Clinical trial Recruiting at 2 sites Phase 1 Interventional Ages 18 to 75

Testing AK138D1 for advanced solid tumors

Official title: A First-in-human, Phase I Study of Evaluating Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of AK138D1 in the Treatment of Advanced Solid Tumors

Run by Akeso · NCT06730386 · Data updated 2026-11-12

This study is testing a new treatment called AK138D1 to see if it is safe and effective for people with advanced solid tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment100 (estimated)
SponsorAkeso
Industry-sponsored
Drugs / interventionsCAR-T, chimeric antigen receptor, immunotherapy, radiation
Locations4 sites (Blacktown, New South Wales and 3 other locations)
StatusRecruiting
StartedFebruary 24, 2025
Main results expectedFebruary 26, 2028
Study endsAugust 30, 2028
Registry record updatedMarch 6, 2025
Trial IDNCT06730386 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 to 75 with advanced solid tumors that are refractory to or intolerant of standard treatments.

Probably not a fit

Patients with active central nervous system metastases or those who have previously received HER3-targeted therapies 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 open-label, first-in-human Phase I clinical study evaluates the safety, tolerability, pharmacokinetics, immunogenicity, and preliminary antitumor efficacy of AK138D1 in patients with advanced solid tumors. The study consists of two parts: a dose-escalation stage to determine the maximum tolerated dose (MTD) and a dose-expansion stage to establish the recommended Phase II dose (RP2D). Participants will be closely monitored for responses and side effects throughout the trial.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced solid tumors that are resistant to standard therapies.

How similar studies have gone: While this approach is novel in its specific application, similar studies targeting advanced solid tumors have shown promise in the past.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. The subject must sign the written informed consent form (ICF) voluntarily;
2. At enrollment, aged ≥ 18 to ≤ 75 years, both males and females are eligible;
3. ECOG performance status score of 0 or 1;
4. Has a life expectancy of ≥ 3 months;
5. Subjects who have histologically or cytologically diagnosed locally advanced or metastatic solid tumor, which Is refractory to or intolerant to standard treatment;
6. At least 1 measurable lesion as per RECIST v1.1 that is suitable for repeated accurate measurement.
7. Adequate organ function.

Exclusion Criteria:

1. Prior human epidermal growth factor receptor 3 (HER3) -targeted therapies, including antibodies, antibody-drug conjugates (ADCs), chimeric antigen receptor T-cell immunotherapy (CAR-T), and others;
2. Concomitant participation in another clinical study, unless it is a non-interventional clinical study or the follow-up period of an interventional study;
3. Presence of active central nervous system (CNS) metastases.
4. Patients with a history of non-infectious pneumonitis requiring systemic corticosteroid therapy; a history of interstitial lung disease (ILD) (including pulmonary fibrosis or radiation pneumonitis); currently suffering from ILD/pneumonitis or suspected of having such diseases based on imaging during screening;
5. Live vaccines or attenuated live vaccines administered within 4 weeks prior to the first dose, or planned to be administered during the study; use of inactivated vaccines is allowed;
6. Untreated subjects with active hepatitis B (HBsAg positive and HBV-DNA exceeding 1000 copies/mL (200 IU/mL) and above the lower limit of detection). For HBsAg-positive subjects, anti-hepatitis B therapy is required during the study; subjects with active hepatitis C (HCV antibody positive and HCV-RNA levels above the lower limit of detection) is also an exclusion;
7. Known active pulmonary tuberculosis (TB); subjects with suspected active TB must undergo appropriate clinical assessment to rule out the presence of active disease;
8. Active syphilis infection;
9. Subjects with known allergy to any component of any study drug; and with a history of known severe hypersensitivity reactions to other monoclonal antibodies;
10. Other reasons for ineligibility as evaluated by the investigator.

Where it's running

  • ICON Cancer Centre South Brisbane
    South Brisbane, Queensland, Australia
    Recruiting
  • Peninsula & South Eastern Haematology and Oncology Group
    Frankston, Victoria, Australia
    Recruiting
  • Blacktown Hospital-Blacktwon Cancer and Haematology Centre
    Blacktown, New South Wales, Australia
    Not yet recruiting
  • Macquarie University
    North Ryde, New South Wales, Australia
    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.