A Study of LM-168 as a Single Agent or in Combination With Toripalimab in Subjects With Advanced Solid Tumours

NCT ID: NCT06868199

Last Updated: 2025-09-12

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

87 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-06

Study Completion Date

2028-02-01

Brief Summary

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For phase I ,this study is to assess the safety and tolerability, obtain the recommended phase 2 dose (RP2D) and/or Maximum Tolerated Dose (MTD) for LM-168 as a single agent or in combination with toripalimab in subjects with advanced solid tumours.

For phase II ,this study is to assess the preliminary anti-tumour activity of LM-168 as a single agent or in combination with toripalimab measured by objective response rate (ORR) in subjects with advanced solid tumours.

Detailed Description

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Conditions

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Advanced Solid Tumours

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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LM-168 Dose Escalation

Group Type EXPERIMENTAL

LM-168

Intervention Type DRUG

Q3W,Intravenous Drip

LM-168 Dose Expansion

Group Type EXPERIMENTAL

LM-168

Intervention Type DRUG

Q3W,Intravenous Drip

LM-168 combination dose escalation

Group Type EXPERIMENTAL

LM-168

Intervention Type DRUG

Q3W,Intravenous Drip

Toripalimab

Intervention Type DRUG

Q3W,Intravenous

LM-168 combination dose expansion

Group Type EXPERIMENTAL

LM-168

Intervention Type DRUG

Q3W,Intravenous Drip

Toripalimab

Intervention Type DRUG

Q3W,Intravenous

Interventions

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LM-168

Q3W,Intravenous Drip

Intervention Type DRUG

Toripalimab

Q3W,Intravenous

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subjects who are willing to participate in the study and sign the informed consent form (ICF) prior to any procedure.
2. Aged ≥18 years old (including boundary values) , male or female.
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
4. Life expectancy ≥ 3 months.
5. In dose escalation stage, subjects must have histological or cytological confirmation of recurrent or refractory advanced solid tumours, and have progressed on standard therapy, or are intolerable for available standard therapy, or there is no available standard therapy.
6. In dose expansion stage, subjects must have histological or cytological confirmation of selected advanced solid tumors.
7. Pre-treatment archived tumour tissue or on-treatment tumour biopsy could be provided for biomarker analysis optionally.
8. At least one measurable disease.
9. Subjects must show appropriate organ and marrow function in laboratory examinations within 7 days prior to the first dose.
10. Subjects who are able to communicate well with investigators and understand and adhere to the requirements of this study.

Exclusion Criteria

1. Participate in any other clinical trial within 28 days prior to 1st dosing of LM-168.
2. Having received prior anti-CTLA-4 or any other immunotherapy or immune-oncology (IO) agent within 28 days of commencing treatment with LM-168 or experienced a toxicity that led to permanent discontinuation of prior immunotherapy.
3. Subjects who have received the anti-tumor treatments within the specified time periods prior to the first dosing of LM-168.
4. Any adverse event from prior anti-tumour therapy has not yet recovered to ≤ grade 1 of CTCAE v5.0.
5. Subjects with uncontrolled tumour-related pain.
6. Subjects with known central nervous system (CNS) or meningeal metastasis.
7. Subjects who have uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures.
8. Subjects with esophageal or gastric varices requiring immediate intervention, or those with a history of variceal bleeding.
9. Hepatic encephalopathy, hepatorenal syndrome, Child-Pugh class B or more severe liver cirrhosis.
10. Tumor invasion of surrounding vital organs or a risk of developing esophagotracheal fistula or esophagopleural fistula.
11. Patients with a history of active or previously confirmed inflammatory bowel disease.
12. Subjects who experienced grade 3 or higher hypersensitivity to the treatment that contains monoclonal antibody.
13. Subjects who previously experienced grade ≥ 3 immune-related adverse events during immunotherapy, as well as subjects who discontinued prior immunotherapy due to severe or life-threatening immune-related adverse events.
14. Subjects who take systemic corticosteroids (\> 10 mg daily prednisone equivalents) or other systemic immunosuppressive medications within 2 weeks prior to the first dosing of LM-168.
15. Subjects with the known history of autoimmune disease.
16. Subjects with the history of idiopathic pulmonary fibrosis, organizing pneumonia , drug-induced pneumonitis, idiopathic pneumonitis, interstitial lung disease, severe radiation pneumonitis or evidence of active pneumonitis on screening chest CT scan.
17. Use of any live attenuated vaccines within 28 days prior to 1st dosing of LM-168.
18. Current or recent use of aspirin (\> 325 mg/day) or treatment with dipyramidole, ticlopidine, clopidogrel, and cilostazol.
19. Current unstable of full-dose oral or parenteral anticoagulants or thrombolytic agents for \> 2 weeks prior to the first dose of LM-168.
20. Subjects who received major surgery or interventional treatment within 28 days prior to 1st dosing of LM-168 (excluding tumour biopsy, puncture, etc.).
21. Subjects who have severe cardiovascular disease.
22. Subjects who have uncontrolled or severe illness.
23. Subjects who have a history of immunodeficiency disease.
24. HIV infection, active infection including tuberculosis, HBV and HCV infection.
25. Subjects with a history of other malignancies within 5 years prior to the first administration of the study drug.
26. Child-bearing potential female who have positive results in pregnancy test or are lactating.
27. Subjects who have psychiatric illness or disorders that may preclude study compliance.
28. Subject who is judged as not eligible to participate in this study by the investigator.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LaNova Medicines Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sherry Qin

Role: STUDY_DIRECTOR

LaNova Medicines Limited

Locations

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Macquarie University

Ryde, New South Wales, Australia

Site Status RECRUITING

MUPharm Pty Limited trading as Macquarie University Hospital Parmarcy

Ryde, New South Wales, Australia

Site Status RECRUITING

Cancer Care Wollongong Pty Limited

Wollongong, New South Wales, Australia

Site Status RECRUITING

Bayview Health-Investigational Drug Services

Perth, Western Australia, Australia

Site Status RECRUITING

One Clinical Reasearch

Perth, Western Australia, Australia

Site Status RECRUITING

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Countries

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Australia China

Central Contacts

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Alex Yuan

Role: CONTACT

+8615901815211

Paul Kong

Role: CONTACT

+8613564682439

Facility Contacts

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Andrew Parsonson, Dr

Role: primary

0298122956

Andrew Parsonson, Dr

Role: primary

0298122956

Udit Nindra, Dr

Role: primary

Muhammad Usman Hakeem, Dr

Role: primary

0862799466

Muhammad Usman Hakeem, Dr

Role: primary

0862799466

Lin Shen, Dr

Role: primary

13564682439

Other Identifiers

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LM168-01-101

Identifier Type: -

Identifier Source: org_study_id

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