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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT07141706
Registration number
NCT07141706
Ethics application status
Date submitted
18/08/2025
Date registered
26/08/2025
Date last updated
26/08/2025
Titles & IDs
Public title
A Study of DB-1317 in Selected Advanced/Metastatic Solid Tumors
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Scientific title
A Phase 1a/1b, Multicenter, Open-Label, First-in-Human Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of DB-1317 in Participants With Selected Advanced/Metastatic Solid Tumors
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Secondary ID [1]
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DB-1317-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced/Metastatic Solid Tumors
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - DB-1317
Experimental: DB-1317 Dose Level 1 - Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 1 on Day 1 of each cycle Q3W
Experimental: DB-1317 Dose Level 2 - Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 2 on Day 1 of each cycle Q3W
Experimental: DB-1317 Dose Level 3 - Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 3 on Day 1 of each cycle Q3W
Experimental: DB-1317 Dose Level 4 - Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 4 on Day 1 of each cycle Q3W
Experimental: DB-1317 Dose Level 5 - Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 5 on Day 1 of each cycle Q3W
Experimental: DB-1317 Dose Expansion 1 - Subjects with advanced/unresectable, or metastatic Gastric cancer (GC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317
Experimental: DB-1317 Dose Expansion 2 - Subjects with advanced/unresectable, or metastatic colorectal cancer (CRC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317
Experimental: DB-1317 Dose Expansion 3 - Subjects with advanced/unresectable, or metastatic pancreatic ductal adenocarcinoma (PDAC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317
Treatment: Drugs: DB-1317
Administered I.V.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Phase 1a: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by CTCAE v5.0. Percentage of participants in Part 1 with DLTs
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Assessment method [1]
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Percentage of participants in Phase 1a with DLTs
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Timepoint [1]
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up to 21 days after Cycle 1 Day 1
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Primary outcome [2]
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Phase 1a: Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) as assessed by CTCAE v5.0.
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Assessment method [2]
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Percentage of participants with TEAEs in Phase 1a graded according to NCI CTCAE v5.0
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Timepoint [2]
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Up to follow-up period, approximately 1 year post-treatment
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Primary outcome [3]
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Phase 1a: Percentage of Participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.
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Assessment method [3]
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Percentage of Participants with SAEs in Phase 1a graded according to NCI CTCAE v5.0
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Timepoint [3]
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Up to follow-up period, approximately 1 year post-treatment
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Primary outcome [4]
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Maximum Tolerated Dose (MTD) of DB-1317
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Assessment method [4]
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MTD on the data collected during Phase 1a
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Timepoint [4]
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Up to the completion of Phase 1a (assessed up to 12 months)
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Primary outcome [5]
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Recommended Phase 1b Dose (RP2D) of DB-1317
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Assessment method [5]
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RP2D of DB-1317 based on the data collected during Phase 1a
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Timepoint [5]
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Up to the completion of Phase 1a (assessed up to 12 months)
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Primary outcome [6]
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Phase 1b: Percentage of Participants with Treatment Emergent adverse events (TEAEs) as assessed by CTCAE v5.0.
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Assessment method [6]
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Percentage of participants with TEAEs in Phase 1b graded according to NCI CTCAE v5.0
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Timepoint [6]
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Up to follow-up period, approximately 1 year post-treatment
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Primary outcome [7]
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Phase 1b: Percentage of participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.
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Assessment method [7]
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Percentage of participants with SAEs in Phase 1b graded according to NCI CTCAE v5.0
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Timepoint [7]
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Up to follow-up period, approximately 1 year post-treatment
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Primary outcome [8]
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Phase 1b: Objective Response Rate (ORR) as determined by investigator
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Assessment method [8]
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Phase 1b: Objective Response Rate (ORR) as determined by investigator per RECIST 1.1 in non-CRPC. The percentage of participants who had a best response rating of CR and PR, for Part 2 only which was maintained =4 weeks
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Timepoint [8]
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Up to follow-up period, approximately 1 year post-treatment
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Primary outcome [9]
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Phase 1b: duration of response (DoR)
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Assessment method [9]
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DoR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)
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Timepoint [9]
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Up to follow-up period, approximately 1 year post-treatment
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Primary outcome [10]
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Phase 1b: disease-control rate (DCR)
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Assessment method [10]
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DCR will be determined from tumor assessments by investigator per response
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Timepoint [10]
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Up to follow-up period, approximately 1 year post-treatment
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Primary outcome [11]
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Phase 1b: Time to Response (TTR)
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Assessment method [11]
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TTR will be determined from tumor assessments by investigator per response
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Timepoint [11]
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Up to follow-up period, approximately 1 year post-treatment
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Secondary outcome [1]
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Phase 1a: Objective response rate (ORR)
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Assessment method [1]
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ORR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)
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Timepoint [1]
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Up to follow-up period, approximately 1 year post-treatment
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Secondary outcome [2]
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Phase 1a: duration of response (DoR)
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Assessment method [2]
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DoR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)
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Timepoint [2]
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Up to follow-up period, approximately 1 year post-treatment
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Secondary outcome [3]
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Phase 1a: disease-control rate (DCR)
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Assessment method [3]
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DCR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)
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Timepoint [3]
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Up to follow-up period, approximately 1 year post-treatment
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Secondary outcome [4]
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Phase 1a: Time to Response (TTR)
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Assessment method [4]
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TTR will be determined from tumor assessments by investigator per response evaluation TTR criteria in solid tumors version 1.1 (RECIST v1.1)
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Timepoint [4]
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Up to follow-up period, approximately 1 year post-treatment
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Secondary outcome [5]
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Phase 1a & Phase 1b: Progression Free Survival (PFS)
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Assessment method [5]
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PFS will be determined from tumor assessments by investigator per response evaluation PFS criteria in solid tumors version 1.1 (RECIST v1.1)
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Timepoint [5]
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Up to follow-up period, approximately 1 year post-treatment
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Secondary outcome [6]
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Phase 1a & Phase 1b: Overall Survival (OS)
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Assessment method [6]
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OS is defined as the time from date of first dose to the date of death.
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Timepoint [6]
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From date of first dose until the date of death or lost to follow up, approximately 1 year post-treatment
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Secondary outcome [7]
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Phase 1a: Prostate-specific antigen (PSA)
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Assessment method [7]
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Time to PSA progression, PSA50 response rate and PSA90 response rate, duration of PSA response in CRPC subjects.
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Timepoint [7]
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From date of first dose until the date of first PSA progression, approximately 1 year post-treatment
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Secondary outcome [8]
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Phase 1a & Phase 1b: Pharmacokinetic-AUC
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Assessment method [8]
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Area under the concentration-time curve from time 0 to infinity of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003
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Timepoint [8]
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within 3 cycles (each cycle is 21 days)
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Secondary outcome [9]
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Phase 1a & Phase 1b: Pharmacokinetic-Cmax
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Assessment method [9]
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Maximum observed plasma concentration (Cmax) of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003
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Timepoint [9]
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within 3 cycles (each cycle is 21 days)
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Secondary outcome [10]
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Phase 1a & Phase 1b: Pharmacokinetic-Tmax
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Assessment method [10]
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Time to Cmax of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003
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Timepoint [10]
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within 3 cycles (each cycle is 21 days)
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Secondary outcome [11]
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Phase 1a & Phase 1b: Pharmacokinetic-Cthrough
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Assessment method [11]
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Trough concentration
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Timepoint [11]
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within 6 cycles (each cycle is 21 days)
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Secondary outcome [12]
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Phase 1a & Phase 1b: Anti-drug antibody (ADA) prevalence
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Assessment method [12]
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Percentage of participants who are ADA positive at any point
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Timepoint [12]
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Up to follow-up period, approximately 1 year post-treatment
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Secondary outcome [13]
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Phase 1a & Phase 1b: ADA incidence
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Assessment method [13]
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Percentage of participants having treatment-emergent ADA
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Timepoint [13]
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Up to follow-up period, approximately 1 year post-treatment
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Eligibility
Key inclusion criteria
Key
1. Male or female adults
2. Unresectable advanced or metastatic selected solid tumors that have relapsed or progressed on or after standard systemic treatments.
3. Only applicable to backfilling participants in Phase 1a and participants in Phase 1b: At least one measurable lesion as assessed by the investigator according to RECIST version 1.1 criteria. Participants with non-measurable disease are allowed for CRPC participants.
4. Has a life expectancy of = 3 months.
5. Has an ECOG PS of 0-1.
6. Has LVEF = 50% within 28 days before enrollment.
7. Is willing to provide pre-existing resected tumor samples or undergo fresh tumor biopsy for the measurement of ADAM9 expression level and other biomarkers if no contra-indication.
8. Male and female participants of reproductive/childbearing potential must agree to use adequate contraceptive methods
Key
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Prior treatment with ADAM9 targeted therapy.
2. Prior treatment with antibody-drug conjugate with topoisomerase I inhibitor.
3. Has a medical history of symptomatic congestive heart failure or serious cardiac arrhythmia requiring treatment.
4. Has a medical history of myocardial infarction or unstable angina within 6 months before enrollment.
5. Has any clinically important abnormalities in rhythm, conduction or morphology of resting ECG
6. Has an average of Fredericia's formula-QT corrected interval (QTcF) prolongation to > 470 ms in males and females
7. Has a history of (non-infectious) ILD/pneumonitis
8. Has a lung-specific intercurrent clinically significant illness
9. Has an uncontrolled infection requiring intravenous injection of antibiotics, antivirals, or antifungals.
10. Known human immunodeficiency virus (HIV) infection;Chronic, active, or uncontrolled hepatitis B;
11. Known chronic, active, or uncontrolled hepatitis C
12. Has clinically significant corneal disease.
13. Has clinically active brain metastases
14. Has unresolved toxicities from previous anticancer therapy Concurrent malignancy < 3 years.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/09/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/06/2028
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Actual
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Sample size
Target
183
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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AUS01-0 - Randwick
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Recruitment postcode(s) [1]
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2031 - Randwick
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Texas
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
DualityBio Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multicenter, open-label, multiple-dose, FIH Phase 1a/1b study. Phase 1a adopts an accelerated titration design and a BOIN design to identify the MTD or MAD of DB-1317; Phase 1b includes up to 3 randomized dose expansion cohorts to further evaluate the safety, tolerability and preliminary efficacy of DB-1317 in selected solid tumors and to identify optimal RP2D.
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Trial website
https://clinicaltrials.gov/study/NCT07141706
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Lily Hu
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Address
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DualityBio Inc.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Xena Wu
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Address
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Country
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Phone
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01067228087
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT07141706
Download to PDF