Clinical trial Recruiting at 8 sites Phase 1 Interventional Ages 18 and up

Testing ZL-6201 for safety and early activity in sarcoma and other solid tumors

Official title: An Open-label, Phase 1a/b, Multicenter Study of ZL-6201 to Evaluate Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy in Participants With Sarcoma and Selected Solid Tumors

Run by Zai Lab (Hong Kong), Ltd. · NCT07374848 · Data updated 2026-11-12

This trial will see if the antibody-drug conjugate ZL-6201 is safe and shows early anti-cancer activity in adults with sarcoma or certain other advanced solid tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment180 (estimated)
SponsorZai Lab (Hong Kong), Ltd.
Industry-sponsored
Locations8 sites (Los Angeles, California and 7 other locations)
StatusRecruiting
StartedMarch 2, 2026
Main results expectedAugust 2028
Study endsSeptember 2029
Registry record updatedJuly 23, 2026
Trial IDNCT07374848 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with locally advanced unresectable or metastatic sarcoma or selected epithelial solid tumors, ECOG 0–1, at least one measurable lesion, limited prior systemic therapy (≤2 lines for sarcoma; ≤3 for other selected tumors), and willing to provide tumor tissue are the intended participants.

Probably not a fit

Patients with poor performance status, significant organ dysfunction, active HIV/HBV/HCV infection, or those who have received more prior lines of therapy than allowed are unlikely to be eligible or to benefit.

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, multicenter Phase 1a/b study gives escalating doses of ZL-6201 to adults with unresectable or metastatic sarcoma and selected solid tumors to characterize safety, tolerability, pharmacokinetics, and initial anti-tumor activity. Participants must have measurable disease, ECOG performance status 0–1, adequate organ and marrow function, be negative for HIV/HBV/HCV, and provide a tumor biopsy or archival tissue. The design includes dose-escalation followed by expansion cohorts in selected tumor types, with regular imaging per RECIST v1.1 and scheduled PK sampling. Safety events, lab results, and tumor responses will be tracked to establish a recommended dose for future studies.

Why it matters

Potential benefit: If successful, ZL-6201 could provide a new targeted treatment option that shrinks tumors or slows progression in some patients with LRRC15-expressing sarcomas and related solid tumors.

How similar studies have gone: Other early-phase antibody-drug conjugates targeting LRRC15 have shown initial signals of activity in sarcoma in Phase 1 trials, but the approach remains experimental and not yet proven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult men and women ≥18 years of age at the time of signing the ICF with an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and a life expectancy \> 3 months
* Participants must have histologically confirmed and documented diagnosis of locally advanced unresectable and/or metastatic sarcoma or a selected solid tumor
* Participants must be willing to undergo a tumor biopsy prior to start of treatment or provide archived tumor tissue sample
* Participants with sarcoma should have received no more than 2 lines of previous systemic therapies in the metastatic setting
* Participants with selected epithelial solid tumors should have received no more than 3 lines of previous systemic therapy in the metastatic/relapsed refractory setting
* Participants must have at least one measurable target lesion as defined by RECIST v1.1
* Adequate organ and marrow function as listed per protocol
* Must be negative for HIV, HBV, and HCV

Exclusion Criteria:

* Participants with another known malignancy that has required treatment within the last 2 years
* Symptomatic central nervous system (CNS) metastasis, and/or those requiring therapy with corticosteroids or anticonvulsants to control associated symptoms
* Participants with leptomeningeal metastasis
* Most recent systemic anti-cancer treatment or investigational products/devices less than 3 weeks
* Prior treatment with a topoisomerase-1 inhibitor antibody drug conjugate
* Impaired cardiac function or clinically significant cardiac disease within the last 3 months before administration of the first dose of the study treatment
* Clinically significant pulmonary disease including autoimmune, connective tissue, or inflammatory conditions
* Pregnant or nursing (lactating) women

Where it's running

  • Zai Lab Site 02003
    Los Angeles, California, United States
    Recruiting
  • Zai Lab Site 02030
    New Haven, Connecticut, United States
    Recruiting
  • Zai Lab Site 02026
    Sarasota, Florida, United States
    Recruiting
  • Zai Lab Site 02005
    St Louis, Missouri, United States
    Recruiting
  • Zai Lab Site 02002
    New York, New York, United States
    Recruiting
  • Zai Lab Site 02006
    Fairfax, Virginia, United States
    Recruiting
Show 2 more locations
  • Cancer Hospital Chinese Academy of Medical Sciences
    Beijing, Beijing Municipality, China
    Recruiting
  • Shanghai East Hospital
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

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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.