Clinical trial Recruiting at 1 site Phase1; Phase2 Interventional Ages 18 to 75

AK138D1 alone or with Ivonescimab in advanced non-small cell lung cancer

Official title: A Phase Ib/II Study of AK138D1 as Monotherapy and in Combination With Ivonescimab in Patients With Advanced Non-Small Cell Lung Cancer

Run by Akeso · NCT07623356 · Data updated 2026-11-12

This study tests AK138D1 by itself or with Ivonescimab in adults with advanced non-small cell lung cancer to see if it is safe and can help shrink tumors.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment265 (estimated)
SponsorAkeso
Industry-sponsored
Drugs / interventionsivonescimab
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedJuly 7, 2026
Main results expectedJune 18, 2028
Study endsJuly 3, 2030
Registry record updatedJuly 29, 2026
Trial IDNCT07623356 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18-75 with advanced (Stage IIIB/IIIC or IV) NSCLC, ECOG 0-1, measurable disease, and adequate organ function.

Probably not a fit

Patients with active CNS metastases, inability to tolerate study procedures, or those not meeting eligibility criteria may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a multicenter, open-label phase Ib/II trial evaluating AK138D1 as a standalone treatment or in combination with Ivonescimab for patients with advanced NSCLC. The phase Ib portion focuses on safety, tolerability, and preliminary antitumor activity, while the phase II portion assesses safety and efficacy of both AK138D1 strategies. Participants may receive AK138D1 alone, AK138D1 with Ivonescimab, or other allowable regimens including Carboplatin as part of the study framework. Safety assessments, tumor measurements, and clinical outcomes will be collected throughout treatment. Eligible patients are adults up to 75 with measurable disease and good performance status.

Why it matters

Potential benefit: If successful, participants may experience tumor control and improved symptoms with AK138D1, alone or in combination with Ivonescimab.

How similar studies have gone: Similar immunotherapy- or targeted-agent combinations in NSCLC have shown activity, but this specific AK138D1 plus Ivonescimab approach is investigational.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. The subject must sign the written informed consent form (ICF) voluntarily;
2. At enrollment, aged ≥ 18 to ≤ 75 years, both males and females are eligible;
3. Has an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
4. Has a life expectancy of ≥ 3 months;
5. Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
6. Has Stage IIIB/IIIC or IV non-small cell lung cancer (NSCLC) (American Joint Committee on Cancer \[AJCC\]).
7. Adequate organ function.

Exclusion Criteria:

1. Concomitant participation in another clinical study, unless it is a non-interventional clinical study or the follow-up period of an interventional study;
2. Presence of active central nervous system (CNS) metastases.
3. Live vaccines or attenuated live vaccines administered within 4 weeks prior to the first dose, or planned to be administered during the study; use of inactivated vaccines is allowed;
4. Untreated subjects with active hepatitis B or active hepatitis C;
5. Known active pulmonary tuberculosis (TB); subjects with suspected active TB must undergo appropriate clinical assessment to rule out the presence of active disease;
6. Known active syphilis infection;
7. Subjects with known allergy to any component of any study drug; and with a history of known severe hypersensitivity reactions to other monoclonal antibodies;
8. Other reasons for ineligibility as evaluated by investigator.

Where it's running

  • Shanghai East Hospital
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.