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RecruitingNCT07660432Updated Aug 20, 2026

A Study of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

A Phase 1 interventional study of SIM0689 for Injection in Neoplasms, Malignant, sponsored by Jiangsu Simcere Pharmaceutical Co., Ltd.. Recruiting at 6 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Jiangsu Simcere Pharmaceutical Co., Ltd. (part of Simcere Pharmaceutical Group Limited) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
472
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the safety, of SIM0689 and how the body processes it, how it affects the body, and its early signs of activity against tumors when given alone to Adult Participants with Locally Advanced or Metastatic Solid Tumors. The study has a dose escalation part to find the highest dose that can be given safely, or recommended dose (RD) for SIM0689 when given alone, and a dose expansion part in subjects with specific tumor types treated with SIM0689 as a single agent at RD.

02

Conditions studied

  • Neoplasms, Malignant

Browse trials for

03

In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 472 is above the median of 60 across 7,703 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Jiangsu Simcere Pharmaceutical Co., Ltd. is the lead sponsor of 78 studies on the registry; 15 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

  • In dose-escalation cohorts (Part 1), or cytologically documented advanced or solid tumor that is /relapsed to standard therapies, or for which no effective standard therapy is available, or the subject refuses standard therapy.
  • In the dose-expansion cohorts (Part 2), histologically or cytologically confirmed selected advanced solid tumors.
  • Subjects must have at least one according to Version1.1.
  • (ECOG) Performance Score of 0 or 1.
  • Adequate organ function.
  • Available archived tumor tissue sample to allow for correlative biomarker studies. If unavailable or unsuitable, the subject must consent and undergo fresh tumor .
  • ≥12 weeks.
  • Patients of (male and female) must agree to use reliable methods of until at least 180 days after the last dose.

Exclusion criteria

Exclusion Criteria:

  • Symptomatic .
  • Serious non-healing wounds, ulcers or fractures.
  • Toxicity from previous treatment has to restore to ≤ grade 1.
  • Major surgery (excluding ) or significant trauma within 4 weeks prior to enrollment.
  • Use of aspirin (> 325 mg/day) within 6 months prior to the first dose.
  • Active or .
  • Known (HIV) infection or acquired immunodeficiency syndrome (AIDS).
  • Known hereditary or acquired predisposition to bleeding and thrombosis.
  • History of gastrointestinal perforation, gastrointestinal bleeding, fistula, or any life-threatening bleeding event within 6 months prior to enrollment.
  • Prior permanent discontinuation of PD-(L)1 and/or VEGF monoclonal antibody because of immune/anti-angiogenesis toxicities, or history of Grade ≥3 immune/anti-angiogenesis-related AEs
  • Known or suspected active disease.
  • Patients with proteinuria at screening (Urine protein >2+ at screening, or 2+ urine protein accompanied by 24-h urine protein ≥1 g/24 h).
  • History of myocardial infarction or stroke within 6 months prior to enrollment.
  • Subjects with cardiovascular disease within 6 months prior to the first dose.
  • Pregnant and lactating women.
  • Known allergies to any in the study drug.
Terms in these criteria, in plain language(17)

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
472 participants (estimated)

Study arms

  • Experimental
    SIM0689 for Injection

    One intravenous infusion of SIM0689 for Injection, 28 days or 21 days as a treatment cycle.

    Drug: SIM0689 for Injection

Interventions

  • DrugSIM0689 for Injection

    SIM0689 for Injection is a Programmed Cell Death Protein 1(PD1) / Vascular Endothelial Growth Factor (VEGF) bispecific antibody.

06

What researchers measure

Primary outcomes

  1. Dose-limiting toxicity (DLT) (Dose escalation)

    DLTs will be assessed during the dose-escalation phase and are defined as toxicities that meet pre-defined severity criteria.

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

  2. Maximum tolerated dose (MTD)and / or Recommended dose (RD) (Dose escalation)

    The MTD is defined as the dose of SIM0689 with an estimated toxicity rate closest to the target toxicity rate of 27%; RD stands for Recommended Dose, which will be selected based on the evaluation of all available pharmacokinetics, pharmacodynamic, efficacy, safety, and tolerability data

    Time frame: Up to approximately 2 years

  3. Objective Response Rate (ORR) (Dose expansion)

    ORR is the proportion of participants with complete response(CR)or partial response (PR) assessed according to RECIST v1.1.

    Time frame: Up to approximately 2 years

Secondary outcomes

  1. Adverse event rate

    The occurrence of all adverse events (AEs), evaluated by Common Terminology Criteria for Adverse Events (CTCAE) 6.0.

    Time frame: up to approximately 2 years

  2. Pharmacokinetics: The area under the curve (AUC)

    The area under the curve (AUC) of serum concentration of SIM0689

    Time frame: up to approximately 2 years

  3. Pharmacokinetics: Peak concentration (Cmax)

    Maximum observed concentration (Cmax) of SIM0689

    Time frame: Up to approximately 2 years

  4. Pharmacokinetics: T1/2

    Terminal half-life (T1/2)

    Time frame: Up to approximately 2 years

  5. Pharmacokinetics: Tmax

    Time to maximum concentration

    Time frame: Up to approximately 2 years

  6. Immunogenicity

    Titer of serum anti-SIM0689 antibodies

    Time frame: Up to approximately 2 years

  7. Immunogenicity

    Incidence rate of serum anti-SIM0689 antibodies

    Time frame: Up to approximately 2 years

  8. Immunogenicity

    Duration of serum anti-SIM0689 antibodies

    Time frame: Up to approximately 2 years

07

Study locations

2 of 6 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Dec 2028, 29 months after the start.

Of 677 industry-sponsored phase 1 interventional studies under Neoplasms, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 61. This study's planned 29 months is below that.

Counting every sponsor, half of 903 studies reached it within 40 months; a quarter within 23 and three quarters within 64.

Neoplasms covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

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

Registered
Jun 10, 2026
First posted
Jun 22, 2026
StartActual
Jul 3, 2026
Primary completionEst.
Dec 2028
CompletionEst.
Jun 2029
Last update
Aug 20, 2026
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 Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07660432
Collaborators
Shanghai Xianwei Medical Technology Co., Ltd.
Responsible party
Sponsor
First posted
Jun 22, 2026
Start date
Jul 3, 2026
Primary completion
Dec 2028 (estimated)
Completion
Jun 2029 (estimated)
Last update
Aug 20, 2026

Study contacts

Tingbo Liang
Contact
liangtingbo_trial@163.com
+86 13666676121
Xueli Bai
Contact
baixueli_trial@163.com

Oversight

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

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