Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 75

XS-02 capsules in adults with advanced solid tumors

Official title: A Multicenter, Open Label, Single-arm Phase I Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetic Profile, and Initial Efficacy of XS-02 Capsules in Patients With Advanced Solid Tumors

Run by Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd. · NCT06531486 · Data updated 2026-11-12

This early-stage study tests XS-02 capsules to see if they are safe and tolerable and to get an early sense of how the drug behaves and works in adults with advanced solid tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment96 (estimated)
SponsorShanghai Fosun Pharmaceutical Industrial Development Co. Ltd.
Industry-sponsored
Drugs / interventionsChemotherapy, immunotherapy, radiation
Locations1 site (Beijing, Beijing Municipality)
StatusRecruiting
StartedAugust 15, 2024
Main results expectedMay 15, 2029
Study endsNovember 13, 2029
Registry record updatedOctober 26, 2026
Trial IDNCT06531486 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18 to 75 with advanced, locally advanced, or metastatic solid tumors who have failed or cannot tolerate standard therapy, or specific cohorts with endometrial cancer or osteosarcoma in expansion.

Probably not a fit

Patients without tumor response or disease stabilization in this early-stage study may not experience direct 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 multicenter, open-label, single-arm Phase I study that uses a dose-escalation and dose-expansion design to assess the safety, tolerability, and pharmacokinetics of XS-02 capsules in adults with advanced solid tumors. The trial also looks for early signs of efficacy in patients who have exhausted or intolerant standard therapies. Eligible tumor types include ovarian, breast, endometrial cancers, osteosarcoma, and other solid tumors. Phase Ia focuses on dose escalation with at least one evaluable lesion, while Phase Ib expands cohorts for specific histologies with measurable disease. The study is sponsored by Shanghai Fosun Pharmaceutical and conducted at Cancer Hospital Chinese Academy of Medical Sciences in Beijing.

Why it matters

Potential benefit: Participants may experience clinical benefit if XS-02 shows activity, contributing to disease control or stabilization.

How similar studies have gone: Early-phase trials of similar CHK1-targeting approaches have shown tolerability and signals of activity in some solid tumors, but this exact XS-02 program is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Patients must meet all of the following criteria for admission:

1. Volunteer to participate in clinical trials and sign an informed consent form (ICF).
2. Age ≥18 years old, ≤75 years old, regardless of gender.
3. Phase Ia: patients with histologically or cytologically confirmed locally advanced or metastatic solid tumors for whom no standard therapy is available, who have failed standard therapy, or who are intolerant of standard therapy. In the Phase Ib dose-expansion stage, Cohort A will enroll patients with advanced serous endometrial cancer who have failed prior standard therapy, and Cohort B will enroll patients with osteosarcoma who have failed prior standard therapy or are intolerant of standard therapy..
4. The phase Ia dose escalation has at least one evaluable lesion; in the phase Ib dose expansion has at least one measurable lesion (based on RECIST V1.1). For patients who have previously received radiation therapy, a radiation-treated lesion may be considered a target lesion if the lesion can be measured according to RECIST V1.1 and there is objective evidence of significant progression after radiation therapy.
5. All participants enrolled in phase Ib must provide a sufficient quantity of tumor tissue samples and control blood samples for predictive biomarker analysis.

6: The Eastern Cooperative Oncology Group (ECOG) scored 0-1, with no deterioration within 2 weeks prior to the first dose. Osteosarcoma patients with an ECOG score of 2 due to functional impairment caused by prior surgical resection or due to the anatomical location of the tumor might be enrolled at the investigator's discretion.

7:The expected survival time is ≥3 months. 8:Routine blood tests before first dosing must be within the following range (no blood transfusion or use of drugs that assist in raising white blood cells, platelets, hemoglobin, such as cytokines or erythropoietin, etc., for at least 7 days prior to first dosing) a. Hemoglobin (HB) ≥90 g/L. b. Platelet (PLT) count ≥100×10\^9/L. c. Absolute count of neutrophils (ANC) ≥1.5×10\^9/L.

9:Has proper organ function 10:Female subjects of reproductive age in the screening period had negative serological pregnancy test results within 7 days prior to the first dosing. The subjects also agreed to use a reliable method of contraception for 3 months from signing the informed consent to the last dosing. Including but not limited to: forbidden Sex, male vasectomy, female sterilization, effective IUD, condoms, effective contraceptive drugs.

11:Patients were able to comply with the visits required by the study procedure and protocol.

Patients who meet any of the following conditions are not allowed to enter this clinical study:

1. Chemotherapy, small molecule targeted therapy, endocrine therapy and traditional Chinese medicine with anti-tumor indications were received within 2 weeks prior to the first dose. Received tumor immunotherapy, antibodies, polypeptide antitumor, or other investigational drugs within 4 weeks prior to initial administration.
2. Patients who had undergone therapeutic surgery other than diagnosis, biopsy, drainage, or radical radiotherapy within 4 weeks prior to initial dosing, or who expected to undergo major surgery during the study period. Had received palliative radiotherapy within 2 weeks prior to the first dose, or had used radiopharma (strontium, samarium, etc.) within 56 days prior to the first dose.
3. The toxicity of previous antitumor therapy has not recovered (\> NCI-CTCAE 5.0 grade 1),alopecia, pigmentation, or other toxicity that the investigators assessed had become chronic and did not affect the safety of the investigational medication returned to NCI-CTCAE 5.0 level 2 or below.

4:Imaging (CT or MRI) shows that the tumor has invaded large blood vessels (such as aorta, pulmonary artery, pulmonary vein, vena cava, etc.) or is at risk of bleeding (such as esophageal and gastric varices) or fistula.

5: Osteosarcoma patients with severe tumor-induced bone injury that has occurred or may occur after enrollment, such as pathologic fractures of weight-bearing bones or spinal cord compression that have occurred within 3 months or may occur after enrollment; or uncontrolled pain related to bone metastases.

6: Inflammatory breast cancer 7: There is clinically uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage or medical intervention (within 2 weeks prior to administration).

8: Patients with central nervous system metastasis who meet any of the following conditions: a. need to undergo local treatment (surgery, radiation or other); b. Patients who require steroid hormones, anticonvulsants, or other dehydration treatment; c. Meningeal, midbrain, pontine, bulbar, or spinal cord metastases. Only patients with BMS who were asymptomatic, stable on imaging assessment (no significant progression of brain metastases on imaging assessment within the first 4 weeks of enrollment) and did not require treatment were admitted. d. Presence of spinal cord compression, or brain or CNS injury.

9: Patients with difficulty swallowing, or a history of severe gastrointestinal disease (e.g. active inflammatory bowel disease, gastrointestinal perforation) and related symptoms that cannot be reasonably controlled; Or have a gastrointestinal disorder (e.g., Crohn's disease, ulcerative colitis, intestinal obstruction, short bowel syndrome) or other malabsorption conditions that affect drug absorption.

10: Have active or unstable cardiovascular disease 11: Bacterial, fungal, or viral infections requiring intravenous antibiotics/antivirals or hospitalization were investigated within 2 weeks prior to initial drug administration.

12: People who have a history of prior severe allergies or are allergic to any active or inactive ingredient of the investigatory drug.

13: Known acute or active hepatitis B (HBV surface antigen positive with HBV DNA≥500 IU/mL), hepatitis C virus infection (HCV RNA exceeding the normal range), syphilis infection, and human immunodeficiency virus (HIV) infection.

14: Other primary malignancies have been diagnosed within the previous five years (the following conditions can be included: cured and completely resected basal and squamous cell skin cancers, completely resected cancers of any type in situ).

15: Use within 2 weeks prior to first administration or expect to use a CYP3A booster or strong inducer during study drug administration.

16: Use within 2 weeks prior to first administration, or expect to use any drug known to prolong the QTc interval during study drug administration.

17: The ATR/CHK1 pathway has been treated in the past. 18: Had a bone marrow transplant or had extensive radiation therapy on more than 25% of the bone marrow in the 8 weeks prior to initial dosing.

19: A history of blood clotting disorders; Anticoagulant or antiplatelet therapy (oral aspirin dose ≤100 mg/d and subcutaneous injection of low molecular weight heparin for prevention of deep vein thrombosis) is required.

20: Pregnant and lactating women. 21: According to the judgment of the investigator, any other serious or uncontrolled acute or chronic medical or psychiatric condition, or abnormal laboratory tests or other reasons are not suitable for participation in this clinical study.

Where it's running

  • Cancer Hospital Chinese Academy of Medical Sciences
    Beijing, Beijing 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.