New immunotherapy combo shows promise for Hard-to-Treat cancers
NCT ID NCT05024214
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing whether combining two drugs—Envafolimab (an immunotherapy injection) and Lenvatinib (a daily pill)—can shrink tumors in people with advanced solid cancers like lung, kidney, and liver cancer. About 170 adults whose cancer has worsened after standard treatment will receive the combo. The goal is to see if more tumors respond compared to usual care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Envafolimab (an immunotherapy drug) and Lenvatinib (a targeted cancer drug)
- What this could lead to
- If successful, this combination could offer a new treatment option for people with advanced solid tumors who have run out of standard therapies.
- What could go wrong
- This is an early-phase trial (Phase 1b/2) with a small number of participants, so results may not apply broadly. The drugs can cause side effects like fatigue, high blood pressure, and immune-related reactions.
Why investors are watching
3D Medicines is running a Phase Ib/II trial testing its drug envafolimab combined with lenvatinib in 170 patients with advanced solid tumors. The trial measures whether the combination improves the objective response rate, meaning the share of patients whose tumors shrink, compared to standard care. For a small company, this readout matters because envafolimab is a core asset, and a positive result could support broader use and regulatory discussions.
If it works: A positive result could show that the combination works better than standard care, which may strengthen the company's position in the immunotherapy market and support further development of envafolimab. It could also attract partnership interest from larger drugmakers.
If it fails: The trial could fail to show a better response rate, or the combination could prove too toxic for patients. Trials in advanced solid tumors often miss their goals, and a negative result would likely set back the drug's development and hurt the company's prospects.
AI-written from the trial record. Speculative, and not investment advice.
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
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
About 170 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Nov 2021
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: 1. Eighteen years and older; 2. phase Ib:Histological or cytological diagnosis of Locally advanced or metastatic solid tumors (excluding hepatocellular carcinoma and thyroid carcinoma) that have progressed after standard treatment or are intolerant or have no effective treatment; 3. phase II cohort 1:Histological or cytological diagnosis of NSCLC,RCC, HCC, resistance to previous treatment with PD-(L)1 inhibitor; previous system treatment lines≤2; 4. phase II cohort 2:Unresectable locally advanced or metastatic or recurrent RCC; 5. Tumor tissue samples or biopsies from FFPE archived or fresh biopsies with locally advanced/metastatic disease must be provided, and if biopsies are not available, samples obtained prior to receiving adjuvant/neoadjuvant chemotherapy are allowed; 6. phase Ib and phase II cohort 1: Eastern Cooperative Oncology Group(ECOG) Performance Status of 0 or 1; Phase II cohort 2: Karnofsky physical status (KPS) assessment ≥70; 7. Life expectancy of at least 12 weeks; 8. At least one measurable lesion per RECIST 1.1; 9. Adequate organ function; 10. Signed informed consent. Exclusion Criteria: 1. Prior anticancer treatment within 4 weeks prior to the first dose of study drugs; 2. Toxicity from prior anticancer therapy prior to the first dose of study drugs not recovered to ≤ grade1; 3. Hypertension did not satisfactory controlled after antihypertensive medication 4. Phase Ib/II: Subjects who were previously treated with Lenvatinib or who participated in a clinical trial of a generic version of Lenvatinib 5. Phase II cohort 1, intolerance to treatment with A PD-(L)1 inhibitor; History of severe digestive disease that can affect the oral absorption of Lenvatinib/Sunitinib; 6. Uncontrollable or significant cardiovascular or cerebrovascular disease; 7. Active, known history or suspected autoimmune disease; 8. Have used or require treatment with \>10 mg/day of prednisone or an equivalent dose of systemic corticosteroids within 14 days prior to the first dose of study drugs; 9. have received live attenuated vaccine within 28 days prior to the first study drug treatment or are scheduled to receive it during the study period; 10. Subjects with known or suspected interstitial pneumonia; 11. Any serious active infection requiring systemic antibacterial, antifungal or antiviral therapy at screening, including active tuberculosis; Known history of human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS) 12. Active hepatitis B or hepatitis C; 13. Known history of severe gastrointestinal bleeding or active hemoptysis or other severe bleeding within 6 months prior to first study drug therapy; 14. Uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage ; 15. Known active or symptomatic central nervous system (CNS) metastases and/or carcinomatous meningitis; 16. Have other primary malignancies within 5 years; 17. Known history of contraindications or hypersensitivity reactions to any investigational drug component or any known excipients 18. Women who are pregnant or breastfeeding. 19. Radiographic evidence of major blood vessel invasion/infiltration may be considered for enrollment if the investigator assesses that the risk is manageable.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Advanced solid tumor are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
23 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
Locations
-
Beijing Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100730, China
-
Dongguan People's Hospital
RECRUITINGDongguan, Guangdong, 523059, China
-
First Hospital of Shanxi Medical University
RECRUITINGTaiyuan, Shanxi, 030001, China
-
Fudan University
RECRUITINGShanghai, China
-
Fujian Medical University Union Hospital
NOT_YET_RECRUITINGFuzhou, Fujian, 350001, China
-
Harbin Medical University Cancer Hospital
NOT_YET_RECRUITINGHaerbin, Heilongjiang, 150081, China
-
Jilin Cancer Hospital
NOT_YET_RECRUITINGChangchun, Jilin, 130028, China
-
Liaoning Cancer Hospital & Institute
RECRUITINGShenyang, Liaoning, 110011, China
-
Shengjing Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110001, China
-
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
RECRUITINGHangzhou, Zhejiang, 310020, China
-
THE First Hospital of Jilin University
NOT_YET_RECRUITINGChangchun, Jilin, 130012, China
-
The 960th Hospital of the PLA Joint Logistics Support Force
RECRUITINGJinan, Shandong, 250031, China
-
The Cancer Affiliated Hospital of Xinjiang Medical College
RECRUITINGÜrümqi, Xinjiang, 830011, China
-
The Fifth Affiliated Hospital Sun Yat-Sen University
RECRUITINGZhuhai, Guangdong, 519000, China
-
The First Affiliated Hospital of Bengbu Medical College
RECRUITINGBengbu, Anhui, 233004, China
-
The First Affiliated Hospital of Dalian Medical University
RECRUITINGDalian, Liaoning, 116011, China
-
The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, 450052, China
-
The Second Affiliater Hospital of Nanchang University
NOT_YET_RECRUITINGNanchang, Jiangxi, 330006, China
-
The Seventh Medical Center of the PLA General Hospital
RECRUITINGBeijing, Beijing Municipality, 100700, China
-
Tianjin Medical University Cancer Institute & Hospital
RECRUITINGTianjin, Tianjin Municipality, 300060, China
-
Yunnan Cancer Hospital
RECRUITINGKunming, Yunnan, 650118, China
-
Zhongshan Hospital,Fudan University(Xiamen Branch)
NOT_YET_RECRUITINGXiamen, Fujian, 361015, China
-
Zhujiang Hospital of Southern Medical University
RECRUITINGGuangzhou, Guangdong, 510280, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Surgeons could freeze lung tumors from miles away using 5G robots
- Oral drug that targets two cancer drivers tested in first human study
- Mitochondria-Targeting drug gamitrinib tested for first time in humans
- Can a Two-Drug combo outsmart advanced cancer?
- Can an experimental pill boost cancer immunotherapy? early trial puts HG146 to the test
- New injectable drug tested for safety in Hard-to-Treat solid tumors