ClinicalTrials.gg
RecruitingNCT07392736Updated Feb 6, 2026

A Phase I/IIa Study of AL8326 Combined With Toripalimab in the Treatment of Advanced Solid Tumors.

A Phase 1/2 interventional study of AL8326 tablets and Toripalimab in Solid Tumor, sponsored by Advenchen Laboratories, LLC. Recruiting at 15 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-06.

Sponsored by Advenchen Laboratories, LLC · Phase 1/2, Interventional, and Screening

From the registry’s dates

  • Registered 3 years 11 months after the study started (first participant enrolled Oct 2021, registered Sep 2025).
  • Started Oct 2021; still recruiting 5 years later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
228
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This trial is an open, non-randomized, phase I/IIa clinical trial, which will evaluate the preliminary effectiveness and safety of AL8326 tablets in patients with advanced solid tumors

02

Conditions studied

  • Solid Tumor
03

In context

Lead sponsor

Advenchen Laboratories, LLC is the lead sponsor of 6 studies on the registry; 3 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

  1. Subjects must be able to understand and voluntarily sign a written form prior to the initiation of any study-related procedures.
  2. Age ≥ 18 years.
  3. Subjects with confirmed advanced recurrent or solid tumors who meet one of the following conditions:

    1. Failure of standard therapy (disease progression after treatment or intolerance to treatment toxicity);
    2. no effective treatment available.
    3. Toripalimab monotherapy as a or later standard treatment.
  4. Must have at least one as defined by 1.1.
  5. Prior cytotoxic chemotherapy must have been completed at least 4 weeks before enrollment, and any toxicities must have recovered to ≤ Grade 1 (except alopecia).
  6. of ≥ 12 weeks at the time of enrollment.
  7. performance status of 0 or 1.
  8. Adequate organ function:

    1. Bone marrow function: (ANC) ≥ 1.5 × 10⁹/L (1500/mm³); ≥ 100 × 10⁹/L; ≥ 9.0 g/dL.
    2. Renal function: Serum creatinine ≤ 1.5 × (ULN) or calculated (Cockcroft-Gault formula) ≥ 60 mL/min.
    3. Hepatic function: Total ≤ 1.5 × ULN (≤ 3.0 × ULN for subjects with Gilbert's syndrome); and ALT ≤ 2.5 × ULN in subjects without liver metastases, or ≤ 5 × ULN in subjects with liver metastases.
    4. Coagulation function: (INR) ≤ 1.5; Activated partial thromboplastin time (APTT) ≤ 1.5 × ULN.
  9. (LVEF) > 50% during screening.
  10. Systolic blood pressure \< 140 mmHg and diastolic blood pressure \< 90 mmHg (without medication or controlled with a single agent).
  11. Females: Women of must have a negative serum pregnancy test within 7 days prior to enrollment and must agree to use medically acceptable methods of during the treatment period and for 3 months after the last dose; The patient must be non-lactating; women (≥ 12 months of amenorrhea without other causes) or surgically sterilized (oophorectomy and/or hysterectomy) are not considered of childbearing potential. Their partners must use medically acceptable contraception during the treatment period and for 3 months after the last dose. Males: Surgically sterile or must agree to use medically acceptable contraception during the treatment period and for 3 months after the last dose; Their partners must use medically acceptable contraception during the same period.
  12. Ability and willingness to comply with the study protocol for the duration of the study and with follow-up procedures.

Exclusion criteria

Exclusion Criteria

  1. Received systemic cytotoxic therapy or therapy within 28 days prior to initiation of study treatment, or non-cytotoxic, non-investigational therapy (e.g., radiotherapy, hormone therapy, targeted therapy, immunotherapy) within 14 days prior to initiation of study treatment.
  2. Major surgery (defined as requiring general anesthesia within 28 days before initiation of study treatment, or minor surgery requiring general anesthesia within 7 days before initiation of study treatment).
  3. Pregnant or lactating women.
  4. History of prior or concurrent second primary that, in the opinion of the investigator or sponsor, may interfere with the assessment of safety or efficacy of the study treatment.
  5. Subjects with active or untreated central nervous system (CNS) ; Subjects with stable may be enrolled if they meet the following criteria: a) No radiological evidence of progression for ≥ 4 weeks after completion of treatment; b) Completion of treatment ≥ 28 days before the first dose of study drug; c) No requirement for systemic (>10 mg/day prednisone or equivalent) within ≤ 14 days prior to the first dose of study drug.
  6. Active, known, or suspected disease or interstitial lung disease.
  7. Requirement for systemic therapy with corticosteroids or other drugs within 14 days prior to initiation of study treatment.
  8. Peptic ulcer disease, inflammatory bowel disease, ulcerative colitis, or other gastrointestinal conditions with risk of perforation; History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 28 days prior to initiation of study treatment.
  9. Untreated deep vein thrombosis (DVT) within the past 6 months. Subjects with DVT treated with therapeutic anticoagulants (excluding therapeutic warfarin) for at least 14 days prior to initiation of study treatment are allowed.
  10. Uncontrolled infection.
  11. (NYHA) Grade III or greater congestive heart failure.
  12. History of any of the following cardiac conditions within 6 months prior to initiation of study treatment:

    1. Cardiac angioplasty or stenting;
    2. Myocardial infarction;
    3. Unstable angina;
    4. Cerebrovascular accident.
  13. Presence of any unhealed wound, fracture, or ulcer, or symptomatic peripheral vascular disease.
  14. Evidence of hemorrhagic diathesis, coagulation disorder, or bleeding (e.g., severe hematuria, gastrointestinal bleeding, hemoptysis) within 6 months prior to initiation of study treatment.
  15. ≥470 msec on screening per Fridericia's formula.
  16. Urinalysis showing urine protein ≥ ++ and 24-hour urine protein quantification > 1.0 g within 28 days prior to initiation of study treatment.
  17. Positive surface antigen (HBsAg) with HBV-DNA above the lower limit of detection of the local laboratory; Positive antibody (anti-HCV) with HCV-RNA above the lower limit of detection of the local laboratory; Positive syphilis antibody; Positive (HIV) antibody test.
  18. History of organ transplantation.
  19. Clinical conditions affecting the intake or absorption of AL8326 (e.g., inability to swallow, chronic diarrhea, intestinal obstruction, malabsorption disorders, gastrectomy or small bowel resection).
  20. Use of prohibited concomitant medications within 14 days prior to initiation of study treatment.
  21. Receipt of red blood cell or transfusion within 14 days prior to initiation of study treatment.
  22. Known allergy, , or intolerance to protein therapies, or history of any severe drug allergy (e.g., anaphylaxis, hepatotoxicity, immune-mediated thrombocytopenia or anemia).
  23. Any severe and/or unstable pre-existing medical, psychiatric, or other condition that may jeopardize subject safety, obtaining , compliance with study procedures, or achievement of study objectives.
Terms in these criteria, in plain language(34)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

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.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
228 participants (estimated)

Study arms

  • Experimental
    AL8326 plus toripalimab

    Phase 1: Cohort 1 will initiate with AL8326 +Toripalimab 240mg multiple dose (28-Day cycles) After three subjects have completed the first cycle of therapy without a DLT, additional cohorts may be enrolled sequentially. After the first cohort has completed one full cycle of therapy without a DLT, further cohorts will be enrolled sequentially, following the same 28-day cycle regimen. Phase 2a: Each subject will receive AL8326 +Toripalimab 240mg of this study for continuous 28-Day/21-Day cycles of therapy. AL8326 is orally administered daily at the RP2D found in Phase 1.

    Drug: AL8326 tablets · Drug: Toripalimab

Interventions

  • Tablet: 10mg/tablet; administered orally once daily

    Also known as: AL8326

  • 240mg Injection solution:21-Day cycles

06

What researchers measure

Primary outcomes

  1. The first part (Phase I): Phase II recommended dose (RP2D)

    Determine the Recommended Phase 2 Dose (RP2D) via evaluation of dose limiting toxicity (DLT) events.

    Time frame: At the end of Cycle 1 (each cycle is 28 days)

  2. The second part (Phase IIa):Objective remission rate (ORR)

    (ORR):The proportion of subjects achieving complete remission (CR) and partial remission (PR) with optimal efficacy according to RECIST 1.1.

    Time frame: Every 2/3/4 cycles,up to 24 month(each cycle is 21 days)

Secondary outcomes

  1. The first part (Phase I): Objective remission rate (ORR)

    (ORR):The proportion of subjects achieving complete remission (CR) and partial remission (PR) .

    Time frame: Every 2 cycles,up to 24 months (each cycle is 28 days)

  2. The first part (Phase I): Duration of remission (DOR)

    (DOR):Description: The time between the start of the first assessment of the tumor as CR or PR and The first assessment of disease progression (PD) or death from any cause.

    Time frame: Every 2 cycles,up to 24 months (each cycle is 28 days)

  3. The first part (Phase I): Disease Control Rate (DCR)

    (DCR): The proportion of subjects achieving complete remission (CR), partial remission (PR) and stable disease (SD).

    Time frame: Every 2 cycles,up to 24 months (each cycle is 28 days)

  4. The first part (Phase I): Duration of Disease Control (DDC)

    (DDC): The time from the first assessment of the tumor as CR, PR, or SD to the first assessment of disease progression (PD) or death from any cause.

    Time frame: Every 2 cycles,up to 24 months (each cycle is 28 days)

  5. The first part (Phase I): Progression Free Survival (PFS)

    (PFS): The period of time between the start of the subject's first dose of medication and the first observation of disease progression (based on imaging) or the occurrence of death due to any cause.

    Time frame: Every 2 cycles,up to 24 months (each cycle is 28 days)

  6. The first part (Phase I): Overall Survival (OS)

    (OS): Defined as the time between the date of first dose and death from any cause. Subjects who are alive as of the date of analysis will use and the date they last achieved survival as the cutoff time.

    Time frame: Every 2 cycles,up to 24 months (each cycle is 28 days)

  7. The second part (Phase IIa): Duration of remission (DOR)

    (DOR):Description: The time between the start of the first assessment of the tumor as CR or PR and The first assessment of disease progression (PD) or death from any cause.

    Time frame: Every 2/3/4 cycles,up to 24 month(each cycle is 21 days)

  8. The second part (Phase IIa): Disease Control Rate (DCR)

    (DCR): The proportion of subjects achieving complete remission (CR), partial remission (PR) and stable disease (SD).

    Time frame: Every 2/3/4 cycles,up to 24 month(each cycle is 21 days)

  9. The second part (Phase IIa): Duration of Disease Control (DDC)

    (DDC): The time from the first assessment of the tumor as CR, PR, or SD to the first assessment of disease progression (PD) or death from any cause.

    Time frame: Every 2/3/4 cycles,up to 24 month(each cycle is 21 days)

  10. The second part (Phase IIa): Progression Free Survival (PFS)

    (PFS): The period of time between the start of the subject's first dose of medication and the first observation of disease progression (based on imaging) or the occurrence of death due to any cause.

    Time frame: Every 2/3/4 cycles,up to 24 month(each cycle is 21 days)

  11. The second part (Phase IIa): Overall Survival (OS)

    (OS): Defined as the time between the date of first dose and death from any cause. Subjects who are alive as of the date of analysis will use and the date they last achieved survival as the cutoff time.

    Time frame: Every 2/3/4 cycles,up to 24 month(each cycle is 21 days)

07

Study locations

15 of 15 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07392736
Lead sponsor
Advenchen Laboratories, LLC
Responsible party
Sponsor
First posted
Feb 6, 2026
Start date
Oct 26, 2021
Primary completion
Nov 7, 2029 (estimated)
Completion
Nov 7, 2029 (estimated)
Last update
Feb 6, 2026

Study contacts

Jianbo Wu
Contact
williamwujianbo@advenchen.com.cn
13951647454
Jing wang
principal investigator · Hunan Cancer Hospital
LingYIng Wu
principal investigator · The Cancer Hospital of the Chinese Academy of Medical Sciences

Oversight

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

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Studies of the drugs tested here: Aurora B/VEGFR/FGFR Inhibitor AL8326 · Toripalimab

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