Clinical trial Recruiting at 6 sites Phase 1 Interventional Ages 18 and up

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

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment24 (estimated)
SponsorD3 Bio (Wuxi) Co., Ltd
Industry-sponsored
Drugs / interventionsimmunotherapy
Locations6 sites (Macquarie Park and 5 other locations)
StatusRecruiting
StartedJuly 14, 2026
Main results expectedNovember 12, 2027
Study endsFebruary 12, 2028
Registry record updatedSeptember 18, 2026
Trial IDNCT07667842 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

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.