HF50 for HER2-positive and HER2-low advanced solid tumors
Official title: An Open-label, Single-arm, Non-randomized, Single-center, Dose-escalation Study to Evaluate the Safety, Tolerability, and Preliminary Antitumor Activity of HF50 in Subjects With HER-2 Positive and HER-2 Low-expression Advanced Solid Tumors
Run by HighField Biopharmaceuticals Corporation · NCT06822998 · Data updated 2026-11-12
This trial tests HF50 in adults with HER2-positive or HER2-low advanced solid tumors to find a safe dose and look for early signs it works.
Quick facts
| Phase | Early Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 10 (estimated) |
| Sponsor | HighField Biopharmaceuticals Corporation Industry-sponsored |
| Drugs / interventions | chemotherapy, immunotherapy, prednisone |
| Locations | 1 site (Chengdu, Sichuan) |
| Status | Recruiting |
| Started | June 11, 2025 |
| Main results expected | March 1, 2026 |
| Study ends | June 1, 2026 |
| Registry record updated | August 17, 2025 |
| Trial ID | NCT06822998 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–75 with histologically confirmed HER2-positive or HER2-low unresectable/metastatic solid tumors, measurable disease, ECOG 0–1, adequate organ and marrow function, and who have progressed on or are intolerant to standard treatments are the intended participants.
✕Probably not a fit
Patients with ECOG performance status ≥2, significant organ dysfunction, life expectancy under three months, or without the required HER2 expression profile are unlikely to 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, single-arm, dose-escalation Phase 1 trial gives escalating doses of HF50 to adults with HER2-positive or HER2-low advanced solid tumors to determine the maximum tolerated dose and recommended Phase II dose. Eligible participants have unresectable, metastatic, or relapsed tumors with at least one measurable lesion, ECOG performance status 0–1, and adequate organ function. Secondary goals include characterizing HF50 pharmacokinetics and observing preliminary antitumor activity by RECIST v1.1. The single-center study at West China Hospital uses standard safety monitoring and dose-limiting toxicity rules common to early-phase oncology trials.
Why it matters
Potential benefit: If successful, HF50 could offer a new targeted treatment option for patients with HER2-positive or HER2-low advanced tumors who have limited standard therapies.
How similar studies have gone: Other HER2-targeted agents, particularly antibody–drug conjugates, have shown meaningful activity in HER2-positive and some HER2-low cancers, supporting the general approach though HF50 itself is novel and unproven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants must voluntarily provide written informed consent (ICF) prior to any study-related procedures, and be capable of complying with all protocol requirements. * Adult participants aged between 18 and 75 years (inclusive) at the time of ICF signing. * Histologically or cytologically confirmed advanced HER-2 positive or HER-2 low-expression solid tumors that are unresectable, metastatic, or have relapsed after standard therapies, are intolerant to standard therapies (e.g., chemotherapy, targeted therapy), or lack effective treatment options. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Life expectancy of at least 3 months. * At least one measurable lesion as defined by RECIST version 1.1. * Adequate organ and bone marrow function as demonstrated by the following laboratory parameters:Hematologic Function:Absolute neutrophil count (ANC) ≥1.5×10⁹/L、Lymphocyte count ≥1.0×10⁹/L、Platelet count ≥90×10⁹/L、Hemoglobin ≥9.0 g/dL (without transfusion or erythropoietin-stimulating agents within 14 days); Coagulation Parameters:Activated partial thromboplastin time (aPTT) ≤1.5×ULN、 International normalized ratio (INR) ≤1.5. Hepatic Function:Total bilirubin (TBIL) ≤1.5×ULN、Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5×ULN (≤5×ULN for participants with liver metastases, and TBIL ≤3×ULN); Renal Function:Creatinine clearance (CrCl) ≥50 mL/min (Cockcroft-Gault formula). * Female participants of childbearing potential must have a negative serum pregnancy test at screening and prior to the first dose. Male and female participants of childbearing potential must agree to use effective contraception during the study and for 6 months after the last dose. Exclusion Criteria: * History of active autoimmune disease or autoimmune disease considered unsuitable for study participation, with exceptions for localized skin conditions (e.g., eczema involving \<10% of body surface area, vitiligo, psoriasis, alopecia) or childhood asthma resolved without treatment in adulthood. * Current use of immunosuppressants or systemic corticosteroids (\>10 mg/day prednisone or equivalent) within 4 weeks prior to the first dose, except for local steroid use. * Receipt of systemic chemotherapy, radiotherapy, targeted therapy, or immunotherapy less than 2 weeks (or 4 weeks for nitrosourea or mitomycin C) or within 5 half-lives of the prior therapy before the first dose. * Symptomatic brain metastases or leptomeningeal disease unless adequately treated (e.g., surgery or radiotherapy) with no evidence of progression for ≥28 days and off systemic steroids for ≥14 days prior to the first dose. * Unresolved toxicities from prior therapies ≥Grade 2 (CTCAE v5.0) at baseline, except for toxicities deemed by the investigator to pose no safety risk (e.g., alopecia, stable hypothyroidism with hormone replacement). * Significant cardiovascular or cerebrovascular conditions, including but not limited to:Thromboembolic events requiring therapeutic anticoagulation within 3 months prior to the first dose.NYHA Class III or IV heart failure.Acute coronary syndrome, congestive heart failure, aortic dissection, or stroke within 6 months prior to the first dose.Uncontrolled hypertension (systolic blood pressure \>160 mmHg or diastolic blood pressure \>100 mmHg), unless controlled with antihypertensive medication. * Active infection or unexplained fever \>38.5°C within 1 week prior to the first dose (tumor-related fever may be eligible at the investigator's discretion). * Known HIV infection, active hepatitis B virus (HBV) infection (HBV DNA \>ULN), or active hepatitis C virus (HCV) infection (HCV RNA \>ULN). * Gastrointestinal symptoms or other conditions requiring intervention within 4 weeks prior to the first dose that would, in the investigator's judgment, impair study participation. * Pregnant or breastfeeding women. * Any other severe systemic disease, psychological condition, or significant clinical abnormality deemed unsuitable for study participation by the investigator.
Where it's running
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West China Hospital of Sichuan University
Chengdu, Sichuan, China Recruiting
Study contacts
- Principal investigator: Lei Liu, MD, PhD — West China Hospital
- Study coordinator: Zelei Dai, MMedSc
- Email: daisydzl@icloud.com
- Phone: +86 17691161216
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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.