New targeted drug shows promise for Hard-to-Treat cancers
NCT ID NCT05161390
First seen Jun 26, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study tested a new drug called LM-302 in 153 people with advanced solid tumors that have a specific protein called CLDN18.2. The drug is designed to target and kill cancer cells while sparing healthy ones. The main goals were to check safety, find the right dose, and see early signs of effectiveness.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LM-302 (an antibody-drug conjugate targeting CLDN18.2)
- What this could lead to
- If successful, this could lead to a new treatment option for people with advanced solid tumors that have a specific marker called CLDN18.2.
- What could go wrong
- This is an early-phase trial, so the drug may not work or could cause serious side effects. Results are preliminary and need confirmation in larger studies.
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
-
153 people
The number who actually took part.
- Started
-
Nov 2021
- Finished
-
Jan 2025
- 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 to 80 years
- Sex
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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: Subjects will be enrolled into the study only if they meet all of the following inclusion criteria: 1. Subjects who are fully informed of the purpose, nature, method and possible adverse reactions of the study, and are willing to participate in the study and sign the informed consent document prior to any procedure; 2. Aged between 18 to 80 years old, male or female when sign the Informed consent form (ICF); 3. ECOG score 0-1; 4. Life expectancy ≥ 3 months; 5. Subjects have histological or cytological confirmation of advanced solid tumors, and are intolerable for available standard therapy, or there is no available standard therapy; 6. Claudin18.2(CLDN18.2) status will be tested by immunohistochemistry (IHC) by central lab, the result must be positive; 7. At least one evaluable lesion for phase I and one measurable lesion for phase II according to RECIST v1.1; 8. Subjects must have the following organ and marrow function in laboratory tests within 7 days prior to the first dose; 9. Subjects who are able to well communicate with investigators as well as understand and adhere to the requirements of this study. Exclusion Criteria: Subjects will be excluded from the study, if they meet any of the following criteria: 1. Participate in any other clinical trial within 28 days prior to 1st dosing of LM-302; 2. Subjects with anti-tumor treatment within 21 days prior to 1st dosing of LM-302, including radiotherapy, chemotherapy, biotherapy, endocrine therapy and immunotherapy, etc. 3. Any adverse event from prior anti-tumor therapy has not yet recovered to ≤grade 1 of CTCAE v5.0; 4. Peripheral sensory or motor neuropathy ≥ grade 2; 5. Subjects with uncontrolled tumor-related pain; 6. Subjects with known central meningeal metastasis; 7. Subjects with known brain metastasis, stable brain metastasis judged by investigator can be included; 8. Subjects with uncontrolled third interstitial effusion judged by the investigator to be unsuitable for inclusion; 9. Subjects with known antibody drug allergy ≥ grade 3; 10. Subjects who have received the treatment with ADCs targeting to CLDN18.2; 11. Subjects who were intolerable to the treatment with MMAE based ADCs or anti-CLDN18.2 antibodies are not eligible; 12. Administrate strong inhibitors/strong inducers of CYP3A4 within 14 days prior to 1st dosing of LM-302; 13. Use of any live vaccines within 28 days prior to 1st dosing of LM-302; 14. Subjects with the history of interstitial lung disease or drug-induced interstitial lung disease/pneumonitis; 15. Subjects who are taking therapeutic doses of anticoagulants such as heparin or vitamin K antagonists (except preventive treatment at a stable dose); 16. Uncontrolled persistent and recurrent vomiting (e.g. due to gastric outlet obstruction); 17. Subjects with uncontrolled/severe gastrointestinal hemorrhage, or ulcer within 28 days prior to 1st dosing of LM-302; 18. Subjects who have received surgical or interventional treatment within 28 days prior to 1st dosing LM-302, with the exception for tumor biopsy,puncture, etc.; 19. (Limited PhaseⅡ dose expansion)Subjects who have another active malignancy which is likely to require treatment, and have the history of another malignancy within 2 years before the 1st dosing LM-302; 20. Subjects who have severe cardiovascular disease; 21. Subjects who have uncontrolled or severe illness, including but not limited to ongoing or active infection requiring antibiotics administration; 22. Subjects who have a history of immunodeficiency disease, including other acquired or congenital immunodeficiency diseases, or organ transplantation, or allogeneic bone marrow transplantation, or autologous hematopoietic stem cell transplantation; 23. HIV infection, active HBV and HCV infection; 24. Child-bearing potential female who have positive results in pregnancy test before the 1st dosing LM-302 or are lactating; 25. Subjects who have psychiatric illness or social situations that would preclude study compliance; 26. Subject who is determined as not eligible to participate in this study by the investigator.
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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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Shanghai East Hospital
Shanghai, Shanghai Municipality, China
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