ClinicalTrials.gg
RecruitingNCT06999187Updated Jan 7, 2026

A Study of DR-0202 in Patients With Locally Advanced or Metastatic, Relapsed or Refractory Carcinomas

A Phase 1 interventional study of DR-0202 in Triple Negative Breast Cancer, HER2-negative Breast Cancer and Non Small Cell Lung Cancer, sponsored by Dren Bio. Recruiting at 10 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-07.

Sponsored by Dren Bio · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
96
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

A phase 1a/1b, multicenter, open-label, dose escalation/expansion, multiple-dose study to evaluate the safety and activity of DR-0202 in patients with locally advanced or metastatic, relapsed or refractory carcinomas

02

Conditions studied

  • Triple Negative Breast Cancer
  • HER2-negative Breast Cancer
  • Non Small Cell Lung Cancer
  • Cervical Cancer
  • Castrate Resistant Prostate Cancer
  • Pancreatic Ductal Adenocarcinoma
  • Head-and-neck Squamous Cell Carcinoma
  • Endometrial Cancer
  • Ovarian Cancer
  • Gastric Cancer
  • Gastroesophageal-junction Cancer
  • Urothelial Carcinoma
03

In context

Triple Negative Breast Neoplasms

1,219 studies on the registry are indexed under Triple Negative Breast Neoplasms; 446 are open to participants now.

This study's planned enrollment of 96 is above the median of 60 across 1,053 interventional studies indexed under Triple Negative Breast Neoplasms.

Browse Triple Negative Breast Neoplasms studies →

Lead sponsor

Dren Bio is the lead sponsor of 7 studies on the registry; 4 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

  • confirmed epithelial cancer of the following tumor types: breast (TNBC, HR+/-/+BC), NSCLC, cervical, CRPC, PDAC, HNSCC, endometrial, ovarian, gastric/GEJ, or urothelial that is unresectable, locally advanced or
  • with at least 2 and for which no standard of care treatment options are available
  • Radiographically
  • (ECOG) performance status 0-1
  • , in the opinion of the Investigator, of ≥ 3 months
  • Adequate marrow reserve, renal function, and hepatic function
  • Taper of ≥ 2 weeks from high-dose systemic (however, low dose corticosteroids ≤ 25 mg prednisone or equivalent daily are permitted in consultation with the Medical Monitor)
  • Willing to provide samples or agree to a baseline biopsy if not available
  • Willing to undergo an on-treatment biopsy if clinically feasible and not at the time of procedure

Exclusion criteria

Exclusion Criteria:

  • Major surgery within 28 days prior to Day 1
  • Have not had an appropriate from systemic therapy, including agents, prior to C1D1:

    1. Systemic chemotherapy and anticancer therapies within 4 weeks or 5 half-lives of the drug, whichever is shorter.
    2. Antibody-based anticancer therapy: ≥ 4 weeks. Note: Treatment with systemic ≤ 25 mg/day (prednisone or equivalent) and inhaled or topical steroids are allowed. For participants with CRPC, LHRH agents are allowed.
  • Radiation therapy within 21 days prior to C1D1. Palliative radiation therapy may be allowed following discussion with Medical Monitor
  • either untreated and symptomatic or requiring therapy with steroids or anticonvulsants to control associated symptoms. Brain metastases that have been treated and are no longer symptomatic are allowed if use of high-dose systemic corticosteroids (> 25 mg/day of prednisone or equivalent) is stopped ≥ 12 weeks prior to C1D1.
  • Active Grade ≥ 2 anorexia, nausea or vomiting, and/or signs of intestinal obstruction.
  • Another (except for adequately resected non-melanoma skin cancer, curatively treated in situ disease, or other solid tumors curatively treated with no evidence of disease for ≥ 1 year)
  • Evidence of significant, uncontrolled concomitant disease that could affect compliance with study.
  • Current or past history of CNS disease, such as stroke, epilepsy, central nervous system vasculitis or neurodegenerative disease (participants with a history of stroke who have not experienced a stroke or in the past 6 months and have no residual neurologic deficits may be eligible).
  • for heart rate using Fridericia's formula (QTcF) > 480 msec or history of additional risk factors for Torsades de Pointes
  • Uncontrolled or significant cardiovascular disease
  • History or presence of an abnormal that is in the Investigator's opinion or myocardial infarction within 6 months prior to C1D1.
  • Prior solid organ transplantation.
  • Known infection with , , or . The following participants may be enrolled in this study (the Sponsor reserves the right to restrict enrollment of these participants):

    1. Participants who are HIV-positive with undetectable HIV RNA and at least 3 months on antiretroviral therapy.
    2. Participants with a positive serologic test for HBV (i.e., positive HBcAb and negative HBsAg) and have a negative PCR test.
    3. Participants who are HCV-positive who have completed at least 1 month of highly effective antiviral therapy and have a negative PCR test.
  • Active infection requiring systemic treatment, defined as requiring IV antimicrobial, antifungal, or antiviral agents within 2 weeks prior to C1D1. Prophylactic antimicrobial treatment is allowed. Infections eligible per Exclusion Criterion 16 may be enrolled.
  • Active clinical interstitial pneumonitis (e.g., shortness of breath, requirement of supplemental oxygen, dry cough) or as confirmed by means of diagnostic imaging within 6 months prior to C1D1.
  • Other concurrent medical or psychiatric conditions that, in the Investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations.
Terms in these criteria, in plain language(22)

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.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Metastases

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

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

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

Study arms

  • Experimental
    DL1 of DR-0202

    Participants in this arm will receive DL1 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

  • Experimental
    DL2 of DR-0202

    Participants in this arm will receive DL2 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

  • Experimental
    DL3 of DR-0202

    Participants in this arm will receive DL3 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

  • Experimental
    DL4 of DR-0202

    Participants in this arm will receive DL4 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

  • Experimental
    DL5 of DR-0202

    Participants in this arm will receive DL5 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

  • Experimental
    DL6 of DR-0202

    Participants in this arm will receive DL6 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

  • Experimental
    DL7 of DR-0202

    Participants in this arm will receive DL7 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

  • Experimental
    DL8 of DR-0202

    Participants in this arm will receive DL8 milligrams of DR-0202 every 2 weeks until progression or withdrawal

    Drug: DR-0202

Interventions

  • DrugDR-0202

    DR-0202 is a bispecific antibody

06

What researchers measure

Primary outcomes

  1. Incidence, severity, and relationship of treatment-emergent adverse events (TEAEs) as assessed by CTCAE v5.0 during DR-0202 treatment through study completion (Safety and Tolerability)

    * Incidence, severity, and relationship of TEAEs (per CTCAE v5.0) through study completion (expected to be an average of 1 year) including but not limited to vital signs, clinical laboratory values (hematology, clinical chemistry, coagulation, urinalysis), 12-lead ECG * Occurrence of DLTs during Cycle 1 (28 days)

    Time frame: 28-day DLT Period and Treatment Duration / Study Completion

07

Study locations

10 of 10 sites recruiting
  • Dren Investigational Site
    Denver, Colorado 80218, United States
    Recruiting
  • Dren Investigational Site
    Orlando, Florida 32827, United States
    Recruiting
  • Dren Investigational Site
    Sarasota, Florida 34232, United States
    Recruiting
  • Dren Investigational Site
    Huntersville, North Carolina 28078, United States
    Recruiting
  • Dren Investigational Site
    Oklahoma City, Oklahoma 73104, United States
    Recruiting
  • Dren Investigational Site
    Greenville, South Carolina 29605, United States
    Recruiting
  • Dren Investigational Site
    Austin, Texas 78758, United States
    Recruiting
  • Dren Investigational Site
    Dallas, Texas 75230, United States
    Recruiting
  • Dren Investigational Site
    San Antonio, Texas 78229, United States
    Recruiting
  • Dren Investigational Site
    Fairfax, Virginia 22031, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06999187
Lead sponsor
Dren Bio
Responsible party
Sponsor
First posted
May 31, 2025
Start date
Jun 3, 2025
Primary completion
Jul 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Jan 7, 2026

Study contacts

Dren Bio Central Contact
Contact
DR-0202-ONC-001_inquiries@drenbio.com
415-737-5277
Wan Jen Hong, MD
study director · Dren Bio

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion