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NCT Number: NCT06771622

Safety and Efficacy of HCB101 in Combination With Multiple Agents in Patients With Advanced Solid Tumors

This is a non-randomized, open-label, dose-escalation, and dose-expansion Phase Ib/IIa study to evaluate the safety, tolerability, PK, PD, and preliminary antitumor activity of HCB101 administered in combination with standard or approved anticancer therapies in subjects with advanced solid tumors. The trial includes a Part-I (Phase Ib) of the dose-escalation phase and a Part-II (Phase IIa) of the dose-expansion phase.

Part-I: Dose-escalation phase (Phase Ib):

Part I uses a standard 3+3 dose-escalation design to characterize safety and tolerability and to determine the maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) of HCB101 when administered in combination regimens. The study includes 14 planned cohorts (Cohorts 1-9, including sub-cohorts 3a-3d and 6a-6c).

Part-II: Dose-expansion phase (Phase IIa) Based on safety, tolerability, PK/PD, and emerging antitumor activity observed in Part-I (Phase Ib), selected dose levels, tumor types, and combination regimens will be further investigated in Part-II (Phase IIa).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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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

Cancer Hospital of Shandong First Medical University

Jinan, Shandong, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Subjects are able to understand and willing to provide signed informed consent.
  • Male and female subjects of ≥18 years of age, inclusive, at the time of signing the informed consent.
  • With histologically/cytologically confirmed diagnosis of advanced solid tumors as described below:
  • Cohort 1- Gastric Cancer, HER-Positive (First-Line): 2) Cohort 2 - Gastric Cancer (Second-Line): 3) Cohort 3 - Colorectal Cancer (Second-Line): 4) Cohort 4 - Triple-Negative Breast Cancer (First-Line): 5) Cohort 5 - Gastric Cancer, HER2 Medium/Low/Negative (First-Line): 6) Cohort 6 - Head and Neck Squamous Cell Carcinoma: 7) Cohort 7 - Ovarian Cancer: 8) Cohort 8 - Hepatocellular Carcinoma: 9) Cohort 9 - Extensive-Stage Small Cell Lung Cancer: 4. Have adequate organ function, as indicated by the following laboratory parameters below (had not received a blood transfusion, apheresis infusion, erythropoietin, granulocyte colony-stimulating factor, and other relevant medical support within 14 days before the administration of the first dose of study intervention).

Exclusion criteria

  • With a known history of hypersensitivity to any components of the study intervention.
  • Prior/Concomitant Therapy/Treatment:
  • Subjects who have undergone major surgery or radical radiotherapy within 28 days before the first dose of study intervention.
  • Subjects who have received systemic antitumor therapies within the following washout periods prior to the first dose of study intervention:
  • 28 days for curative radiotherapy, immunotherapy, or targeted therapy, etc.
  • 14 days for chemotherapy, palliative radiotherapy, endocrine therapy, or herbal medicine or traditional therapies with known or claimed antitumor activity.
  • Subjects who have used a radioactive drug (Strontium, Samarium, etc.) within 56 days before the first dose of the study intervention.
  • Subjects who are active using of vitamin K antagonist anticoagulant like warfarin. Use of low molecular weight heparin and factor Xa inhibitors will be permitted on a case-by-case basis. Daily low dose of aspirin use (≤ 100 mg QD in Mainland China; ≤ 81 mg QD in the United States) is allowed.
  • Subjects who have received any treatment targeting the CD47 or SIRPα pathway.
  • Subjects who have received or plan to receive live virus or bacterial vaccine within 28 days before the first dose of study intervention while the subject receives the study intervention.
  • Participation in another clinical study with an investigational product administered or investigational device used in the last 28 days (If half-life is not clear) or 5 half-lives (If half-life is clear, the longer time one prevails) before receiving the first dose of study intervention.
  • Subjects who have received any treatment targeting the CD47 or SIRPα pathway.
  • An uncontrolled acute infection.
  • Known to have a history of alcoholism or drug abuse.
  • Any other medical (e.g., Child-Pugh class B or C, pulmonary, metabolic, congenital, endocrinal or CNS disease, etc.), psychiatric, or social condition deemed by the Investigator to be likely to interfere with a subject's rights, safety, welfare or ability to sign informed consent, cooperate and participate in the study, or interfere with the interpretation of the results.

Treatment and study plan

HCB101

Drug

QW

Trastuzumab

Drug

8 mg/kg IV loading dose on Day 1 of cycle 1, then 6 mg/kg IV every 21 days;

Pertuzumab

Drug

840 mg IV on Day 1, cycled every 21 days;

Oxaliplatin

Drug

130 mg/m2 IV on Day 1, cycled every 21 days

Capecitabine

Drug

1000 mg/m2 PO BID on Days 1-14, Cycled every 21 days

Ramucirumab

Drug

8 mg/kg IV on Days 1 and 15, Cycled every 28 days

paclitaxel

Drug

80 mg/m2 IV on Days 1, 8, and 15, Cycled every 28 days

Bevacizumab

Drug

5 mg/kg IV on Day 1, Repeat every 2 weeks;

Cetuximab

Drug

400 mg/m2 first infusion, followed by 250 mg/m2 IV weekly;

Irinotecan

Drug

180 mg/m2 IV over 30-90 minutes on Day 1 every 2 weeks

Leucovorin

Drug

400 mg/m2 IV on Day 1 every 2 weeks

5-FU

Drug

400 mg/ m2 IV bolus on Day 1, followed by 1200 mg/m2/day x 2 days (total 2400 mg/m2 over 46-48 hours) IV continuous infusion Repeat every 2 weeks

Toripalimab

Drug

240 mg/kg IV on Day 1 Cycled every 21 days

Albumin-bound paclitaxel

Drug

125 mg/m2 IV on day 1 and Day 8 Cycled every 21 days

Pembrolizumab

Drug

200 mg IV day 1; given every 21 days

Carboplatin (AUC 5)

Drug

AUC=5, IV on D1, Q3W for 4~6 cycles

etoposide

Drug

100mg/m2, IV on D1, 2, 3, Q3W for 4~6 cycles

Atezolizumab

Drug

1200 mg IV on D1, Q3W

Trastuzumab Deruxtecan

Drug

5.4 mg/kg IV on D1, Q3W

Primary outcomes

  1. Number/incidence and percentage of subjects with adverse events.

    Time frame: 12 months

    To evaluate the safety and tolerability of HCB101

  2. Number of subjects with Maximal tolerance dose (MTD) of HCB101

    Time frame: 12 months

    To evaluate the tolerability of HCB101

Secondary outcomes

  1. Overall Rate Response (ORR)

    Time frame: 12 months

    ORR is defined as the proportion of participants who have a partial response (PR) or critical response (CR)

  2. Duration of Response (DoR)

    Time frame: 12 months

    DOR is defined as time from date of initial documentation of a response (PR or CR) to date of first documented evidence of progressive disease (PD)

  3. Disease Control Rate (DCR)

    Time frame: 12 months

    DCR is defined as the proportion of participants who have a partial response (PR), critical response (CR), or disease stable (SD)

  4. Progression-Free Survival (PFS)

    Time frame: 12 months

    Defined as the duration from the start of treatment until tumor progression or death of any cause.

  5. Peak Plasma Concentration (Cmax) of HCB101

    Time frame: 12 months

    Peak Plasma Concentration (Cmax) of HCB101 following single and repeated IV doses of HCB101 at different dose levels.

  6. Area under the plasma concentration versus time curve (AUC) of HCB101

    Time frame: 12 months

    Area under the plasma concentration versus time curve (AUC) of HCB101

  7. Time to maximum drug concentration in plasma (Tmax) of HCB101

    Time frame: 12 months

    Time to maximum drug concentration in plasma (Tmax) of HCB101 following single and repeated IV doses of HCB101 at different dose levels.

  8. Terminal elimination half-life (t1/2) of HCB101

    Time frame: 12 months

    Terminal elimination half-life (t1/2) of HCB101 following single and repeated IV doses of HCB101 at different dose levels.

Sponsors and collaborators

Lead sponsor

FBD Biologics Limited

Industry

Registry information

Official study title

Phase Ib/IIa, Open-label, Multicenter, Dose Escalation, and Dose Expansion Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of HCB101 in Combination With Multiple Agents in Subjects With Advanced Solid Tumors

Important dates

Study start
2025
Primary completion
2028
Study completion
2029
First posted
Jan 13, 2025
Registry last updated
Feb 4, 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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