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RecruitingNCT06823167Updated Aug 10, 2026

A Phase 1 Study of IM-1021 in Participants With Advanced Cancer

A Phase 1 interventional study of IM-1021 in Solid Malignancies and Hematologic Malignancies, sponsored by Immunome, Inc.. Recruiting at 24 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-10.

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

Phase
Phase 1
Study type
Interventional
Enrollment
190
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

IM-1021-101 is a Phase 1 study to determine the safety and effectiveness of IM-1021 in treating participants with advanced cancer.

Read the detailed description

IM-1021-101 is a 2-part Phase 1 first-in-human, open-label, multicenter dose escalation and expansion study designed to determine the safety, tolerability, pharmacokinetics (PK), and preliminary anti-tumor activity of the ROR1 directed antibody-drug conjugate (ADC) IM-1021. IM-1021 will be administered to participants with advanced B-cell lymphomas and advanced solid tumors. Part A of the study is a dose escalation phase to evaluate safety and tolerability of IM-1021 and to determine recommended doses for further development. IM-1021 will be administered intravenously on an intermittent basis. The safety and tolerability of escalating doses of IM-1021 will be evaluated. Alternative dosing schedules may also be evaluated. Part B of the study is an expansion phase to further evaluate safety and tolerability of IM-1021 at candidate recommended doses in indication specific cohorts of participants. The safety and preliminary efficacy endpoints of this study will inform a preliminary risk-benefit assessment of IM-1021 in this patient population.

02

Conditions studied

  • Solid Malignancies
  • Hematologic Malignancies
03

Who can participate

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

Inclusion criteria

  1. Informed consent signed by the participant prior to conducting study-specific procedures
  2. ≥18 years of age
  3. Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
  4. Histological or cytological diagnosis of:

    Part A: advanced B-cell lymphomas or solid tumors, of the following subtypes:

    B-cell Lymphomas:

    • Mantle cell lymphoma (MCL)
    • Diffuse large B-cell lymphoma (DLBCL) (including Richter's transformation)
    • Follicular lymphoma
    • Small lymphocytic lymphoma (SLL)
    • Marginal zone lymphoma

    Solid Tumors:

    • Pancreatic cancer
    • Non-squamous non-small cell lung cancer (NSCLC)
    • Malignant mesothelioma
    • Epithelial ovarian cancer. Participants with fallopian tube and/or peritoneal malignancies are also eligible.
    • Triple-negative breast cancer.
    • Liposarcoma

    Other, unlisted histologies, if approved by the Sponsor Medical Monitor

    Part B Cohorts B1, B2, and B3:

    Histological or cytological diagnosis of the cohort-specific disease indication. Indications may include those listed in Inclusion Criterion 4.a

  5. Participants must have adequate organ function.
  6. Participants must have a negative pregnancy test, be willing to practice highly effective methods of birth control, use condoms, and refrain from oocyte/sperm donation, as applicable, as detailed in the protocol.
  7. Participants must have relapsed or refractory disease and have received all approved and available therapeutic options.
  8. Participants must have measurable disease as per the relevant response assessment framework: Lugano Classification for lymphoma (except SLL), per iwCLL criteria for SLL , and per RECIST v.1.1 for solid tumors.

Exclusion criteria

Exclusion Criteria:

  1. Previously treated with an ADC with a topoisomerase-1 inhibitor payload, except: Participants with triple negative breast cancer may have received up to one prior ADC with a topoisomerase-1 inhibitor payload.
  2. Previously received a ROR1-targeted therapy (eg, ADC, cell therapy, or monoclonal antibody).
  3. History of an anaphylactic reaction to irinotecan or ≥ grade 3 GI toxicity to prior irinotecan.
  4. Life expectancy \< 12 weeks.
  5. Prior solid organ transplant.
  6. Participants with symptomatic ascites or pleural effusion. Participants who are clinically stable for at least 2 weeks following treatment for these conditions (including therapeutic thoraco- or paracentesis or catheter) are eligible.
  7. For participants with known active central nervous system (CNS) disease

    1. For participants with solid tumors: Participant has a known active CNS primary tumor or metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to study entry, have no radiological evidence of new or enlarging brain metastases, and are off steroids or on a stable dose up to an equivalent of prednisone 10 mg/day for at least 15 days prior to first dose of study medication. Participants who have symptoms consistent with CNS metastasis must have a negative magnetic resonance imaging (MRI) or other clinically appropriate imaging study if the participant is not able to undergo contrast-enhanced MRI and approved by the Sponsor Medical Monitor during the screening period.
    2. For participants with lymphoma: Participant has active cerebral/meningeal disease related to the underlying malignancy. Participants with a history of cerebral/meningeal disease related to the underlying malignancy are allowed if prior CNS disease has been effectively treated and without progression for at least 3 months.
  8. Participant has a known history of malignant primary brain tumor, or another primary solid or hematologic malignancy (other than that under study), unless the participant has undergone potentially curative therapy with no evidence of that disease for at least 2 years. Exception: The time requirement does not apply to participants who underwent successful definitive resection of certain cancers.
  9. Participant has certain other significant medical conditions including cardiac, pulmonary, and infectious disease as detailed in the protocol.
  10. Participant is pregnant, breastfeeding, or expecting to conceive within the projected duration of the study.
04

Study design

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

Study arms

  • Experimental
    Part A: IM-1021 Dose Escalation

    IM-1021 given into the vein (IV; intravenously)

    Drug: IM-1021

  • Experimental
    Part B: IM-1021 Monotherapy Dose Expansion

    IM-1021 given into the vein (IV; intravenously)

    Drug: IM-1021

Interventions

  • DrugIM-1021

    IM-1021 is an antibody-drug conjugate

05

What researchers measure

Primary outcomes

  1. Safety and tolerability of IM-1021 in participants with advanced lymphomas and advanced solid tumors as measured by incidence of treatment emergent adverse events (TEAEs)

    Type, frequency, seriousness, and severity of adverse events (AEs) graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0, including serious adverse events (SAEs), AEs of interest (AEI), AEs leading to discontinuation, and deaths

    Time frame: From first dose to 37 days following last dose of study treatment

  2. Determine the recommended dose(s) and schedule(s) of IM-1021 for further development

    Type, frequency, seriousness, and severity of AEs graded using the NCI-CTCAE v6.0, including SAEs, AEIs, AEs leading to discontinuation, and deaths

    Time frame: From first dose to 37 days following last dose of study treatment

Secondary outcomes

  1. Area under the concentration-time curve (AUC) of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    Pharmacokinetic (PK) parameter

    Time frame: Through 30-37 days following last dose of IM-1021 up to end of study

  2. Concentration at end of infusion (Ceoi) of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    PK parameter

    Time frame: Through 30-37 days following last dose of IM-1021 up to end of study

  3. Maximum observed concentration (Cmax) of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    PK parameter

    Time frame: Through 30-37 days following last dose of IM-1021 up to end of study

  4. Time to maximum observed concentration (Tmax) of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    PK parameter

    Time frame: Through 30-37 days following last dose of IM-1021 up to end of study

  5. Trough Concentration of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    PK parameter

    Time frame: Through 30-37 days following last dose of IM-1021 up to end of study

  6. Apparent Terminal Half-Life (t1/2) of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    PK parameter

    Time frame: Through 30-37 days following last dose of IM-1021 up to end of study

  7. Characterize the immunogenicity of IM-1021

    Determined by the incidence of anti-drug antibodies (ADA) to IM-1021 from pre-infusion sample prior to each cycle.

    Time frame: From first dose to about 30 days following last dose of study treatment

  8. To evaluate the preliminary anti-tumor activity of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    Objective response rate (ORR) as measured by Lugano Classification for participants with lymphoma (except small lymphocytic lymphoma \[SLL\]), per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for participants with SLL, and per Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1 for participants with solid tumors

    Time frame: Week 6 until disease progression or participant discontinuation from study

  9. To evaluate the preliminary anti-tumor activity of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    Complete response rate (CRR) as measured by Lugano Classification for participants with lymphoma (except SLL), per iwCLL criteria for participants with SLL, and per RECIST v.1.1 for participants with solid tumors

    Time frame: Week 6 until disease progression or participant discontinuation from study

  10. To evaluate the preliminary anti-tumor activity of IM-1021 in participants with advanced lymphomas and advanced solid tumors

    Disease control rate (DCR) as measured by Lugano Classification for participants with lymphoma (except SLL), per iwCLL criteria for participants with SLL, and per RECIST v.1.1 for participants with solid tumors

    Time frame: Week 6 until disease progression or participant discontinuation from study

06

Study locations

24 of 24 sites recruiting
  • City Of Hope
    Duarte, California 91010, United States
    Recruiting
  • University of California
    Los Angeles, California 90095, United States
    Recruiting
  • Colorado Blood Cancer Institute
    Denver, Colorado 80218, United States
    Recruiting
  • Yale University Medical Center
    New Haven, Connecticut 06510, United States
    Recruiting
  • Tampa General Hospital
    Tampa, Florida 33606, United States
    Recruiting
  • Emory Winship Cancer Institute
    Atlanta, Georgia 30322, United States
    Recruiting
  • University of Iowa
    Iowa City, Iowa 52242, United States
    Recruiting
  • Norton Cancer Institute
    Louisville, Kentucky 40202, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • START Midwest
    Grand Rapids, Michigan 49546, United States
    Recruiting
  • University of Nebraska Medical Center
    Omaha, Nebraska 68105, United States
    Recruiting
  • Levine Cancer Institute
    Charlotte, North Carolina 28204, United States
    Recruiting
  • Gabrail Cancer Center
    Canton, Ohio 44718, United States
    Recruiting
  • Brown University
    Providence, Rhode Island 02903, United States
    Recruiting
  • Sarah Cannon Research Institute - Oncology Partners
    Nashville, Tennessee 37203, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • NEXT Oncology
    Irving, Texas 75039, United States
    Recruiting
  • UT San Antonio Mays Cancer
    San Antonio, Texas 78229, United States
    Recruiting
  • University of Virginia
    Charlottesville, Virginia 22903, United States
    Recruiting
  • Copenhagen University Hospital
    Copenhagen, DK-2100, Denmark
    Recruiting
  • Centre Leon-Berard
    Lyon, 69008, France
    Recruiting
  • LITO, Institut Curie Hospital Gropu
    Paris, 75005, France
    Recruiting
  • Gustave Roussy
    Villejuif, 94805, France
    Recruiting
  • START - Fundacion Jimenez Diaz
    Madrid, 28040, Spain
    Recruiting
07

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06823167
Lead sponsor
Immunome, Inc.
Responsible party
Sponsor
First posted
Feb 12, 2025
Start date
Feb 26, 2025
Primary completion
May 2028 (estimated)
Completion
Feb 2029 (estimated)
Last update
Aug 10, 2026

Study contacts

Immunome Medical Monitor
Contact
info@immunome.com
425.939.7410

Oversight

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

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