AzTrials
AzTrials

Advanced/Metastatic Solid TumorsPhase 1NCT07141706

A Study of DB-1317 in Selected Advanced/Metastatic Solid Tumors

A Phase 1 study testing DB-1317 in people with Advanced/Metastatic Solid Tumors, run by DualityBio Inc. at 14 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, open-label, multiple-dose, FIH Phase 1a/1b study. Phase 1a adopts an accelerated titration design and a BOIN design to identify the MTD or MAD of DB-1317; Phase 1b includes one randomized dose expansion cohort and two single-arm dose expansion cohorts to further evaluate the safety, tolerability… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced/Metastatic Solid Tumors
What is being tested?
DB-1317
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
253 participants
Where
14 sitesin 3 countries
Study dates
23 Sep 2025to Jun 2028
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female adults
  • Unresectable advanced or metastatic selected solid tumors that have relapsed or progressed on or after standard systemic treatments.
  • Only applicable to backfilling participants in Phase 1a and participants in Phase 1b: At least one measurable lesion as assessed by the investigator according to RECIST version 1.1 criteria. Participants with non-measurable disease are allowed for CRPC participants.
  • Has a life expectancy of ≥ 3 months.
  • Has an ECOG PS of 0-1.
  • Has LVEF ≥ 50% within 28 days before enrollment.
  • Is willing to provide pre-existing resected tumor samples or undergo fresh tumor biopsy for the measurement of ADAM9 expression level and other biomarkers if no contra-indication.
  • Male and female participants of reproductive/childbearing potential must agree to use adequate contraceptive methods

Who cannot join

  • Prior treatment with ADAM9 targeted therapy.
  • Prior treatment with antibody-drug conjugate with topoisomerase I inhibitor.
  • Has a medical history of symptomatic congestive heart failure or serious cardiac arrhythmia requiring treatment.
  • Has a medical history of myocardial infarction or unstable angina within 6 months before enrollment.
  • Has any clinically important abnormalities in rhythm, conduction or morphology of resting ECG
  • Has an average of Fredericia's formula-QT corrected interval (QTcF) prolongation to > 470 ms in males and females
Show all 15Show fewer
  • Has a history of (non-infectious) ILD/pneumonitis
  • Has a lung-specific intercurrent clinically significant illness
  • Has an uncontrolled infection requiring intravenous injection of antibiotics, antivirals, or antifungals.
  • Known human immunodeficiency virus (HIV) infection;Chronic, active, or uncontrolled hepatitis B;
  • Known chronic, active, or uncontrolled hepatitis C
  • Has clinically significant corneal disease.
  • Has clinically active brain metastases
  • Has unresolved toxicities from previous anticancer therapy Concurrent malignancy < 3 years.
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

14 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

14 sites in 3 countries

United States6 sites, 6 recruiting
  • USA05-0

    Ann Arbor, Michigan, 48109

    Recruiting
  • USA01-0

    Fairfax, Virginia, 22031

    Recruiting
  • USA02-0

    Houston, Texas, 77030

    Recruiting
  • USA04-0

    Los Angeles, California, 90025

    Recruiting
  • Site USA06-0

    Pittsburgh, Pennsylvania, 15232

    Recruiting
  • USA03-0

    San Antonio, Texas, 78229

    Recruiting

Other trials in United States

Australia4 sites, 4 recruiting
  • AUS03-0

    Liverpool, New South Wales, 2170

    Recruiting
  • AUS02-0

    Nedlands, Western Australia, 6009

    Recruiting
  • AUS01-0

    Randwick, New South Wales, 2031

    Recruiting
  • AUS04-0

    Westmead, New South Wales, 2145

    Recruiting

Other trials in Australia

China4 sites, 4 recruiting
  • Chn01-1/Chn01-2

    Guangzhou, Guangdong, 510060

    Recruiting
  • CHN05-0

    Harbin, Heilongjiang

    Recruiting
  • CHN04-0

    Jinan, Shandong

    Recruiting
  • CHN03-0

    Zhengzhou, Henan

    Recruiting

Other trials in China

About this study

Official title: A Phase 1a/1b, Multicenter, Open-Label, First-in-Human Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of DB-1317 in Participants With Selected Advanced/Metastatic Solid Tumors

This is a multicenter, open-label, multiple-dose, FIH Phase 1a/1b study. Phase 1a adopts an accelerated titration design and a BOIN design to identify the MTD or MAD of DB-1317; Phase 1b includes one randomized dose expansion cohort and two single-arm dose expansion cohorts to further evaluate the safety, tolerability and preliminary efficacy of DB-1317 in selected solid tumors and to identify optimal RP2D.

Read the detailed description

Phase 1a (Dose Escalation and Backfilling)

Approximately 5 increasing dose levels of DB-1317 dosing every 3 weeks (Q3W) will be evaluated using an accelerated titration design at the first dose level, followed by a BOIN design at subsequent dose levels with the oversight of a Safety Monitoring Committee (SMC). For safety reasons, in any dose level of the dose escalation where a number of participants ≥ 2, a staggered dosing is required. The second participant in each dose level should start dosing no sooner than at least 24 hours after the initial dosing of the first participant. If no safety concerns arise during these 24 hours, the remaining participants can be enrolled into the same dose level with no additional staggering required. Each dose level will be subject to the DLT assessment. After completing the 21-day DLT observation period (Cycle 1), participants will continue to the next treatment cycle and receive DB-1317 on Day 1 of each cycle in the same dose level cohort. Participants who complete the DLT observation period are not allowed to switch to a higher dose level (i.e., intra-participant escalation is not allowed) unless it is deemed necessary and strongly recommended by the investigator with a written approval by the Sponsor.

Upon confirmation of MTD or MAD of DB-1317 based on data from the completed dose-escalation phase, the safety dose range of DB-1317 may be defined based on cumulative data. Following confirmation by the SMC, alternative dosing regimens, such as Q2W may be explored within the established safety dose range.

Phase 1b (Dose Expansion)

Upon completion of the Phase 1a dose escalation, following determination of MTD or MAD, and at the Sponsor's discretion, -one randomized expansion cohort and two single arm expansion cohorts will be opened each enrolling one of the selected solid tumor types, if preliminary anti-tumor activities in these tumor types are observed in Phase 1a part. GC is the tumor type pre-selected for the randomized expansion cohort CRC and PDAC are the two tumor types pre-selected for the single arm expansion cohorts based on ADAM9 expressing data, in vivo anti-tumor activities in non-clinical tumor models, and consideration of unmet medical needs. The final selection of tumor type(s) to be enrolled in the Phase 1b cohorts will be determined by Sponsor based on emerging data from Phase 1a part. Approximately 80 participants will be enrolled in the randomized expansion cohort and randomly assigned in a 1:1 ratio to two dose levels (approximately 40 each) . Approximately 40 participants will be enrolled in each single arm expansion cohort at a selected dose level, and 160 participants will be enrolled in Phase 1b. Dose levels used in Phase 1b part will be determined by Sponsor and SMC based on Phase 1a data. Based on new emerging data from the study, Sponsor may explore other randomized cohorts with other tumor types.

Being tested
DB-1317
Keywords
ADAM9, Solid tumor, DB-1317

What participants receive

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

  • DB-1317Drug

    Administered I.V.

Study groups in NCT07141706
Study groupRoleWhat they receive
DB-1317 Dose Level 1ExperimentalEnrolled Subjects will receive a single-dose of DB-1317 at Dose Level 1 on Day 1 of each cycle Q3W
Receives: Drug: DB-1317
DB-1317 Dose Level 2ExperimentalEnrolled Subjects will receive a single-dose of DB-1317 at Dose Level 2 on Day 1 of each cycle Q3W
Receives: Drug: DB-1317
DB-1317 Dose Level 3ExperimentalEnrolled Subjects will receive a single-dose of DB-1317 at Dose Level 3 on Day 1 of each cycle Q3W
Receives: Drug: DB-1317
DB-1317 Dose Level 4ExperimentalEnrolled Subjects will receive a single-dose of DB-1317 at Dose Level 4 on Day 1 of each cycle Q3W
Receives: Drug: DB-1317
DB-1317 Dose Level 5ExperimentalEnrolled Subjects will receive a single-dose of DB-1317 at Dose Level 5 on Day 1 of each cycle Q3W
Receives: Drug: DB-1317
DB-1317 Dose Expansion 1ExperimentalSubjects with advanced/unresectable, or metastatic Gastric cancer (GC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317
Receives: Drug: DB-1317
DB-1317 Dose Expansion 2ExperimentalSubjects with advanced/unresectable, or metastatic colorectal cancer (CRC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317
Receives: Drug: DB-1317
DB-1317 Dose Expansion 3ExperimentalSubjects with advanced/unresectable, or metastatic pancreatic ductal adenocarcinoma (PDAC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317
Receives: Drug: DB-1317
DB-1317 Dose Level 6ExperimentalEnrolled Subjects will receive a single-dose of DB-1317 at Dose Level 6 on Day 1 of each cycle Q2W
Receives: Drug: DB-1317

What is being measured

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

  1. Phase 1a: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by CTCAE v5.0. Percentage of participants in Part 1 with DLTs

    Percentage of participants in Phase 1a with DLTs

    Measured: up to 21 days after Cycle 1 Day 1

  2. Phase 1a: Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) as assessed by CTCAE v5.0.

    Percentage of participants with TEAEs in Phase 1a graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 1 year post-treatment

  3. Phase 1a: Percentage of Participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.

    Percentage of Participants with SAEs in Phase 1a graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 1 year post-treatment

  4. Maximum Tolerated Dose (MTD) of DB-1317

    MTD on the data collected during Phase 1a

    Measured: Up to the completion of Phase 1a (assessed up to 12 months)

  5. Recommended Phase 1b Dose (RP2D) of DB-1317

    RP2D of DB-1317 based on the data collected during Phase 1a

    Measured: Up to the completion of Phase 1a (assessed up to 12 months)

  6. Phase 1b: Percentage of Participants with Treatment Emergent adverse events (TEAEs) as assessed by CTCAE v5.0.

    Percentage of participants with TEAEs in Phase 1b graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 1 year post-treatment

  7. Phase 1b: Percentage of participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.

    Percentage of participants with SAEs in Phase 1b graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 1 year post-treatment

  8. Phase 1b: Objective Response Rate (ORR) as determined by investigator

    Phase 1b: Objective Response Rate (ORR) as determined by investigator per RECIST 1.1 in non-CRPC. The percentage of participants who had a best response rating of CR and PR, for Part 2 only which was maintained ≥4 weeks

    Measured: Up to follow-up period, approximately 1 year post-treatment

  9. Phase 1b: duration of response (DoR)

    DoR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)

    Measured: Up to follow-up period, approximately 1 year post-treatment

  10. Phase 1b: disease-control rate (DCR)

    DCR will be determined from tumor assessments by investigator per response

    Measured: Up to follow-up period, approximately 1 year post-treatment

  11. Phase 1b: Time to Response (TTR)

    TTR will be determined from tumor assessments by investigator per response

    Measured: Up to follow-up period, approximately 1 year post-treatment

Secondary outcomes (13)
  1. Phase 1a: Objective response rate (ORR)

    ORR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)

    Measured: Up to follow-up period, approximately 1 year post-treatment

  2. Phase 1a: duration of response (DoR)

    DoR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)

    Measured: Up to follow-up period, approximately 1 year post-treatment

  3. Phase 1a: disease-control rate (DCR)

    DCR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1)

    Measured: Up to follow-up period, approximately 1 year post-treatment

  4. Phase 1a: Time to Response (TTR)

    TTR will be determined from tumor assessments by investigator per response evaluation TTR criteria in solid tumors version 1.1 (RECIST v1.1)

    Measured: Up to follow-up period, approximately 1 year post-treatment

  5. Phase 1a & Phase 1b: Progression Free Survival (PFS)

    PFS will be determined from tumor assessments by investigator per response evaluation PFS criteria in solid tumors version 1.1 (RECIST v1.1)

    Measured: Up to follow-up period, approximately 1 year post-treatment

  6. Phase 1a & Phase 1b: Overall Survival (OS)

    OS is defined as the time from date of first dose to the date of death.

    Measured: From date of first dose until the date of death or lost to follow up, approximately 1 year post-treatment

  7. Phase 1a: Prostate-specific antigen (PSA)

    Time to PSA progression, PSA50 response rate and PSA90 response rate, duration of PSA response in CRPC subjects.

    Measured: From date of first dose until the date of first PSA progression, approximately 1 year post-treatment

  8. Phase 1a & Phase 1b: Pharmacokinetic-AUC

    Area under the concentration-time curve from time 0 to infinity of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003

    Measured: within 3 cycles (each cycle is 21 days)

  9. Phase 1a & Phase 1b: Pharmacokinetic-Cmax

    Maximum observed plasma concentration (Cmax) of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003

    Measured: within 3 cycles (each cycle is 21 days)

  10. Phase 1a & Phase 1b: Pharmacokinetic-Tmax

    Time to Cmax of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003

    Measured: within 3 cycles (each cycle is 21 days)

  11. Phase 1a & Phase 1b: Pharmacokinetic-Cthrough

    Trough concentration

    Measured: within 6 cycles (each cycle is 21 days)

  12. Phase 1a & Phase 1b: Anti-drug antibody (ADA) prevalence

    Percentage of participants who are ADA positive at any point

    Measured: Up to follow-up period, approximately 1 year post-treatment

  13. Phase 1a & Phase 1b: ADA incidence

    Percentage of participants having treatment-emergent ADA

    Measured: Up to follow-up period, approximately 1 year post-treatment

Timeline

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

  1. First posted26 Aug 2025
  2. Study start23 Sep 2025
  3. Primary completionJun 2028 (estimated)
  4. Study completionJun 2028 (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
253 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07141706
Sponsor's protocol ID
DB-1317-101
Status last verified
Jul 2026
First submitted
18 Aug 2025
Last updated
27 Jul 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing DB-1317 in people with Advanced/Metastatic Solid Tumors, run by DualityBio Inc. at 14 sites in 3 countries.

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 15 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: looking for participants now, as of the sponsor's last update on 27 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Australia, 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?

Contact Junhua Gao (01067228087, junhua.gao@dualitybiologics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1a: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by CTCAE v5.0. Percentage of participants in Part 1 with DLTs (time frame: up to 21 days after Cycle 1 Day 1). The study lists 11 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 27 Jul 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in