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NCT Number: NCT07110584

Dose Escalation and Dose Expansion Study of MDX2004 in Participants With Advanced Tumors

This study is designed to characterize the safety, tolerability, and anti-tumor activity of MDX2004 in patients with advanced tumors.

Recruiting

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Liverpool Hospital, Liverpool, New South Wales, Australia

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participant must be ≥ 18 years of age.
  • Histologically or cytologically confirmed diagnosis of locally advanced or metastatic malignancy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • All participants should have at least 1 measurable site of disease according to RECIST v1.1. An irradiated lesion can be considered measurable only if progression has been demonstrated on the irradiated lesion.
  • Adequate hematologic, hepatic and renal function.
  • All contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Capable of giving signed informed consent.

Exclusion criteria

  • Any clinically significant cardiac disease.
  • Unresolved toxicities from previous anticancer therapy.
  • Known untreated, active, or uncontrolled brain metastases.
  • Previous Grade 3 or 4 immune-related toxicity that led to the discontinuation of treatment, within 6 months prior to the first dose of MDX2004.
  • Active medical condition requiring chronic systemic steroid use (>10 mg/day prednisone or equivalent) or immunosuppressive therapy, within 6 months prior to the first dose of MDX2004.
  • Known positivity with human immunodeficiency virus (HIV), known active hepatitis B or C, or uncontrolled chronic or ongoing infection requiring intravenous treatment.
  • Prior solid organ or hematologic transplant
  • Require supplemental oxygen for activities of daily living
  • Participant is not suitable for participation, whatever the reason, as judged by the Investigator including medical or clinical conditions.

Treatment and study plan

MDX2004

Drug

MDX2004 intravenous infusion

Primary outcomes

  1. All Study Parts: Adverse Events (AEs)

    Time frame: Baseline until 90 days after the participant has the last dose of MDX2004

    Incidence and severity of adverse events (AEs) and serious AEs (SAEs), including changes in clinical laboratory parameters, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 or American Society for Transplantation and Cellular Therapy (ASTCT) consensus grading criteria, including changes in clinical laboratory parameters

  2. Part A only - Maximum Tolerated Dose (MTD) or Recommended Phase 2 dose (RP2D)

    Time frame: 28 days

    Maximum Tolerated Dose or Recommended Phase 2 dose is determined following the evaluation of MDX2004 safety including the incidences of dose limiting toxicities (DLTs), MDX2004 anti-tumor activity, and MDX2004 pharmacokinetics/pharmacodynamics.

  3. Part B, C, and D: Objective response rate of MDX2004

    Time frame: From date of enrollment until the end of treatment, up to approximately 6 months

    Objective response rate is defined as the proportion of patients who achieve a complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Secondary outcomes

  1. All Study Parts: Measure of terminal half-life (t1/2) of MDX2004

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter t1/2 after intravenous infusion of MDX2004.

  2. All Study Parts: Measure of area under the serum concentration-time curve (AUC) of MDX2004

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter AUC after intravenous infusion of MDX2004

  3. All Study Parts: Measure of time to maximum concentration (Tmax) of MDX2004

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter Tmax after intravenous infusion of MDX2004

  4. All Study Parts: Measure of maximum serum concentration (Cmax) of MDX2004

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter Cmax after intravenous infusion of MDX2004

  5. All Study Parts: Measure of volume of distribution (Vd) of MDX2004

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter Vd after intravenous infusion of MDX2004.

  6. All Study Parts: Measure of system clearance of MDX2004

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter of system clearance after intravenous infusion of MDX2004.

  7. All Study Parts: Evaluation of MDX2004 immunogenicity

    Time frame: 6 months

    The presence and persistence of anti-MDX2004 antibodies.

  8. All Study Parts: Pharmacodynamic characterization of MDX2004

    Time frame: 6 months

    Changes in T cell phenotypes with MDX2004 administration within the tumor microenvironment (TME) and in blood

  9. All Study Parts: Duration of Response (DoR)

    Time frame: From date of enrollment until the end of treatment, up to approximately 6 months

    Time from first Complete Response (CR) / Partial Response (PR) to the date of progressive disease (PD) or death, whichever occurs first.

  10. All Study Parts: Time to Response

    Time frame: From date of enrollment until the end of treatment, up to approximately 6 months

    The time from first dose to first documentation of response (CR or PR).

  11. All Study Parts: Disease Control Rate (DCR)

    Time frame: From date of enrollment until the end of treatment, up to approximately 6 months

    The proportion of evaluable participants with stable disease (SD) or a best overall response of CR or PR.

  12. All Study Parts: Progression Free Survival (PFS)

    Time frame: From date of enrollment until the end of treatment, up to approximately 6 months

    The time from the first dose of MDX2004 until the date of disease progression (PD) or death (any cause), whichever occurs first.

Study contacts

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

ModeX Therapeutics, An OPKO Health Company

CONTACT

[email protected]

+1 857-233-9936

Sponsors and collaborators

Lead sponsor

ModeX Therapeutics, An OPKO Health Company

Industry

Registry information

Official study title

A Phase 1/2, Multi-Center, Open-Label Clinical Study Evaluating MDX2004 In Participants With Advanced Tumors

Important dates

Study start
2025
Primary completion
2031
Study completion
2031
First posted
Aug 7, 2025
Registry last updated
Mar 5, 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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