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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Akeso Industry-sponsored |
| Drugs / interventions | CAR-T, chimeric antigen receptor, immunotherapy, radiation |
| Locations | 4 sites (Blacktown, New South Wales and 3 other locations) |
| Status | Recruiting |
| Started | February 24, 2025 |
| Main results expected | February 26, 2028 |
| Study ends | August 30, 2028 |
| Registry record updated | March 6, 2025 |
| Trial ID | NCT06730386 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
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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
- Study coordinator: Wenting Li, MD
- Email: wenting01.li@akesobio.com
- Phone: +86-18116403289
Similar studies
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AK138D1 for advanced solid tumors
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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.