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RecruitingInterventionalPhase 1/Phase 2

A Phase 1/2 Study to Evaluate the Safety, Tolerability, and Efficacy of TROP2-Directed Antibody-Drug Conjugate LCB84, as a Single Agent and in Combination With an Anti-PD-1 Ab, in Patients With Advanced Solid Tumors

NCT ID: NCT05941507Sponsor: LigaChem Biosciences, Inc.Last updated: 2025-09-24

Summary

This is a first-in-human, Phase 1/2 study to evaluate LCB84, a TROP2-directed antibody-drug conjugate, alone and in combination with an anti-PD-1 Ab, in dose escalation (Phase 1) followed by dose expansion (Phase 2). The study population in dose escalation (Phase 1) consists of patients with advanced solid tumors refractory to standard of care, or for whom no standard of care exists. After the MTD and/or RP2D for single agent LCB84 is determined, dose escalation cohorts with select tumor types will be enrolled. Combination LCB84 and anti-PD-1 Ab will be evaluated in dose escalation after a minimum of 2 dose levels of single agent LCB84 have established DLT safety, to determine the MTD and/or RP2D of combination LCB84 and anti-PD-1 Ab, and to continue into dose expansion cohorts in select tumor types.

Arms & interventions

  • DrugLCB84

    TROP2-directed human monoclonal antibody (Ab) linked to a monomethyl auristatin E (MMAE) prodrug

  • DrugAnti-PD-1 monoclonal antibody

    anti-PD-1 Ab

Outcome measures

Primary

  • Safety of LCB84 alone and LCB84 in combination with an anti-PD-1 Ab (Phase 1 and 2)

    Incidence and severity of AEs and SAEs

    Time frame: Up to 48 months

  • Recommended Phase 2 Dose of LCB84 alone and LCB84 in combination with an anti-PD-1 Ab (Phase 1)

    Based on tolerability, preliminary anti tumor activity, and pharmacokinetics

    Time frame: Up to 24 months

  • Objective Response Rate (Phase 2)

    Assessed by RECIST 1.1, iRECIST, and RANO-BM

    Time frame: Up to 24 months

  • Clinical Benefit Rate (Phase 2)

    Assessed by RECIST 1.1, iRECIST, and RANO-BM

    Time frame: Up to 24 months

  • Duration of Response (Phase 2)

    Assessed by RECIST 1.1, iRECIST, and RANO-BM

    Time frame: Up to 24 months

  • Time to Progression (Phase 2)

    Assessed by RECIST 1.1, iRECIST, and RANO-BM

    Time frame: Up to 24 months

  • Progression Free Survival (Phase 2)

    Assessed by RECIST 1.1, iRECIST, and RANO-BM

    Time frame: Up to 24 months

  • Overall Survival (Phase 2)

    Survival rates

    Time frame: Up to 24 months

Secondary

  • Plasma Concentrations of LCB84 (Phase 1 and 2)

    Time frame: Up to 48 months

  • Evaluation of the immunogenicity of LCB84 (Phase 1 and 2)

    Time frame: Up to 48 months

  • Objective Response Rate (Phase 1)

    Time frame: Up to 24 months

  • Duration of Response (Phase 1)

    Time frame: Up to 24 months

  • Time to Progression (Phase 1)

    Time frame: Up to 24 months

  • Progression Free Survival (Phase 1)

    Time frame: Up to 24 months

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Key Inclusion Criteria: * Phase 1 Dose Escalation: histologically or cytologically confirmed advanced solid tumors refractory to standard of care treatment. * Phase 2 Dose Expansion\*: select histologically or cytologically confirmed advanced solid tumors refractory to standard of care treatment. \*expansion cohort indications to be prioritized based on data from Phase 1 dose escalation. * Prior treatment with TROP2-directed therapy is permitted. * Measurable disease as defined by RECIST v1.1 or RANO-BM. * Willingness to provide archival tumor tissue when available or to undergo pre-treatment biopsy if not available. * Mandatory pre- and on-treatment biopsies for enrichment cohorts in Phase 1 dose escalation and Phase 2 expansion cohorts if deemed medically feasible and safe. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Adequate organ function as defined by: * Absolute neutrophil count (ANC) ≥1.5 x 109/L (1500/µL), without colony-stimulating factor support for the past 14 days * Platelets ≥100.0 x 109/L (100 000/µL) * Hemoglobin ≥9.0 g/dL * Aspartate aminotransferase (AST) ≤2.5 x ULN; alanine aminotransferase (ALT) ≤2.5 x ULN (AST, ALT ≤5 x ULN if liver metastases present) Key Exclusion Criteria: * Active or progressing central nervous system (CNS) metastases or any evidence of leptomeningeal disease. Note: Patients with stable or treated CNS metastases may be eligible if all of the following criteria are met: 1) localized treatment for brain metastases completed at least 4 weeks prior to the first dose of study drug 2) no new or progressive neurologic symptoms and without need for immediate local therapy, steroids or anticonvulsants for symptom control (stable or decreasing steroid dose (a stable dose of ≤4 mg dexamethasone oral or equivalent) is permitted) 3) stable brain metastases for at least 1 month prior to screening (baseline) brain MRI. * Persistent toxicities from previous systemic antineoplastic treatments \>Grade 1, excluding alopecia and vitiligo. * Systemic antineoplastic therapy (including antiestrogen therapy) within 5 half-lives or 4 weeks, whichever is shorter, prior to first dose of the study drug. * Concomitant use of systemic steroids at dose of \>10 mg of prednisone or its equivalent per day (exception for brain metastases, as described in exclusion criteria #1 above).

Study locations (7)

Cedars Sinai Medical Center

Los Angeles, California, 90048

Recruiting
Yuan Yuan, MD · Principal Investigator

Dana Farber Cancer Institute

Boston, Massachusetts, 02115

Recruiting
DFCI External Referral · Contact
Glenn Hanna, MD · Principal Investigator

University of Michigan

Ann Arbor, Michigan, 48109

Recruiting
Paul Swiecicki, MD · Principal Investigator

Tennessee Oncology

Nashville, Tennessee, 37203

Not Yet Recruiting
Jeff Russell, M.D. · Principal Investigator

Mary Crowley Cancer Research

Dallas, Texas, 75230

Recruiting
Douglas Orr, MD · Contact
Douglas Orr, MD · Principal Investigator

University of Texas Southwestern Medical Center

Dallas, Texas, 75390

Not Yet Recruiting
Heather McArthur, M.D. · Principal Investigator

MD Anderson Cancer Center

Houston, Texas, 77030

Recruiting
Anjali Raina · Contact
Funda Meric-Bernstam, MD · Principal Investigator