New antibody drug takes aim at Hard-to-Treat cancers
NCT ID NCT07046923
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-stage trial tests a new drug called LY4175408, which is designed to seek out and attack cancer cells that have a specific marker (PTK7). The study includes 240 people with advanced lung, endometrial, or triple-negative breast cancers that have not responded to standard treatments. The main goals are to check safety, find the right dose, and get an early look at whether the drug can shrink tumors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LY4175408 (an antibody drug conjugate that targets PTK7 on tumor cells, given by IV infusion, sometimes with pembrolizumab, carboplatin, or cisplatin)
- What this could lead to
- If it works, this could point toward a new treatment option for people with advanced lung, endometrial, or triple-negative breast cancers that have stopped responding to standard therapies.
- What could go wrong
- This is a very early Phase 1 trial, so the drug may not be safe or effective. Side effects are unknown, and the study is small (240 people) with no guarantee of 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
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Jul 2030
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: * Have one of the following advanced or metastatic solid tumor cancers: * Non-small cell lung cancer (NSCLC) * Small cell lung cancer (SCLC) * Endometrial cancer * Triple negative breast cancer (TNBC) (characterized by HR-negative disease and HER2-negative expression according to American Society of Clinical Oncology (ASCO) - College of American Pathologists guidelines). * Received all standard therapies for which the individual was deemed to be an appropriate candidate by the treating investigator (except in Cohort B1 and B2 expansion, which require participants who are treatment naive in the advanced metastatic setting); OR the individual is refusing the remaining most appropriate standard of care treatment; OR there is no standard therapy available for the disease. * Eastern Cooperative Oncology Group (ECOG) performance status of greater than or equal to (≤) 1. * For dose optimization/dose and expansion cohorts (Cohort A2, Cohort B/C): Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. * Cohorts B1/B2: NSCLC with no known actionable genomic alterations. ≤2 prior lines of systemic therapy for advanced or metastatic disease in safety lead-in; no prior systemic therapy in expansion Exclusion Criteria: * Prior treatment with a protein tyrosine kinase 7 (PTK7) antibody-drug conjugate (ADC) with a topoisomerase I inhibitor as payload (prior therapy with a PTK7 ADC with a non-topoisomerase I inhibitor payload OR non-PTK7 ADC with any payload is permitted). Prior topoisomerase I-based ADCs are not allowed in cohorts A2, B1 or B2. * Any serious unresolved toxicities from prior therapy. * Individual with known or suspected history of uncontrolled central nervous system (CNS) metastases. * Individual with active uncontrolled systemic bacterial, viral, fungal, or parasitic infection. * Significant cardiovascular disease. * Prolongation of QT interval corrected for heart rate using Fridericia's formula (QTcF) \> 470 milliseconds (ms) * History of pneumonitis/interstitial lung disease. * Individuals who are pregnant, breastfeeding, or plan to breastfeed during the trial or within 30 days of the last dose of trial intervention.
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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
27 sites in 6 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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Cancer Institute Hospital of JFCR
RECRUITINGTokyo, 135-8550, Japan
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Centre Leon Berard
RECRUITINGLyon, 69373, France
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Columbia University
RECRUITINGNew York, New York, 10032, United States
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Community Health Network
RECRUITINGIndianapolis, Indiana, 46250, United States
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David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
RECRUITINGNew York, New York, 10065, United States
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Florida Cancer Specialists - Lake Nona - Sarah Cannon Research Institute
RECRUITINGOrlando, Florida, 32827, United States
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Florida Cancer Specialists - Sarasota
RECRUITINGSarasota, Florida, 34236, United States
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario Vall d'Hebron
RECRUITINGBarcelona, 08035, Spain
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Institut Gustave Roussy
RECRUITINGVillejuif, 94805, France
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John Theurer Cancer Center At Hackensack UMC
RECRUITINGHackensack, New Jersey, 07601, United States
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Kyoto University Hospital
RECRUITINGKyoto, 606-8507, Japan
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MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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NEXT Virginia
RECRUITINGFairfax, Virginia, 22031, United States
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National Cancer Center Hospital
RECRUITINGTokyo, 104-0045, Japan
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START Mountain Region
RECRUITINGWest Valley City, Utah, 84119, United States
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Sarah Cannon Research Institute
RECRUITINGNashville, Tennessee, 37203, United States
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Severance Hospital, Yonsei University Health System
RECRUITINGSeoul, 03722, South Korea
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Shanghai East Hospital, Tongji University
NOT_YET_RECRUITINGShanghai, 0200120, China
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Stanford Medicine Cancer Center
RECRUITINGStanford, California, 94305, United States
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The Ohio State University (OSU) Wexner Medical Center
RECRUITINGColumbus, Ohio, 43210, United States
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The University of Chicago Medical Center (UCMC)
RECRUITINGChicago, Illinois, 60637, United States
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Tongji Hospital - Tongji Medical College of HUST
NOT_YET_RECRUITINGWuhan, 430030, China
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Washington University
RECRUITINGSt Louis, Missouri, 63110, United States
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West China Hospital, Sichuan University
NOT_YET_RECRUITINGChengdu, 610041, China
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