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Malignant Neoplasm of Digestive SystemPhase 1NCT05639153

A Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of DR30303 in Patients With Advanced Solid Tumors

A Phase 1 study testing DR30303 in people with Malignant Neoplasm of Digestive System, run by Zhejiang Doer Biologics Co., Ltd. at 1 site in China.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is an open-label Phase 1, First in Human trial of DR30303, a recombinant humanized monoclonal antibody that targets Claudin18.2 (CLDN18.2). It is composed of humanized variable domain of heavy chain of antibody (VHH) fused with engineered immunoglobulin gamma-1(IgG1) Fc. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Malignant Neoplasm of Digestive System
What is being tested?
DR30303
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
13 participants
Where
1 siteChina
Study dates
13 May 2022to 18 Mar 2026
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Fully informed of this study and voluntarily sign informed consent form (ICF).
  • Aged 18 to 75 years, gender is not limited.
  • Part 1: Dose escalation stage - the subject have histologically or cytologically confirmed locally advanced or metastatic malignant solid tumors who have failed or are intolerant to prior systemic therapy.
  • Part 2: Dose expansion stage- CLDN18.2 positive confirmed by central laboratory locally advanced unresectable or metastatic gastric cancer (GC)/gastroesophageal junction (GEJ ) or Pancreatic cancer those who had failed or were intolerant to at least 1 line of systemic therapy.
  • The Eastern Cooperative Oncology Group (ECOG) score is 0 to 1.
  • Expected survival ≥ 3 months.
  • Adequate organ function.
  • Referring to the RECIST 1.1 standard, there is at least one measurable lesion.

Who cannot join

  • Radical radiotherapy was performed within 12 weeks before the first dose of study drug.
  • Subjects who have received other systemic anti-tumor therapy within 4 weeks before the first dose of study drug.
  • Subjects who received or are scheduled to receive live attenuated vaccine within 4 weeks.
  • Received systemic steroids equivalent to >10mg/d prednisone within 2 weeks before the first dose of study drug, except inhaled steroids.
  • Subjects who have undergone or are expected to undergo major surgery, or have severe unhealed wounds, etc. prior to the first dose of study drug.
  • Ever received any treatments targeting Claudin18.2.
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  • Subject who have a history of allergy to any component in the DR30303.
  • Subject with uncontrolled intracranial metastases.
  • Uncontrollable pleural effusion, pericardial effusion and ascites effusion existed before enrollment.
  • hepatitis B virus (HBV), hepatitis C virus (HCV), HIV or syphilis infection.
  • Diseases or associated risks that are judged by the investigator to be inappropriate for enrollment, such as poorly controlled diabetes,etc.
  • Subjects with interstitial lung disease requiring treatment such as oral or intravenous corticosteroids.
  • Subjects with previous or concomitant malignancies, with the following exceptions: non- melanoma skin carcinoma in situ, superficial bladder cancer, etc.
  • Clinically significant cardiovascular and cerebrovascular diseases within 6 months before the first dose of study drug, such as New York Heart Association (NYHA) class III or IV congestive heart failure, etc.
  • Female patients who are breastfeeding.
  • The investigator assesses that the subject is unable or unwilling to comply with the requirements of the research protocol.
  • Participated in other clinical studies within the past 4 Weeks.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Sir Run Run Shaw Hospital,Zhejiang University School of Medicine

    Hanzhou, Zhejiang, 311100

Other trials in China

About this study

Official title: An Open, Phase I, Dose Escalation and Dose Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of DR30303 in Patients With Advanced Solid Tumors

This study is an open-label Phase 1, First in Human trial of DR30303, a recombinant humanized monoclonal antibody that targets Claudin18.2 (CLDN18.2). It is composed of humanized variable domain of heavy chain of antibody (VHH) fused with engineered immunoglobulin gamma-1(IgG1) Fc. It is being testing against advanced and/or metastatic solid tumors.

Read the detailed description

This study is an open, phase I study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of DR30303 in patients with advanced solid tumors. The study is composed of two parts: part 1 is Dose escalation stage and part 2 is Dose expansion stage.

Being tested
DR30303
Keywords
Malignant neoplasm of digestive system
Medical subject headings
Digestive System Neoplasms

What participants receive

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

  • DR30303Drug

    DR30303 dose level of escalation IV every 3 weeks (Q3W) Day 1, as well as dose expansion with recommended dose level from dose escalation.

Study groups in NCT05639153
Study groupRoleWhat they receive
DR30303ExperimentalDR30303 injection treatment. This phase 1 trial will include two stages, a dose escalation stage and an expansion stage.
Receives: Drug: DR30303

What is being measured

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

  1. Part 1:Incidence of dose limiting toxicities (DLTs)

    Measured: up to 21 days following first dose

  2. Part 1:Number, severity and duration of treatment-emergent adverse events (TEAEs) according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0

    Measured: up to 28 days following last dose

  3. Part 1:Maximum Tolerated Dose (MTD) and/or Biological effective dose (BED) based on safety, tolerability, PK profile and preliminary efficacy data

    Measured: from date of last dose until the date of will receive DR30303 for 1 year or last documented progression,whichever occurs first

  4. Part 2: Recommended Phase 2 Dose (RP2D) based on safety, tolerability, PK profile, and preliminary efficacy data

    Measured: from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first

  5. Part 2: Number, severity and duration of treatment-emergent adverse events (TEAEs) according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0

    Measured: up to 28 days following last dose

Secondary outcomes (14)
  1. Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)

    These measure are defined as the proportion of subjects with complete response (CR) or partial response (PR)

    Measured: from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first

  2. Disease control rate (DCR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)

    These measure are defined as the proportion of subjects with CR, PR and stable disease (SD)

    Measured: from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first

  3. Duration of response (DOR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)

    These measure are defined as the duration from the first occurrence of confirmed CR or PR until the date of disease progression or death (from any cause)

    Measured: from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first

  4. Clinical Benefit Rate

    Defined as Proportion of subjects with CR, PR and duration of SD ≥ 12 weeks

    Measured: from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first

  5. Duration of disease control (DDC) per RECIST v1.1

    For subjects with CR, PR, or SD, duration was calculated from the first assessment as CR, PR, or SD until the date of disease progression or death (from any cause)

    Measured: from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first

  6. Progression free survival (PFS) per RECIST v1.1

    These measure are defined as time from start of treatment to tumor progression or death from any cause

    Measured: from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first

  7. 6-month and 12-month survival rates

    Measured: from date of first dose start until the date of first documented progression , 6 months,12 months whichever came first

  8. Overall survival (OS) per RECIST v1.1

    These measure are defined as time from start of treatment to death from any cause

    Measured: from date of first dose start until the date of first documented progression or death from any cause,or the date of will receive DR30303 for 1 year whichever came first

  9. Pharmacokinetic (PK) of DR30303: Maximum serum concentration (Cmax)

    Measured: up to 28 days following last dose

  10. PK of DR30303: Area Under the concentration-time Curve from time zero to the last quantifiable concentration (AUC0-last)

    Measured: up to 28 days following last dose

  11. PK of DR30303: Area Under the concentration-time Curve from time zero to infinity (AUC0-inf)

    Measured: up to 28 days following last dose

  12. PK of DR30303: Time of the maximum concentration (tmax)

    Measured: up to 28 days following last dose

  13. PK of DR30303: Terminal elimination half-life (t1/2)

    Measured: up to 28 days following last dose

  14. Immunogenicity by measurement of Incidence of anti-drug antibodies (ADA)

    Measured: up to 28 days following last dose

Timeline

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

  1. First posted6 Dec 2022
  2. Study start13 May 2022
  3. Primary completion30 Dec 2025
  4. Study completion18 Mar 2026

Why it stopped: This trial was terminated voluntarily by the Sponsor for reasons related to its corporate strategic development, with no safety concerns or efficacy signals related to the investigational product identified.

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05639153
Sponsor's protocol ID
DR30303-101
Status last verified
Apr 2026
First submitted
8 Nov 2022
Last updated
13 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing DR30303 in people with Malignant Neoplasm of Digestive System, run by Zhejiang Doer Biologics 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 8 inclusion and 17 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: stopped early, as of the sponsor's last update on 13 Apr 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?

The study was stopped early (reason given: This trial was terminated voluntarily by the Sponsor for reasons related to its corporate strategic development, with no safety concerns or efficacy signals related to the investigational product identified.). Results are not available in the source record.

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?

Part 1:Incidence of dose limiting toxicities (DLTs) (time frame: up to 21 days following first dose). 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?
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 13 Apr 2026.

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