D3L-002 in Advanced Solid Tumors (Phase 1)
Official title: A Phase 1, Open-label, Dose-Escalation Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of D3L-002 (an Anti-TIGIT/Anti-PVRIG Bispecific Antibody) Monotherapy in Subjects With Advanced Solid Tumors
Run by D3 Bio (Wuxi) Co., Ltd · NCT07667842 · Data updated 2026-11-12
D3L-002 is being tested in adults with advanced solid tumors to see if it is safe, tolerable, and shows any signs of benefit when given in escalating doses.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 24 (estimated) |
| Sponsor | D3 Bio (Wuxi) Co., Ltd Industry-sponsored |
| Drugs / interventions | immunotherapy |
| Locations | 6 sites (Macquarie Park and 5 other locations) |
| Status | Recruiting |
| Started | July 14, 2026 |
| Main results expected | November 12, 2027 |
| Study ends | February 12, 2028 |
| Registry record updated | September 18, 2026 |
| Trial ID | NCT07667842 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with histologically confirmed advanced or unresectable solid tumors that progressed after prior therapy or have no standard treatment options, ECOG 0-1, and adequate organ function.
✕Probably not a fit
Patients whose tumors do not respond to D3L-002 or who experience intolerable toxicity 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 the first-in-human, multicenter, open-label, single-arm Phase 1 study of D3L-002 given intravenously every 3 weeks in 21-day cycles. The trial uses a Bayesian Optimal Interval design to identify the maximum tolerated dose and the recommended Phase 2 dose, while collecting safety, pharmacokinetics, pharmacodynamics, immunogenicity, and preliminary tumor activity data. About 24 participants with metastatic or unresectable tumors that progressed after prior therapy or lack standard options will be enrolled. Key eligibility includes adequate organ function, ECOG 0-1, and consent to provide tissue and blood samples; major exclusions include prior TIGIT or PVRIG therapy and active autoimmune disease.
Why it matters
Potential benefit: If successful, the study could identify a safe dose of D3L-002 and provide early signals of antitumor activity for patients with limited options.
How similar studies have gone: Early-phase trials of similar immunotherapy approaches have shown safety signals and potential activity in related pathways, but this specific agent is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Ability to provide written informed consent and comply with study procedures 2. Age ≥18 years 3. Histologically confirmed metastatic or locally advanced incurable solid tumor that has progressed after ≥1 line of therapy or has no available standard treatment 4. Eastern Cooperative Oncology Group (ECOG) performance status 0-1 5. Adequate organ function (hematologic, hepatic, renal) 6. Life expectancy ≥12 weeks 7. Willingness to provide tumor tissue (if available) and blood samples 8. Agreement to use effective contraception 9. Negative pregnancy test for participants of childbearing potential Exclusion Criteria: 1. Prior anti-TIGIT or anti-PVRIG therapy 2. Recent anticancer therapy without adequate washout 3. Active or uncontrolled illness 4. Interstitial lung disease/pneumonitis 5. Active Central Nervous System (CNS) disease 6. Uncontrolled effusions 7. Unresolved ≥Grade 2 toxicities 8. Severe prior immunotherapy-related toxicity 9. Active autoimmune disease 10. Active infection 11. Active hepatitis B/C or HIV 12. Recent malignancy (exceptions apply) 13. Significant cardiovascular disease 14. Immunosuppressive therapy within 14 days 15. Live vaccine within 30 days 16. Pregnancy or breastfeeding 17. Hypersensitivity to study drug 18. Investigator-determined unsuitability
Where it's running
-
D3 Bio Investigative Site 1101
Macquarie Park, Australia Recruiting -
D3 Bio Investigative Site 1102
Nedlands, Australia Recruiting -
D3 Bio Investigative Site 1204
Cheongju-si, South Korea Recruiting -
D3 Bio Investigative Site 1202
Seoul, South Korea Recruiting -
D3 Bio Investigative Site 1203
Seoul, South Korea Recruiting -
D3 Bio Investigative Site 1201
Seoul, South Korea Recruiting
Study contacts
- Study coordinator: Medical Director
- Email: D3bio_CT@d3bio.com
- Phone: +86 21 61635900
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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STX-003 in advanced solid tumors given by IV, alone or with pembrolizumab
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.