Sponsor: Xadcera Biopharmaceutical (Suzhou) Co., Ltd. (industry)
Phase: 1
Start date: Oct. 24, 2024
Planned enrollment: 128
DM001 (also referred to as DM001‑BLD1102) is an investigational bispecific antibody–drug conjugate (ADC) developed by Doma Biopharmaceutical/Xadcera that targets both TROP2 and EGFR for the treatment of advanced solid tumors. US FDA IND clearance was announced on July 4, 2024; Australia granted a Clinical Trial Notification on June 26, 2024; and China issued a Clinical Trial Approval Notice on October 9, 2024. A global, first‑in‑human, phase 1, open‑label dose‑escalation/expansion study is ongoing in the United States and Australia (NCT06475937). As of October 7, 2025, no clinical efficacy or safety results have been publicly reported. (en.domabio.com)
Human data: No response or survival outcomes have been reported from clinical studies as of the above date. The ongoing phase 1 trial lists objective response rate (RECIST v1.1) as a secondary endpoint. (ichgcp.net)
Preclinical data: - AACR 2023: DM001 demonstrated potent in vitro cytotoxicity in TROP2+/EGFR+ cell lines and strong antitumor activity in multiple CDX and PDX models, with superiority to benchmark agents (e.g., sacituzumab govitecan, cetuximab) in select models. (aacrjournals.org) - SITC 2023: The DM001‑BLD1102 version showed broad activity across PDX models (including NSCLC with and without EGFR mutations, TNBC, HNSCC, CRC, ESCC, and gastric cancer), and activity in MMAE‑resistant models, consistent with the BLD1102 payload’s bystander effect. (biocytogen.com)
Human data: No publicly reported safety outcomes yet. The phase 1 trial is assessing dose‑limiting toxicities and maximum tolerated dose; dosing is by IV infusion every 3 weeks with extensive PK sampling. (ichgcp.net)
Nonclinical: - A pilot cynomolgus monkey study reported a favorable tolerability profile for DM001‑BLD1102. (biocytogen.com)
Note: Because human trial results have not yet been posted publicly, the summary above relies on preclinical data and official trial registries/announcements.
Last updated: Oct 2025
Goal: Evaluate safety, tolerability, pharmacokinetics, and preliminary antitumor activity of DM001, a first-in-human bispecific antibody–drug conjugate, and identify a recommended dose and schedule for further development.
Patients: Adults (≥18 years) with metastatic/advanced solid tumors including breast cancer, EGFR-mutant or EGFR–wild-type non–small cell lung cancer, gastric or gastroesophageal cancer, and colorectal cancer, who have progressed on, are intolerant to, or lack access to standard therapies. ECOG 0–1, measurable disease by RECIST v1.1, life expectancy ≥3 months. Key exclusions include active second malignancy, hematologic malignancies, untreated or progressive CNS metastases, significant pulmonary disease, uncontrolled comorbidities or infections, prolonged QTc, and uncontrolled HBV/HCV or HIV infection (with specified exceptions).
Design: Multicenter, open-label, Phase 1 dose-escalation followed by dose-expansion. Non-randomized, single-arm study with 3-week cycles to assess dose-limiting toxicities and define the maximum tolerated dose and/or recommended Phase 2 dose, then explore safety and preliminary efficacy in selected tumor cohorts.
Treatments: DM001 IV infusion administered on Day 1 of each 3-week cycle; infusion duration approximately 30–60 minutes. DM001 is a novel bispecific antibody–drug conjugate targeting TROP2 and EGFR using a common light-chain bispecific antibody conjugated via a hydrophilic, protease-cleavable linker (BLD1102) to a topoisomerase I inhibitor payload (BCPT02) with a drug-to-antibody ratio of 8. The dual targeting aims to enhance tumor selectivity and efficacy across TROP2/EGFR co-expressing tumors while permitting bystander killing; preclinical models showed broad antitumor activity and acceptable tolerability in nonhuman primates. No human efficacy or safety results have been reported to date beyond this ongoing first-in-human evaluation.
Outcomes: Primary: Incidence of dose-limiting toxicities and determination of the maximum tolerated dose using standard Phase 1 rules. Secondary: Pharmacokinetics including AUC(0–inf), Cmax, Tmax, and trough concentrations; preliminary antitumor activity by RECIST v1.1 objective response rate.
Burden on patient: High. As a first-in-human Phase 1 study with PK characterization, patients should expect frequent clinic visits, intensive safety monitoring, and multiple pharmacokinetic blood draws—particularly in Cycle 1 (five visits) and additional visits in Cycles 2–3—along with imaging for RECIST assessments. Treatment requires IV infusions every 3 weeks and follow-up visits after treatment discontinuation. Potential protocol-mandated ECGs, labs, and possible dose modifications or delays add to time and travel demands. No explicit mandatory biopsies are listed, which slightly mitigates burden, but overall visit frequency and PK sampling remain substantial.
Last updated: Oct 2025
Inclusion Criteria:
1. Subjects must have the ability to understand and willingness to sign a written informed consent document.
2. Subjects who have pathologically or cytologically confirmed documented metastatic/advanced breast cancer, EGFRmut or EGFRwt NSCLC, gastric cancer, gastroesophageal cancer or CRC, and have progressed on standard therapy, or intolerant to standard therapy, or no standard therapy accessible to the subjects due to any reason.
3. Subjects must be ≥18 years of age at the time of signing the informed consent form.
4. Subjects must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
5. Has a life expectancy of ≥3 months.
6. Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Exclusion Criteria:
1. Subjects have another active invasive malignancy within 5 years.
2. Current or history of a hematologic malignancy.
3. Primary central nervous system (CNS) malignancies or CNS metastases. Individuals with brain metastases can be enrolled only if treated, nonprogressive brain metastases and off high-dose steroids (\>20 mg prednisone or equivalent) for at least 4 weeks.
4. Individuals with Gilbert's disease with ≥3 × ULN.
5. Has an uncontrolled infection requiring intravenous (IV) injection of antibiotics, antivirals, or antifungals.
6. Has a medical history of clinically significant lung diseases or is suspected to have these diseases by imaging at the screening period.
7. Clinically uncontrolled intercurrent illness, including but not limit to an ongoing active infection, active coagulopathy, uncontrolled cardiovascular disease, uncontrolled immune disease, uncontrolled diabetes, uncontrolled pleural and peritoneal effusion, psychiatric illness that would limit compliance with the study requirements and other serious medical illnesses requiring systemic therapies.
8. Mean resting corrected QT interval corrected by Fridericia's formula (QTcF, QTcF=QT/\[RR\]1/3) \>470 msec obtained from triplicate 12-lead ECGs at baseline; no concomitant medications that would prolong the QT internal; no family history of long QT syndrome.
9. Known human immunodeficiency virus infection, or active hepatitis B virus (HBV), or hepatitis C virus (HCV) infection. Chronic carriers of HBV infection (hepatitis B surface antigen-positive, undetectable, or low HBV DNA) who receive prophylactic treatment during the study can be enrolled. Subjects with a history of HCV infection have completed curative antiviral treatment and HCV viral load below the limit of quantification and HCV antibody positive but HCV RNA negative due to prior treatment or natural resolution should be eligible.
10. Females who are pregnant or lactating or who intend to become pregnant during participation in the study are not eligible to participate.
11. Subjects who are of reproductive potential refuse to use effective methods of birth control during the course of participation in the study and within 120 days for both women and men of the last dose are ineligible to participate in the study.
South Brisbane, Queensland, 4101, Australia
[email protected] / 07 3737 4795
Status: Recruiting
Southport, Queensland, 4215, Australia
[email protected] / 07 5613 2480
Status: Recruiting
Clayton, Victoria, 3168, Australia
[email protected] / 61+ 0474769 510
Status: Recruiting
Nashville, Tennessee, 37203, United States
[email protected] / 615-766-3479
Status: Recruiting
Houston, Texas, 77030, United States
[email protected] / 713-563-4646
Status: Recruiting