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

AK157D1 injection for advanced solid tumors

Official title: A Phase I Study of Evaluating Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of AK157D1 in the Treatment of Advanced Solid Tumors Conditions

Run by Akeso · NCT07847281 · Data updated 2026-11-12

A first-in-human Phase 1 study tests AK157D1 injection in adults with unresectable advanced solid tumors to see if it is safe and tolerable and to get early signs of how it behaves in the body and against tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment243 (estimated)
SponsorAkeso
Industry-sponsored
Locations3 sites (Harbin, Heilongjiang and 2 other locations)
StatusRecruiting
StartedSeptember 30, 2026
Main results expectedMarch 30, 2029
Study endsSeptember 15, 2029
Registry record updatedOctober 13, 2026
Trial IDNCT07847281 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 to 75 years old with histologically confirmed unresectable advanced solid tumors, measurable disease, adequate organ function, and no viable standard treatment options.

Probably not a fit

Patients with non-measurable disease, significant comorbidity, or tumors unlikely to respond to this approach 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 Phase 1, first-in-human trial of AK157D1 for injection in patients with advanced solid tumors that have progressed after standard treatment or for whom no standard options exist. The study aims to assess safety, tolerability, pharmacokinetics, and immunogenicity, with exploratory measures of preliminary antitumor activity. Eligible participants have measurable disease, good performance status (ECOG 0-1), and sufficient organ function, and may undergo multiple dose-escalation cohorts to determine a recommended dose. Key exclusions include active CNS metastases, recent major surgery, and other active cancers within the past three years. The trial is sponsored by Akeso and conducted at three tertiary cancer centers in China.

Why it matters

Potential benefit: If successful, participants may experience tumor control signals and gain access to an experimental therapy with manageable safety risks.

How similar studies have gone: Early-phase trials of similar first-in-human biologic injections have shown safety signals and potential activity in other solid tumors, but this specific agent is exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Be able to understand and voluntarily sign the written informed consent form.
2. Aged of ≥ 18 years and ≤75 years.
3. Histologically-confirmed unresectable advanced solid tumors with disease progression or intolerance to standard treatment or no standard treatment available.
4. At least one measurable lesion according to RECIST v1.1.
5. ECOG PS 0 or 1.
6. The expected lifespan is ≥3 months.
7. Have sufficient organ function.
8. Females participants must not be pregnant at screening or have evidence of non-childbearing potential. Agree to use medically accepted methods of contraception.

Exclusion Criteria:

1. Presence of active metastases to the central nervous system. For patients with asymptomatic brain metastasis or stable symptoms after treatment can be included.
2. Having other active malignancies within 3 years.
3. Having received major surgical operations within 4 weeks before the first administration.
4. Participants with clinically significant cardiovascular or cerebrovascular diseases or risks.
5. Participants with a history of mental illness and incapacitated or limited capacity.
6. Having received systemic anti-tumor treatment within 3 weeks.
7. Having received any treatment targeting B7H3.
8. Toxicity of previous antineoplastic therapy has not resolved to NCI CTCAE 6.0 grade 1 or lower.
9. Previous history of severe hypersensitivity reactions.
10. Participants with active autoimmune diseases requiring systemic treatment within 2 years.
11. Known to be positive for HIV and other infections.
12. Known active infection requiring antibodies treatment within 2 weeks, or severe infection within 4 weeks prior to the first dose.
13. Live attenuated vaccines were received within 4 weeks.
14. Currently participating in another interventional clinical study.
15. Any disease or condition that, in the opinion of the investigator, would compromise participant safety or interfere with study assessments.

Where it's running

  • Shanghai Pulmonary Hospital
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Harbin Medical University Cancer Hospital
    Harbin, Heilongjiang, China
    Not yet recruiting
  • West China Hospital of Sichuan University
    Chengdu, Sichuan, China
    Not yet recruiting

Study contacts

Similar studies

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

  • CG-7321: a first-in-human test in advanced solid tumors

    We’re testing CG-7321 alone and with fulvestrant to see if it’s safe and tolerable in adults with advanced solid tumors.

    Recruiting at 4 sites Phase 1 Chengdu Cynogen Bio-pharmaceutical Tech. Co., Ltd. · Fuzhou, Fujian and 3 other locations · NCT07923214

  • ABBV-253 in adults with advanced solid tumors

    This study tests ABBV-253 to see if it is safe, how it affects the cancer, and how the drug moves in the body for adults with advanced solid tumors.

    Recruiting at 3 sites Phase 1 AbbVie · Grand Rapids, Michigan and 2 other locations · NCT07807956

  • MK-2010 alone or with other treatments for advanced solid tumors

    This trial tests MK-2010, by itself or with other cancer medicines, to see if it helps people with advanced solid tumors.

    Recruiting at 7 sites Phase 2 Merck Sharp & Dohme LLC · Belleville, New Jersey and 6 other locations · NCT07793942

  • Whole-Body Infrared Heating for Advanced Solid Tumors

    This study looks at how ET-SPACE whole-body infrared hyperthermia affects people with advanced solid tumors to see if it changes biology, symptoms, and safety.

    Recruiting Zhejiang Hospital · Hangzhou, Zhejiang · NCT07793214

  • MK-2010 with Sac-TMT in advanced solid tumors

    This study tests MK-2010 combined with sacituzumab tirumotecan (sac-TMT) to see if it can help people with advanced solid tumors.

    Recruiting at 4 sites Phase 2 Merck Sharp & Dohme LLC · San Antonio, Texas and 3 other locations · NCT07785609

  • CBX-663 dose-escalation study in adults with relapsed or refractory myeloid cancers, advanced solid tumors, or glioblastoma

    This early-phase trial tests CBX-663 to see if it is safe and tolerable and to get an early sense of activity in adults with relapsed/refractory myeloid cancers, advanced solid tumors, or recurrent glioblastoma.

    Recruiting at 4 sites Phase 1 Crossbow Therapeutics, Inc. · Duarte, California and 3 other locations · NCT07779798

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.