Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 75

AK138D1 for advanced solid tumors

Official title: A Phase I Study of Evaluating Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of AK138D1 in Advanced Solid Tumors

Run by Akeso · NCT07281326 · Data updated 2026-11-12

We will try AK138D1 given by IV in adults with advanced solid tumors that haven't responded to standard treatments to find a safe dose and see if it can shrink tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment200 (estimated)
SponsorAkeso
Industry-sponsored
Drugs / interventionsCAR-T, chimeric antigen receptor, immunotherapy
Locations1 site (Harbin, Heilongjiang)
StatusRecruiting
StartedOctober 22, 2025
Main results expectedOctober 22, 2026
Study endsMay 30, 2028
Registry record updatedDecember 15, 2025
Trial IDNCT07281326 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–75 with measurable advanced solid tumors, ECOG 0–1, adequate organ function, and at least a three-month life expectancy who have exhausted standard treatments are the ideal candidates.

Probably not a fit

Patients with active CNS metastases, prior HER3-targeted therapies, or who cannot meet safety requirements or attend the study site are unlikely to qualify or benefit from this trial.

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

What this trial studies

This open-label Phase I trial uses dose-escalation followed by expansion cohorts to determine the safety, tolerability, pharmacokinetics, immunogenicity, and preliminary anti-tumor activity of AK138D1 in adults with advanced solid tumors. Participants will receive AK138D1 by intravenous infusion at escalating dose levels to identify a recommended dose for future studies. Patients will be closely monitored for side effects, blood drug levels, immune responses, and tumor responses by imaging using RECIST v1.1. Up to 200 patients may be enrolled, with final numbers depending on safety and early efficacy findings.

Why it matters

Potential benefit: If successful, AK138D1 could provide a new treatment option that controls tumor growth for some patients whose cancers no longer respond to standard therapies.

How similar studies have gone: HER3-targeted antibodies and other targeted agents have shown occasional responses in early-phase trials for select tumors, but overall clinical benefit remains limited and 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. ECOG performance status score of 0 or 1;
4. Has a life expectancy of ≥ 3 months;
5. At least 1 measurable lesion as per RECIST v1.1 that is suitable for repeated accurate measurement.
6. Adequate organ function.

Exclusion Criteria:

1. Prior human epidermal growth factor receptor 3 (HER3) -targeted therapies, including antibodies, antibody-drug conjugates (ADCs), chimeric antigen receptor T-cell immunotherapy (CAR-T), and others;
2. Concomitant participation in another clinical study, unless it is a non-interventional clinical study or the follow-up period of an interventional study;
3. Presence of active central nervous system (CNS) metastases.
4. 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;
5. Untreated subjects with active hepatitis B or active hepatitis C;
6. Known active pulmonary tuberculosis (TB); subjects with suspected active TB must undergo appropriate clinical assessment to rule out the presence of active disease;
7. Known active syphilis infection;
8. Subjects with known allergy to any component of any study drug; and with a history of known severe hypersensitivity reactions to other monoclonal antibodies;
9. Other reasons for ineligibility as evaluated by the investigator.

Where it's running

  • Harbin Medical University Cancer Hospital
    Harbin, Heilongjiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.