A Phase I, Multicenter, Open-label, First-in-Human, Dose Escalation and Expansion Study of DM001 in Patients With Advanced Solid Tumors

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Trial Details

Sponsor: Xadcera Biopharmaceutical (Suzhou) Co., Ltd. (industry)

Phase: 1

Start date: Oct. 24, 2024

Planned enrollment: 128

Trial ID: NCT06475937
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More trial details at ClinicalTrials.gov More info

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Investigational Drug AI Analysis

chevron Show for: DM001 (DM001-BLD1102)

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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

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Sites (5)

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Icon Cancer Centre South Brisbane

South Brisbane, Queensland, 4101, Australia

[email protected] / 07 3737 4795

Status: Recruiting

Tasman Oncology Research

Southport, Queensland, 4215, Australia

[email protected] / 07 5613 2480

Status: Recruiting

Monash Health

Clayton, Victoria, 3168, Australia

[email protected] / 61+ 0474769 510

Status: Recruiting

Sarah Cannon Research Institute (SCRI)

Nashville, Tennessee, 37203, United States

[email protected] / 615-766-3479

Status: Recruiting

University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

[email protected] / 713-563-4646

Status: Recruiting