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Advanced or Metastatic Solid TumorsPhase 1NCT07702955

Phase I Study of Single-Agent KGX105 in Patients With Advanced or Metastatic Solid Tumors

A Phase 1 study testing KGX105 injection in people with Advanced or Metastatic Solid Tumors, run by Kangabio AUSTRALIA LTD PTY at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This is a first-in-human, open-label, multicenter, Phase I study to evaluate the safety, tolerability, pharmacokinetics/pharmacodynamics (PK/PD), and preliminary antitumor activity of single-agent KGX105 in participants with locally advanced or metastatic solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced or Metastatic Solid Tumors
What is being tested?
KGX105 injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
85 participants
Where
1 siteChina
Study dates
Aug 2026to Nov 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 participants with age ≥18 years, at the time of signing the informed consent.
  • Dose Escalation Phase (Phase Ia):
  • Participants with histologically or cytologically confirmed locally advanced or metastatic malignant solid tumors meeting any of the following conditions:
  • Have received prior standard systemic anti-tumor therapy recommended by current guidelines for their tumor type and stage, and experienced disease progression or unacceptable toxicity during or after treatment;
  • Have no effective standard therapy available at present;
  • Meet any of the following conditions rendering standard therapy unsuitable:
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  • Presence of known standard contraindications to standard therapy for their tumor type; •② Prior discontinuation of standard therapy due to intolerable toxicity; •③ Explicit refusal to receive available standard therapy.
  • Priority: Non-small cell lung cancer (NSCLC), head and neck squamous cell carcinoma (HNSCC), nasopharyngeal carcinoma (NPC), pancreatic cancer, and other EGFR-positive* solid tumors such as gastroesophageal junction adenocarcinoma, gastric cancer, and esophageal squamous cell carcinoma.
  • Dose Expansion Phase (Phase Ib):
  • Cohort 1 (EGFR-positiveNSCLC):*
  • Participants with driver gene-positive NSCLC must have received approved targeted therapy for the identified driver gene unless contraindicated; treatment discontinuation must be due to disease progression or intolerable toxicity. Driver genes primarily include: EGFR exon 19 deletion, L858R mutation, or exon 20 insertion mutation.
  • Participants with EGFR protein overexpression or gene amplification in driver gene-negative NSCLC must have received platinum-based chemotherapy and anti-PD-(L)1 antibody therapy (concurrent or sequential), unless contraindicated; treatment discontinuation must be due to disease progression or intolerable toxicity.
  • Cohort 2 (EGFR-positiveHNSCC, NPC):*
  • HNSCC participants must have received immune checkpoint inhibitors and/or platinum-based chemotherapy (with or without cetuximab).
  • NPC participants must have received platinum-based chemotherapy, with or without anti-PD-(L)1 antibodies.
  • Cohort 3 (Other EGFR-positivesolid tumors):*
  • Pancreatic cancer, gastric cancer, gastroesophageal junction adenocarcinoma, and esophageal squamous cell carcinoma that have progressed after at least one line of standard therapy.
  • Definition of EGFR-positivein this study:* Includes any of the following: EGFR protein overexpression (EGFR IHC staining intensity ≥1+), EGFR gene mutation, or EGFR gene amplification (by NGS).
  • According to RECIST 1.1, there must be at least one measurable lesion (tumor lesions located in a previously irradiated area or other sites of locoregional therapy generally are not considered measurable unless they have demonstrated clear progression or have persisted for three months after radiation therapy).
  • Note: Metastatic brain lesions are not considered as target lesions.
  • ECOG 0-1.
  • Life expectancy of ≥3 months, in the opinion of the investigator.
  • Adequate organ function as determined by medical evaluation including:
  • Adequate hematologic status, defined as: absolute neutrophil count (ANC) ≥1.5×109/L, hemoglobin ≥90 g/L, platelets ≥100×109/L. Platelet transfusions are not permitted within 7 days, red blood cell transfusions are not permitted within 14 days, hematopoietic growth factors are not permitted within 7 days (14 days for PEGylated G-CSF or erythropoietin) prior to obtaining these laboratory values.
  • Adequate hepatic function, defined as: serum TBIL ≤1.5×ULN (in participants with known Gilbert's syndrome, TBIL ≤3×ULN with direct bilirubin ≤1.5×ULN), serum ALT or AST ≤2.5×ULN (or ≤5.0×ULN for documented liver metastasis).
  • Adequate renal function, defined as: creatinine clearance ≥60 mL/min (measured or calculated by Cockcroft and Gault equation).
  • Adequate coagulation profile, defined as (including if receiving anticoagulation therapy): prothrombin time (PT) <1.5×ULN, activated partial thromboplastin time (APTT) <1.5×ULN. If the participant is on anticoagulation therapy, must be on a stable dose of anticoagulant for ≥1 month prior to study treatment.
  • Women of childbearing potential must have a negative serum pregnancy test within 7 days prior to treatment.
  • Women of childbearing potential or male partners of women of childbearing potential must agree to use highly effective contraception throughout the treatment period and for 4 months after the last dose.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in this study.

Who cannot join

  • Diagnosis of another malignancy within 5 years prior to the first dose, except for:
  • Curatively resected basal cell carcinoma of the skin, squamous cell carcinoma of the skin, and/or carcinoma in situ;
  • Localized prostate cancer or papillary thyroid carcinoma post curative resection.
  • Presence of leptomeningeal metastasis, spinal cord compression, symptomatic brain metastases, or brain metastases requiring steroids/antiepileptic drugs or showing radiographic progression within 4 weeks prior to enrollment.
  • •Exception:Asymptomatic brain metastases, or those stable for >4 weeks post-treatment without requiring steroids/antiepileptics, with a single lesion ≤1.5 cm and total number of lesions ≤5, are allowed.
  • History of allogeneic organ transplantation, allogeneic peripheral hematopoietic stem cell transplantation, or bone marrow transplantation.
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  • Pregnant or breastfeeding women, or individuals planning to donate sperm/eggs during the study period (from ICF signing to 4 months after the last dose).
  • •Note:Breastfeeding women may be enrolled if they agree to stop breastfeeding prior to dosing and have no intention of resuming.
  • Any severe or uncontrolled systemic disease, including:
  • Active bleeding or known bleeding diathesis;
  • Cardiac dysfunction or clinically significant cardiovascular disease, including any of the following:
  • •Uncontrolled cardiac disease, such as congestive heart failure requiring treatment (NYHA > Class II);
  • •Uncontrolled hypertension (resting BP ≥160/100 mmHg);
  • •Poorly controlled arrhythmias;
  • •ECG with QTcF >470 ms (female) or >450 ms (male) (QTcF = QT/RR¹/³), or congenital long QT syndrome;
  • •Echocardiogram: Left Ventricular Ejection Fraction (LVEF) ≤50%;
  • •Acute myocardial infarction or unstable angina within 6 months prior to study entry;
  • Uncontrolled diabetes mellitus or poor compliance with hypoglycemic agents;
  • Other chronic diseases that, in the investigator's opinion, may compromise participant safety or preclude completion of the study.
  • Active infections:
  • Known Human Immunodeficiency Virus (HIV) infection, Treponema pallidum (TP) infection;
  • Active Hepatitis B [i.e., HBsAg positive and HBV DNA >1000 copies/mL (or 200 IU/mL), or HBV DNA above the lower limit of detection (if the LLOQ at the site is >200 IU/mL)];
  • Hepatitis C Virus (HCV) infection (i.e., HCV antibody positive and HCV-RNA positive);
  • Other active infections requiring systemic therapy within 2 weeks prior to the first dose.
  • Inadequate recovery from any prior surgery, or major organ surgery (excluding core needle biopsy or vascular intervention) within 4 weeks prior to study drug administration.
  • Receipt of any of the following treatments:
  • Prior treatment with T-cell engager drugs containing CD3 antibodies. B. Within the respective washout periods or 5 half-lives (whichever is shorter) prior to the first dose: Chemotherapy, biotherapy, or immunotherapy within 4 weeks; targeted therapy, radiotherapy, endocrine therapy, or oral fluoropyrimidines within 2 weeks; anti-tumor traditional Chinese medicine within 1 week; nitrosoureas or mitomycin C within 6 weeks.
  • Live or attenuated live vaccines within 4 weeks prior to the first dose (inactivated vaccines are allowed).
  • Diagnosis of immunodeficiency, receipt of immunosuppressive therapy, or chronic systemic/enteral steroid therapy (>10 mg/day prednisone or equivalent).
  • Interstitial pneumonia, pulmonary fibrosis, pneumoconiosis, drug-induced pneumonitis, radiation pneumonitis requiring steroids or other treatment, or a history of severe pulmonary function impairment/restrictive lung disease.
  • Adverse events from prior anti-tumor therapy have not resolved to CTCAE v6.0 Grade ≤1 (except for alopecia, peripheral neuropathy, ototoxicity, or stable endocrinopathies managed with hormone replacement).
  • Known hypersensitivity to the active ingredient or any excipients of the investigational product.
  • History of immunotherapy-related adverse events ≥ Grade 3 or leading to treatment discontinuation.
  • History of active autoimmune disease likely to recur (e.g., SLE, RA, Crohn's, ulcerative colitis, vasculitis), except:
  • Clinically stable autoimmune thyroid disease;
  • Use of inhaled or topical corticosteroids (ocular, intra-articular, nasal) with daily dose equivalent to ≤10 mg prednisone;
  • Short-term corticosteroid use (≤7 days) for prophylaxis (e.g., contrast allergy);
  • Replacement therapy (e.g., thyroxine for hypothyroidism, insulin for diabetes, physiological steroid replacement for adrenal/pituitary insufficiency).
  • Presence of symptomatic pleural, peritoneal, or pericardial effusion requiring paracentesis/drainage at screening.
  • •(Exclusion applies if drainage/intracavitary therapy was performed more than once [i.e., ≥2 times] for any cavity within 14 days prior to the first dose).
  • History of active tuberculosis within 1 year prior to enrollment.
  • History of thrombotic events (arterial or venous) within 6 months prior to screening, including cerebrovascular accidents (e.g., hemorrhage, infarction), deep vein thrombosis (DVT), and pulmonary embolism (PE).
  • Exception:Catheter-related thrombosis due to PICC or port placement may be allowed if deemed stable, asymptomatic, or adequately treated with no bleeding risk by the investigator.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • Sun Yat-sen University Cancer Center

    Guangzhou, Guangdong, 510060

    Su Li, 86-020-87343990, lisu@syscc.org.cn

Other trials in China

About this study

Official title: A Phase I Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of Single-Agent KGX105 in Participants With Locally Advanced or Metastatic Solid Tumors

This is a first-in-human, open-label, multicenter, Phase I study to evaluate the safety, tolerability, pharmacokinetics/pharmacodynamics (PK/PD), and preliminary antitumor activity of single-agent KGX105 in participants with locally advanced or metastatic solid tumors. The study consists of two parts: Phase 1a dose escalation and Phase 1b dose expansion.

Being tested
KGX105 injection

What participants receive

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

  • KGX105 injectionDrug

    KGX105 is an investigational EGFR×CD3 TCE prodrug engineered with masked binding domains to reduce on-target, off-tumor toxicity and systemic activation. It is selectively activated in the tumor microenvironment (TME) to target EGFR-positive tumors. An integrated albumin-binding domain prolongs systemic half-life, optimizing drug exposure and efficacy.KGX105 injection is a sterile, white or slightly yellow lyophilized powder, supplied at 10.0 mg/vial for single use.

Study groups in NCT07702955
Study groupRoleWhat they receive
KGX105 monotherapy-Dose level 1ExperimentalNot described
Receives: Drug: KGX105 injection
KGX105 monotherapy-Dose level 2ExperimentalNot described
Receives: Drug: KGX105 injection
KGX105 monotherapy-Dose level 3ExperimentalNot described
Receives: Drug: KGX105 injection
KGX105 monotherapy-Dose level 4ExperimentalNot described
Receives: Drug: KGX105 injection
KGX105 monotherapy-Dose level 5ExperimentalNot described
Receives: Drug: KGX105 injection
KGX105 monotherapy-Dose level 6ExperimentalNot described
Receives: Drug: KGX105 injection
KGX105 monotherapy-Dose level 7ExperimentalNot described
Receives: Drug: KGX105 injection

What is being measured

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

  1. Numbers of participants with adverse events(Phase Ia)

    AE will be collected to assess participants' safety after KGX105 monotherapy

    Measured: From baseline to 30 days after the last dose administration.

  2. Incidence of Dose-Limiting Toxicities (DLTs) during the DLT observation period.(Phase Ia)

    DLT will be observed from start of the first priming dose of KGX105 until 21 days post the first target dose of KGX105

    Measured: From Day1 after the first priming dose of KGX105 until 21 days post the first target dose of KGX105

  3. Number of participants with changes of clinical lab abnormalities(Phase Ia)

    Any changes in values of the clinical chemistry, hematology, coagulation and urinalysis will be evaluated

    Measured: From screening until 90 days post the last dose administration

  4. The maximum tolerated dose of KGX105 monotherapy(Phase Ia)

    Measured: From Day 1 post the first dosing until 21 days post the the first target dosing

  5. Objective Response Rate (ORR) of KGX105 monotherapy (Phase Ib)

    The ratio of participants assessed with complete response (CR) or partial response (PR) as a best overall response.

    Measured: until progression or death,whichever came first, assessed up to 2 years

Secondary outcomes (13)
  1. Maximum observed concentration (Cmax) of KGX105 following single and multiple doses

    Pharmacokinetic (PK) parameters

    Measured: From pre-dose of the first dose of KGX105 treatment until Day 1 of the last dose.

  2. Objective Response Rate (ORR) of KGX105 monotherapy (Phase Ia)

    The ratio of participants assessed with complete response (CR) or partial response (PR) as a best overall response.

    Measured: From Day 1 after the first dose of KGX105 till survival follow-up every 90 days post the last treatment.

  3. Disease Control Rate (DCR) of KGX105 monotherapy

    The ratio of subjects assessed with CR or PR or stable disease (SD) as a best overall response.

    Measured: From Day 1 after the first dose of KGX105 till survival follow-up every 90 days post the last treatment.

  4. Duration of Response(DoR)of KGX105 monotherapy

    DoR defined as the time from first documented evidence of CR or PR until disease progression or death.

    Measured: From Day 1 after the first dose of KGX105 till survival follow-up every 90 days post the last treatment.

  5. Progression-Free Survival (PFS) of KGX105 monotherapy

    PFS defined as the time from first dose to radiographic progression or death due to any cause

    Measured: From Day 1 after the first dose of KGX105 till survival follow-up every 90 days post the last treatment.

  6. Overall Survival (OS) of KGX105 monotherapy

    OS defined as the time from first dose to death due to any cause

    Measured: From Day 1 after the first dose of KGX105 till survival follow-up every 90 days post the last treatment.

  7. Immunogenicity- Anti-drug antibody (ADA)、Neutralizing Antibodies(Nab)

    Samples will be collected to assess the immunogeniccity after each KGX105 treatment.

    Measured: Samples will be collected to assess the immunogeniccity after each KGX105 treatment.

  8. Numbers of participants with adverse events(Phase Ib)

    AE will be collected to assess participants' safety after KGX105 monotherapy

    Measured: From baseline to 30 days after the last dose administration

  9. Number of participants with changes of clinical lab abnormalities(Phase Ib)

    Any changes in values of the clinical chemistry, hematology, coagulation and urinalysis will be evaluated

    Measured: From screening until 90 days post the last dose administration

  10. Phase 2 dose (RP2D) of KGX105 monotherapy (Phase Ib)

    Measured: From Day 1 after the first dose of KGX105 till survival follow-up every 90 days post the last treatment.

  11. Time to Cmax (Tmax)of KGX105 following multiple doses

    Pharmacokinetic (PK) parameters

    Measured: From pre-dose of the first dose of KGX105 treatment until Day 1 of the last dose

  12. Area under the concentration-time curve from time zero to the last quantifiable concentration (AUC₀-ₜ), AUC from time zero extrapolated to infinity (AUC₀-∞)

    Pharmacokinetic (PK) parameters

    Measured: From pre-dose of the first dose of KGX105 treatment until Day 1 of the last dose

  13. Elimination half-life (t₁/₂) of KGX105 following multiple doses

    Pharmacokinetic (PK) parameters

    Measured: From pre-dose of the first dose of KGX105 treatment until Day 1 of the 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 posted14 Jul 2026
  2. Study startAug 2026 (estimated)
  3. Primary completionSep 2028 (estimated)
  4. Study completionNov 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
Parallel groups
Masking
None (open label)
Enrolment
85 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07702955
Sponsor's protocol ID
KGX105ST102
Status last verified
Jul 2026
First submitted
2 Jul 2026
Last updated
21 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing KGX105 injection in people with Advanced or Metastatic Solid Tumors, run by Kangabio AUSTRALIA LTD PTY 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 30 inclusion and 43 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: opening soon, as of the sponsor's last update on 21 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 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?

Contact Li Zhang (86-020-8743990, zhangli@syscc.org.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Numbers of participants with adverse events(Phase Ia) (time frame: From baseline to 30 days after the last dose administration.). 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 21 Jul 2026.

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