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NCT Number: NCT06797999

First-in-Human Study of ADCE-D01 in Soft Tissue Sarcoma

The goal of this clinical trial is to learn about the safety, tolerability and efficacy of ADCE-D01.

Recruiting

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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

Universitair Ziekenhuis Leuven (UZ Leuven) - Campus Gasthuisberg, Leuven, Belgium

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About this study

Safety and Tolerability evaluated by incidence of DLTs. Efficacy evaluated by antitumor activity; ORR, DOR, PFS, CBR and TTR per RECIST v i.1.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • ≥ 18 years of age
  • Histologically confirmed STS with metastatic and/or unresectable disease (not amenable to treatment with curative intent).
  • Prior treatment with at least one but no more than two lines of cytotoxic systemic therapy for metastatic/unresectable disease.
  • Measurable disease as per RECIST v 1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Life expectancy of at least 3 months.
  • A male patient must agree to use barrier contraception during the treatment period and for at least 4 months after the last infusion of study treatment, and refrain from donating sperm during this period. Male patients with a pregnant partner must practice sexual abstinence or use a barrier method of contraception (e.g., condom) to prevent exposure of the fetus or neonate.
  • A female patient is eligible if not pregnant, not breast feeding, and not a woman of childbearing potential (WOCBP), or agrees to follow the contraceptive guidance during the treatment period and for at least 7 months after last infusion of study treatment.

Exclusion criteria

  • Patients who have had systemic anticancer therapy, including any investigational agent within 4 weeks or 5 half-lives (whichever is shorter) prior to study treatment administration.
  • Primary brain malignancy or known, untreated central nervous system (CNS) or leptomeningeal metastases, or symptoms suggesting CNS involvement.
  • Clinically significant cardiovascular disease
  • Patients with acute infection with human immunodeficiency virus (HIV) 1 or HIV 2.
  • Current active liver disease due to hepatitis B
  • History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on a chest computed tomography (CT) scan at screening.

Treatment and study plan

Antibody-drug conjugate (ADC)

Biological

ADCE-D01 is an antibody-drug conjugate (ADC) composed of an anti-urokinase plasminogen activator receptor-associated protein (uPARAP) antibody, AB-004, conjugated to a topoisomerase I inhibitor, P1021, via a protease cleavage tetra-peptide linker.

Other names: ADCE-D01

Primary outcomes

  1. Determine the MTD/maximum administered dose and RP2DS of ADCE-D01.

    Time frame: From enrollment to the end of Phase 1b (Approximately 18 months after enrollment)

    Measuring incidence of dose-limiting toxicities (DLTs)

  2. Assess the safety and tolerability of ADCE-D01

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    Nature, incidence, severity and causality of treatment-emergent adverse events (TEAEs) and changes from baseline in laboratory parameters using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (v5.0).

    Tolerability as assessed by TEAEs leading to dose interruption, reduction and/or discontinuation.

Secondary outcomes

  1. Maximum concentration (Cmax)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    Time to maximum plasma concentration will be assessed to inform ADCE-D01 PK profile

  2. ADCE-D01 time to Cmax (Tmax)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    Time to Cmax (Tmax) will be assessed to characterize the ADCE-D01 PK profile

  3. ADCE-D01 area under the concentration-time curve (AUC)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    ADCE-D01 area under the concentration-time curve (AUC) will be assessed to characterize PK profile

  4. Evaluate ADCE-D01 objective response rate (ORR)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    Objective response rate (ORR) per RECIST v1.1 by Investigator assessment

  5. Evaluate ADCE-D01 duration of response (DOR)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    Duration of response DOR, measured per RECIST v1.1 by Investigator assessment will be used to further characterize the durability of tumor response of ADCE-D01

  6. ADCE-D01 progression-free survival (PFS)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollmen

    Progression-free survival (PFS) assessed by Investigator per RECIST v1.1 to evaluate preliminary antitumor activity.

  7. ADCE-D01 clinical benefit rate (CBR)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    clinical benefit rate (CBR) assessed by Investigator per RECIST version 1.1 to evaluate preliminary antitumor activity of ADCE-D01

  8. ADCE-D01 time to response (TTR)

    Time frame: Throughout the trial duration, completion expected approximately 18 months from completed enrollment

    time to response (TTR) assessed by Investigator per RECIST version 1.1 to evaluate preliminary antitumor activity of ADCE-D01

Study contacts

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

Margaret McNaull

CONTACT

[email protected]

+44 7818 457619.

René Smrčka

CONTACT

[email protected]

+45 3144 0653

Sponsors and collaborators

Lead sponsor

Adcendo ApS

Industry

Registry information

Official study title

A First-in-human, Phase 1/2, Multicenter, Open-label, Dose Escalation and Expansion Study to Evaluate the Safety, Pharmacokinetics, and Antitumor Activity of ADCE-D01, a Humanized Anti-human uPARAP Antibody Linked to a Topoisomerase I Inhibitor, in Patients With Metastatic and/or Unresectable Soft Tissue Sarcoma

Acronym: ADCElerate1

Important dates

Study start
2025
Primary completion
2029
Study completion
2029
First posted
Jan 29, 2025
Registry last updated
Jan 28, 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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