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Advanced CancerPhase 1NCT05276310

A Study of IMC-002 in Patients With Advanced Cancer Failed to Standard Therapy

A Phase 1 study testing IMC-002 in people with Advanced Cancer, run by ImmuneOncia Therapeutics Inc. at 3 sites in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is an Open-Label, Dose-Escalation and Expansion, Phase I Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Clinical Activity of IMC-002 in Patients with Advanced Cancer Failed to Standard Therapy Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Advanced Cancer
What is being tested?
IMC-002
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
86 participants
Where
3 sitesSouth Korea
Study dates
2 Jun 2022to 31 Aug 2030
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed ICF
  • Adult (19 years or older)
  • Diagnosis and prior therapies
  • 3-1. Part 1: Histologically or cytologically proven metastatic or locally advanced solid tumors
  • 3-2. Part 2, HCC Cohort:
  • Histologically or cytologically proven metastatic or locally advanced of hepatocellular carcinoma (excluding fibrolamellar, sarcomatoid or mixed cholangio-HCC tumors)
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  • Received ≥1 prior systemic therapy; lenvatinib-naive and eligible for lenvatinib.
  • Child Pugh classification A
  • 3-3. Part 2, TNBC Cohort:
  • Histologically or cytologically proven metastatic or locally advanced of triple negative breast cancer: negative of estrogen receptor (ER), progesterone receptor (PgR), and human epidermal growth factor receptor 2 (HER2)
  • Received ≥1 prior systemic regimen and eligible for paclitaxel or gemcitabine/carboplatin. Patients who have previously received the planned SOC in this study (paclitaxel or gemcitabine/carboplatin) cannot be enrolled. If at least 6 months have elapsed since the completion of a prior SOC (paclitaxel, gemcitabine, and/or carboplatin) and the patient showed a tumor response to that regimen, the same SOC can be used in this trial.
  • Bisphosphonate or denosumab for bone metastases is allowed if started before Cycle 1 Day 1. Prophylactic use of bisphosphonates or denosumab in patients without bone diseases is not permitted, except for the treatment of osteoporosis.
  • 3-4. Part 2, BTC Cohort:
  • Histologically or cytologically proven metastatic or locally advanced of biliary tract cancer (gallbladder cancer, cholangiocarcinoma)
  • Received ≥1 prior systemic therapy; lenvatinib-naive and eligible for lenvatinib
  • 3-5. Part 2, PDAC Cohort:
  • Histologically or cytologically proven metastatic or locally advanced of pancreatic ductal adenocarcinoma
  • Must have received one or two prior anti-cancer systemic regimen and adequate for administration of lenvatinib.
  • 3-6. Part 2, B-cell lymphoma Cohort:
  • Histologically or cytologically proven CD20+ mature B-cell lymphoma according to 2016 WHO classification including:
  • diffuse large B-cell lymphoma (de novo or transformed)
  • Mantle cell lymphoma
  • Follicular lymphoma
  • Marginal zone lymphoma (nodal, extranodal or mucosa associated)
  • Received ≥2 prior systemic therapies and eligible for rituximab treatment
  • For all cancer type, neo-adjuvant and/or adjuvant chemotherapy is not regarded as chemotherapeutic regimen for metastatic or recurrent cancer unless recurrence within 6 months after the last dose of anti-cancer drugs as neo-adjuvant and/or adjuvant therapy.
  • Subject must have at least 1 measurable lesion by RECIST 1.1
  • Availability of tumor archival material or fresh biopsies
  • ECOG performance status 0 or 1 and life expectancy ≥3 months
  • Adequate hematologic function, hepatic function, and renal function
  • Prior RT permitted if measurable disease exists outside the RT field or if disease progressed post-RT. RT must be completed ≥4 weeks before Cycle 1 Day 1
  • Agree to use effective contraception
  • Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures

Who cannot join

  • Treatment with nonpermitted drugs
  • Prior treatment with a CD47 or SIRPα targeting agent
  • Concurrent anticancer treatments
  • Major surgery or significant traumatic injury prior to Screening or planned major surgery during the study period
  • Previous malignant disease other than the target malignancy for this study
  • Active infection requiring systemic therapy before Day 1
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  • Any active autoimmune disease, or history of autoimmune disease
  • Any psychiatric or cognitive condition
  • Known severe hypersensitivity reaction
  • Pregnant or lactating
  • Currently enrolled in another clinical study

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

South Korea3 sites, 1 recruiting
  • National Cancer Center

    Goyang-si

    Active, not recruiting
  • Asan Medical Center, Republic of Korea

    Seoul

    Completed
  • Samsung Medical Center

    Seoul

    Jung Yong Hong, MD

    Recruiting

Other trials in South Korea

About this study

Official title: An Open-Label, Dose-Escalation and Expansion, Phase I Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Clinical Activity of IMC-002 in Patients With Advanced Cancer Failed to Standard Therapy

This is an Open-Label, Dose-Escalation and Expansion, Phase I Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Clinical Activity of IMC-002 in Patients with Advanced Cancer Failed to Standard Therapy

Read the detailed description

The purpose of this study is to evaluate safety and tolerability and to determine the maximum tolerated dose (MTD) and the recommended phase 2 dose (RP2D) of IMC-002.

Multiple-dose levels of IMC-002 will be tested in subjects with advanced cancer.

Conditions
Advanced Cancer
Being tested
IMC-002
Keywords
IMC-002, Phase I, CD47, SIRPα

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IMC-002Biological

    Part 1: Dose escalation IMC-002 5, 10, 20, and 30 mg/kg over 3 hours (±30 minutes) intravenous (IV) infusion every 2 weeks Part 2: Expansion cohort IMC-002 20 mg/kg over 3 hours (±30 minutes) IV infusion at the first cycle, if the first infusion is tolerated, then over 1 to 1.5 hours (±10 minutes) IV infusion at all following cycles every 3 weeks In hepatocellular (HCC) Cohort, Lenvatinib 8 mg once daily (body weight of < 60 kg), or 12 mg once daily (body weight of ≥ 60 kg) In triple negative breast cancer (TNBC) Cohort, Paclitaxel 175 mg/m2 IV infusion on Day 1 of each cycle, or Gemcitabine 1,000 mg/m2 followed by Carboplatin AUC 2 IV infusion on Day 1 and Day 8 of each cycle In biliary tract cancer (BTC) and pancreatic ductal adenocarcinoma (PDAC) Cohort, Lenvatinib 8 mg once daily (body weight of < 60 kg), or 12 mg once daily (body weight of ≥ 60 kg) In B-cell lymphoma Cohort, Rituximab 375 mg/m2 IV infusion on Day 1 of each cycle

Study groups in NCT05276310
Study groupRoleWhat they receive
IMC-002ExperimentalIMC-002
Receives: Biological: IMC-002

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Dose-Limiting Toxicities (DLTs)

    To determine maximum tolerated dose (MTD) and the recommended phase 2 dose (RP2D) of IMC-002

    Measured: 21 days

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    • clinically significant changes in physical examination, vital signs, ECG parameters, clinical laboratory tests, AEs
    • Immunogenicity: anti-IMC-002 antibody

    Measured: through study completion, an average of 1 year

Secondary outcomes (19)
  1. Pharmacokinetics Endpoint : Cmax

    maximum observed serum concentration (Cmax) of IMC-002

    Measured: through study completion, an average of 1 year

  2. Pharmacokinetics Endpoint : Ctrough

    minimum observed serum concentration immediately before dosing (Ctrough) of IMC-002

    Measured: through study completion, an average of 1 year

  3. Pharmacokinetics Endpoint : Tmax

    time of the maximum observed serum concentration (Tmax) of IMC-002

    Measured: through study completion, an average of 1 year

  4. Pharmacokinetics Endpoint : AUC

    Area Under the Serum Concentration-Time Curve (AUC) of IMC-002

    Measured: through study completion, an average of 1 year

  5. Pharmacokinetics Endpoint : CL

    total body clearance (CL) of IMC-002

    Measured: through study completion, an average of 1 year

  6. Pharmacokinetics Endpoint : t½

    terminal half-life (t½) of IMC-002

    Measured: through study completion, an average of 1 year

  7. Efficacy endpoints based on tumor assessment (Part2) : BOR

    best overall response (BOR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by RECIST 1.1 (for solid tumors) or Lugano criteria (for B-cell lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  8. Efficacy endpoints based on tumor assessment (Part2) : ORR

    objective response rate (ORR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by RECIST 1.1 (for solid tumors) or Lugano criteria (for B-cell lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  9. Efficacy endpoints based on tumor assessment (Part2) : DCR

    disease control rate (DCR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by RECIST 1.1 (for solid tumors) or Lugano criteria (for B-cell lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  10. Efficacy endpoints based on tumor assessment (Part2) : DOR

    duration of response (DOR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by RECIST 1.1 (for solid tumors) or Lugano criteria (for B-cell lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  11. Efficacy endpoints based on tumor assessment (Part2) : TTP

    time-to-progression (TTP) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by RECIST 1.1 (for solid tumors) or Lugano criteria (for B-cell lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  12. Efficacy endpoints based on tumor assessment (Part2) : PFS

    progression-free survival (PFS) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by RECIST 1.1 (for solid tumors) or Lugano criteria (for B-cell lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  13. Efficacy endpoints based on tumor assessment (Part2) : iBOR

    Immune best overall response(iBOR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by iRECIST(Solid tumor) or Lugano criteria with LYRIC modification(B-cell Lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  14. Efficacy endpoints based on tumor assessment (Part2) : iORR

    Immune objective response rate(iORR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by iRECIST(Solid tumor) or Lugano criteria with LYRIC modification(B-cell Lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  15. Efficacy endpoints based on tumor assessment (Part2) : iDCR

    Immune disease control rate(iDCR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by iRECIST(Solid tumor) or Lugano criteria with LYRIC modification(B-cell Lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  16. Efficacy endpoints based on tumor assessment (Part2) : iDOR

    Immune duration of response(iDOR) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by iRECIST(Solid tumor) or Lugano criteria with LYRIC modification(B-cell Lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  17. Efficacy endpoints based on tumor assessment (Part2) : iTTP

    Immune time-to-progression(iTTP) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by iRECIST(Solid tumor) or Lugano criteria with LYRIC modification(B-cell Lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  18. Efficacy endpoints based on tumor assessment (Part2) : iPFS

    Immune progression-free survival(iPFS) To evaluate efficacy of IMC-002 in combination with standard of care (SOC) anti-cancer therapy, as assessed by iRECIST(Solid tumor) or Lugano criteria with LYRIC modification(B-cell Lymphoma).

    Measured: Tumor assessments will be conducted every 2 cycles by contrast-enhanced CT (solid tumor), and every 3 cycles by PET-CT/CT with contrast (B-cell lymphoma), within 5 days prior to Day 1 of the next cycle, through study completion, an average of 1 year.

  19. Efficacy endpoints based on tumor assessment (Part2) : overall survival (OS)

    overall survival (OS)

    Measured: through study completion, an average of 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2022
  2. Study start2 Jun 2022
  3. Primary completion30 Dec 2027 (estimated)
  4. Study completion31 Aug 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Part 1: Dose Escalation Part 2: Expansion cohort
Masking
None (open label)
Enrolment
86 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05276310
Sponsor's protocol ID
IMC-002-K102
Status last verified
Sep 2026
First submitted
22 Feb 2022
Last updated
25 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • J.H. Hong, et al. Phase 1b dose-expansion study of IMC-002, a anti-CD47 monoclonal antibody, in patients with advanced triple negative breast cancer (TNBC). ASCO; 2026; Chicago, IL, USA, Abstract 2524.

  • J.S.Ahn, et al. Enhanced Safety Profile of IMC-002, an Affinity-Optimized Anti-CD47 Antibody: Preclinical and Phase 1a/1b Findings. ESMO; 2025; Berlin, Germany. Abstract 1554P.

  • J.Y.Hong, et al. Phase 1b Dose Extension Study of a Next-Generation Anti-CD47 Monoclonal Antibody IMC-002 Combined with Lenvatinib in Patients with Advanced Hepatocellular Carcinoma (HCC). ASCO; 2025; Chicago, IL, USA. Abstract 2526.

  • Jiyea Choi, et al. Development of IMC-002, a next-generation anti-CD47 mAb: An affinity optimized antibody with enhanced safety and therapeutic efficacy in preclinical models. AACR; 2025; Chicago, IL, USA.. Abstract 4789.

  • Jeong S, Lee SY, Kim SH, Kim HT, Yun HY, Chae JW, Lee S. Model-Informed Optimal Dosing of Anti-CD47 Antibody Using Target-Mediated Drug Disposition Model. Clin Transl Sci. 2025 Aug;18(8):e70321. doi: 10.1111/cts.70321.

    PubMed 40841178
  • H.Y.Lim, et al. Updated Safety, Efficacy, Pharmacokinetics, and Biomarkers from The Phase 1 Study of IMC-002, a Novel Anti-CD47 Monoclonal Antibody, in Patients with Advanced Solid Tumors. ASCO; 2024; Chicago, IL, USA. Abstract 2642.

  • H.Y.Lim, et al. Phase 1 dose escalation study of IMC-002, a novel anti-CD47 monoclonal antibody, in patients with advanced solid tumors. ESMO; 2023; Madrid, Spain. Abstract 1035P.

  • Ahn JS, Hong JY, Park JO, Lee SY, Kim S, Yun HY, Ock CY, Hwang W, Kim SH, Kim HT, Lim HY. Phase 1 Study of IMC-002, a Next-Generation Anti-CD47 Antibody, in Advanced Solid Tumors. Cancer Res Treat. 2025 Nov 4. doi: 10.4143/crt.2025.820. Online ahead of print.

    PubMed 41197525

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing IMC-002 in people with Advanced Cancer, run by ImmuneOncia Therapeutics Inc. at 3 sites in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 33 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact JIHEE KWON (+82 2 6283 5064, jhkwon@immuneoncia.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Dose-Limiting Toxicities (DLTs) (time frame: 21 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05276310, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026.

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