First-in-human Study of DB-1419 for Advanced/Metastatic Solid Tumors

NCT ID: NCT06554795

Last Updated: 2025-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-03

Study Completion Date

2027-02-28

Brief Summary

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A Phase 1/2a First-in-Human Study of DB-1419 in Advanced/Metastatic Solid Tumors

Detailed Description

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A Phase 1/2a, Multicenter, Open-Label, First in Human Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of DB-1419 in Participants with Advanced/Metastatic Solid Tumors

Conditions

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Solid Tumor, Adult

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Level 1

Enrolled subjects will receive DB-1419 at Dose Level 1

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Level 2

Enrolled subjects will receive DB-1419 at Dose Level 2

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Level 3

Enrolled subjects will receive DB-1419 at Dose Level 3

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Level 4

Enrolled subjects will receive DB-1419 at Dose Level 4

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Level 5

Enrolled subjects will receive DB-1419 at Dose Level 5

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Level 6

Enrolled subjects will receive DB-1419 at Dose Level 6

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 1

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 2

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 3

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 4

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 5

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 6

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 7

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Dose Expansion 8

Group Type EXPERIMENTAL

DB-1419

Intervention Type DRUG

Administered Injection of Vein (I.V.)

Interventions

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DB-1419

Administered Injection of Vein (I.V.)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Adults aged ≥ 18 years at the time of voluntarily signing informed consent.
2. Histologically or cytologically confirmed unresectable advanced/metastatic solid tumor that has relapsed or progressed on or after standard systemic treatments, or refused the standard treatment, or for which no standard treatment is available.
3. At least one measurable lesion as assessed by the Investigator according to RECIST v1.1 criteria (Only applicable to backfill participants in phase 1a and participants in phase 1b/2a). CRPC participants with bone-only disease may be eligible on a case-by-case basis after discussion with the Medical Monitor.
4. Has a life expectancy of ≥ 3 months.
5. Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1.
6. Has LVEF ≥ 50% by either echocardiography (ECHO) or multiple-gated acquisition (MUGA) within 28 days before enrollment.
7. Has adequate organ function within 7 days prior to the first dose of study treatment.
8. Has adequate treatment washout period prior to the first dose of study treatment.
9. Is willing to provide pre-existing resected tumor samples when available or undergo fresh tumor biopsy if feasible for the measurement of B7-H3/PD-L1 level and other biomarkers if no contraindication.

Note: there is no minimum B7-H3/PD-L1 expression level mandatory for entry into the study.
10. Is capable of comprehending study procedures and risks outlined in the informed consent and able to provide written consent and agree to comply with the requirements of the study and the schedule of assessments.

Exclusion Criteria

1. Prior treatment with B7-H3 targeted therapy.
2. Has a medical history of symptomatic congestive heart failure (New York Heart Association \[NYHA\] classes II-IV or serious cardiac arrhythmia requiring treatment.
3. Has a medical history of myocardial infarction or unstable angina within 6 months before enrollment.
4. Has an average of Fredericia's formula-QT corrected interval (QTcF) prolongation to \> 470 millisecond (ms) in males and females based on a 12-lead electrocardiogram (ECG) in triplicate.
5. Has a medical history of interstitial lung diseases (e.g., non-infectious interstitial pneumonia, pneumonitis, pulmonary fibrosis, and severe radiation pneumonitis which needs glucocorticoids and antibiotics) or current interstitial lung diseases or who are suspected to have these diseases by imaging at screening.
6. Has a history of underlying pulmonary disorder including, but not limited to, pulmonary emboli within 3 months of the start of study treatment, severe asthma, severe COPD, restrictive lung disease, and other clinically significant pulmonary compromise or requirement for supplemental oxygen.
7. Has an active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is allowed.
8. Has an uncontrolled infection requiring intravenous injection of antibiotics, antivirals, or antifungals within 2 weeks before first dose of study treatment.
9. Know human immunodeficiency virus (HIV) infection.
10. Has spinal cord compression or clinically active central nervous system (CNS) metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms. Participants with asymptomatic CNS metastases who are radiologically and neurologically stable for at least 4 weeks following CNS-directed therapy (defined as 2 brain images, same imaging modality, both of which are obtained after treatment to the brain metastases; these imaging scans should be obtained at least 4 weeks apart and show no evidence of intracranial progression), and are on stable or decreasing doses of corticosteroids equivalent to ≤10 mg/day prednisone are eligible for study entry.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DualityBio Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lily Hu

Role: STUDY_DIRECTOR

DualityBio Inc.

Locations

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Site USA12-0

Los Angeles, California, United States

Site Status RECRUITING

Site USA08-0

Newport Beach, California, United States

Site Status RECRUITING

Site USA13-0

Sacramento, California, United States

Site Status RECRUITING

Site USA06-0

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Site USA02-0

Florida City, Florida, United States

Site Status RECRUITING

Site USA11-0

Chicago, Illinois, United States

Site Status RECRUITING

Site USA03

Huntersville, North Carolina, United States

Site Status RECRUITING

Site USA05-0

Philadelphia, Pennsylvania, United States

Site Status NOT_YET_RECRUITING

Site USA07-0

Nashville, Tennessee, United States

Site Status RECRUITING

Site USA09-0

West Valley City, Utah, United States

Site Status RECRUITING

AUS03-0

North Ryde, New South Wales, Australia

Site Status RECRUITING

AUS01-0

Randwick, New South Wales, Australia

Site Status RECRUITING

AUS02-0

Nedlands, Western Australia, Australia

Site Status RECRUITING

Site CHN24-0

Hefei, Anhui, China

Site Status NOT_YET_RECRUITING

Site CHN28-0

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Site CHN16-0

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Site CHN20-0

Fuzhou, Fujian, China

Site Status RECRUITING

Site CHN32-0

Nanning, Guangxi, China

Site Status NOT_YET_RECRUITING

Site CHN08-0

Harbin, Heilongjiang, China

Site Status RECRUITING

Site CHN23-0

Harbin, Heilongjiang, China

Site Status NOT_YET_RECRUITING

Site CHN03-0

Luoyang, Henan, China

Site Status RECRUITING

Site CHN09-0

Zhengzhou, Henan, China

Site Status NOT_YET_RECRUITING

Site CHN25-0

Zhengzhou, Henan, China

Site Status NOT_YET_RECRUITING

Site CHN21-0

Changsha, Hunan, China

Site Status RECRUITING

Site CHN29-0

Jinan, Shandong, China

Site Status NOT_YET_RECRUITING

Site CHN26-0

Linyi, Shandong, China

Site Status RECRUITING

Site CHN01-0

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Site CHN15-0

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Site CHN18-0

Chengdu, Sichuan, China

Site Status RECRUITING

Site CHN38-0

Tianjin, Tianjin Municipality, China

Site Status NOT_YET_RECRUITING

Site CHN19-0

Kunming, Yunnan, China

Site Status NOT_YET_RECRUITING

Site CHN17-0

Hangzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Site CHN37-0

Hangzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Countries

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United States Australia China

Central Contacts

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Milly Zang

Role: CONTACT

Phone: 858-375-6788

Email: [email protected]

Daniel Lee

Role: CONTACT

Phone: 858-375-6788

Email: [email protected]

Facility Contacts

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Jennifer Senior Clinical Trial Coordinator

Role: primary

References

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Li C, Yao J, Yang J, Zhang Y, Qiu Y, Zhu Z, Hua H. Preclinical Evaluation of DB-1419, a Novel Bifunctional and Bispecific Anti-B7-H3 x PD-L1 Antibody-Drug Conjugate. Clin Cancer Res. 2025 Aug 14;31(16):3581-3593. doi: 10.1158/1078-0432.CCR-25-0634.

Reference Type DERIVED
PMID: 40499141 (View on PubMed)

Other Identifiers

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DB-1419-O-1001

Identifier Type: -

Identifier Source: org_study_id