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RecruitingInterventionalPhase 1

A Phase I First-in-human, Open-label, Multicenter Study to Investigate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of SIM0505 in Adult Participants With Advanced Solid Tumors

NCT ID: NCT06792552Sponsor: NextCure, Inc.Last updated: 2026-01-29

Summary

This is an open-label, multicenter phase 1 study to evaluate the safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of SIM0505 in Adult Participants with Advanced Solid Tumors

Arms & interventions

  • DrugSIM0505 for injection

    Every 21 days is one cycle. Multiple dose levels of SIM0505 will be explored in dose escalation, and determine the maximum tolerated dose.

  • DrugSIM0505 for injection

    Every 21 days is one cycle. 2-3 dose levels of SIM0505 will be explored in dose optimization, and determine the recommended dose (RD) of SIM0505 and evaluate the preliminary anti-tumor activity of SIM0505

Outcome measures

Primary

  • dose escalation: Dose-limiting toxicity (DLT)

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

  • dose escalation: Adverse events (AEs)

    Time frame: the whole dose escalation phase,an average of 2 year

  • dose optimization:Objective response rate (ORR)

    Time frame: the whole dose optimization phase,an average of 1.5 year

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: 1. Written informed consent is obtained prior to any procedures that are not considered standard of care 2. ≥18 years of age. 3. In Part 1: 1. Participants with histologically or cytologically confirmed advanced solid tumors, who have failed or are ineligible for standard of care therapies. 2. Have progressed on at least one prior systematic anti-tumor regimen, and presence of at least one evaluable lesion according to RECIST Version 1.1. Measurable lesions are required in the backfill period. 3. In the backfill period, eligible tumor types are limited to high-grade serous ovarian cancer, high-grade endometrioid ovarian cancer, USC, clear cell RCC, papillary RCC and adenocarcinoma of NSCLC without actionable mutation of epidermal growth factor receptor (EGFR). For participants with NSCLC, presence of CDH6 expression through immunohistochemical examination of tumor tissue by central laboratory is required. 4. In Part 2: Participants must have a diagnosis of specific type of metastatic or locally advanced solid tumors and have progressed on or cannot benefit from the most recent systematic anti-tumor regimen (unless otherwise specified), with presence of at least one measurable lesion according to RECIST Version 1.1. Platinum-resistant ovarian cancer cohort: a. Participants with histologically or cytologically confirmed high-grade serous ovarian cancer, high-grade endometrioid ovarian cancer, primary peritoneal cancer, or fallopian tube cancer. Renal cell carcinoma cohort: a. Participants with histologically- or cytologically-confirmed clear cell RCC or papillary RCC. Uterine serous carcinoma cohort: a. Participants with histologically- or cytologically-confirmed USC. Non-Small Cell Lung Cancer cohort: 1. Participants with histologically- or cytologically-confirmed adenocarcinoma of NSCLC without actionable mutation of EGFR. 2. Presence of CDH6 expression through immunohistochemical examination of tumor tissue. 5\. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. 6\. Life expectancy of ≥12 weeks. 7. Have adequate organ function as indicated by the laboratory values listed within the protocol. 8\. Women of childbearing potential (WOCBP)must have a negative serum pregnancy test within 72 hours prior to the start of study treatment. WOCBP or male participants are required to use highly effective contraceptive methods , and agree to refrain from donating sperm/egg from signing of informed consent through 180 days after the last dose of study treatment. 9\. Able to provide tumor tissue sample (archival or newly obtained core or excisional biopsy) at biomarker-screening (for NSCLC in both Part 1 and 2) or screening (for non-NSCLC in Part 1) visit of a tumor lesion not previously irradiated for CDH6 testing. Exclusion Criteria: 1. For Part 2: has clear cell, mucinous or sarcomatous histology, mixed tumors containing any histology, or low-grade/borderline ovarian cancer; mixed nonsmall cell and small cell carcinoma, or adenosquamous cell lung cancer with an adenocarcinoma component \<50% (the participant is eligible if the adenocarcinoma component is ≥50%). 2. Any other malignancy within 2 years prior to the first dose of the study treatment except for localized cancers that are considered to have been cured and in the opinion of the Investigator present a low risk for recurrence. 3. Participant has symptomatic central nervous system (CNS) metastases, or CNS metastases requiring CNS-directed local therapy (such as radiotherapy or surgery) or corticosteroids therapy within 2 weeks of first dose of study treatment. 4. History of bowel obstruction within 3 months prior to the first dose of study treatment. 5. Known psychiatric disorder or drug abuse that would interfere the study requirements. 6. Uncontrollable pleural effusion, pericardial effusion, or ascites requiring drainage or medical intervention within 4 weeks before the first dose of study treatment. 7. Any active infection requires systemic treatment via intravenous infusion within 2 weeks prior to the first dose of study treatment. 8. History of non-infectious pneumonitis that has required a course of oral or intravenous steroids to assist with recovery, or interstitial lung disease (ILD) or severe obstructive pulmonary disease. 9. Prior exposure to other CDH6-targeted agents or an ADC with a topoisomerase I inhibitor payload (e.g., raludotatug deruxtecan/DS-6000). 12\. Major surgery within 2 weeks of receiving the first dose of study treatment. 13\. Has received prior anti-cancer therapies within the following time frames prior to the first dose of study treatment; Previous cytotoxic therapy, anticancer targeted small molecules (e.g., tyrosine kinase inhibitors), hormonal agents within 2 weeks, Anti-cancer antibody or ADC within 5 half-lives or 4 weeks (whichever is shorter) prior to the first dose of study treatment, Chinese medicines/herbal preparations with anticancer indication taken within 2 weeks and/or Radiation therapy \<4 weeks. 14\. Use of any live vaccine therapy within 4 weeks prior to the first dose of study treatment. 15\. Administration of below medications≤14 days prior to the first dose of SIM0505; Strong and moderate CYP3A4 inhibitors and Drugs with known risk of Torsades de Pointes (TdP). 16\. Known human immunodeficiency virus (HIV) infection or known acquired immunodeficiency syndrome (AIDS). 17\. Active hepatitis B or hepatitis C infection 18. Participants with clinically significant cardiovascular diseases. 19. History of allogeneic organ transplantation or graft-versus-host disease. 20. Known hypersensitivity to study drug or any of the excipients. 21. Participant is pregnant or breastfeeding. 22. Other conditions that researchers consider inappropriate for inclusion.

Study locations (9)

Sarah Cannon Research Institute (SCRI) - Lake Nona

Orlando, Florida, 32827

Recruiting
Ingrid Acker, BSN,RN,CCRP · Contact
Cesar Perez Batista, MD · Principal Investigator

Emory Winship Cancer Institute

Atlanta, Georgia, 30322

Recruiting
Beryl Manning-Geist, MD · Principal Investigator

University Medical Center of New Orleans LSU-LCMC Health Cancer Center

New Orleans, Louisiana, 70112

Not Yet Recruiting
Shou-Ching Tang, MD · Contact
Shou-Ching Tang, MD · Principal Investigator

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215

Recruiting
Joyce Liu, MD · Principal Investigator

Hackensack University Medical Center

Hackensack, New Jersey, 07601

Recruiting
Oncology Clinical Research Referral Office · Contact
Miguel GonzalezVelez, MD · Principal Investigator

Roswell Park Cancer Institute

Buffalo, New York, 14263

Recruiting
Emese Zsiros, MD · Principal Investigator

Icahn School of Medicine at Mount Sinai

New York, New York, 10128

Recruiting
Neha Kumarley · Contact
Dmitriy Zamarin, MD · Principal Investigator

Sarah Cannon Research Institute (SCRI) - Nashville

Nashville, Tennessee, 37203

Recruiting
SCRI Main Email · Contact
Erika Hamilton, MD · Principal Investigator

UT Health San Antonio - Mays Cancer Center

San Antonio, Texas, 78229

Recruiting
Adrianna Amaya · Contact
Daruka Mahadevan, MD · Principal Investigator