ABP1011T tablets for people with advanced solid tumors, including small cell lung cancer

An Open-Label, Multi-Cohort Phase IIb Clinical Study Evaluating the Efficacy and Safety of ABP1011T Tablets in Patients With Advanced Solid Tumors

This trial will test whether taking ABP1011T tablets daily can help people with advanced solid tumors, especially those with small cell lung cancer who have already had other treatments.

Quick facts

• Phase: PHASE2
• Study type: Interventional
• Enrollment: 110 (estimated)
• Ages: 18 Years to 75 Years
• Sex: All
• Sponsor: Shanghai AB PharmaTech Ltd. (industry)
• Drugs / interventions: chemotherapy, immunotherapy
• Locations: 8 sites (Luoyang, Henan and 7 other locations)
• Trial ID: NCT07321574 on ClinicalTrials.gov

What this trial studies

This is an open-label, multicenter Phase 2, multi-cohort trial testing daily oral ABP1011T given in 21-day cycles for patients with selected advanced solid tumors. The trial gives priority enrollment to several tumor types including small cell lung cancer (Cohort A: A1–A3) for patients who have failed at least two prior systemic therapies, while Cohort B enrolls other advanced solid tumors (excluding osteosarcoma). Key eligibility includes age 18–75, ECOG performance status ≤1, measurable disease by RECIST v1.1, and at least 12 weeks expected survival. Safety and efficacy signals from a prior Phase I/IIa supported continued testing in this larger, focused Phase 2 effort.

Who should consider this trial

Good fit: Adults 18–75 with histologically confirmed advanced solid tumors, ECOG ≤1, measurable disease, expected survival ≥12 weeks, and prior progression or intolerance to standard therapies (small cell lung cancer patients must have failed at least two prior systemic treatments).

Not a fit: Patients with poor performance status (ECOG >1), very limited life expectancy, uncontrolled comorbidities, inability to take oral medication, or those with osteosarcoma (specifically excluded) are unlikely to benefit from this trial.

Why it matters

Potential benefit: If successful, ABP1011T could offer a new oral treatment option that shrinks tumors or delays progression for patients with refractory advanced solid tumors, including small cell lung cancer.

How similar studies have performed: Early Phase I/IIa data for ABP1011T reported manageable safety and preliminary anti-tumor activity, while other oral targeted agents have shown mixed but sometimes meaningful benefit in similar refractory cancers.

Eligibility criteria

Inclusion Criteria:

1. Voluntarily sign the informed consent form and comply with protocol requirements;
2. Age 18 \<= age \<= 75 years, male or female;
3. Expected survival \>= 12 weeks;
4. ECOG performance status \<= 1 point;
5. Patients with advanced solid tumors who have experienced disease progression on standard therapy, intolerance to standard therapy, or lack of effective standard therapy, with histopathological or cytopathological confirmation (priority enrollment for small cell lung cancer, esophageal cancer, cervical cancer, bladder cancer, renal cell carcinoma, or other potentially sensitive tumor types. Cohort A is the small cell lung cancer cohort: includes patients who have failed at least two prior systemic therapies; Cohort B includes patients with other advanced solid tumors); At least one measurable lesion meeting RECIST v1.1 criteria;
6. Recovery from toxic effects of the last prior treatment (CTCAE \<= Grade 1, except for specific conditions such as "alopecia" or "hyperpigmentation"), and the investigator determines that the corresponding AE poses no safety risk;
7. Systolic blood pressure \<= 140 mmHg, diastolic blood pressure \<= 90 mmHg, with no changes in antihypertensive medications or dosages within 7 days prior to the first dose.
8. Organ and bone marrow function levels must meet the following requirements: Bone marrow: Absolute neutrophil count (ANC) \>= 1.5 × 10\^9/L, platelet count \>= 75 × 10\^9/L, Hemoglobin \>=90 g/L, with no transfusion of platelets or red blood cells within 14 days prior to the first dose, and no transfusion or treatment with biological response modifiers (e.g., granulocyte colony-stimulating factor, erythropoietin, interleukin-11) within 14 days prior to the first dose; Liver function: No history of liver cirrhosis (decompensated cirrhosis Child-Pugh B or C). For patients without liver metastases: serum total bilirubin (TBIL) \<= 1.5 × upper limit of normal (ULN), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \<= 2.5 × ULN. Patients with liver metastases must have TBIL \<= 2.5×ULN, ALT and AST \<= 5×ULN. Renal function: Serum creatinine \<= 1.5×ULN, or creatinine clearance \> 60 mL/min (Cockcroft-Gault formula); Urine protein qualitative \<= 1+; If urine protein qualitative \>= 2+, 24-hour urine protein quantification is required. The investigator will determine eligibility based on test results. Coagulation function: Prothrombin time (PT) \<= 1.5 × ULN; International Normalized Ratio (INR) \<= 1.5 × ULN, and activated partial thromboplastin time (APTT) \<= 1.5 × ULN.
9. Female subjects of childbearing potential must undergo a serum pregnancy test within 3 days prior to initiating study medication, with negative results, and must agree to use a medically approved highly effective contraceptive method (e.g., intrauterine device, oral contraceptive, or condom) during the study period and for 6 months after the last study dose. Male subjects with female partners of childbearing potential must agree to use effective contraception during the study period and for 6 months after the last study dose.

Exclusion Criteria:

1\. History of or current presence of other malignant tumors, except for the following:

1\) Completely resected basal cell carcinoma of the skin, superficial bladder cancer, squamous cell carcinoma of the skin, or cervical carcinoma in situ; 2) Completely resected secondary primary cancer with no recurrence within five years; 2. Patients with known hypersensitivity to any component of the study drug or similar agents, or with a history of severe allergic reactions; 3. Patients who have received any of the following treatments or medications prior to the first study treatment: 1) Major surgery or severe trauma within 4 weeks before the first study drug administration (Major surgery is defined as any invasive procedure involving extensive excision or breaching of the mesothelial barrier, such as the pleural cavity, peritoneum, or meninges. However, diagnostic tissue biopsies are permitted). Severe trauma refers to unhealed wounds, ulcers, or fractures; 2) Received Chinese herbal medicine or traditional Chinese medicine for antitumor indications within 2 weeks prior to the first study drug dose.

3\) Received antitumor therapy (including chemotherapy, radiotherapy, immunotherapy, targeted therapy, biologic therapy, or tumor embolization) within 4 weeks prior to the first study drug dose; For oral fluoropyrimidine drugs and endocrine therapy, discontinuation \<= 2 weeks or 5 half-lives; for nitrosoureas and mitomycin, discontinuation \<= 6 weeks. If washout time is inadequate due to scheduling or drug PK characteristics, discussion with the sponsor is required; 4) Wthin 1 week prior to first dose, received potent CYP3A4 or CYP2C9 inhibitors or inducers; 5) Within 1 week prior to first dose, received drugs known to significantly prolong the QT interval (e.g., Class Ia and Class III antiarrhythmics); 6) Concurrent use of antiplatelet agents or anticoagulants during the screening period that cannot be discontinued; 4. Patients with known brain metastases, brainstem metastases, spinal cord metastases, and/or compression, or unstable central nervous system metastases. (However, the following situations may be determined through discussion between the investigator and sponsor: If asymptomatic, or with stable brain metastasis symptoms, and if steroids, anticonvulsants, or mannitol therapy has not been used or has been discontinued for \>=4 weeks prior to the first study dose, and the investigator determines the benefits outweigh the risks, the subject may be considered for screening and enrollment); 5. Patients with symptomatic, disseminated visceral disease at an advanced stage who are at risk of life-threatening complications in the short term, or patients with pleural effusion, ascites, or pericardial effusion who underwent paracentesis or thoracentesis within three weeks prior to the first study dose; 6. Patients with imaging evidence of tumor encasement or infiltration of major vessels (e.g., pulmonary artery, pulmonary vein, superior vena cava, inferior vena cava), or significant tumor invasion into adjacent organs (aorta, trachea, gastrointestinal tract) adjacent to esophageal or gastrointestinal lesions, resulting in high risk of hemorrhage or fistula formation; and patients who have undergone tracheal stent placement.

7\. Within 6 months prior to screening, presence of cardiovascular disease meeting any of the following criteria: 1) Congestive heart failure with cardiac function \>= New York Heart Association (NYHA) Class II; left ventricular ejection fraction (LVEF) \< 50%; 2) Severe arrhythmia requiring medication; 3) QTcF (Fridericia formula) \> 450 msec in males or \> 470 msec in females, or presence of risk factors for torsades de pointes, such as clinically significant hypokalemia as determined by the investigator, history of familial long QT syndrome, or familial arrhythmia history (e.g., Wolff-Parkinson-White syndrome); and abnormal troponin levels; 4) Myocardial infarction, severe/unstable angina, cardiac revascularization, cerebrovascular accident, or similar events within six months prior to dosing; 5) History of \>= Grade 3 thromboembolic events within the past 2 years, or currently receiving thrombolytic or anticoagulant therapy due to high thrombotic risk; 8. Electrolite disturbances during screening; 9. Uncontrolled systemic diseases despite treatment, such as diabetes; 10. Current acute pulmonary disease, interstitial lung disease or pneumonia, pulmonary fibrosis, acute pulmonary disease, or treatable reflex interstitial pneumonia; 11. Patients with a clear tendency toward gastrointestinal bleeding, including the following conditions: presence of locally active ulcerative lesions with fecal occult blood test (\>=2+); history of melena or hematemesis within the past 2 months; patients deemed by the investigator to be at risk for major gastrointestinal hemorrhage; 12. History of or current unhealed gastrointestinal perforation or visceral fistula; 13. Evidence of active infection:

1. Hepatitis B (HBV) (requiring both positive hepatitis B surface antigen (HBsAg) and HBV-DNA levels exceeding the center's specified detection limit);
2. Hepatitis C (requiring both HCV antibody \[HCV-Ab\] positivity and HCV-RNA levels exceeding the lower limit of detection for the analytical method);
3. Active local or systemic infection requiring systemic antimicrobial therapy within 4 weeks prior to first dosing, or unexplained fever \>38.5°C during screening/prior to first dosing;
4. Active pulmonary tuberculosis infection identified through medical history or CT examination, or history of active pulmonary tuberculosis infection within 1 year prior to enrollment, or history of active pulmonary tuberculosis infection more than 1 year prior without formal treatment; 14. Individuals with positive human immunodeficiency virus (HIV RNA) or Treponema pallidum antibody status; 15. Presence of multiple factors affecting oral medication administration (e.g., inability to swallow, chronic diarrhea, intestinal obstruction), or conditions judged by the investigator to severely impair gastrointestinal absorption; 16. History of confirmed neurological or psychiatric disorders, including epilepsy, dementia, depression, etc.; 17. Patients with alcohol or drug dependence, a history of needle phobia or blood phobia, or inability to tolerate venous blood collection; 18. Habitual consumption of grapefruit juice or excessive amounts of tea, coffee, and/or caffeinated beverages, with inability to discontinue during the trial period; 19. Received any investigational drug within 4 weeks prior to first dosing, or concurrent participation in another clinical study (except: participation in an observational, non-interventional clinical study; being in the follow-up period of an interventional clinical study; or completion of the previous study drug administration more than 5 half-lives ago); 20. Female patients who are pregnant or breastfeeding; 21. Patients deemed unsuitable for inclusion in this study by the investigator.

Where this trial is running

Luoyang, Henan and 7 other locations

• The First Affiliated Hospital of Henan University of Science and Technology — Luoyang, Henan, China (NOT_YET_RECRUITING)
• The First Affiliated Hospital of Nanyang Medical College — Nanyang, Henan, China (NOT_YET_RECRUITING)
• The First Affiliated Hospital of Nanchang University — Nanchang, Jiangxi, China (NOT_YET_RECRUITING)
• Liaocheng Second People's Hospital — Liaocheng, Shandong, China (RECRUITING)
• Shanghai Pulmonary Hospital — Shanghai, Shanghai Municipality, China (NOT_YET_RECRUITING)
• Shanxi Bethune Hospital — Taiyuan, Shanxi, China (NOT_YET_RECRUITING)
• Neijiang First People's Hospital — Neijiang, Sichuan, China (RECRUITING)
• Shanghai East Hospital — Shanghai, China (RECRUITING)

Study contacts

• Study coordinator: Haiping WANG, PhD

Conditions: SCLC, Extensive Stage, Advanced Solid Tumors, SLCL