Clinical trial Recruiting at 32 sites Phase1; Phase2 Interventional Ages 18 and up

Testing CS2009 for advanced solid tumors

Official title: A Phase I/II, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of CS2009, a Tri-specific Antibody Targeting PD-1/VEGFA/CTLA-4, as Monotherapy and Combination Therapy in Participants With Advanced Solid Tumors

Run by CStone Pharmaceuticals · NCT06741644 · Data updated 2026-11-12

This study is testing a new drug called CS2009 to see if it is safe and effective for people with advanced solid tumors.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment800 (estimated)
SponsorCStone Pharmaceuticals
Industry-sponsored
Drugs / interventionschemotherapy, immunotherapy
Locations33 sites (Los Angeles, California and 32 other locations)
StatusRecruiting
StartedFebruary 24, 2025
Main results expectedJanuary 2027
Study endsJanuary 2028
Registry record updatedAugust 20, 2026
Trial IDNCT06741644 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with unresectable advanced solid tumors who have failed standard treatments or have no available options.

Probably not a fit

Patients with resectable tumors or those who have not yet undergone standard treatment 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 Phase I study evaluates the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity of CS2009 in participants with advanced solid tumors. It includes a dose escalation phase (Phase Ia) followed by a dose expansion phase (Phase Ib) to determine the optimal dosing and assess the drug's effects. The study is open-label and multi-center, allowing for a diverse participant pool to better understand the drug's impact across various tumor types.

Why it matters

Potential benefit: If successful, this study could provide a new treatment option for patients with advanced solid tumors who have exhausted standard therapies.

How similar studies have gone: Other studies involving tri-specific antibodies and similar immunotherapeutic approaches have shown promise, indicating potential for success in this novel application.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Evidence of a personally signed and dated informed consent document.
* Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
* Age ≥ 18 years on the day of signing informed consent.

Phase I:

* Pathologically or cytologically confirmed, unresectable advanced solid tumors, including but not limited to non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), renal cell carcinoma (RCC), hepatocellular carcinoma (HCC), gastric cancer (GC), ovarian cancer (OC), cervical cancer (CC), etc.
* Failure of established standard of care for advanced disease, or no available standard of care.

Phase II:

* Pathologically or cytologically confirmed unresectable advanced solid tumors, including non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), etc.
* Participants with at least one measurable lesion as defined per RECIST v1.1 solid tumor.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
* Adequate organ function.
* Fertile male participants and female participants of childbearing potential must be willing to use an effective method of birth control from providing signed consent and for 180 days after the last investigational product administration.
* Female participants of childbearing potential must have a negative pregnancy test ≤ 7 days prior to the first dose of the investigational product.

Exclusion Criteria:

* History of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
* Known primary central nervous system (CNS) tumor or solid tumor CNS metastasis that is either symptomatic, untreated, or requires therapy.
* Presence of uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage within 4 weeks prior to the first dose of investigational product.
* Receipt of systemic corticosteroid treatment or any other form of immune suppressing treatment within 7 days prior to the first dose of investigational product.
* Active or prior history of definite inflammatory bowel disease.
* History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, or presence of active or suspected ILD/pneumonitis.
* Active infections requiring systemic therapy within 2 weeks prior to the first dose of investigational product.
* Positive for human immunodeficiency virus (HIV) or presence of acquired immune deficiency syndrome (AIDS).
* Active Hepatitis B or C infection.
* Active pulmonary tuberculosis (TB).
* Major surgery, chemotherapy, definitive radiotherapy, target therapy, immunotherapy, or other anti-cancer therapy within 21 days prior to the first dose of investigational product.
* Palliative radiotherapy within 14 days prior to the first dose of investigational product, or receipt of radioactive drug within 56 days prior to the first dose of investigational product.
* Administration of live vaccine within 28 days prior to the first dose of investigational product.
* History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.
* Receipt of antitumor Chinese herbal preparations or Chinese patent medicine within 7 days prior to the first dose of investigational product.
* Receipt of any other investigational drugs within 21 days prior to the first dose in this trial.
* History of hypersensitivity or idiosyncrasy to the excipients of the study drug or any monoclonal antibody.
* Any toxic effects of prior therapy or surgical procedures unresolved to baseline severity or NCI-CTCAE Version 5.0 Grade ≤ 1.
* Active alcohol or drug abuse.
* Female participants who are pregnant or breastfeeding.
* Other acute or chronic medical or psychiatric conditions that may increase the risk associated with study participation or investigational product administration.

Where it's running

  • START Los Angeles, LLC
    Los Angeles, California, United States
    Recruiting
  • NEXT Dallas
    Irving, Texas, United States
    Recruiting
  • Alfred Hospital (Alfred Health)
    Melbourne, Australia
    Recruiting
  • Austin Hospital (Austin Health)
    Melbourne, Australia
    Recruiting
  • Monash Medical Centre (Monash Health)
    Melbourne, Australia
    Recruiting
  • Peter Maccallum Cancer Centre Research
    Melbourne, Australia
    Recruiting
Show 27 more locations
  • Icon Cancer Centre South Brisbane
    South Brisbane, Australia
    Recruiting
  • Blacktown Hospital
    Sydney, Australia
    Recruiting
  • Macquarie University Hospital
    Sydney, Australia
    Recruiting
  • Scientia Clinical Research Ltd
    Sydney, Australia
    Recruiting
  • Beijing Cancer Hospital
    Beijing, China
    Recruiting
  • Jilin Cancer Hospital
    Changchun, China
    Recruiting
  • Hunan Cancer Hospital
    Changsha, China
    Recruiting
  • Sichuan Cancer Hospital
    Chengdu, China
    Recruiting
  • West China Hospital of Sichuan University
    Chengdu, China
    Recruiting
  • Fujian Cancer Hospital
    Fuzhou, China
    Recruiting
  • Sun Yat-sen Memorial Hospital, Sun Yat-sen University
    Guangzhou, China
    Recruiting
  • Sun Yat-Sen University Cancer Center
    Guangzhou, China
    Recruiting
  • Zhejiang Cancer Hospital
    Hangzhou, China
    Recruiting
  • Harbin Medical University Cancer Hospital
    Harbin, China
    Recruiting
  • Anhui Provincial Hospital
    Hefei, China
    Recruiting
  • Central Hospital Affiliated to Shandong First Medical University
    Jinan, China
    Recruiting
  • Linyi Cancer Hospital
    Linyi, China
    Recruiting
  • The First Affiliated Hospital of Nanchang University
    Nanchang, China
    Recruiting
  • Nanjing Drum Tower Hospital
    Nanjing, China
    Recruiting
  • Fudan University Shanghai Cancer Center
    Shanghai, China
    Recruiting
  • Shanghai East Hospital
    Shanghai, China
    Recruiting
  • Shanghai Pulmonary Hospital
    Shanghai, China
    Recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, China
    Recruiting
  • Xuzhou Central Hospital
    Xuzhou, China
    Recruiting
  • Henan Cancer Hospital
    Zhengzhou, China
    Recruiting
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, China
    Recruiting
  • The First Affiliated Hospital, Zhejiang University School of Medicine
    Hangzhou, China
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • AK157D1 injection for advanced solid tumors

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  • ABBV-253 in adults with advanced solid tumors

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  • MK-2010 alone or with other treatments for advanced solid tumors

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  • MK-2010 with Sac-TMT in advanced solid tumors

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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.