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RecruitingInterventionalPhase 1

A First-In-Human, Phase 1, Open-Label, Multicenter Study of ZW251, a Novel Glypican-3 Targeting Antibody-Drug Conjugate, in Participants With Advanced Solid Tumors, Including Hepatocellular Carcinoma

NCT ID: NCT07164313Sponsor: Zymeworks BC Inc.Last updated: 2026-05-07

Summary

The purpose of this study is to find out if ZW251, an antibody-drug conjugate targeting glypican-3 (GPC3), is safe and can treat participants with advanced cancers, including hepatocellular carcinoma (HCC), squamous cell non-small cell lung cancer (NSCLC), or germ cell tumors (GCT).

Detailed description

Part 1 (dose escalation) of the study will evaluate the safety and tolerability of ZW251 in HCC, squamous cell NSCLC, and GCT. Part 2 (dose optimization) of the study will further assess safety and potential anti-tumor activity of the ZW251 established recommended doses in HCC.

Arms & interventions

  • DrugZW251

    Administered intravenously

Outcome measures

Primary

  • Incidence of dose-limiting toxicities (DLTs; Part 1)

    Number of participants who experienced a DLT. DLTs include specifically defined adverse events (AEs) considered to be related to ZW251

    Time frame: Up to 3 weeks

  • Incidence of AEs (Parts 1 and 2)

    Number of participants who experienced AEs, adverse events of special interest, or serious adverse events

    Time frame: Up to approximately 2 years

  • Incidence of clinical laboratory abnormalities (Parts 1 and 2)

    Number of participants who experienced a maximum severity of Grade 3 or higher post-baseline laboratory abnormality, including either hematology or chemistry. Grades are defined using National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0

    Time frame: Up to approximately 2 years

  • Objective response rate (Part 2)

    Number of participants who achieved a best overall response of either confirmed complete response (CR) or partial response (PR) during treatment according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

    Time frame: Up to approximately 2 years

Secondary

  • Objective response rate (Part 1)

    Time frame: Up to approximately 2 years

  • Best overall response (Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Disease control rate (Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Duration of response (Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Progression-free survival (Part 2)

    Time frame: Up to approximately 2 years

  • Area under the concentration-time curve (AUC0-504) of ZW251 (Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Maximum concentration (Cmax) of ZW251 (Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Area under the concentration-time curve of ZW251 at steady state (AUCtau,ss; Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Maximum concentration of ZW251 at steady state (Сmax,ss; Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Minimal concentration of ZW251 at steady state (Сmin,ss; Parts 1 and 2)

    Time frame: Up to approximately 2 years

  • Incidence of anti-drug antibodies (ADAs; Parts 1 and 2)

    Time frame: Up to approximately 2 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Pathologically or cytologically confirmed diagnosis of HCC with evidence of locally advanced (unresectable, and ineligible for transplant) and/or metastatic disease. Noninvasive methods may be used to confirm diagnosis * Pathologically or cytologically confirmed diagnosis of squamous cell NSCLC with evidence of locally advanced (unresectable) and/or metastatic disease * Pathologically or cytologically confirmed diagnosis of GCT with evidence of yolk sac and/or choriocarcinoma predominant component and locally advanced (unresectable) and/or metastatic disease * Measurable disease per RECIST v1.1 * Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1 * Liver function status of Child-Pugh Class A (for HCC only) * Adequate organ function Exclusion Criteria: * Known additional malignancy that is progressing or that has required active treatment within the last year * History of hepatic encephalopathy within the past 6 months or requirement for medications to control encephalopathy * Participants with HCC experiencing main portal vein tumor invasion require sponsor approval for enrollment * Known gastrointestinal bleeding within 3 months * Acute or chronic uncontrolled renal disease, pancreatitis, or non-malignant liver disease

Study locations (8)

UCSF Comprehensive Cancer Center

San Francisco, California, 94158

Recruiting
Katie Kelley, MD · Principal Investigator

University of California Los Angeles - Cancer Care - Santa Monica (UCLA)

Santa Monica, California, 90404

Recruiting
Richard Finn, MD · Principal Investigator

Norton Cancer Institute

Louisville, Kentucky, 40202

Recruiting
John Hamm, MD FACP, FASCO · Principal Investigator

START Midwest

Grand Rapids, Michigan, 49546

Recruiting
Sreenivasa Chandana, MD, PhD · Principal Investigator

Hackensack University Medical Center

Hackensack, New Jersey, 07601

Recruiting
Martin Gutierrez, MD · Principal Investigator

Memorial Sloan Kettering Cancer Center

New York, New York, 10065-6800

Recruiting
Ghassan Abou-Alfa, MD, JD, MBA, PhD · Principal Investigator

MD Anderson Cancer Center

Houston, Texas, 77030

Recruiting
Ecaterina Dumbrava, MD · Principal Investigator

START San Antonio

San Antonio, Texas, 78229

Recruiting
Muralidhar Beeram, MD, MBBS · Principal Investigator