Clinical trial Recruiting at 5 sites Phase1; Phase2 Interventional Ages 18 and up

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.

More Advanced Solid Tumor trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment151 (estimated)
Sponsor1ST Biotherapeutics, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, pembrolizumab
Locations5 sites (Cleveland, Ohio and 4 other locations)
StatusRecruiting
StartedDecember 13, 2023
Main results expectedJune 2026
Study endsOctober 2026
Registry record updatedAugust 17, 2025
Trial IDNCT05761223 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

  • 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

Similar studies

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

  • 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.

    Recruiting at 4 sites Phase 1/2 Strand Therapeutics Inc. · Scottsdale, Arizona and 3 other locations · NCT07751042

  • 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.

    Recruiting at 4 sites Phase 1/2 Arvinas Inc. · New York, New York and 3 other locations · NCT07749586

  • 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.

    Recruiting at 5 sites Phase 1 EMD Serono · New Haven, Connecticut and 4 other locations · NCT07166601

  • 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.

    Recruiting at 4 sites Phase 1/2 Strand Therapeutics Inc. · Scottsdale, Arizona and 6 other locations · NCT06249048

  • 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.

    Recruiting at 10 sites Phase 1 Jazz Pharmaceuticals · Encinitas, California and 9 other locations · NCT06108050

  • 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.

    Recruiting Early Phase 1 Ruijin Hospital · Shanghai, Shanghai Municipality · NCT05916248

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.