Clinical trial Recruiting at 2 sites Phase 1 Interventional Ages 18 and up

SIM0689 in adults with advanced solid tumors

Official title: Phase I First-in-Human, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

Run by Jiangsu Simcere Pharmaceutical Co., Ltd. · NCT07660432 · Data updated 2026-11-12

This study tests SIM0689 by itself to see how safe it is and how the body handles it in adults with advanced solid tumors, using a dose-escalation approach and then expanding to specific tumor types at the chosen dose.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment472 (estimated)
SponsorJiangsu Simcere Pharmaceutical Co., Ltd.
Industry-sponsored
Locations6 sites (Fuzhou, Fujian and 5 other locations)
StatusRecruiting
StartedJuly 3, 2026
Main results expectedDecember 2028
Study endsJune 2029
Registry record updatedAugust 20, 2026
Trial IDNCT07660432 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with histologically or cytologically confirmed advanced solid tumors that are refractory to standard therapy or for which no effective therapy exists, with measurable disease and good performance status.

Probably not a fit

Patients with non-measurable disease, those with symptomatic brain metastases, or settings where the drug is not effective 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 interventional study of SIM0689 given by injection in adults with locally advanced or metastatic solid tumors. The trial uses a dose-escalation portion to identify the highest safe dose (recommended dose) and a dose-expansion portion to further evaluate safety and early signs of activity at that dose in selected tumor types. Participants must have measurable disease, good performance status, and adequate organ function, with tissue available for biomarker studies. The study excludes patients with symptomatic brain metastases and requires contraception for those who can become pregnant. The lead sponsor is Jiangsu Simcere Pharmaceutical, with collaboration from Shanghai Xianwei Medical Technology, at several Chinese cancer centers.

Why it matters

Potential benefit: If successful, participants may experience disease control signals and contribute to determining a safe dose for future trials.

How similar studies have gone: Early-phase trials of similar approaches have shown safety signals and preliminary activity in solid tumors, but this specific agent is being studied in a novel context.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* In dose-escalation cohorts (Part 1), histologically or cytologically documented advanced or metastatic solid tumor that is refractory/relapsed to standard therapies, or for which no effective standard therapy is available, or the subject refuses standard therapy.
* In the dose-expansion cohorts (Part 2), histologically or cytologically confirmed selected advanced solid tumors.
* Subjects must have at least one measurable lesion according to RECIST Version1.1.
* Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
* Adequate organ function.
* Available archived tumor tissue sample to allow for correlative biomarker studies. If unavailable or unsuitable, the subject must consent and undergo fresh tumor biopsy.
* Life expectancy ≥12 weeks.
* Patients of childbearing potential (male and female) must agree to use reliable methods of contraception until at least 180 days after the last dose.

Exclusion Criteria:

* Symptomatic brain metastases.
* Serious non-healing wounds, ulcers or fractures.
* Toxicity from previous treatment has to restore to ≤ grade 1.
* Major surgery (excluding biopsy) or significant trauma within 4 weeks prior to enrollment.
* Use of aspirin (\> 325 mg/day) within 6 months prior to the first dose.
* Active hepatitis B or hepatitis C.
* Known human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS).
* Known hereditary or acquired predisposition to bleeding and thrombosis.
* History of gastrointestinal perforation, gastrointestinal bleeding, fistula, or any life-threatening bleeding event within 6 months prior to enrollment.
* Prior permanent discontinuation of PD-(L)1 and/or VEGF monoclonal antibody because of immune/anti-angiogenesis toxicities, or history of Grade ≥3 immune/anti-angiogenesis-related AEs
* Known or suspected active autoimmune disease.
* Patients with proteinuria at screening (Urine protein \>2+ at screening, or 2+ urine protein accompanied by 24-h urine protein ≥1 g/24 h).
* History of myocardial infarction or stroke within 6 months prior to enrollment.
* Subjects with clinically significant cardiovascular disease within 6 months prior to the first dose.
* Pregnant and lactating women.
* Known allergies to any excipient in the study drug.

Where it's running

  • Fujian Cancer Hospital
    Fuzhou, Fujian, China
    Recruiting
  • The First Affiliated Hospital, Zhejiang University school of Medicine
    Hangzhou, Zhejiang, China
    Recruiting
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
    Not yet recruiting
  • Hunan Cancer Hospital
    Changsha, Hunan, China
    Not yet recruiting
  • The First Hospital of China Medical University
    Shenyang, Liaoning, China
    Not yet recruiting
  • Cancer Hospital of Shandong First Medical University
    Jinan, Shandong, China
    Not yet 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.