New drug duo aims to tackle Hard-to-Treat cancers
NCT ID NCT04322006
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new drug called TJ004309, either alone or combined with another drug called Toripalimab, in 225 adults with advanced solid tumors that had stopped responding to standard treatments. The goal was to find the safest dose and see early signs of effectiveness. The trial has been completed, but results are not yet available.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TJ004309 (antibody to CD73) and Toripalimab (antibody to PD-1)
- What this could lead to
- If successful, this could point toward a new combination 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 focused on safety and dosing, so it is too soon to know if the combination will work. Side effects from the drugs may occur, and many experimental cancer therapies do not lead to approved treatments.
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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225 people
The number who actually took part.
- Started
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May 2020
- Finished
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Apr 2025
- 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: * Age ≥ 18 years * Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1 * In the dose-escalation phase, subjects with advanced solid tumors that are histologically or cytologically confirmed to be unresectable or have metastasized, subjects with standard treatment failure or intolerance (disease progression, or inability to tolerate chemotherapy, targeted therapy, etc.), or subjects without effective treatment. * Synchronous dose expansion (will base on dose-escalation phase) * At least one measurable disease by modified RECIST 1.1 for immune based therapeutics V1.1 * Expected survival ≥ 3 months * Adequate organ function as defined by the following criteria: * Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 2.5 times upper limit of normal (ULN) * Total serum bilirubin ≤ 1.5 times the ULN * Absolute neutrophil count (ANC) ≥ 1.5 ×109/ L * Platelets ≥ 100×109/ L without transfusion support within 28 days prior to study treatment * Hemoglobin ≥ 9.0 g/dL without transfusion support within 14 days prior to study treatment * Serum creatinine ≤ 1.5 times the ULN or Creatinine clearance \> 30 mL/min by Cockcroft-Gault formula * International normalized ratio (INR) in normal range * Serum pregnancy test must be negative for childbearing female prior to study treatment * The man have reproductive ability or childbearing female (refers to men and women not on birth control operation, and the menopause women), must use the highly effective contraceptive methods (such as oral contraceptives, intrauterine contraceptive device, abstemious sexual desire or barrier contraceptive method combined with spermicide) during the study, and sustain contraception 6 months after the last dose * Willingness and ability to consent for self to participate in study and comply with scheduled visits, treatment plan, laboratory tests, and other study procedures Exclusion Criteria: * Pregnancy or breastfeeding * Prior T-cell therapy * Receipt of systemic anticancer therapy or ≥ 5 times the elimination half-life of the drug has elapsed within 2 weeks prior to study treatment (Note: whichever is shorter shall prevail.) * Exist ≥ 2 kinds of primary tumor, expect cured preinvasive carcinoma and basaloma. (patients are not excluded if ≥ 5 years treatment with other tumor prior to study treatment.) * Autoimmune disease requiring treatment within the past twelve months only requiring related treatment replacement * Condition requiring systemic treatment with either corticosteroids (\>10 mg daily prednisone equivalent) or other immunosuppressive medications more than 7 days within 14 days prior to study treatment (Note: inhaled and topical steroids, and adrenal replacement steroid doses \> 10 mg daily prednisone equivalent, are permitted in the absence of active autoimmune disease.) * Current treatment on another therapeutic clinical trial within 14 days prior to study treatment * Major surgical procedure or significant traumatic injury within 4 weeks prior to study treatment and no date of surgery (if applicable) or anticipated need for a major surgical procedure planned during study treatment * Chest radiotherapy ≤ 4 weeks, wide field radiotherapy ≤ 4 weeks (defined as \> 50% of volume of pelvic bones or equivalent) or palliative radiotherapy ≤ 2 weeks prior to study treatment * Brain involvement with cancer, spinal cord compression, or carcinomatous meningitis, or new evidence of brain or leptomeningeal disease, unless the lesion(s) have been radiated or resected, are considered fully treated and inactive, are asymptomatic, and no steroids have been administered for central nervous system disease over the 2 weeks prior to study treatment * Known active viral or nonviral hepatitis or cirrhosis, except patients with Hepatitis C infection and undetectable virus following treatment are eligible. * Known human immunodeficiency virus (HIV) positive * Ascites or pericardial effusion that can not be control * History of or active interstitial lung disease * Hypertension is not well controlled by medication. Hypertension defined as blood pressure (BP) systolic \> 150 or diastolic \> 90 mm Hg (Note: Initiation or adjustment of antihypertensive medication prior to study entry is allowed provided that the average of the three most recent BP readings prior to study enrollment is ≤150/90 mm Hg.) * Cardiovascular diseases with clinical significance, include phase II-III cardiac insufficiency defined by New York Heart Association, myocardial infarction (MI) within 3 months prior to study treatment, symptomatic congestive heart failure, cerebral infarction within 3 months prior to study treatment, percutaneous transluminal coronary angioplasty (PTCA), or coronary artery bypass grafting (CABG) within 6 months prior to study treatment * Deep-venous thrombosis within 6 months prior to study treatment (except treated without warfarin 2 weeks prior to study treatment) * Thrombolytic use (except to maintain IV catheters) within 10 days prior study treatment * Any active infection requiring systemic treatment * Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the patient inappropriate for this study
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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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Army Medical Center of PLA
Chongqing, Chongqing Municipality, China
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Cancer Hospital affiliated to Shantou University Medical College
Shantou, Guangdong, China
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Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
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Chongqing Cancer Hospital
Chongqing, Chongqing Municipality, China
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Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032, China
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Guangdong Provincial Hospital of Chinese Medicine
Guangzhou, Guangdong, China
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Guangdong Provincial People's Hospital
Guangzhou, Guangdong, 510080, China
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Harbin Medical University Cancer Hospital
Haerbin, Heilongjiang, China
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Henan Cancer Hospital
Zhengzhou, Henan, China
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Hubei Cancer Hospital
Wuhan, Hubei, China
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Hunan Cancer Hospital
Changsha, Hunan, China
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Liaoning Cancer Hospital and Institute
Shenyang, Liaoning, China
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Northern Jiangsu People's Hospital
Yangzhou, Jiangsu, China
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Sichuan Cancer Hospital
Chengdu, Sichuan, China
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Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Hanzhou, Zhejiang, China
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The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
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The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China
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The First Affiliated Hospital of Xi 'an Jiaotong University
Xi'an, Shaanxi, China
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The First Bethune Hospital of Jilin University
Changchun, Jilin, 130021, China
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The First Hospital of China Medical University
Shenyang, Liaoning, China
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The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
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Yunnan Cancer Hospital
Kunming, Yunnan, China
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