there is no available standard therapy.
  • Formalin-fixed paraffin-embedded (FFPE) tumor tissue samples meet the minimum requirements.
  • At least one measurable lesion according to RECIST v1.1.
  • Subjects must show appropriate organ and marrow function in laboratory examinations within 7 days prior to the first dose.
  • Subjects who are able to communicate well with investigators and understand and adhere to the requirements of this study.

Exclusion criteria

  • Participate in any other clinical trial within 28 days prior to 1st dosing of LM-24C5.
  • Any prior treatments towards the investigational target.
  • Subjects with anti-tumor treatment within 21 days prior to 1st dosing of LM-24C5, including radiotherapy, chemotherapy, biotherapy, endocrine therapy and immunotherapy, etc. the following treatments have different time limits.
  • Any adverse event from prior anti-tumor therapy has not yet recovered to≤ grade 1 of CTCAE v5.0.
  • Subjects with uncontrolled pain.
  • Subjects with known central nervous system (CNS) or meningeal metastasis.
  • Subjects who have uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures.
  • Subjects who experienced grade 3 or higher hypersensitivity to the treatment that contains any monoclonal antibody.
  • Subjects who take systemic corticosteroids (> 10 mg daily prednisone equivalents) or other systemic immunosuppressive medications within 2 weeks prior to the first dosing of LM-24C5.
  • Subjects with the known history of autoimmune disease.
  • Subjects with the history of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan.
  • Use of any live attenuated vaccines within 28 days prior to 1st dosing of LM-24C5.
  • Subjects who are taking therapeutic doses of anticoagulants such as heparin or vitamin K antagonists for presence of active thromboembolic disease.
  • Subjects who received major surgery or interventional treatment within 28 days prior to 1st dosing of LM-24C5.
  • Subjects who have severe cardiovascular disease.
  • Subjects who have uncontrolled or severe illness, including but not limited to ongoing or active infection
  • Subjects who have a history of immunodeficiency disease, including other acquired or congenital immunodeficiency diseases, or organ transplantation, or allogeneic bone marrow transplantation, or autologous hematopoietic stem cell transplantation.
  • HIV infection, active infection including tuberculosis, HBV and HCV infection, with the exception:
  • Subjects who have other active malignancies which are likely to require the treatment.
  • Child-bearing potential female who have positive results in pregnancy test or are lactating.
  • Subjects who have psychiatric illness or disorders that may preclude study compliance.
  • Subject who is judged as not eligible to participate in this study by the investigator.

Treatment and study plan

LM-24C5

Drug

Administered intravenously

Primary outcomes

  1. Incidence of adverse events (AEs)

    Time frame: 60 weeks

    Phase 1

  2. Incidence of dose-limiting toxicity (DLT)

    Time frame: 60 weeks

    Phase 1

  3. Incidence of serious adverse event (SAE)

    Time frame: 60 weeks

    Phase 1

  4. Ear Temperature

    Time frame: 60 weeks

    Phase 1

  5. Pulse in BPM(Beat per Minute)

    Time frame: 60 weeks

    Phase 1

  6. Blood Pressure in mmHg (Both Systolic and Diastolic blood pressure)

    Time frame: 60 weeks

    Phase 1

  7. Number of participants with abnormal Hematology test results

    Time frame: 60 weeks

    Phase 1

  8. Number of participants with abnormal Urinalysis test results

    Time frame: 60 weeks

    Phase 1

  9. Number of participants with abnormal Blood Biochemistry test results

    Time frame: 60 weeks

    Phase 1

  10. Number of participants with abnormal Coagulation test results in PT(Prothrombin time), APTT(Activated partial thromboplastin time), FIB(Fibrinogen), TT(Thrombin time) and INR(International normalized ratio).

    Time frame: 60 weeks

    Phase 1

  11. Echocardiography- LVEF(Left Ventricular Ejection Fraction) in percentage

    Time frame: 60 weeks

    Phase 1

  12. 12-lead electrocardiogram (ECG) in RR, PR, QRS, QT, QTcF etc.

    Time frame: 60 weeks

    Phase 1

  13. ECOG(Eastern Cooperative Oncology Group) score

    Time frame: 60 weeks

    Phase 1

  14. Overall Response Rate (ORR)

    Time frame: 36 weeks

    Phase 2

Secondary outcomes

  1. Pharmacokinetic (PK) Parameter: Maximum Observed Concentration (Cmax)

    Time frame: 96 weeks

    Phase 1 and 2

  2. PK Parameter:Time of Maximum Observed Concentration (Tmax)

    Time frame: 96 weeks

    Phase 1 and 2

  3. PK Parameter: Area Under the Concentration-time Curve(AUC)

    Time frame: 96 weeks

    Phase 1 and 2

  4. PK Parameter: Steady State Maximum Concentration(Cmax,ss)

    Time frame: 96 weeks

    Phase 1 and 2

  5. PK Parameter: Steady State Minimum Concentration(Cmin,ss)

    Time frame: 96 weeks

    Phase 1 and 2

  6. PK Parameter: Systemic Clearance at Steady State (CLss)

    Time frame: 96 weeks

    Phase 1 and 2

  7. PK Parameter: Accumulation Ratio (Rac)

    Time frame: 96 weeks

    Phase 1 and 2

  8. PK Parameter: Elimination Half-life (t1/2)

    Time frame: 96 weeks

    Phase 1 and 2

  9. PK Parameter: Volume of Distribution at Steady-State (Vss)

    Time frame: 96 weeks

    Phase 1 and 2

  10. PK Parameter: Degree of Fluctuation (DF)

    Time frame: 96 weeks

    Phase 1 and 2

  11. Immunogenicity of LM-24C5

    Time frame: 96 weeks

    Phase 1 and 2; Anti-Drug antibody and Nab (if necessary) will be tested.

  12. Duration of Response (DOR) in Month

    Time frame: 96 weeks

    Phase 1 and 2

  13. Disease control rate (DCR) in percentage

    Time frame: 96 weeks

    Phase 1 and 2

  14. progression-free survival (PFS) in Month

    Time frame: 96 weeks

    Phase 1 and 2

  15. Overall survival (OS) in Month

    Time frame: 60 weeks

    Phase 1

  16. Changes of target lesions from baseline in Millimeter.

    Time frame: 96 weeks

    Phase 1 and 2

  17. Safety: AE/SAE (Number of participants with treatment-related adverse events as assessed by CTCAE v5.0)

    Time frame: 36 weeks

    Phase 2

  18. Ear Temperature

    Time frame: 36 weeks

    Phase 2

  19. Pulse in BPM (Beat per Minute)

    Time frame: 36 weeks

    Phase 2

  20. Blood Pressure in mmHg (Both Systolic and Diastolic blood pressure)

    Time frame: 36 weeks

    Phase 2

  21. Number of participants with abnormal Hematology test results

    Time frame: 36 weeks

    Phase 2

  22. Number of participants with abnormal Urinalysis test results

    Time frame: 36 weeks

    Phase 2

  23. Number of participants with abnormal Blood Biochemistry test results

    Time frame: 36 weeks

    Phase 2

  24. Number of participants with abnormal Coagulation test results in PT(Prothrombin time), APTT(Activated partial thromboplastin time), FIB(Fibrinogen), TT(Thrombin time) and INR(International normalized ratio).

    Time frame: 36 weeks

    Phase 2

  25. 12-lead electrocardiogram (ECG) in RR, PR, QRS, QT, QTcF etc.

    Time frame: 36 weeks

    Phase 2

  26. ECOG(Eastern Cooperative Oncology Group) score

    Time frame: 36 weeks

    Phase 2

Other outcomes

  1. Relationship between the biomarkers and the anti-tumor activity

    Time frame: 96 weeks

    Phase 1 and 2

Study contacts

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

Sponsors and collaborators

Lead sponsor

LaNova Medicines Limited

Industry

Registry information

Official study title

A Phase I/II, First-in-Human (FIH), Open-Label, Multiple Centre Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity and Preliminary Efficacy of LM-24C5 in Patients With Advanced Solid Tumors

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Jan 2, 2024
Registry last updated
Sep 9, 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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