First-in-Human trial tests AK157D1 against advanced solid tumors
NCT ID NCT07847281
First seen Sep 29, 2026 · Last updated Oct 14, 2026 · Updated 3 times
Summary
Researchers are running a first-in-human Phase I trial of AK157D1, an experimental drug given by intravenous infusion, in adults with advanced solid tumors that have worsened after standard treatment or have no standard options left. The study aims to find out whether the drug is safe and tolerable, how the body processes it, and whether it shows any early signs of shrinking tumors. About 243 participants will receive AK157D1 every three weeks, and doctors will track side effects and dose-limiting toxicities as the main measures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AK157D1, an experimental drug given by intravenous infusion
- What this could lead to
- If AK157D1 proves safe and shows anti-tumor activity, it could become a new treatment option for people with advanced solid tumors that have stopped responding to standard therapy.
- What could go wrong
- This is a first-in-human Phase I trial, so the main goal is to check safety and dosing, not to prove the drug works. Many experimental cancer drugs fail at this stage, and participants may experience side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 243 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Be able to understand and voluntarily sign the written informed consent form. 2. Aged of ≥ 18 years and ≤75 years. 3. Histologically-confirmed unresectable advanced solid tumors with disease progression or intolerance to standard treatment or no standard treatment available. 4. At least one measurable lesion according to RECIST v1.1. 5. ECOG PS 0 or 1. 6. The expected lifespan is ≥3 months. 7. Have sufficient organ function. 8. Females participants must not be pregnant at screening or have evidence of non-childbearing potential. Agree to use medically accepted methods of contraception. Exclusion Criteria: 1. Presence of active metastases to the central nervous system. For patients with asymptomatic brain metastasis or stable symptoms after treatment can be included. 2. Having other active malignancies within 3 years. 3. Having received major surgical operations within 4 weeks before the first administration. 4. Participants with clinically significant cardiovascular or cerebrovascular diseases or risks. 5. Participants with a history of mental illness and incapacitated or limited capacity. 6. Having received systemic anti-tumor treatment within 3 weeks. 7. Having received any treatment targeting B7H3. 8. Toxicity of previous antineoplastic therapy has not resolved to NCI CTCAE 6.0 grade 1 or lower. 9. Previous history of severe hypersensitivity reactions. 10. Participants with active autoimmune diseases requiring systemic treatment within 2 years. 11. Known to be positive for HIV and other infections. 12. Known active infection requiring antibodies treatment within 2 weeks, or severe infection within 4 weeks prior to the first dose. 13. Live attenuated vaccines were received within 4 weeks. 14. Currently participating in another interventional clinical study. 15. Any disease or condition that, in the opinion of the investigator, would compromise participant safety or interfere with study assessments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Harbin Medical University Cancer Hospital
NOT_YET_RECRUITINGHarbin, Heilongjiang, 150081, China
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Shanghai Pulmonary Hospital
RECRUITINGShanghai, Shanghai Municipality, 200433, China
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West China Hospital of Sichuan University
NOT_YET_RECRUITINGChengdu, Sichuan, 610044, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Experimental drug ZG005 put to the test against advanced solid tumors
- Radioactive antibody aims to seek and destroy CEA-Positive tumors
- Can a new antibody pair unlock the immune system against Hard-to-Treat tumors?
- New pill tested against Hard-to-Treat cancers
- Pairing two Immune-Boosting antibodies: a new strategy against solid tumors?
- Engineered immune cells target a notorious cancer mutation