ClinicalTrials.gg
Active, not recruitingNCT03667170Updated Oct 19, 2026

KN035 for dMMR/MSI-H Advanced Solid Tumors

A Phase 2 interventional study of KN035 in Solid Tumor, sponsored by 3D Medicines (Sichuan) Co., Ltd.. Active, not recruiting at 27 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by 3D Medicines (Sichuan) Co., Ltd. · Phase 2, Interventional, and Treatment

Updated Oct 19, 2026Now Active, not recruitingEnrollment updated+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
188
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,134 studies in Colorectal Neoplasms with a site in China — 526 open to participants now, 603 under way, 67 of them phase 3. Colorectal Neoplasms · China.

Enrollment
263rd of 889
188 · median 80
Started
2018
with 56 others
Phase 2
348 of 1,134
176 open now
Primary completion
2026-12
later than 303 of 602 live
Registered
244th of 1,134
by date

Among the 1,134 studies in Colorectal Neoplasms with a site in China, this one is the 263rd largest by enrollment of the 889 interventional ones that give a count, is one of 57 that started in 2018, is one of 348 in phase 2, reaches primary completion later than 303 of the 602 other live ones, and was the 244th registered.

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

526 of the 1,134 studies in Colorectal Neoplasms with a site in China are open now. Recruiting first, the newest first:

521 more — sign in →

All 526 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 1,185 Colorectal Neoplasms studies recruiting now, 769 (65%) set no upper age limit and 265 (22%) stop at 75 or younger; 48 take children under 18; 123 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

In this study, patients with previously-treated locally-advanced or metastatic mismatched repair deficient (dMMR) or microsatellite instability-high (MSI-H) colorectal carcinoma (CRC) and other solid tumors will be treated with KN035 monotherapy.

For colorectal cancer participants, who are required to have been previously treated with standard therapies , other solid tumor participants, who are required to have been previously treated with at least one line of systemic standard of care therapy.

Read the detailed description

Later-line therapies after failure of standard treatments for advanced colorectal and non-colorectal cancer patients are limited. Mismatch repair (MMR) deficiency or microsatellite instability-high (MSI-H) played a role of positive predictive factor, which had been documented after the pembrolizumab and nivolumab trial were reported, for PD-1 blockade monotherapy in patients with advanced colorectal and non-colorectal cancers.

In this study, patients with previously-treated locally-advanced or metastatic mismatched repair deficient (dMMR) or microsatellite instability-high (MSI-H) colorectal carcinoma (CRC) and other solid tumors will be treated with KN035 monotherapy.

For colorectal cancer participants, who are required to have been previously treated with standard therapies. For other solid tumor participants, who are required to have been previously treated with at least one line of systemic standard of care therapy.

03

Conditions studied

  • Solid Tumor

Keywords

  • MSI-H
  • dMMR
  • Colorectal cancer
  • Non-Colorectal Cancers
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • confirmed locally advanced or colorectal carcinoma or other malignant solid tumors.
  • Confirmed MMR deficient or MSI-H status.
  • At least one measureable lesion.
  • performance status of 0 or 1 .
  • of greater than 12 weeks.
  • Adequate hematologic and organ function.

Exclusion criteria

Exclusion Criteria:

  • Currently participated in a study of an agent and received trial treatment, or used an investigational device within 4 weeks of the first dose of medication in this study. Patients who have had specific anti-tumor treatment within 2 weeks prior to the first dose of study.
  • Patients who have not recovered to Grade 1 or better from related side effects of any prior antineoplastic therapy.
  • Has received prior therapy with an immune check point agonist/inhibitor.
  • Patients who have undergone major surgery within 4 weeks of dosing of investigational agent.
  • Has a known additional that is progressing or requires active treatment within the past 5 years.
  • Known active central nervous system and/or carcinomatous meningitis.
  • Active disease that has required systemic treatment.
  • Patients who have known history of infection with .
  • Patients with evidence of interstitial lung disease.
  • Patients who have known history of any major cardiac abnormalities.
  • Patient who is not willing to apply highly effective during the study.
  • Patients who have other concurrent severe and/or uncontrolled medical conditions that would, in the investigator's judgment, contraindicate patient participation in the clinical study.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
188 participants (actual)

Study arms

  • Experimental
    Subjects with MSI-H/dMMR

    patients receive 600 mg of the KN035 Subcutaneously every 3 weeks

    Biological: KN035

Interventions

  • BiologicalKN035

    subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    per Response Evaluation Criteria in Solid Tumors v 1.1 (RECIST 1.1) assessed by central imaging vendor

    Time frame: Up to approximately 2 years

Secondary outcomes

  1. ORR

    per Response Evaluation Criteria in Solid Tumors v 1.1 (RECIST 1.1) assessed by investigator

    Time frame: Up to approximately 2 years

  2. Disease Control Rate (DCR)

    per RECIST 1.1 assessed by central imaging vendor and investigator

    Time frame: Up to approximately 2 years

  3. Duration of Response (DOR)

    per RECIST 1.1 assessed by central imaging vendor and investigator

    Time frame: Up to approximately 2 years

  4. Progression-Free Survival (PFS)

    per RECIST 1.1 assessed by central imaging vedor and investigator

    Time frame: Up to approximately 2 years

  5. Overall Survival (OS)

    Calculated by the Kaplan-Meier method.

    Time frame: Up to approximately 2 years

  6. Assessment of the safety of KN035 as monotherapy in patients with advanced dMMR/MSI-H solid tumors.

    Safety of KN035 will be evaluated based on the incidence and severity of adverse events, which will be graded according to NCI CTCAE Version 4.03.

    Time frame: Up to approximately 2 years

  7. Assessment of the tolerability of KN035 as monotherapy in patients with advanced dMMR/MSI-H solid tumors.

    Tolerability of KN035 will be evaluated based on the incidence and severity of adverse events, which will be graded according to NCI CTCAE Version 4.03.

    Time frame: Up to approximately 2 years

  8. Plasma Concentration of KN035

    Plasma concentration of KN035 at specified time points after administration, measured using a validated bioanalytical assay.

    Time frame: Up to approximately 2 years

  9. Anti-Drug Antibody (ADA) against KN035

    Detection of anti-drug antibody (ADA) against KN035 in subject serum samples using a validated ADA immunoassay.

    Time frame: Up to approximately 2 years

Other outcomes

  1. Correlation Between Tumor Tissue MSI Status (Simcere Kit) and Anti-Tumor Efficacy of KN035

    To explore the correlation between tumor tissue MSI status detected by Human Multiple Gene Mutation Combined Detection Kit (Reversible Terminator Sequencing) from Jiangsu Simcere Medical Device Co., Ltd. and anti-tumor efficacy of KN035.

    Time frame: Up to approximately 2 years

07

Study locations

27 sites
08

References and documents

Publications

  • Cui C, Wang J, Wang C, Xu T, Qin L, Xiao S, Gong J, Song L, Liu D. Model-informed drug development of envafolimab, a subcutaneously injectable PD-L1 antibody, in patients with advanced solid tumors. Oncologist. 2024 Sep 6;29(9):e1189-e1200. doi: 10.1093/oncolo/oyae102. PubMed 38982653 ↗
  • Li J, Deng Y, Zhang W, Zhou AP, Guo W, Yang J, Yuan Y, Zhu L, Qin S, Xiang S, Lu H, Gong J, Xu T, Liu D, Shen L. Subcutaneous envafolimab monotherapy in patients with advanced defective mismatch repair/microsatellite instability high solid tumors. J Hematol Oncol. 2021 Jun 21;14(1):95. doi: 10.1186/s13045-021-01095-1. PubMed 34154614 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2018 (actual). Primary completion is estimated for Dec 2026, 100 months after the start.

Of 120 industry-sponsored phase 2 interventional studies under Colorectal Neoplasms, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 72. This study's planned 100 months is above that.

Counting every sponsor, half of 618 studies reached it within 49 months; a quarter within 31 and three quarters within 75.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 10, 2018
First posted
Sep 12, 2018
StartActual
Aug 22, 2018
Primary completionEst.
Dec 30, 2026
CompletionEst.
Dec 30, 2026
Last update
Oct 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Oct 19, 2026
Sites
26 sites added
Show 26 added (26 China)
  • The First Affiliated Hospital of Anhui Medical University · Hefei, China
  • Peking University Cancer Hospital · Beijing, China
  • Cancer Hospital, Chinese Academy of Medical Sciences · Beijing, China
  • Fujian Cancer Hospital · Fuzhou, China
  • The Sixth Affiliated Hospital, Sun Yat-sen University · Guangzhou, China
  • The Affiliated Tumor Hospital of Guangxi Medical University / Guangxi Cancer Hospital · Nanning, China
  • Harbin Medical University Cancer Hospital · Harbin, China
  • The First Affiliated Hospital of Henan University of Science and Technology · Luoyang, China
  • The First Affiliated Hospital of Zhengzhou University · Zhengzhou, China
  • Union Hospital Tongji Medical College, Huazhong University of Science and Technology · Wuhan, China
  • Xiangya Hospital, Central South University · Changsha, China
  • Hunan Cancer Hospital · Changsha, China
  • Eastern Theater Command General Hospital (Qinhuai Medical District) · Nanjing, China
  • Jiangsu Cancer Hospital · Nanjing, China
  • Jiangsu Province Hospital (The First Affiliated Hospital of Nanjing Medical University) · Nanjing, China
  • The First Affiliated Hospital of Gannan Medical University · Ganzhou, China
  • The First Affiliated Hospital of Nanchang University · Nanchang, China
  • The First Hospital of Jilin University · Changchun, China
  • Shandong Cancer Hospital · Jinan, China
  • The Affiliated Hospital of Qingdao University (Shibei Campus) · Qingdao, China
  • Fudan University Shanghai Cancer Center · Shanghai, China
  • Zhongshan Hospital, Fudan University · Shanghai, China
  • Mianyang Central Hospital · Mianyang, China
  • The Second People's Hospital of Neijiang · Neijiang, China
  • Zhejiang Cancer Hospital · Hangzhou, China
  • The Second Affiliated Hospital, Zhejiang University School of Medicine · Hangzhou, China
Oct 19, 2026
Enrollment
200 (estimated)→188 (actual)
Oct 19, 2026
Secondary outcomes
5 added
What changed in the outcomes
  • AddedAssessment of the safety of KN035 as monotherapy in patients with advanced dMMR/MSI-H solid tumors.Time frame: Up to approximately 2 years
  • AddedAssessment of the tolerability of KN035 as monotherapy in patients with advanced dMMR/MSI-H solid tumors.Time frame: Up to approximately 2 years
  • AddedPlasma Concentration of KN035Time frame: Up to approximately 2 years
  • AddedAnti-Drug Antibody (ADA) against KN035Time frame: Up to approximately 2 years
  • Addedother outcomeCorrelation Between Tumor Tissue MSI Status (Simcere Kit) and Anti-Tumor Efficacy of KN035Time frame: Up to approximately 2 years
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    Recruiting→Active, not recruiting
    26 sites added
    Show 26 added (26 China)
    • The First Affiliated Hospital of Anhui Medical University · Hefei, China
    • Peking University Cancer Hospital · Beijing, China
    • Cancer Hospital, Chinese Academy of Medical Sciences · Beijing, China
    • Fujian Cancer Hospital · Fuzhou, China
    • The Sixth Affiliated Hospital, Sun Yat-sen University · Guangzhou, China
    • The Affiliated Tumor Hospital of Guangxi Medical University / Guangxi Cancer Hospital · Nanning, China
    • Harbin Medical University Cancer Hospital · Harbin, China
    • The First Affiliated Hospital of Henan University of Science and Technology · Luoyang, China
    • The First Affiliated Hospital of Zhengzhou University · Zhengzhou, China
    • Union Hospital Tongji Medical College, Huazhong University of Science and Technology · Wuhan, China
    • Xiangya Hospital, Central South University · Changsha, China
    • Hunan Cancer Hospital · Changsha, China
    • Eastern Theater Command General Hospital (Qinhuai Medical District) · Nanjing, China
    • Jiangsu Cancer Hospital · Nanjing, China
    • Jiangsu Province Hospital (The First Affiliated Hospital of Nanjing Medical University) · Nanjing, China
    • The First Affiliated Hospital of Gannan Medical University · Ganzhou, China
    • The First Affiliated Hospital of Nanchang University · Nanchang, China
    • The First Hospital of Jilin University · Changchun, China
    • Shandong Cancer Hospital · Jinan, China
    • The Affiliated Hospital of Qingdao University (Shibei Campus) · Qingdao, China
    • Fudan University Shanghai Cancer Center · Shanghai, China
    • Zhongshan Hospital, Fudan University · Shanghai, China
    • Mianyang Central Hospital · Mianyang, China
    • The Second People's Hospital of Neijiang · Neijiang, China
    • Zhejiang Cancer Hospital · Hangzhou, China
    • The Second Affiliated Hospital, Zhejiang University School of Medicine · Hangzhou, China
    Enrollment 200 (estimated)→188 (actual)
    Secondary outcomes 5 added
    What changed in the outcomes
    • AddedAssessment of the safety of KN035 as monotherapy in patients with advanced dMMR/MSI-H solid tumors.Time frame: Up to approximately 2 years
    • AddedAssessment of the tolerability of KN035 as monotherapy in patients with advanced dMMR/MSI-H solid tumors.Time frame: Up to approximately 2 years
    • AddedPlasma Concentration of KN035Time frame: Up to approximately 2 years
    • AddedAnti-Drug Antibody (ADA) against KN035Time frame: Up to approximately 2 years
    • Addedother outcomeCorrelation Between Tumor Tissue MSI Status (Simcere Kit) and Anti-Tumor Efficacy of KN035Time frame: Up to approximately 2 years
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03667170
Lead sponsor
3D Medicines (Sichuan) Co., Ltd.
Responsible party
Sponsor
First posted
Sep 12, 2018
Start date
Aug 22, 2018
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Oct 19, 2026

Study contacts

Lin Shen, MD
principal investigator · Peking Universtiy Cancer Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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