Investigating the safety and efficacy of FB849 for advanced solid tumors
Official title: A Phase I/II, Open-label Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of FB849 Administered in Subjects With Advanced Solid Tumors Alone and in Combination With Pembrolizumab
Run by 1ST Biotherapeutics, Inc. · NCT05761223 · Data updated 2026-11-12
This study is testing a new treatment called FB849, alone and with another drug, to see if it can help people with advanced solid tumors who don’t have other treatment options.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 151 (estimated) |
| Sponsor | 1ST Biotherapeutics, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, pembrolizumab |
| Locations | 5 sites (Cleveland, Ohio and 4 other locations) |
| Status | Recruiting |
| Started | December 13, 2023 |
| Main results expected | June 2026 |
| Study ends | October 2026 |
| Registry record updated | August 17, 2025 |
| Trial ID | NCT05761223 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with measurable advanced solid tumors and an ECOG performance status of 0 or 1.
✕Probably not a fit
Patients with known allergies to the study treatment components or those with additional malignancies requiring active treatment may not benefit from this study.
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 first-in-human, multicenter, open-label Phase I/II study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of FB849, both alone and in combination with pembrolizumab, in patients with advanced solid tumors who lack standard treatment options. The study consists of four parts, including a dose-escalation phase to determine the maximum tolerated dose and a dose-expansion phase to assess safety and anti-tumor activity. An adaptive Bayesian optimal interval design will be utilized to allow for flexible dose adjustments based on patient responses. The study aims to provide critical insights into the therapeutic potential of FB849 in this challenging patient population.
Why it matters
Potential benefit: If successful, this study could offer a new treatment option for patients with advanced solid tumors who currently have no effective therapies available.
How similar studies have gone: Other studies have shown promise with similar approaches, but this specific combination and methodology may provide novel insights.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subject should understand, sign, and date the written ICF prior to screening. * Male or female aged 18 years or older. * Subjects must have at least 1 measurable target lesion according to RECIST version 1.1. * Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 * Life expectancy ≥ 3 months in the opinion of the investigator. * Adequate organ function and bone marrow function as indicated by the following screening assessments performed within 14 days prior to the first dose of study treatment Exclusion Criteria: * Known allergy or hypersensitivity to any component of the study treatment. * Has a known additional malignancy that is progressing or has required active treatment. * Has abnormal or inadequately controlled endocrine function. * Inability to take oral medication or significant nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption of oral medication. * Previous anti-cancer therapy, including chemotherapy (chemotherapy with nitrosourea or mitomycin should be at least 6 weeks prior to initiation of study treatment), radiotherapy, molecular targeted therapy, or other investigational drugs received ≤ 4 weeks; endocrine therapy ≤ 2 weeks or ≤ 5-half-lives (whichever is shorter) prior to initiation of study treatment.
Where it's running
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Cleveland Clinic
Cleveland, Ohio, United States Recruiting -
Mary Crowley Cancer Research Center
Dallas, Texas, United States Recruiting -
NEXT Oncology San Antonio
San Antonio, Texas, United States Recruiting -
Next Oncology Virginia
Fairfax, Virginia, United States Recruiting -
Summit Cancer Centers - Spokane Valley
Spokane, Washington, United States Recruiting
Study contacts
- Study coordinator: 1STBIO Information center
- Email: info@1stbio.com
- Phone: +82-31-895-4677
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
This study tests STX-003, given by IV, to see if it is safe and potentially effective for patients with advanced solid tumors, either alone or with pembrolizumab.
-
ARV-6723 alone or with pembrolizumab in adults with advanced solid tumors
This study tests ARV-6723, by itself or with pembrolizumab, to see if it is safe and could help the immune system fight advanced solid tumors in adults.
-
M0324 alone or with pembrolizumab or mFOLFIRINOX chemotherapy for selected advanced solid tumors
This trial tests whether the experimental drug M0324, given alone or with pembrolizumab or mFOLFIRINOX chemotherapy, is safe and shows early signs of benefit for people with advanced solid tumors that overexpress MUC-1.
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Injecting STX-001 into tumors for advanced solid cancers
This study is testing a new treatment called STX-001, injected directly into tumors, to see if it can help people with advanced solid cancers like triple-negative breast cancer and melanoma, both on its own and with another immunotherapy drug.
-
JZP898 infusion for advanced metastatic solid tumors
This study is testing a new treatment called JZP898, alone and with another drug, to see if it can help adults with advanced solid tumors feel better and improve their health.
-
Combining personalized mRNA vaccines with Pembrolizumab for advanced solid tumors
This study is testing a personalized cancer vaccine combined with a medication called Pembrolizumab to see if it helps people with advanced solid tumors live longer and feel better.
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.