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NCT Number: NCT06234397

Dose Escalation and Expansion Study of BH3120 Alone or With Pembrolizuamb in Advanced or Metastatic Solid Tumors

This is a First-in-Human, Phase 1, Dose-Escalation and Dose-Expansion study of BH3120, as a single agent and in combination with pembrolizumab, to assess safety, tolerability, MTD, RP2D, PK, and efficacy in patients with advanced or metastatic solid tumors. Dose-Escalation part is planned to establish the MTD or RD for Dose-Expansion part, while Dose-Expansion part is designed to assess potential efficacy of BH3120, as a single agent and in combination with pembrolizumab, when administered at the RD to subjects in indication-specific expansion cohorts.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, South Korea

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Have a Histologically or cytologically confirmed non-CNS solid tumor that is metastatic or unresectable and for whom there is no available standard therapy.
  • PD-L1 positive expression (Tumor Proportion Score ≥1% or Combined Positive Score ≥1).
  • Have at least one lesion, not previously irradiated that can be accurately measured per RECIST version 1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Age of 18 years or older (or country's legal age of majority if the legal age was >18 years)
  • Adequate Hematologic and liver function.

Key Exclusion Criteria:

  • Has received prior therapy with an anti-4-1BB(CD137) agent.
  • Known active CNS metastases and/or carcinomatous meningitis.
  • Known additional malignancy that is progressing or has required active treatment.
  • History of chronic liver disease or evidence of hepatic cirrhosis.
  • History of severe toxicities associated with a prior immunotherapy.
  • Has ongoing or suspected autoimmune disease.
  • Known active and clinically significant bacterial, fungal or viral infection including known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness, immunocompromised patients.

Treatment and study plan

BH3120

Drug

BH3120 will be administered as an IV infusion over 90 minutes on Day 1 of every 3-week treatment cycle

Pembrolizumab

Drug

Fixed dose of pembrolizumab will be administered as an IV infusion over 30 minutes on Day 1 of every 3-week treatment cycle

Other names: KEYTRUDA®

Primary outcomes

  1. Incidence, nature, and severity of adverse events and laboratory abnormalities graded per NCI-CTCAE v5.0.

    Time frame: Throughout the study until end of safety follow-up period (90 days after the last treatment)

    To evaluate safety and tolerability of BH3120 as a single agent and in combination with pembrolizumab administration

  2. Incidence and nature of DLTs

    Time frame: At the end of Cycle 1 (each cycle is 21 days) in Dose-Escalation Part

    To evaluate safety and tolerability of BH3120 as a single agent and in combination with pembrolizumab administration

Secondary outcomes

  1. The maximum serum concentration (Cmax)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  2. The time to reach Cmax (Tmax)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  3. The area under the concentration-time curve from time 0 to the last observable concentration (AUClast)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  4. The AUC during the dosing interval (AUCtau)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  5. The AUC extrapolated to infinity (AUCinf)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  6. The terminal half-life (T1/2)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  7. The apparent clearance (CL/F)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  8. The apparent volume of distribution (Vd/F)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    To evaluate PK profile upon BH3120 administration

  9. Frequency of anti-drug antibodies (ADA)

    Time frame: Throughout the study until treatment discontinuation (up to 2-3 years)

    Immunogenicity of BH3120

  10. Objective response rate (ORR)

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

    ORR will be measured as the proportion of subjects with a confirmed response of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

  11. Disease Control Rate (DCR)

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

    DCR will be measured as the proportion of subject with confirmed CR, PR, or Stable Disease (SD) as per RECIST v1.1

  12. Duration of response (DOR)

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

    DOR will be measured as the time from initial onset of CR or PR to first radiographic progression as per RECIST v. 1.1 or death from any cause, whichever occurs first.

  13. Progression-free survival (PFS)

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

    PFS will be measured from date of first treatment until date of radiographic progression as per RECIST v.1.1 or until death from any cause, whichever occurs first

Study contacts

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

Young Su (Bobby) Noh

CONTACT

[email protected]

82-2-410-9277

Sponsors and collaborators

Lead sponsor

Hanmi Pharmaceutical Company Limited

Industry

Collaborators

  • Merck Sharp & Dohme LLC

Registry information

Official study title

A Phase I, Open-Label, Multinational, Multicenter, Dose Escalation and Expansion Study of BH3120, as a Single Agent and in Combination With Pembrolizumab, in Patients With Advanced or Metastatic Solid Tumors

Important dates

Study start
2023
Primary completion
2027
Study completion
2028
First posted
Jan 31, 2024
Registry last updated
Mar 11, 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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