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TerminatedNCT04618393Updated May 21, 2024

A Study of EMB-02 in Participants With Advanced Solid Tumors

A Phase 1/2 interventional study of EMB-02 in Advanced Solid Tumors, sponsored by Shanghai EpimAb Biotherapeutics Co., Ltd.. Terminated at 10 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-21.

Sponsored by Shanghai EpimAb Biotherapeutics Co., Ltd. · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Company's resource optimization and product's development change

From the registry’s dates

  • Primary completion was Jul 2023, 3 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 1/2
Study type
Interventional
Enrollment
47
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to identify the recommended Phase 2 dose(s) (RP2Ds) and schedule assessed to be safe for EMB-02 and to characterize the safety and tolerability of EMB-02 at the RP2Ds. Pharmacokinetics (PK), immunogenicity, and the anti-tumor activity of EMB-02 will also be assessed.

Read the detailed description

This is a Phase I/II, multi-center, open label, multiple-dose, first in human study, designed to assess safety and tolerability, and to identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dos(s)e (RP2D[s]) for EMB-02 in patients with advanced solid tumors. Pharmacokinetics, pharmacodynamics, immunogenicity, and response will also be assessed.

02

Conditions studied

  • Advanced Solid Tumors

Keywords

  • Phase I/II
  • Bispecific antibody
  • PD-1
  • LAG-3
  • EMB-02
  • Immuno-oncology
  • dose escalation
  • cohort expansion
  • Neoplasms
  • Neoplasm Metastasis
  • advanced solid tumor
03

In context

Neoplasms

9,616 studies on the registry are indexed under Neoplasms; 2,508 are open to participants now.

This study's enrollment of 47 is close to the median of 50 across 7,432 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Shanghai EpimAb Biotherapeutics Co., Ltd. is the lead sponsor of 10 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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

  • Willing and able to provide written informed consent.
  • Phase I: Patients with histologically or cytologically confirmed locally advanced/metastatic solid tumors and have failed (progressed on, or are intolerant of) standard therapies. Moreover, the disease should be measurable or evaluable per RECIST v1.1
  • Phase II Cohort A: Patients with histologically or cytologically confirmed locally advanced/metastatic melanoma, excluding uveal melanoma. > 1 prior therapy, including prior treatment with PD-1/L1(mandatory) and/or CTLA-4 inhibitors(optional). And the disease is measurable or evaluable per RECIST v1.1
  • Archival tumor samples available for retrospective analysis or biopsy will be taken.
  • ECOG performance status 0 or 1 for phase I, and ≤2 for phase II; life expectancy > 3 Months
  • Adequate organ function to participate in the trial.
  • Recovery from adverse events (AEs) related to prior anticancer therapy.
  • Highly effective contraception

Exclusion criteria

Exclusion Criteria:

  • Patients who have active autoimmune disease or history of autoimmune disease
  • History of severe irAE.
  • History of severe allergic reactions
  • Use of systemic corticosteroids.
  • Symptomatic central nervous system metastases.
  • Patients with cardiac dysfunction
  • Uncontrolled diabetes mellitus with hemoglobin A1c > 8% (via medical history)
  • Prior treatment with a LAG-3 inhibitor
  • Anticancer therapy or radiation \< 5 half-lives or 4 weeks (whichever is shorter) prior to study treatment;
  • Prior organ or stem cell/bone marrow transplant.
  • Concurrent malignancy \< 5 years prior to entry.
  • Patients with active infections.
  • Major surgery \< 4 weeks or minor surgery \< 2 weeks prior to study treatment
  • Live virus vaccines \< 30 days prior to screening
  • Pregnant or breast-feeding females
  • Any investigational agents or study drugs from a previous clinical study within 30 days of the first dose of study treatment
  • Any other serious underlying medical conditions
  • Abuse on alcohol, cannabis- derived products or other drugs
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
47 participants (actual)

Study arms

  • Experimental
    EMB-02

    In Phase I part: participants enrolled in the different time will receive EMB-02 once weekly (IV) at different ascending dose levels. In Phase II part: participants will receive EMB-02 once weekly (IV) at previously defined RP2D.

    Biological: EMB-02

Interventions

  • BiologicalEMB-02

    EMB-02 is a FIT-Ig® bispecific antibody against PD-1 and LAG-3.

06

What researchers measure

Primary outcomes

  1. Incidence and severity of adverse events as assessed by CTCAE V5.0

    Incidence and severity of AE.

    Time frame: Screening up to follow-up (30 days after the last dose)

  2. Incidence of serious adverse events (SAE)

    Incidence of SAE.

    Time frame: Screening up to follow-up (30 days after the last dose)

  3. Incidence of dose interruptions

    Incidence of dose interruptions of EMB-02 during treatment as a measure of tolerability.

    Time frame: Screening up to follow-up (30 days after the last dose)

  4. Dose intensity

    Actual amount of drug taken by patients divided by the planned amount.

    Time frame: Screening up to follow-up (30 days after the last dose)

  5. The incidence of DLTs during the first cycle of treatment.

    The Dose Limiting Toxicities (DLTs) are based on drug related adverse events and are specifically defined in study protocol.

    Time frame: First infusion to the end of Cycle 1 (each cycle is 28 days)

  6. Antitumor activity(Objective Response Rate (ORR)

    Measured by RECIST 1.1, only applicable in Phase II part

    Time frame: From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months

Secondary outcomes

  1. Area under the serum concentration-time curve (AUC) of EMB-02

    Blood samples for serum PK analysis will be obtained (AUC).

    Time frame: Through treatment until EOT visit, expected average 6 months

  2. Maximum serum concentration (Cmax) of EMB-02

    Blood samples for serum PK analysis will be obtained (Cmax)

    Time frame: Through treatment until EOT visit, expected average 6 months

  3. Trough concentration (Ctrough) of EMB-02

    Blood samples for serum PK analysis will be obtained (Ctrough)

    Time frame: Through treatment until EOT visit, expected average 6 months

  4. Average concentration over a dosing interval (Css, avg)of EMB-02.

    Blood samples for serum PK analysis will be obtained (Css, avg).

    Time frame: Through treatment until EOT visit, expected average 6 months

  5. Terminal half-life (T1/2) of EMB-02

    Blood samples for serum PK analysis will be obtained (T1/2)

    Time frame: Through treatment until EOT visit, expected average 6 months.

  6. Systemic clearance (CL) of EMB-02

    Blood samples for serum PK analysis will be obtained (CL).

    Time frame: Through treatment until EOT visit, expected average 6 months

  7. Steady state volume of distribution (Vss) of EMB-02

    Blood samples for serum PK analysis will be obtained (Vss).

    Time frame: Through treatment until EOT visit, expected average 6 months

  8. Progression free survival (PFS) of EMB-02 as assessed by RECIST 1.1

    Preliminary anti-tumor activity of EMB-02 will be obtained (PFS).

    Time frame: From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months

  9. Duration of response of EMB-02 as assessed by RECIST 1.1

    Preliminary anti-tumor activity of EMB-02 will be obtained (DOR).

    Time frame: From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months

  10. Incidence and titer of anti-drug antibodies stimulated by EMB-02

    Antibodies to EMB-02 will be assessed to evaluate potential immunogenicity.

    Time frame: Up to End of Treatment Follow Up Period (30 days after the last dose)

07

Study locations

10 sites
  • University of Colorado Health Medical Group
    Colorado Springs, Colorado 80909, United States
  • Prisma Health-Upstate
    Greenville, South Carolina 29605, United States
  • Southern Medical Day Care Centre
    Wollongong, New South Wales 2500, Australia
  • Monash Health
    Clayton, Victoria 3168, Australia
  • Peninsula & South Eastern Haematology & Oncology Group (PASO)
    Frankston, Victoria 3199, Australia
  • Beijing Cancer Hospital
    Beijing, Beijing Municipality 100000, China
  • The first Affiliated Hospital of Xiamen University
    Xiamen, Fujian, China
  • HanDan Central Hospital
    Handan, Hebei, China
  • HeNan Provincial People's Hospital
    Zhengzhou, Henan, China
  • SuiNing Central Hospital
    Suining, Sichuan, China
08

References and documents

Publications

  • Day D, Ganju V, Chung K, Si L, Mao L, Aghmesheh M, Hoyer R, Brewin K, Zeng S, Zhang M, Lu Q, Jiang C, Ren F, Zhu Y, Guo J. First-in-human phase I study of EMB-02, a bispecific antibody targeting PD-1 and LAG-3 in patients with advanced solid tumors. Br J Cancer. 2025 Jun;132(10):905-912. doi: 10.1038/s41416-025-02990-x. Epub 2025 Apr 15. PubMed 40234667 ↗
  • Jiang C, Ren F, Zhang M, Lu Q, Zeng S, Yang G, Zhu Y. Using Pharmacokinetic and Pharmacodynamic Analysis to Optimize the Dosing Regimens of Fanastomig (EMB-02) in Patients With Advanced Solid Tumors. CPT Pharmacometrics Syst Pharmacol. 2025 May;14(5):975-986. doi: 10.1002/psp4.70011. Epub 2025 Mar 11. PubMed 40067130 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2021 to primary completion in Jul 2023, 28 months.

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

Registered
Oct 18, 2020
First posted
Nov 5, 2020
StartActual
Mar 11, 2021
Primary completionActual
Jul 12, 2023
CompletionActual
Mar 21, 2024
Last update
May 21, 2024
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.
No changes since tracking began. The registry record was last updated on May 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04618393
Lead sponsor
Shanghai EpimAb Biotherapeutics Co., Ltd.
Responsible party
Sponsor
First posted
Nov 5, 2020
Start date
Mar 11, 2021
Primary completion
Jul 12, 2023
Completion
Mar 21, 2024
Last update
May 21, 2024

Oversight

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

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This study is terminated, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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