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New antibody combo targets Hard-to-Treat cancers in early trial
NCT ID NCT06932952
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tests a new antibody called BYON4228, given alone or with the immunotherapy drug pembrolizumab, in people with advanced solid tumors that have not responded to standard treatments. The study includes only 7 participants and aims to check safety, side effects, and whether the tumors shrink. It is too early to know if this approach will work, but it may lead to better options for hard-to-treat cancers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BYON4228 (a lab-made antibody) and pembrolizumab (an immunotherapy drug)
- What this could lead to
- If it works, this could point toward a new treatment option for people with advanced solid tumors that have stopped responding to standard therapies.
- What could go wrong
- This is a very early Phase 1 trial with only 7 participants, so it is too small to prove effectiveness. The treatment may cause side effects or fail to shrink tumors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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7 people
The number who actually took part.
- Started
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May 2025
- Expected to finish
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Dec 2026
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 years and older
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient with histologically confirmed, locally advanced or metastatic cancer who has progressed on standard therapy or for whom no standard therapy exists: * Part 1 (dose escalation): Solid tumors of any origin; * Part 2 (expansion): Patients with other solid tumor types indicated for pembrolizumab monotherapy; * Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1; * For Part 2 only: at least one measurable cancer lesion as defined by the Response Evaluation Criteria for Solid Tumors (RECIST version 1.1); * Adequate baseline organ function. Exclusion Criteria: * Having been treated with CD47 or SIRPα targeting agents or other anticancer therapy within 4 weeks prior to the start of IMP treatment; * History of hypersensitivity or allergic reaction to any of the excipients of BYON4228; * Any contraindication to pembrolizumab treatment; * For Part 2: Patients previously given a PD-1 or PD-L1 inhibitor who had subsequent disease progression within 8 weeks of initiation; * Symptomatic brain metastases; * History of autoimmune disorders; * Severe active infection or other severe uncontrolled systemic disease; * Having clinically significant cardiovascular disease; * Known infection of Hepatitis B, C or E. Key inclusion and exclusion criteria details are listed here, additional requirements may apply.
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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.
Contacts and locations
Locations
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CIOCC Hospital Universitario HM Sanchinarro
Madrid, Spain
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Hospital Universitario Fundación Jiménez Díaz
Madrid, Spain
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Institut Jules Bordet
Brussels, Belgium
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The Christie NHS Foundation Trust
Manchester, United Kingdom
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The Royal Marsden
Sutton, United Kingdom
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UZ Leuven
Leuven, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- First human test of BI 4060107 aims to find safe dose for Hard-to-Treat tumors
- First-in-Human trial asks whether HG381 is safe and tolerable in advanced solid tumors
- Custom-Built immune cells take aim at a notorious cancer mutation
- Can a new drug shield kidneys from chemotherapy damage?
- Experimental injection SHR-7787 put to the test against advanced solid tumors
- Experimental biologic AWT020 put to the test in Hard-to-Treat cancers