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NCT Number: NCT06979674

Study of ESG406 in Adults With Solid Tumors

This study is an open-label, dose-escalation and cohort expansion Phase I study, aiming to evaluate the safety, tolerability, PK characteristics and preliminary efficacy of ESG406, and determine the MTD, RP2D and administration regimens of ESG406. The study includes the dose escalation study in Phase Ia and the cohort expansion study in Phase Ib.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Chongqing University Cancer Hospital, Chongqing, Chongqing Municipality, China

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Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Males and females aged 18 to 80 years.
  • Histologically or cytologically confirmed advanced or metastatic solid tumor(s) for which no effective standard therapy is available or tolerable.
  • At least one measurable lesion per RECIST v1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Life expectancy ≥12 weeks.
  • Adequate organ and bone marrow function.
  • Fertile men and women of childbearing potential must agree to use an effective method of birth control from providing signed consent and for 180 days after last investigational product administration. Women of childbearing potential include pre-menopausal women and women within the first 2 years of the onset of menopause.

Key Exclusion Criteria:

  • Use of any cancer therapy (chemotherapy or other systemic anti-cancer therapies, immunotherapy) within 4 weeks before the first investigational product administration.
  • Toxicities from prior anti-tumor therapy not recovering to ≤ Grade 1.
  • Had major surgery within 4 weeks before dosing, or will not have fully recovered from surgery; or has surgery planned during the time the subject is expected to participate in the study or within 4 weeks after the last dose of study drug administration.
  • Use of any investigational anti-cancer drug within 4 weeks or 5 half-lives before the first investigational product administration.
  • A history of thromboembolic or cerebrovascular events within 6 months prior to the first dose of the investigational drug.
  • History of (noninfectious) interstitial pneumonia (ILD)/noninfectious pneumonitis requiring steroid therapy and current ILD/noninfectious pneumonitis, or suspected ILD/noninfectious pneumonitis at screening.
  • Subjects with symptomatic or untreated CNS metastases, or those requiring ongoing treatment for CNS metastases.
  • Patients with Primary CNS malignancy, or patients with other malignancies within 3 years prior to the first dose.
  • Patients with uncontrollable systemic diseases.
  • Subjects with clinically significant cardiovascular disease.
  • Human Immunodeficiency Virus (HIV) infection.
  • Active hepatitis B or hepatitis C.
  • Have an allergic constitution, or to be allergic to any investigational drug or excipient ingredient.
  • Pregnant or lactating women.

Treatment and study plan

ESG406

Drug

Administered via intravenous (IV) infusion.

Primary outcomes

  1. Percentage of Participants Experiencing Any Treatment Emergent Adverse Events and Serious Treatment Emergent Adverse Events

    Time frame: First dose date up to last dose plus 30 days

    Treatment-emergent adverse events (TEAEs) were defined as any adverse events (AEs) that begin or worsen on or after the start of study drug through 30 days after the last dose of study drug. The severity was graded based on the National Cancer Institute's Common Terminology Criteria for Adverse Events Version 5.0. An AE that met one or more of the following outcomes was classified as serious:

    Fatal Life-threatening Disabling/incapacitating Results in hospitalization or prolongs a hospital stay A congenital abnormality Other important medical events may also be considered serious AEs if they may require medical or surgical intervention to prevent one of the outcomes listed above.

Secondary outcomes

  1. Objective Response Rate

    Time frame: Up to approximately 36 months.

    Objective Response Rate(ORR) is defined as the rate an overall best response of either complete response (CR) or partial response (PR) .

  2. Progression Free Survival

    Time frame: Up to approximately 36 months.

    Progression-free survival (PFS) is defined as the interval from the first dose start date to the date of disease progression defined as documented progressive disease (PD) or death from any cause, whichever occurs first.

  3. Cmax

    Time frame: Up to approximately 36 months.

    Maximum observed plasma concentration

  4. AUC0-inf

    Time frame: Up to approximately 36 months.

    Area under the serum concentration time curve from time 0 extrapolated to infinity

  5. T1/2

    Time frame: Up to approximately 36 months.

    Half-life

  6. Anti-drug Antibodies

    Time frame: Up to approximately 36 months.

    Incidence of anti-drug antibodies

Study contacts

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

Xiaoyan Xing, PhD

CONTACT

[email protected]

+86 21 5855 6098

Sponsors and collaborators

Lead sponsor

Shanghai Escugen Biotechnology Co., Ltd

Industry

Registry information

Official study title

An Open-Label, Multiple Dose, Dose Escalation and Cohort Expansion Phase I Study to Investigate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of ESG406 in Subjects With Locally Advanced/Metastatic Solid Tumors

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
May 20, 2025
Registry last updated
Sep 12, 2025

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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