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Advanced/ Metastatic Solid TumorsPhase 1NCT05174637

A Study of FDA018-ADC in Patients With Advanced Solid Tumors

A Phase 1 study testing FDA018-ADC in people with Advanced/ Metastatic Solid Tumors, run by Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd. at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a Phase 1, open-label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics and efficacy of FDA018-ADC in patients with advanced/metastatic solid tumors. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Advanced/ Metastatic Solid Tumors
What is being tested?
FDA018-ADC
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
78 participants
Where
1 siteChina
Study dates
22 Oct 2021to Dec 2029
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients able to give written informed consent;
  • Age ≥ 18 and ≤ 75 years old, male or female;
  • Patients have histological or cytological diagnosis with advanced solid tumors, cann't benefit from existing standard treatment options, and are not suitable for surgical resection or radiation therapy for the purpose of cure; tumor types in the study include: triple-negative breast cancer (TNBC), urothelial cancer (UC), non-small-cell lung cancer (NSCLC), small-cell lung cancer (SCLC), endometrial, gastric adenocarcinoma, esophageal, ovarian, colorectal and so on.
  • Have measurable lesions defined in RECIST v. 1.1;
  • Expected survival ≥ 12 weeks;
  • Eastern Cancer Cooperative Group (ECOG) performance status 0-1;
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  • Adequate bone marrow, hepatic, and renal function;
  • All acute toxicity of previous anti-tumor treatment or surgery is relieved to baseline severity or NCI CTCAE version 5.0 ≤ 1;
  • Tumor tissue sections available;
  • Patients of child bearing potential must agree to take contraception during the study and for 6 months after the last day of treatment.

Who cannot join

  • Previous treatments for anti-Trop-2 antibody or other treatments against Trop-2, such as IMMU-132;
  • Have history of an anaphylactic reaction to irinotecan or ≥ Grade 3 GI toxicity to prior irinotecan, or previously allergic to macromolecular protein preparations;
  • Have had other malignant tumors in the past 5 years;
  • Received other anti-tumor treatments (including chemotherapy, radiotherapy, Targeted therapy, immunotherapy, experimental treatment and so on) within 4 weeks;
  • Infection requiring intravenous antibiotic use within 1 week or Fever of unknown cause occurred before the first administration> 38.5℃;
  • Have CNS (central nervous system) metastasis with clinical symptoms;
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  • Any of the following cardiac criteria:
  • Known history of severe heart disease, such as CHF≥ level 2, NYHA≥ level 2 and angina requiring medication;
  • Clinically significant cardiac arrhythmia requiring anti-arrhythmia therapy;
  • Hypertension not controlled by medication;
  • Have history of clinical significant active COPD, or other moderate-to-severe chronic respiratory illness present within 6 months;
  • Patients with poorly controlled diabetes;
  • Suffering from active chronic inflammatory bowel disease (ulcerative colitis, Crohn disease), and history of intestinal obstruction, or GI perforation;
  • Patients who had undergone major surgery or severe trauma within 4 weeks prior to the first dose;
  • Patients who had undergone autologous within 3 months of initiation of study treatment or allogeneic organ or stem cell transplantation within 6 months of initiation of study treatment;
  • Clinically active bacterial, fungal or viral infections (eg active hepatitis B (HBV), hepatitis C (HCV), human immunodeficiency virus (HIV), syphilis positive and so on);
  • Patients who had undergone systemic high-dose steroids within 2 weeks of initiation of study treatment;
  • Occurrence of serious venous/venous thrombosis within 1 year prior to the first dose, such as cerebrovascular accidents (including transient ischemic attack), deep vein thrombosis and pulmonary embolism;
  • Patients have history of psychotropic drug abuse, alcohol or drug abuse;
  • Women who are pregnant or lactating;
  • Any condition that is unstable or may jeopardize patient safety and its compliance with the study;
  • Other circumstances that is deemed not appropriate for the study.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Fudan University Shanghai Cancer Center

    Shanghai, Shanghai Municipality, 200000

Other trials in China

About this study

Official title: A PhaseⅠStudy to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of FDA018-ADC in Patients With Advanced Solid Tumors

This is a Phase 1, open-label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics and efficacy of FDA018-ADC in patients with advanced/metastatic solid tumors.

Read the detailed description

This is a first-in-human (FIH), Phase 1, open-label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of FDA018-ADC in patients with advanced/metastatic solid tumors. FDA018-ADC is administered via intravenous infusion using an accelerated titration method followed by a conventional 3 + 3 study design to identify the maximum tolerated dose (MTD) and dose-limiting toxicities(DLT)during 35-day cycle with 3 doses. The expansion phase enrolled patients into three cohorts defined by tumor type: cohort 1 included patients with locally advanced or metastatic TNBC; cohort 2 included patients with non-small-cell lung cancer (NSCLC); and cohort 3 included those with other locally advanced or metastatic solid tumors. The efficacy and safety, as well as the recommended phase 2 dose (RP2D) were determined in this phase.

Being tested
FDA018-ADC
Keywords
Trop-2, Solid tumor, TNBC, Antibody-drug conjugate, ADC

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FDA018-ADCDrug

    Also called FDA018-Antibody-drug Conjugate, F0024

    Subjects will receive an intravenous infusion of FDA018-ADC until confirmed progression, unaccepted toxicity, or any criterion for withdrawal from the study.

Study groups in NCT05174637
Study groupRoleWhat they receive
FDA018-ADC A mg/kgExperimentalSubjects will receive FDA018-ADC A mg/kg of body weight via intravenous (IV) infusion on Day 1 of a 14-Day cycle (Cycle 1) and on Day 1 and 8 of a 21-day cycle (Cycle 2 ~ Cycle n) in dose escalation phase, and on Day 1 and 8 of a 21-day cycle(Cycle 1 ~ Cycle n) in dose expansion phase, until the date of first documented progression or unacceptable toxicity or death.
Receives: Drug: FDA018-ADC
FDA018-ADC B mg/kgExperimentalSubjects will receive FDA018-ADC B mg/kg of body weight via intravenous (IV) infusion on Day 1 of a 14-Day cycle (Cycle 1) and on Day 1 and 8 of a 21-day cycle (Cycle 2 ~ Cycle n) in dose escalation phase, and on Day 1 and 8 of a 21-day cycle(Cycle 1 ~ Cycle n) in dose expansion phase, until the date of first documented progression or unacceptable toxicity or death.
Receives: Drug: FDA018-ADC
FDA018-ADC C mg/kgExperimentalSubjects will receive FDA018-ADC C mg/kg of body weight via intravenous (IV) infusion on Day 1 of a 14-Day cycle (Cycle 1) and on Day 1 and 8 of a 21-day cycle (Cycle 2 ~ Cycle n) in dose escalation phase, and on Day 1 and 8 of a 21-day cycle(Cycle 1 ~ Cycle n) in dose expansion phase, until the date of first documented progression or unacceptable toxicity or death.
Receives: Drug: FDA018-ADC
FDA018-ADC D mg/kgExperimentalSubjects will receive FDA018-ADC D mg/kg of body weight via intravenous (IV) infusion on Day 1 of a 14-Day cycle (Cycle 1) and on Day 1 and 8 of a 21-day cycle (Cycle 2 ~ Cycle n) in dose escalation phase, and on Day 1 and 8 of a 21-day cycle(Cycle 1 ~ Cycle n) in dose expansion phase, until the date of first documented progression or unacceptable toxicity or death.
Receives: Drug: FDA018-ADC
FDA018-ADC E mg/kgExperimentalSubjects will receive FDA018-ADC E mg/kg of body weight via intravenous (IV) infusion on Day 1 of a 14-Day cycle (Cycle 1) and on Day 1 and 8 of a 21-day cycle (Cycle 2 ~ Cycle n) in dose escalation phase, and on Day 1 and 8 of a 21-day cycle(Cycle 1 ~ Cycle n) in dose expansion phase, until the date of first documented progression or unacceptable toxicity or death.
Receives: Drug: FDA018-ADC
FDA018-ADC F mg/kgExperimentalSubjects will receive FDA018-ADC F mg/kg of body weight via intravenous (IV) infusion on Day 1 of a 14-Day cycle (Cycle 1) and on Day 1 and 8 of a 21-day cycle (Cycle 2 ~ Cycle n) in dose escalation phase, and on Day 1 and 8 of a 21-day cycle(Cycle 1 ~ Cycle n) in dose expansion phase, until the date of first documented progression or unacceptable toxicity or death.
Receives: Drug: FDA018-ADC
FDA018-ADC G mg/kgExperimentalSubjects will receive FDA018-ADC G mg/kg of body weight via intravenous (IV) infusion on Day 1 of a 14-Day cycle (Cycle 1) and on Day 1 and 8 of a 21-day cycle (Cycle 2 ~ Cycle n) in dose escalation phase, and on Day 1 and 8 of a 21-day cycle(Cycle 1 ~ Cycle n) in dose expansion phase, until the date of first documented progression or unacceptable toxicity or death.
Receives: Drug: FDA018-ADC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The dose limiting toxicity ( DLT)

    Evaluated according to NCI CTCAE V5.0

    Measured: From first dose to the end of Cycle 1, up to 35 days.

  2. The maximum tolerated dose (MTD)

    Maximum tolerated dose (MTD) is defined as the dose level immediately below the dose level at which 2 or more in a cohort of either 3 or 6 patients experiences a dose limiting toxicity (DLT) attributed to FDA018.

    Measured: From first dose to the end of Cycle 1, up to 35 days.

  3. Adverse Events

    To check the numbers of AEs happened during the course of trial.

    Measured: From subject randomization up to 60 months

  4. Objective Response Rate (ORR) according to RECIST 1.1

    ORR was defined as the rate an overall best response of either complete response (CR) or partial response (PR) according to RECIST1.1. CR was defined as the disappearance of all target lesions and reduction in short axis of any pathologic lymphnode to <10 mm. PR was defined as ≥ 30% decrease in the sum of diameters of target lesions, taking the baseline sum diameters.

    Measured: From subject randomization up to 60 months.

  5. Recommended phase II dose (RP2D)

    Measured: From subject randomization up to 60 months.

Secondary outcomes (8)
  1. Time to peak (Tmax)

    Tmax of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.

    Measured: Up to 17 weeks.

  2. Half-life time (t1/2)

    t1/2 of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.

    Measured: Up to 17 weeks.

  3. Peak Plasma Concentration (Cmax)

    Cmax of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.

    Measured: Up to 17 weeks.

  4. Area under the plasma concentration versus time curve (AUC)

    AUC of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.

    Measured: Up to 17 weeks.

  5. Number of subjects who develop detectable anti-drug antibodies (ADAs)

    The subject's ADA positive rate will be assessed By ELISA.

    Measured: From subject randomization up to 60 months.

  6. Progression free survival(PFS) according to RECIST 1.1

    Progression-free survival (PFS) was defined as the interval from the first dose start date to the date of disease progression defined as documented progressive disease (PD) or death from any cause, whichever occurs first.

    Measured: From subject randomization up to 60 months.

  7. Duration of Response(DOR) according to RECIST 1.1

    Duration of Response was defined as the duration of overall response measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started).

    Measured: From subject randomization up to 60 months.

  8. Overall Survival (OS) according to RECIST 1.1

    Overall survival was defined as the time from the date of the first dose start date to the date of death due to any cause.

    Measured: From subject randomization up to 60 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jan 2022
  2. Study start22 Oct 2021
  3. Primary completionDec 2029 (estimated)
  4. Study completionDec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
78 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05174637
Sponsor's protocol ID
F0024-101
Status last verified
Jan 2026
First submitted
16 Nov 2021
Last updated
23 Jan 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020 Jan;70(1):7-30. doi: 10.3322/caac.21590. Epub 2020 Jan 8.

    PubMed 31912902
  • Ponde N, Aftimos P, Piccart M. Antibody-Drug Conjugates in Breast Cancer: a Comprehensive Review. Curr Treat Options Oncol. 2019 Apr 1;20(5):37. doi: 10.1007/s11864-019-0633-6.

    PubMed 30931493
  • Zaman S, Jadid H, Denson AC, Gray JE. Targeting Trop-2 in solid tumors: future prospects. Onco Targets Ther. 2019 Mar 1;12:1781-1790. doi: 10.2147/OTT.S162447. eCollection 2019.

    PubMed 30881031
  • Goldenberg DM, Stein R, Sharkey RM. The emergence of trophoblast cell-surface antigen 2 (TROP-2) as a novel cancer target. Oncotarget. 2018 Jun 22;9(48):28989-29006. doi: 10.18632/oncotarget.25615. eCollection 2018 Jun 22.

    PubMed 29989029

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing FDA018-ADC in people with Advanced/ Metastatic Solid Tumors, run by Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd. at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 23 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The dose limiting toxicity ( DLT) (time frame: From first dose to the end of Cycle 1, up to 35 days.). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05174637, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2026.

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