RC278 treatment for people with solid tumors.
Official title: A Multicenter Phase I/II Clinical Study to Evaluate the Safety and Efficacy of RC278 for Injection in the Treatment of Locally Advanced Unresectable or Metastatic Malignant Solid Tumor
Run by RemeGen Co., Ltd. · NCT07105215 · Data updated 2026-11-12
This trial will test whether RC278 is safe and can shrink measurable solid tumors in adults.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 312 (estimated) |
| Sponsor | RemeGen Co., Ltd. Industry-sponsored |
| Drugs / interventions | radiation |
| Locations | 39 sites (Beijing, Beijing Municipality and 38 other locations) |
| Status | Recruiting |
| Started | August 11, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | May 31, 2030 |
| Registry record updated | November 26, 2025 |
| Trial ID | NCT07105215 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–75 with measurable solid tumors, ECOG 0–1, expected survival ≥12 weeks, and adequate organ function who can consent and attend visits are the ideal candidates.
✕Probably not a fit
People who are pregnant or breastfeeding, have brain metastases, unresolved high‑grade toxicities, active infections, uncontrolled cardiovascular disease, or interstitial lung disease are unlikely to qualify or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase I/II dose‑finding and expansion protocol will escalate RC278 doses to determine the maximum tolerated or administered dose and the recommended phase 2 dose, then treat additional patients at that dose to observe anti‑tumor activity. Eligible adults (18–75 years) must have at least one measurable lesion by RECIST v1.1, ECOG performance status 0–1, and adequate organ and bone marrow function. Key exclusions include pregnancy or breastfeeding, brain metastases, unresolved high‑grade toxicities from prior therapy, active infections, uncontrolled cardiovascular disease, and suspected or confirmed interstitial lung disease. The sponsor is RemeGen, and treatment will be delivered at participating cancer centers in China.
Why it matters
Potential benefit: If successful, RC278 could become a new treatment option that controls some solid tumors while maintaining an acceptable safety profile.
How similar studies have gone: Dose‑escalation followed by expansion cohorts is a standard early‑phase approach that has produced effective cancer drugs, but RC278 itself appears novel with limited published human data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Voluntarily participate in this study, sign the informed consent form, and be able to adhere to the study protocol; 2. Age between 18 and 75 years (including 18 and 75 years); 3. ECOG PS score of 0 or 1; 4. Expected survival ≥12 weeks; 5. According to RECIST v1.1 criteria, based on imaging examinations, there is at least one measurable target lesion; 6. Sufficient bone marrow, liver, kidney, and blood clotting function Exclusion Criteria: 1. Pregnant, breastfeeding, or intending to become pregnant subjects. 2. Subjects with brain metastases. 3. Subjects with unresolved toxicities from prior anti-tumor therapy not recovered to NCI-CTCAE v5.0 Grade 1. 4. Subjects with known hypersensitivity or delayed allergic reactions to any component of the investigational drug or similar drugs. 5. Subjects with acute, chronic, or symptomatic infections. 6. Subjects with uncontrolled cardiovascular diseases. 7. Subjects with confirmed or suspected interstitial lung disease (ILD), drug-related pneumonia, radiation pneumonitis, severely impaired pulmonary function, or other pulmonary diseases. 8. Subjects with a history of cirrhosis (Child-Pugh B or C class). 9. Subjects with active inflammatory bowel disease. 10. Subjects with uncontrolled diabetes (HbA1c ≥ 10%). 11. Subjects who experienced arterial/venous thromboembolic events, deep vein thrombosis, pulmonary embolism, or stroke within 6 months prior to the first dose. 12. Subjects with pericardial effusion or cardiac tamponade, or third-space fluid accumulation, which, in the investigator's judgment, cannot be controlled or stabilized by drainage or other methods. 13. Subjects with active autoimmune diseases requiring systemic treatment within the past 2 years. 14. Subjects with a history of other invasive malignancies within 5 years prior to the first dose, or evidence of residual disease from a previously diagnosed malignancy. 15. Subjects with a history of other acquired or congenital immunodeficiency diseases or organ transplantation. 16. Subjects with a history or current diagnosis of uncontrolled psychiatric disorders. 17. Subjects with poor adherence, who are unlikely to comply with the trial procedures. 18. Subjects with any other diseases, metabolic abnormalities, physical examination abnormalities, or laboratory abnormalities, which, in the investigator's judgment, raise suspicion of an underlying condition making the subject unsuitable for the investigational drug, or which may affect the interpretation of the study results, or place the subject at high risk.
Where it's running
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Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China Recruiting -
Fujian Cancer Hospital
Fuzhou, Fujian, China Recruiting -
Fujian Cancer Hospital
Fuzhou, Fujian, China Recruiting -
Fujian Medical University Union Hospital
Fuzhou, Fujian, China Recruiting -
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, China Recruiting -
The Second Affiliated Hospital of Guilin Medical University
Guilin, Guangxi, China Recruiting
Show 33 more locations
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Guangxi Medical University Cancer Hospital & Guangxi Cancer Institute
Nanning, Guangxi, China Recruiting -
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, China Recruiting -
Anyang Cancer Hospital
Luoyan, Henan, China Recruiting -
The First Affiliated Hospital of Henan University of Science &Technology
Luoyang, Henan, China Recruiting -
Nanyang Second General Hospital
Nanyang, Henan, China Recruiting -
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, Henan, China Recruiting -
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China Recruiting -
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, China
Wuhan, Hu'Nan, China Recruiting -
Hubei Cancer Hospital
Wuhan, Hubei, China Recruiting -
Tongji Hospital, Tongji Medical College of HUST, China
Wuhan, Hubei, China Recruiting -
Hunan Cancer Hospital
Changsha, Hunan, China Recruiting -
Hunan Cancer Hospital
Changsha, Hunan, China Recruiting -
Hunan Cancer Hospital
Changsha, Hunan, China Recruiting -
Hunan Cancer Hospital
Changsha, Hunan, China Recruiting -
Jiangsu Province Hospital
Nanjing, Jiangsu, China Recruiting -
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, China Recruiting -
Xuzhou Central Hospital
Xuzhou, Jiangsu, China Recruiting -
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China Recruiting -
Liaoning Cancer Hospital & Institute
Shenyang, Liaoning, China Recruiting -
The first Hospital of China Medical University
Shenyang, Liaoning, China Recruiting -
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China Recruiting -
Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, China Recruiting -
West China Hospital of Sichuan University
Chengdu, Sichuan, China Recruiting -
Yunnan Tumor Hospital
Kunming, Yunnan, China Recruiting -
Sir Run Run Shaw Hospital, affiliated with Zhejiang University School of Medicine
Hangzhou, Zhejiang, China Recruiting -
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, China Recruiting -
Taizhou Hospital of Zhejiang Province
Taizhou, Zhejiang, China Recruiting -
Sun Yat-sen University Cancer Center
Guangzhou, China Recruiting -
The First Affiliated Hospital, Zhejiang University School Of Medicine
Hangzhou, China Recruiting -
Cancer Hospital of Shandong First Medical University
Jinan, China Recruiting -
Jinan Central Hospital
Jinan, China Recruiting -
Shanxi Cancer Hospital
Taiyuan, China Recruiting -
Henan Cancer Hospital
Zhengzhou, China Recruiting
Study contacts
- Study coordinator: Xiaohong Su
- Email: na.su@remegen.com
- Phone: +8610-65018841
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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.