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RecruitingNCT04998422Updated Sep 17, 2026

A Study of HG381 Administered to Patients With Advanced Solid Tumors

A Phase 1 interventional study of HG381 in Advanced Solid Tumor, sponsored by HitGen Inc.. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by HitGen Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
57
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase I, first in human, open-label, non-randomized, multicenter study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, preliminary efficacy and establish a recommended dose of HG381 administered intravenously (IV) alone in subjects with advanced solid tumors.

Read the detailed description

The trial consists of a dose escalation phase and a cohort expansion phase.In dose escalation phase, escalating doses of HG381 will be evaluated as guided by the traditional 3+3 design . In cohort expansion phase, subjects will receive HG381 alone at a single dose level determined based on the data form dose escalation phase. In total, approximately 57 subjects will participate in the study, approximately 42 in the dose-escalation cohort, and approximately 15 in the expansion cohort.

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Conditions studied

  • Advanced Solid Tumor
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Who can participate

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

Inclusion criteria

  • Capable of giving signed informed consent.
  • Life expectancy of at least 3 months.
  • Histological or cytological documentation of an advanced solid tumor,subjects with advanced/recurrent solid tumors, who have progressed on, be intolerant of, or ineligible for, all available therapies for which clinical benefit has been established.
  • Measurable disease per RECIST version 1.1, there is at least one measurable lesion during the screening period.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
  • Adequate organ function : Hematologic system: Hemoglobin ≥9 g/dL, Absolute neutrophil count [ANC] ≥1.5x10\^9/L, Platelets ≥100x10\^9/L, INR ≤ 1.5 and APTT ≤1.5 x ULN; Hepatic system: Total bilirubin ≤1.5 x ULN, ALT and AST ≤ 2.5 x ULN; Renal system: serum creatinine ≤1.5×ULN or creatinine clearance ≥50 mL/min (calculated by the Cockcroft-Gault formula); Cardiac system: left ventricular ejection fraction (LVEF) ≥50% ; QT interval (QTcF) ≤470 ms for women, and ≤450 ms for men; Endocrine system: Thyroid-stimulating hormone (TSH) is within the normal limits.
  • Subjects with fertility must agree to take medically approved effective contraceptive measures during the entire trial period and at least 3 months after the last medication.

Exclusion criteria

Exclusion Criteria:

  • Chemotherapy, radiotherapy, biological therapy, endocrine therapy, immunotherapy and other anticancer therapy within 4 weeks.
  • Concurrent medical condition requiring the use of other systemic immunosuppressive treatment within 4 weeks before the first dose of study treatment.
  • Receipt of any live vaccine within 4 weeks of the start of study treatment.
  • Receipt of unmarketed clinical trial drugs or treatments within 4 weeks of the start of study treatment.
  • Receipt of surgery or interventional treatment (excluding tumor biopsy, puncture, etc.) within 4 weeks of the start of study treatment.
  • History or evidence of cardiovascular and cerebrovascular diseases risk.
  • Subjects with uncontrolled diabetes.
  • Symptomatic central nervous system (CNS) metastases or asymptomatic CNS metastases that have required steroids within 2 weeks prior to first dose of study treatment.
  • Currently or in the past suffering from malignant tumors.
  • Uncontrollable pleural effusion, pericardial effusion or ascites still need to be drained frequently after appropriate intervention.
  • Active or suspected autoimmune disease.
  • History of idiopathic pulmonary fibrosis, interstitial lung disease, or organizing pneumonia, or evidence of active, non-infectious pneumonitis.
  • Toxicity from previous treatment including: Toxicity Grade ≥3 related to prior immunotherapy and that led to study treatment discontinuation; Toxicity related to prior treatment that has not resolved to Grade ≤ 1.
  • Subjects who have acute bacterial, viral or fungal infections and require systemic anti-infective treatment.
  • Positive test for syphilis antibodies or human immunodeficiency virus (HIV) antibodies.
  • Subjects who are allergic to test drugs and excipients.
  • Women who are pregnant or breastfeeding.
  • Known drug or alcohol abuse.
  • Patients with mental or neurological diseases.
  • Prior allogeneic or autologous bone marrow transplantation or other solid organ transplantation.
  • Subjects who have a history of serious systemic disease or any other reason are not suitable to participate in this trial as judged by the investigator.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
57 participants (estimated)

Study arms

  • Experimental
    Part A: HG381 Monotherapy Dose Escalation Cohort

    Subjects will receive HG381 IV at every one week intervals (Q1W). Escalating doses of HG381 will be evaluated by the traditional 3+3 design.

    Drug: HG381

  • Experimental
    Part B: HG381 Monotherapy Dose Expansion Cohort

    Subjects will be administered the recommended Phase 2 dose of HG381 IV Q1W established in Part A of the study.

    Drug: HG381

Interventions

  • DrugHG381

    HG381 is available as white to off-white cake or powder for solution for injection at a unit dose strength of 5 mg per vial. HG381 will be administered as IV injection.

    Also known as: HG381 for Injection

05

What researchers measure

Primary outcomes

  1. Number of subjects achieving Dose-limiting toxicity (DLT)

    DLT is defined as an adverse event (AE) that meets protocol defined DLT criteria during cycle 1 and is at least possibly related to study drug.

    Time frame: Up to Day 21

  2. Maximum Tolerated Dose (MTD)

    The maximum tolerated dose (MTD) is defined as the maximum dose where the number of cases of DLT ≤ 1/6 of the total number of cases during the DLT observation period. At least 6 evaluable subjects are required to determine MTD.

    Time frame: Up to 12 months

  3. Number of subjects with adverse events (AEs) and serious adverse events (SAEs)

    An AE is any untoward medical occurrence in a clinical study subject, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or requires medical judgement.

    Time frame: Up to 24 months

  4. Severity of AEs

    The severity of AEs will be graded utilizing the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0.

    Time frame: Up to 24 months

Secondary outcomes

  1. Recommended Phase 2 Dose (RP2D) of HG381

    Up to 42 patients with advanced/metastatic solid tumors will be enrolled in Dose Escalation to determine the RP2D of HG381 as monotherapy.

    Time frame: Up to 12 months

  2. Best objective response based on RECIST 1.1

    Best objective response rate is defined as the percentage of subjects with a best overall confirmed CR or PR at any time as per disease-specific criteria.

    Time frame: Up to 24 months

  3. HG381 concentrations in plasma following administration of HG381 alone

    Blood samples will be collected at indicated time points for plasma pharmacokinetic (PK) analysis of HG381.

    Time frame: Cycle 1 Days 1, Cycle 2 Days 1 and Cycle 3 Days 1: pre-infusion and at multiple time points (up to 24 hours) post-infusion (Cycle length=21 days)

  4. Maximum observed concentration (Cmax) following administration of HG381 alone

    Blood samples will be collected at indicated time points for plasma PK analysis following administration of HG381 monotherapy.

    Time frame: Cycle 1 Days 1, Cycle 2 Days 1 and Cycle 3 Days 1: pre-infusion and at multiple time points (up to 24 hours) post-infusion (Cycle length=21 days)

  5. Area under the concentration-time curve (AUC) following administration of HG381 alone

    Blood samples will be collected at indicated time points for plasma PK analysis following administration of HG381 monotherapy.

    Time frame: Cycle 1 Days 1, Cycle 2 Days 1 and Cycle 3 Days 1: pre-infusion and at multiple time points (up to 24 hours) post-infusion (Cycle length=21 days)

  6. Apparent terminal phase half-life (t½) following administration of HG381 alone

    Blood samples will be collected at indicated time points for plasma PK analysis following administration of HG381 monotherapy.

    Time frame: Cycle 1 Days 1, Cycle 2 Days 1 and Cycle 3 Days 1: pre-infusion and at multiple time points (up to 24 hours) post-infusion (Cycle length=21 days)

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Study locations

1 of 1 sites recruiting
  • HitGen Inc.
    Chengdu, Sichuan 610200, China
    Recruiting
07

References and documents

Publications

  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12. PubMed 30207593 ↗
  • Zhu Y, An X, Zhang X, Qiao Y, Zheng T, Li X. STING: a master regulator in the cancer-immunity cycle. Mol Cancer. 2019 Nov 4;18(1):152. doi: 10.1186/s12943-019-1087-y. PubMed 31679519 ↗
  • Liu S, Cai X, Wu J, Cong Q, Chen X, Li T, Du F, Ren J, Wu YT, Grishin NV, Chen ZJ. Phosphorylation of innate immune adaptor proteins MAVS, STING, and TRIF induces IRF3 activation. Science. 2015 Mar 13;347(6227):aaa2630. doi: 10.1126/science.aaa2630. Epub 2015 Jan 29. PubMed 25636800 ↗
  • Barber GN. STING: infection, inflammation and cancer. Nat Rev Immunol. 2015 Dec;15(12):760-70. doi: 10.1038/nri3921. PubMed 26603901 ↗
  • Abe T, Barber GN. Cytosolic-DNA-mediated, STING-dependent proinflammatory gene induction necessitates canonical NF-kappaB activation through TBK1. J Virol. 2014 May;88(10):5328-41. doi: 10.1128/JVI.00037-14. Epub 2014 Mar 5. PubMed 24600004 ↗
  • Ramanjulu JM, Pesiridis GS, Yang J, Concha N, Singhaus R, Zhang SY, Tran JL, Moore P, Lehmann S, Eberl HC, Muelbaier M, Schneck JL, Clemens J, Adam M, Mehlmann J, Romano J, Morales A, Kang J, Leister L, Graybill TL, Charnley AK, Ye G, Nevins N, Behnia K, Wolf AI, Kasparcova V, Nurse K, Wang L, Puhl AC, Li Y, Klein M, Hopson CB, Guss J, Bantscheff M, Bergamini G, Reilly MA, Lian Y, Duffy KJ, Adams J, Foley KP, Gough PJ, Marquis RW, Smothers J, Hoos A, Bertin J. Design of amidobenzimidazole STING receptor agonists with systemic activity. Nature. 2018 Dec;564(7736):439-443. doi: 10.1038/s41586-018-0705-y. Epub 2018 Nov 7. PubMed 30405246 ↗
  • Sivick KE, Desbien AL, Glickman LH, Reiner GL, Corrales L, Surh NH, Hudson TE, Vu UT, Francica BJ, Banda T, Katibah GE, Kanne DB, Leong JJ, Metchette K, Bruml JR, Ndubaku CO, McKenna JM, Feng Y, Zheng L, Bender SL, Cho CY, Leong ML, van Elsas A, Dubensky TW Jr, McWhirter SM. Magnitude of Therapeutic STING Activation Determines CD8+ T Cell-Mediated Anti-tumor Immunity. Cell Rep. 2019 Oct 15;29(3):785-789. doi: 10.1016/j.celrep.2019.09.089. No abstract available. PubMed 31618645 ↗
  • Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer. 2009 Jan;45(2):228-47. doi: 10.1016/j.ejca.2008.10.026. PubMed 19097774 ↗

Individual participant data

Plan to share: No

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Registry details

Key details

Study ID
NCT04998422
Lead sponsor
HitGen Inc.
Responsible party
Sponsor
First posted
Aug 10, 2021
Start date
Oct 18, 2021
Primary completion
Dec 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
Sep 17, 2026

Study contacts

Jie Shen, M.S
Contact
jie.shen@hitgen.com
+86 2885197385 ext. 8211
Can Xu, B.S
Contact
can.xu@hitgen.com
+86 1050953148
Jianming Xu, M.D
principal investigator · Chinese PLA General Hospital

Oversight

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

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