Clinical trial Recruiting at 3 sites Phase 1 Interventional Ages 18 and up

ITC-6146RO in advanced cancers beyond standard therapy

Official title: A Phase 1a/b, Open-label, Multicenter, First-in-human, Dose Escalation/Expansion Study With Multiple Cohorts to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Anti-tumor Efficacy of ITC-6146RO in Patients With Advanced or Metastatic Cancer Who Have Failed Standard Therapy

Run by IntoCell, Inc · NCT07423117 · Data updated 2026-11-12

A new drug called ITC-6146RO is being tested to see if it is safe and can help people with advanced cancers who have no other approved options.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment102 (estimated)
SponsorIntoCell, Inc
Industry-sponsored
Locations3 sites (Seoul, Seoul and 2 other locations)
StatusRecruiting
StartedMarch 24, 2026
Main results expectedJune 30, 2027
Study endsDecember 31, 2029
Registry record updatedNovember 10, 2026
Trial IDNCT07423117 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with metastatic or surgically unresectable solid tumors (including specific cancers listed) who have exhausted standard therapies and meet performance status and measurable disease criteria.

Probably not a fit

Patients without measurable disease, those not meeting dose or organ-function criteria, or those whose cancer does not respond to this mechanism 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 a Phase 1 trial with two parts: dose-escalation to find the maximum tolerated or optimal dose, and a dose-expansion to further study safety, how the body handles the drug, and preliminary anti-tumor activity. It includes patients with metastatic castration-resistant prostate cancer, non-small cell lung cancer, triple-negative breast cancer, and other metastatic solid tumors. Doses from Phase 1a will determine RP2D for Phase 1b, where safety, PK, and early efficacy data will be collected. Eligible participants must have measurable disease, adequate organ function, and have exhausted standard therapies. The study is conducted at three Seoul-based centers and is sponsored by IntoCell, Inc.

Why it matters

Potential benefit: If successful, ITC-6146RO could provide a safe, tolerable dose with preliminary signs of tumor activity for patients with advanced cancers who have limited options.

How similar studies have gone: Earlier Phase 1 trials of similar agents have shown safety signals and early activity in various solid tumors, but this exact agent (ITC-6146RO) is in early development.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adult males and females aged ≥ 19 years (Korea) or ≥ 18 years (United States)
2. Patients must be individuals who have voluntarily agreed to participate in the study after receiving a detailed explanation and fully understanding the nature of the clinical trial, and who have provided written informed consent.
3. Pathological confirmation of malignancy and evidence of metastatic or surgically unresectable disease
4. Patients must have at least one evaluable or measurable lesion based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST version 1.1). However, for patients with prostate cancer, eligibility will be determined based on Prostate Cancer Working Group 3 (PCWG3)
5. Patients who have received standard therapies and have no remaining clinically available approved treatment options.
6. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
7. Estimated life expectancy of ≥ 3 months

Exclusion Criteria:

1. Inability to comply with study and follow-up procedures
2. Patients with a prior history of anticancer therapy before the first dose
3. History of another active malignancy within the past 3 years
4. Patients with central nervous system metastases, leptomeningeal disease, or spinal cord compression.
5. Patients who are currently participating in a clinical trial or have participated in a clinical trial involving a medical device or investigational product within 28 days prior to the first administration of ITC-6146RO
6. Has prior treatment with duocarmycin-containing agents
7. Pregnancy, lactation, or breastfeeding
8. Known Human immunodeficiency virus (HIV), Hepatitis C virus (HCV) and Hepatitis B virus (HBV) infection with active disease exception of the following conditions.
9. Tuberculosis with active disease
10. Active infection necessitating systemic therapy
11. Prior allogenic bone marrow transplantation or solid organ transplantation
12. History of autoimmune disease, treatment with systemic immunosuppressive medications
13. Patients with clinically significant pulmonary disease

Where it's running

  • Severance Hospital
    Seoul, Seoul, South Korea
    Recruiting
  • Asan Medical Center
    Seoul, Seoul, South Korea
    Recruiting
  • Samsung Medical Center
    Seoul, 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.