New drug combo takes on advanced cancers in first human trial
NCT ID NCT06868199
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This early-phase trial is testing a new drug called LM-168, alone or with the immunotherapy toripalimab, in 87 adults with advanced solid tumours that have not responded to standard treatments. The study first checks safety and the right dose, then looks for signs that the tumours shrink. It is a first-in-human study, so the main goals are safety and tolerability, not yet a proven treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LM-168 (a new drug) and toripalimab (an immunotherapy)
- What this could lead to
- If it works, this could point toward a new treatment option for people with advanced solid tumours that have not responded to standard therapies.
- What could go wrong
- This is a very early, first-in-human trial with only 87 participants. The drug may not be effective or could cause unexpected side effects. Success in this small study does not guarantee broader benefit.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 87 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2025
- Expected to finish
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Feb 2028
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: 1. Subjects who are willing to participate in the study and sign the informed consent form (ICF) prior to any procedure. 2. Aged ≥18 years old (including boundary values) , male or female. 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. 4. Life expectancy ≥ 3 months. 5. In dose escalation stage, subjects must have histological or cytological confirmation of recurrent or refractory advanced solid tumours, and have progressed on standard therapy, or are intolerable for available standard therapy, or there is no available standard therapy. 6. In dose expansion stage, subjects must have histological or cytological confirmation of selected advanced solid tumors. 7. Pre-treatment archived tumour tissue or on-treatment tumour biopsy could be provided for biomarker analysis optionally. 8. At least one measurable disease. 9. Subjects must show appropriate organ and marrow function in laboratory examinations within 7 days prior to the first dose. 10. Subjects who are able to communicate well with investigators and understand and adhere to the requirements of this study. Exclusion Criteria: 1. Participate in any other clinical trial within 28 days prior to 1st dosing of LM-168. 2. Having received prior anti-CTLA-4 or any other immunotherapy or immune-oncology (IO) agent within 28 days of commencing treatment with LM-168 or experienced a toxicity that led to permanent discontinuation of prior immunotherapy. 3. Subjects who have received the anti-tumor treatments within the specified time periods prior to the first dosing of LM-168. 4. Any adverse event from prior anti-tumour therapy has not yet recovered to ≤ grade 1 of CTCAE v5.0. 5. Subjects with uncontrolled tumour-related pain. 6. Subjects with known central nervous system (CNS) or meningeal metastasis. 7. Subjects who have uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures. 8. Subjects with esophageal or gastric varices requiring immediate intervention, or those with a history of variceal bleeding. 9. Hepatic encephalopathy, hepatorenal syndrome, Child-Pugh class B or more severe liver cirrhosis. 10. Tumor invasion of surrounding vital organs or a risk of developing esophagotracheal fistula or esophagopleural fistula. 11. Patients with a history of active or previously confirmed inflammatory bowel disease. 12. Subjects who experienced grade 3 or higher hypersensitivity to the treatment that contains monoclonal antibody. 13. Subjects who previously experienced grade ≥ 3 immune-related adverse events during immunotherapy, as well as subjects who discontinued prior immunotherapy due to severe or life-threatening immune-related adverse events. 14. Subjects who take systemic corticosteroids (\> 10 mg daily prednisone equivalents) or other systemic immunosuppressive medications within 2 weeks prior to the first dosing of LM-168. 15. Subjects with the known history of autoimmune disease. 16. Subjects with the history of idiopathic pulmonary fibrosis, organizing pneumonia , drug-induced pneumonitis, idiopathic pneumonitis, interstitial lung disease, severe radiation pneumonitis or evidence of active pneumonitis on screening chest CT scan. 17. Use of any live attenuated vaccines within 28 days prior to 1st dosing of LM-168. 18. Current or recent use of aspirin (\> 325 mg/day) or treatment with dipyramidole, ticlopidine, clopidogrel, and cilostazol. 19. Current unstable of full-dose oral or parenteral anticoagulants or thrombolytic agents for \> 2 weeks prior to the first dose of LM-168. 20. Subjects who received major surgery or interventional treatment within 28 days prior to 1st dosing of LM-168 (excluding tumour biopsy, puncture, etc.). 21. Subjects who have severe cardiovascular disease. 22. Subjects who have uncontrolled or severe illness. 23. Subjects who have a history of immunodeficiency disease. 24. HIV infection, active infection including tuberculosis, HBV and HCV infection. 25. Subjects with a history of other malignancies within 5 years prior to the first administration of the study drug. 26. Child-bearing potential female who have positive results in pregnancy test or are lactating. 27. Subjects who have psychiatric illness or disorders that may preclude study compliance. 28. Subject who is judged as not eligible to participate in this study by the investigator.
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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 places running it
6 sites in 2 countries. 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
Locations
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Bayview Health-Investigational Drug Services
RECRUITINGPerth, Western Australia, 6009, Australia
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Beijing Cancer Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, China
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Cancer Care Wollongong Pty Limited
RECRUITINGWollongong, New South Wales, Australia
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MUPharm Pty Limited trading as Macquarie University Hospital Parmarcy
RECRUITINGRyde, New South Wales, 2109, Australia
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Macquarie University
RECRUITINGRyde, New South Wales, 2109, Australia
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One Clinical Reasearch
RECRUITINGPerth, Western Australia, 6009, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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
- Experimental injection SHR-7787 put to the test against advanced solid tumors
- Experimental biologic AWT020 put to the test in Hard-to-Treat cancers
- Can a pill shrink Hard-to-Treat ovarian tumors?
- Oral drug RVU120 put to the test against advanced solid tumors