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Active, Not Recruiting

NCT Number: NCT05614258

Study of ADG206 in Subjects With Advanced/Metastatic Solid Tumors

ADG206 is an activatable prodrug form of a fully human monoclonal antibody (mAb) of the immunoglobulin G1 (IgG1) subclass that specifically targets cluster of differentiation 137 (CD137) (also known as 4-1BB) as a co-stimulatory receptor agonist for the treatment of advanced malignancies.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Ashford Cancer Centre Research, Kurralta Park, South Australia, Australia

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About this study

This is a FIH, Phase 1, open-label, multicenter, sequential dose escalation study to evaluate the safety, tolerability, Pharmacokinetics (PK), and preliminary efficacy of ADG206 in subjects with advanced/metastatic malignancies.

Primary Objective of the study: To assess safety and tolerability at increasing dose levels of ADG206 in subjects with advanced/metastatic solid tumors who have exhausted their treatment alternatives.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1.
  • Subjects with advanced or metastatic solid tumors (except thymic tumors), which have progressed after all standard therapies, or no further standard therapies exists.
  • At least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
  • Adequate organ function.
  • Woman of childbearing potential must agree to use 2 methods of acceptable contraception from screening until 6 months after the last dose of study drug.
  • Male subjects who are sexually active with a female partner of childbearing potential must agree to use a barrier contraception.

Exclusion criteria

  • Subjects within washout period of other anti-tumor therapies. .
  • History of prior malignancy other than the cancer under treatment in the study.
  • Major trauma or major surgery within 4 weeks before the first dose of study drug.
  • Serious nonhealing wound, ulcer, or bone fracture.
  • History of significant immune-mediated AE.
  • Central nervous system (CNS) disease involvement.
  • Any evidence of underlying severe liver dysfunction.
  • Prior organ allograft transplantations or allogeneic bone marrow, cord blood or peripheral blood stem cell transplantation.
  • Clinically significant cardiac disease with insufficient cardiac function.
  • Evidence of active uncontrolled viral, bacterial, or systemic fungal infection.
  • Known positive test result for human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS).
  • Infection of hepatitis B virus (HBV), or hepatitis C virus (HCV) (unless the disease is clinically controlled) .
  • History or risk of autoimmune disease.
  • Subjects with active severe lung infection or with a history of interstitial lung diseases, noninfectious pneumonitis, active pulmonary tuberculosis, or evidence of active pneumonitis. Clinically significant and unmanageable ascites defined as requiring constant therapeutic paracentesis.
  • Any serious underlying issue that would limit compliance with study requirements, impair the ability of the subject to understand informed consent.
  • Known hypersensitivity, allergies, or intolerance to immunoglobulins or to any excipient contained in ADG206.
  • Pregnant, lactating, or breastfeeding.

Treatment and study plan

ADG206

Drug

All participants in this study will receive the study drug ADG206 in one of the designed dosage level. ADG206 will be administered by intravenous infusion over 60-90 minutes on Day 1 of each treatment cycle until disease progression, intolerable toxicities or withdrawal of consent, or up to 2 years.

Primary outcomes

  1. Number of participants experiencing dose-limiting toxicities escalating dose levels

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

  2. Number of participants with adverse events (AE)

    Time frame: At the end of 90 days post last dose (each cycle is 21 days)

  3. Maximum administered dose (MAD) of ADG206

    Time frame: At the end of the last dose (each cycle is 21 days)

  4. Maximum tolerated dose (MTD) of ADG 206

    Time frame: At the end of the last dose (each cycle is 21 days)

  5. Recommended Phase 2 dose (RP2D) of ADG206

    Time frame: At the end of the last dose (each cycle is 21 days)

Secondary outcomes

  1. The area under the curve (AUC) of plasma concentration of drug

    Time frame: At the end of the last dose (each cycle is 21 days)

  2. Immunogenicity endpoints include antidrug antibodies (ADAs)

    Time frame: At the end of the last dose (each cycle is 21 days)

  3. Maximum concentration (Cmax)

    Time frame: At the end of the last dose (each cycle is 21 days)

  4. Time to maximum plasma concentration (Tmax)

    Time frame: At the end of the last dose (each cycle is 21 days)

  5. Lowest plasma concentration (C[trough])

    Time frame: At the end of the last dose (each cycle is 21 days)

Sponsors and collaborators

Lead sponsor

Adagene Inc

Industry

Registry information

Official study title

A First-in-Human (FIH), Open-Label, Phase 1 Study of ADG206, a CD137 Agonist Antibody, in Subjects With Advanced/Metastatic Solid Tumors

Important dates

Study start
2023
Primary completion
2025
Study completion
2026
First posted
Nov 14, 2022
Registry last updated
Jan 8, 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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