Advanced Solid TumorsPhase 1NCT05599984
Study to Evaluate Adverse Events, Change in Disease Activity, and How ABBV-706 Moves Through the Body When Intravenously (IV) Infused Alone or in Combination With IV Infused Budigalimab, Cisplatin, or Carboplatin in Adult Participants With Advanced Solid Tumors
A Phase 1 study testing ABBV-706, Cisplatin and Budigalimab in people with Advanced Solid Tumors, run by AbbVie at 66 sites in 10 countries.
Trial summary
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess safety, tolerability, pharmacokinetics and preliminary efficacy of ABBV-706 as a monotherapy and in combination with budigalimab, carboplatin, or cisplatin. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Tumors
- What is being tested?
- ABBV-706, Cisplatin and Budigalimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 288 participants
- Where
- 66 sitesin 10 countries
- Study dates
- 5 Dec 2022to Nov 2027
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- The laboratory values criteria must be met within 7 days prior to the first dose of study drug as per the protocol.
- QT interval corrected for heart rate (QTc) <= 450 msec (males) or <= 470 msec (females) using Fridericia's correction, and an ejection fraction of >= 50% as measured by echocardiogram or multigated acquisition (MUGA) scan at Screening.
- Part 1 only: Advanced recurrent or refractory solid tumors with potential SEZ6 expression including small cell lung cancer (SCLC), high-grade central nervous system (CNS) tumors (glioblastoma [GBM], IDH-wildtype Grade 4; oligodendroglioma, IDH-mutant, and 1p/19q-codeleted Grade 3; astrocytoma, IDH-mutant Grade 3 or Grade 4), neuroendocrine prostate cancer (NEPC), high-grade poorly differentiated gastroenteropancreatic neuroendocrine carcinoma (GEP-NEC)s, large cell neuroendocrine carcinoma (LCNEC)s, SCLC transformed from epidermal growth factor receptor (EGFR) mutant non-small cell lung cancer (NSCLC), atypical lung carcinoids, and other high-grade poorly differentiated NECs, who have progressed on or after standard of care (SoC) therapy and with no curative therapy available. For SCLC, participants must have histologically or cytologically confirmed SCLC that is relapsed or refractory following at least 1 prior platinum-containing chemotherapy.
- Part 2 only: Histologically or cytologically confirmed SCLC that is relapsed or refractory (R/R) following at least 1 prior platinum-containing chemotherapy and with no curative therapy available. For the purposes of this study, a line of therapy is defined as >= 1 complete cycle of either a single agent or combination of drugs, including any planned sequential therapy of various regimens.
- Part 3a only: SCLC or Grade 3 NETs and poorly differentiated NECs. Specific tumor types include but not limited to NEPC, GEP-NECs, LCNECs, SCLC transformed from EGFR mutant NSCLC, MTC, and other NECs (atypical lung carcinoids that have received prior chemotherapy are allowed)
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- Part 3b only: SCLC who have only progressed following a frontline regimen containing a platinum-based chemotherapy (i.e., second-line SCLC subjects) or Grade 3 NETs and poorly differentiated NECs. Specific tumor types include but not limited to NEPC, GEP-NECs, LCNECs, SCLC transformed from EGFR mutant NSCLC, MTC, and other NECs (atypical lung carcinoids that have received prior chemotherapy are allowed)tumors (GBM, IDH-wildtype Grade 4; oligodendroglioma, IDH-mutant, and 1p/19q-codeleted Grade 3; astrocytoma, IDH-mutant Grade 3 or Grade 4) who have progressed on SoC therapy and with no curative therapy options available.
- Part 4b only: Grade 3 NETs and poorly differentiated NECs. Specific tumor types include but not limited to NEPC, GEP-NECs, LCNECs, SCLC transformed from EGFR mutant NSCLC, MTC, and other NECs (atypical lung carcinoids that have received prior chemotherapy are allowed)
- Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 for participants with extracranial solid tumors or Response Assessment for Neuro-Oncology (RANO)for participants with primary high-grade CNS tumors (GBM, IDH-wildtype Grade 4; oligodendroglioma, IDH-mutant, and 1p/19q-codeleted Grade 3; astrocytoma, IDH-mutant Grade 3 or Grade 4).
- Primary CNS tumors within 12 weeks from radiation therapy should have unequivocal progression as documented by either tumor recurrence predominantly outside of radiation field on magnetic resonance imaging (MRI) or confirmed on tumor biopsy.
- Participants with brain metastases from an extracranial solid tumor are eligible if the brain metastases as outlined in the protocol.
- Fresh or archival tumor tissue available for submission, for retrospective SEZ6 expression analysis as outlined in the protocol.
Who cannot join
- History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, nor any evidence of active ILD or pneumonitis.
- History of idiopathic pulmonary fibrosis or organizing pneumonia.
- Prior treatment with an antibody drug conjugate that consists of a Top1 inhibitor payload.
- Part 2 only: Prior treatment with a SEZ6-targeted antibody drug conjugate.
Trial locations and contacts
66 sites in 10 countries.
66 sites in 10 countries
United States22 sites
University of Chicago Medical Center /ID# 256334
Chicago, Illinois, 60637
UH Cleveland Medical Center /ID# 246641
Cleveland, Ohio, 44106
Barbara Ann Karmanos Cancer In /ID# 261799
Detroit, Michigan, 48201
Henry Ford Hospital /ID# 246648
Detroit, Michigan, 48202
City Of Hope Comprehensive Cancer Center /ID# 271295
Duarte, California, 91030
Duke Cancer Center /ID# 246285
Durham, North Carolina, 27710
Fort Wayne Medical Oncology and Hematology, Inc /ID# 260130
Fort Wayne, Indiana, 46804
Banner MD Anderson Cancer Ctr /ID# 260129
Gilbert, Arizona, 85234
START Midwest /ID# 251257
Grand Rapids, Michigan, 49546-7062
University of Texas MD Anderson Cancer Center /ID# 246287
Houston, Texas, 77030
University of Iowa Hospitals and Clinics /ID# 246638
Iowa City, Iowa, 52242
City of Hope - Orange County Lennar Foundation Cancer Center /ID# 259884
Irvine, California, 92618
St. Lukes Hosp. of Kansas City /ID# 259958
Kansas City, Missouri, 64111
Tennessee Oncology, PLLC /ID# 246283
Nashville, Tennessee, 37203
Yale New Haven Hospital /ID# 246647
New Haven, Connecticut, 06510
Memorial Sloan Kettering Cancer Center-Koch Center /ID# 246303
New York, New York, 10065-6007
Univ Oklahoma HSC /ID# 250884
Oklahoma City, Oklahoma, 73117
University of Utah /ID# 246640
Salt Lake City, Utah, 84112-5500
South Texas Accelerated Research Therapeutics /ID# 248946
San Antonio, Texas, 78229
Washington University-School of Medicine /ID# 246286
St Louis, Missouri, 63110
Northwest Medical Specialties - Tacoma /ID# 262801
Tacoma, Washington, 98405
Georgetown University Hospital /ID# 255352
Washington D.C., District of Columbia, 20007
Spain9 sites
Hospital HM Nou Delfos /ID# 264851
Barcelona, 08023
Hospital Universitario Vall de Hebron /ID# 258659
Barcelona, 08035
Hospital Santa Creu i Sant Pau /ID# 257294
Barcelona, 08041
Hospital Universitario Ramon y Cajal /ID# 257291
Madrid, 28034
Hospital Universitario Fundacion Jimenez Diaz /ID# 257295
Madrid, 28040
Hospital Universitario 12 de Octubre /ID# 258658
Madrid, 28041
Hospital Universitario HM Sanchinarro /ID# 258657
Madrid, 28050
Hospital Universitario Virgen del Rocio /ID# 256940
Seville, 41013
Hospital Clinico Universitario de Valencia /ID# 257290
Valencia, 46010
Japan8 sites
National Cancer Center Hospital /ID# 259418
Chuo-ku, Tokyo, 104-0045
National Cancer Center Hospital East /ID# 259417
Kashiwa-shi, Chiba, 277-8577
The Cancer Institute Hospital Of JFCR /ID# 260132
Koto-ku, Tokyo, 135-8550
Kyoto University Hospital /ID# 259419
Kyoto, Kyoto, 606-8507
National Hospital Organization Shikoku Cancer Center /ID# 261279
Matsuyama, Ehime, 791-0280
Hokkaido Cancer Center /ID# 261278
Sapporo, Hokkaido, 003-0804
Shizuoka Cancer Center /ID# 261277
Sunto-gun, Shizuoka, 411-8777
Wakayama Medical University Hospital /ID# 260131
Wakayama, Wakayama, 641-8510
China6 sites
Cancer Hospital - Chinese Academy Of Medical Sciences /ID# 270044
Beijing, Beijing Municipality, 100021
Shanghai Chest Hospital /ID# 270036
Shanghai, Shanghai Municipality, 200030
Shanghai East Hospital /ID# 268615
Shanghai, Shanghai Municipality, 200120
Shanghai Pulmonary Hospital /Id# 270039
Shanghai, Shanghai Municipality, 200433
First Affiliated Hospital of China Medical University /ID# 270041
Shenyang, Liaoning, 110001
Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 270038
Wuhan, Hubei, 430022
South Korea6 sites
National Cancer Center /ID# 248938
Goyang-si, Gyeonggido, 10408
Chonnam National University Hwasun Hospital /ID# 248943
Hwasun-gun, Jeonranamdo, 58128
CHA Bundang Medical Center /ID# 248939
Seongnam, Gyeonggido, 13496
Seoul National University Hospital /ID# 248940
Seoul, Seoul Teugbyeolsi, 03080
Samsung Medical Center /ID# 248936
Seoul, Seoul Teugbyeolsi, 06351
Yonsei University Health System Severance Hospital /ID# 248937
Seoul, 03722
Australia4 sites
Chris O'Brien Lifehouse /ID# 259087
Camperdown, New South Wales, 2050
The Kinghorn Cancer Centre /ID# 260874
Darlinghurst, New South Wales, 2010
Austin Health and Ludwig Institute for Cancer Research /ID# 255174
Heidelberg, Victoria, 3084
Peter MacCallum Cancer Ctr /ID# 259197
Melbourne, Victoria, 3000
France3 sites
Institut Bergonie /ID# 258655
Bordeaux, Gironde, 33000
Institut Régional du Cancer Montpellier /ID# 265086
Montpellier, 34298
Institut Gustave Roussy /ID# 260334
Villejuif, Val-de-Marne, 94805
Germany3 sites
Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin /ID# 259413
Berlin, 12203
Universitaetsklinikum Carl Gustav Carus Dresden /ID# 259414
Dresden, Saxony, 01307
Klinikum der Universitaet Muenchen - Campus Innenstadt /ID# 259412
Munich, Bavaria, 80336
Israel3 sites
Rambam Health Care Campus /ID# 255059
Haifa, 3109601
Hadassah Medical Center-Hebrew University /ID# 255147
Jerusalem, 91120
The Chaim Sheba Medical Center /ID# 254915
Ramat Gan, Tel Aviv, 5265601
Italy2 sites
Istituto Europeo Di Oncologia /ID# 256804
Milan, Milano, 20141
Fondazione IRCCS San Gerardo dei Tintori - Ospedale San Gerardo /ID# 258228
Monza, Monza E Brianza, 20052
About this study
Official title: A Phase 1 First-in-Human Study Evaluating Safety, Pharmacokinetics and Efficacy of ABBV-706 as Monotherapy and in Combination With Budigalimab (ABBV-181), Carboplatin, or Cisplatin in Adult Subjects With Advanced Solid Tumors
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess safety, tolerability, pharmacokinetics and preliminary efficacy of ABBV-706 as a monotherapy and in combination with budigalimab, carboplatin, or cisplatin.
ABBV-706 is an investigational drug being developed for the treatment of small cell lung cancer (SCLC), high-grade central nervous system (CNS) tumors and high-grade neuroendocrine carcinomas (NECs). There are multiple treatment arms in this study. Participants will either receive ABBV-706 as a single agent or in combination with budigalimab (another investigational drug), carboplatin or cisplatin at different doses. Approximately 319 adult participants will be enrolled in the study across sites worldwide.
Read more
In part 1 (dose escalation), ABBV-706 will be intravenously infused in escalating doses as a monotherapy until the maximum tolerated dose (MTD) is determined in participants with SCLC, high-grade CNS tumors, and high-grade NECs. In part 2, multiple doses will be selected from Part 1 and SCLC participants will be assigned to one of these doses in a randomized fashion to determine the recommended Phase 2 dose. In Part 3a, participants with SCLC or NECs will receive ABBV-706 in combination with budigalimab intravenously every 3 weeks. In Part 3b participants with SCLC or NECs will receive ABBV-706 in combination with either carboplatin or cisplatin intravenously. In Part 4a, participants with CNS tumors will receive ABBV-706 intravenously at a dose determined from Part 1. In Part 4b, participants with NECs will receive ABBV-706 intravenously at a dose selected from Part 1. The estimated duration of the study is up to 4 years.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, and scans.
- Conditions
- Advanced Solid Tumors
- Being tested
- ABBV-706, Cisplatin, Budigalimab, Carboplatin
- Keywords
- Advanced Solid Tumors, Small Cell Lung Cancer, Central Nervous System Tumors, ABBV-706, ABBV-181, Budigalimab, Platinum Chemotherapy Combination, Carboplatin, Cisplatin, Neuroendocrine Carcinomas, Cancer
- Medical subject headings
- Small Cell Lung Carcinoma, Central Nervous System Neoplasms, Carcinoma, Neuroendocrine, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ABBV-706Drug
Intravenous (IV) Infusion
CisplatinDrug
Intravenous infusion
BudigalimabDrug
Also called ABBV-181
IV Infusion
CarboplatinDrug
Intravenous infusion
| Study group | Role | What they receive |
|---|---|---|
| Part 1: ABBV-706 Monotherapy Dose Escalation | Experimental | Participants will receive escalating doses of ABBV-706 until doses for optimization are determined, as part of an approximately 2 year treatment period. Receives: Drug: ABBV-706 |
| Part 2: ABBV-706 Monotherapy Dose Optimization and Expansion | Experimental | Participants with small cell lung cancer will receive varying doses of ABBV-706 in a randomized manner until the recommended phase 2 dose (RP2D) is achieved, as part of an approximately 2 year treatment period.. Receives: Drug: ABBV-706 |
| Part 3a: ABBV-706 + Budigalimab | Experimental | Participants will receive ABBV-706 in combination with budigalimab, as part of an approximately 2 year treatment period. Receives: Drug: ABBV-706; Drug: Budigalimab |
| Part 3b: ABBV-706 + Platinum Chemotherapy | Experimental | Participants will receive ABBV-706 in combination with carboplatin or cisplatin, as part of an approximately 2 year treatment period. Receives: Drug: ABBV-706; Drug: Cisplatin; Drug: Carboplatin |
| Part 4a: ABBV-706 Monotherapy Dose Expansion CNS Tumors | Experimental | Participants with relapsed/refractory (R/R) central nervous system (CNS) tumors will receive ABBV-706 as a monotherapy at or below the maximum tolerated dose (MTD) maximum administered dose (MAD), as part of an approximately 2 year treatment period. Receives: Drug: ABBV-706 |
| Part 4b: ABBV-706 Monotherapy Dose Expansion NECs | Experimental | Participants with R/R neuroendocrine carcinomas (NECs) will receive IV Infused ABBV-706 as a monotherapy at or below the MTD/MAD, as part of an approximately 2 year treatment period. Receives: Drug: ABBV-706 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Adverse Events (AE)
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
Measured: Up to Approximately 2 Years
Maximum Observed Serum/Plasma Concentration (Cmax) of ABBV-706
Maximum observed serum/plasma concentration of ABBV-706.
Measured: Up to Approximately 2 Years
Time to Cmax (Tmax) of ABBV-706
Time to Cmax of ABBV-706.
Measured: Up to Approximately 2 Years
Terminal Phase Elimination Half-Life (t1/2) of ABBV-706
Terminal phase elimination half-life (t1/2) of ABBV-706.
Measured: Up to Approximately 2 Years
Area Under the Serum/Plasma Concentration-Time Curve (AUC) of ABBV-706
Area under the serum/plasma concentration-time curve of ABBV-706.
Measured: Up to Approximately 2 Years
Antidrug Antibodies (ADAs)
Incidence and concentration of anti-drug antibodies.
Measured: Up to Approximately 2 Years
Neutralizing Antibodies (nAbs)
Incidence and concentration of neutralizing antibodies.
Measured: Up to Approximately 2 Years
Percentage of Participants with Objective Response, for Participants with Extracranial Solid Tumors
Objective response is defined as participants achieving a confirmed best overall response of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 for for extracranial solid tumors per investigator assessment.
Measured: Up to Approximately 2 Years
Recommended Phase 2 Dose (RP2D) of ABBV-706
The RP2D will be determined using all available information, including, but not limited to, AEs, dose-limiting toxicities, pharmacokinetic parameters, clinical laboratory tests, and efficacy measures.
Measured: Up to Approximately 2 Years
Percentage of Participants with Objective Response for Participants with Central Nervous System (CNS) Tumors
Objective response is as participants achieving a confirmed best overall response of CR and PR according to Response Assessment for Neuro-Oncology (RANO), version 1.1 for CNS tumors per investigator assessment.
Measured: Up to Approximately 2 Years
Duration of response (DOR) for Participants with Confirmed CR/PR
For participants achieving a confirmed CR/PR, DOR is defined as the time from the initial response of CR/PR to disease progression or death of any cause, whichever occurs earlier.
Measured: Up to Approximately 2 Years
Percentage of Participants with Clinical Benefit
Clinical benefit is defined as a participant achieving CR/PR, or Stable Disease (SD).
Measured: Up to Approximately 2 Years
Progression-Free Survival (PFS)
PFS is defined as time from first study treatment to a documented disease progression, as determined by the investigator, or death due to any cause, whichever occurs earlier.
Measured: Up to Approximately 2 Years
Overall survival (OS)
OS is defined as time from first study treatment to death due to any cause.
Measured: Up to Approximately 2 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Oct 2022
- Study start5 Dec 2022
- Primary completionNov 2027 (estimated)
- Study completionNov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Advanced Solid TumorsStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 288 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05599984
- Sponsor's protocol ID
- M23-385
- Other IDs
- 2023-504598-18-00, 2023
- Status last verified
- May 2026
- First submitted
- 28 Oct 2022
- Last updated
- 7 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Byers LA, Cho BC, Cooper AJ, Chiang AC, Han JY, Furqan M, Dowlati A, Morgensztern D, Papadopoulos KP, Choudhury NJ, Vieito M, Bar J, Kim JH, Akerley W, Kim TM, Kim YC, Paz-Ares L, Ahn MJ, Yokouchi H, Meiman D, Munasinghe W, Ogunyankin O, Jahchan N, Wang S, Ferlini C, Robinson RR, Kohlhapp FJ, Palenski T, Rivell G, Hingorani P, Chandana S. SEZ6-targeting antibody-drug conjugate ABBV-706 in advanced small cell lung cancer and solid tumors: a phase 1 trial. Nat Med. 2026 Aug;32(8):2898-2908. doi: 10.1038/s41591-026-04452-0. Epub 2026 Jun 1.
PubMed 42225988
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 First-in-Human Study Evaluating Safety, Pharmacokinetics and Efficacy of ABBV-706 as Monotherapy and in Combination With Budigalimab (ABBV-181), Carboplatin, or Cisplatin in Adult Subjects With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT05599984
- Acronym / sponsor ID
- M23-385
- Conditions
- Advanced Solid Tumors
- Keywords
- Advanced Solid Tumors, Small Cell Lung Cancer, Central Nervous System Tumors, ABBV-706, ABBV-181, Budigalimab, Platinum Chemotherapy Combination, Carboplatin
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 288 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 5 Dec 2022 (actual)
- Primary completion
- Nov 2027 (estimated)
- Study completion
- Nov 2027 (estimated)
- First posted
- 31 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess safety, tolerability, pharmacokinetics and preliminary efficacy of ABBV-706 as a monotherapy and in combination with budigalimab, carboplatin, or cisplatin.
ABBV-706 is an investigational drug being developed for the treatment of small cell lung cancer (SCLC), high-grade central nervous system (CNS) tumors and high-grade neuroendocrine carcinomas (NECs). There are multiple treatment arms in this study. Participants will either receive ABBV-706 as a single agent or in combination with budigalimab (another investigational drug), carboplatin or cisplatin at different doses. Approximately 319 adult participants will be enrolled in the study across sites worldwide.
In part 1 (dose escalation), ABBV-706 will be intravenously infused in escalating doses as a monotherapy until the maximum tolerated dose (MTD) is determined in participants with SCLC, high-grade CNS tumors, and high-grade NECs. In part 2, multiple doses will be selected from Part 1 and SCLC participants will be assigned to one of these doses in a randomized fashion to determine the recommended Phase 2 dose. In Part 3a, participants with SCLC or NECs will receive ABBV-706 in combination with budigalimab intravenously every 3 weeks. In Part 3b participants with SCLC or NECs will receive ABBV-706 in combination with either carboplatin or cisplatin intravenously. In Part 4a, participants with CNS tumors will receive ABBV-706 intravenously at a dose determined from Part 1. In Part 4b, participants with NECs will receive ABBV-706 intravenously at a dose selected from Part 1. The estimated duration of the study is up to 4 years.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, and scans.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Part 1: ABBV-706 Monotherapy Dose Escalation | Experimental | Drug: ABBV-706Participants will receive escalating doses of ABBV-706 until doses for optimization are determined, as part of an approximately 2 year treatment period. |
| Part 2: ABBV-706 Monotherapy Dose Optimization and Expansion | Experimental | Drug: ABBV-706Participants with small cell lung cancer will receive varying doses of ABBV-706 in a randomized manner until the recommended phase 2 dose (RP2D) is achieved, as part of an approximately 2 year treatment period.. |
| Part 3a: ABBV-706 + Budigalimab | Experimental | Drug: ABBV-706, Drug: BudigalimabParticipants will receive ABBV-706 in combination with budigalimab, as part of an approximately 2 year treatment period. |
| Part 3b: ABBV-706 + Platinum Chemotherapy | Experimental | Drug: ABBV-706, Drug: Cisplatin, Drug: CarboplatinParticipants will receive ABBV-706 in combination with carboplatin or cisplatin, as part of an approximately 2 year treatment period. |
| Part 4a: ABBV-706 Monotherapy Dose Expansion CNS Tumors | Experimental | Drug: ABBV-706Participants with relapsed/refractory (R/R) central nervous system (CNS) tumors will receive ABBV-706 as a monotherapy at or below the maximum tolerated dose (MTD) maximum administered dose (MAD), as part of an approximately 2 year treatment period. |
| Part 4b: ABBV-706 Monotherapy Dose Expansion NECs | Experimental | Drug: ABBV-706Participants with R/R neuroendocrine carcinomas (NECs) will receive IV Infused ABBV-706 as a monotherapy at or below the MTD/MAD, as part of an approximately 2 year treatment period. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- The laboratory values criteria must be met within 7 days prior to the first dose of study drug as per the protocol.
- QT interval corrected for heart rate (QTc) <= 450 msec (males) or <= 470 msec (females) using Fridericia's correction, and an ejection fraction of >= 50% as measured by echocardiogram or multigated acquisition (MUGA) scan at Screening.
- Part 1 only: Advanced recurrent or refractory solid tumors with potential SEZ6 expression including small cell lung cancer (SCLC), high-grade central nervous system (CNS) tumors (glioblastoma [GBM], IDH-wildtype Grade 4; oligodendroglioma, IDH-mutant, and 1p/19q-codeleted Grade 3; astrocytoma, IDH-mutant Grade 3 or Grade 4), neuroendocrine prostate cancer (NEPC), high-grade poorly differentiated gastroenteropancreatic neuroendocrine carcinoma (GEP-NEC)s, large cell neuroendocrine carcinoma (LCNEC)s, SCLC transformed from epidermal growth factor receptor (EGFR) mutant non-small cell lung cancer (NSCLC), atypical lung carcinoids, and other high-grade poorly differentiated NECs, who have progressed on or after standard of care (SoC) therapy and with no curative therapy available. For SCLC, participants must have histologically or cytologically confirmed SCLC that is relapsed or refractory following at least 1 prior platinum-containing chemotherapy.
- Part 2 only: Histologically or cytologically confirmed SCLC that is relapsed or refractory (R/R) following at least 1 prior platinum-containing chemotherapy and with no curative therapy available. For the purposes of this study, a line of therapy is defined as >= 1 complete cycle of either a single agent or combination of drugs, including any planned sequential therapy of various regimens.
Key exclusion criteria (4 listed)
- History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, nor any evidence of active ILD or pneumonitis.
- History of idiopathic pulmonary fibrosis or organizing pneumonia.
- Prior treatment with an antibody drug conjugate that consists of a Top1 inhibitor payload.
- Part 2 only: Prior treatment with a SEZ6-targeted antibody drug conjugate.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ABBV-706Intravenous (IV) Infusion | Drug | Part 1: ABBV-706 Monotherapy Dose Escalation, Part 2: ABBV-706 Monotherapy Dose Optimization and Expansion, Part 3a: ABBV-706 + Budigalimab, Part 3b: ABBV-706 + Platinum Chemotherapy, Part 4a: ABBV-706 Monotherapy Dose Expansion CNS Tumors, Part 4b: ABBV-706 Monotherapy Dose Expansion NECs |
| CisplatinIntravenous infusion | Drug | Part 3b: ABBV-706 + Platinum Chemotherapy |
| BudigalimabAlso: ABBV-181IV Infusion | Drug | Part 3a: ABBV-706 + Budigalimab |
| CarboplatinIntravenous infusion | Drug | Part 3b: ABBV-706 + Platinum Chemotherapy |
Primary outcome
Percentage of Participants With Adverse Events (AE)
Time frame: Up to Approximately 2 Years
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
Maximum Observed Serum/Plasma Concentration (Cmax) of ABBV-706
Time frame: Up to Approximately 2 Years
Maximum observed serum/plasma concentration of ABBV-706.
Time to Cmax (Tmax) of ABBV-706
Time frame: Up to Approximately 2 Years
Time to Cmax of ABBV-706.
Terminal Phase Elimination Half-Life (t1/2) of ABBV-706
Time frame: Up to Approximately 2 Years
Terminal phase elimination half-life (t1/2) of ABBV-706.
Area Under the Serum/Plasma Concentration-Time Curve (AUC) of ABBV-706
Time frame: Up to Approximately 2 Years
Area under the serum/plasma concentration-time curve of ABBV-706.
Antidrug Antibodies (ADAs)
Time frame: Up to Approximately 2 Years
Incidence and concentration of anti-drug antibodies.
Neutralizing Antibodies (nAbs)
Time frame: Up to Approximately 2 Years
Incidence and concentration of neutralizing antibodies.
Percentage of Participants with Objective Response, for Participants with Extracranial Solid Tumors
Time frame: Up to Approximately 2 Years
Objective response is defined as participants achieving a confirmed best overall response of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 for for extracranial solid tumors per investigator assessment.
Recommended Phase 2 Dose (RP2D) of ABBV-706
Time frame: Up to Approximately 2 Years
The RP2D will be determined using all available information, including, but not limited to, AEs, dose-limiting toxicities, pharmacokinetic parameters, clinical laboratory tests, and efficacy measures.
Percentage of Participants with Objective Response for Participants with Central Nervous System (CNS) Tumors
Time frame: Up to Approximately 2 Years
Objective response is as participants achieving a confirmed best overall response of CR and PR according to Response Assessment for Neuro-Oncology (RANO), version 1.1 for CNS tumors per investigator assessment.
Duration of response (DOR) for Participants with Confirmed CR/PR
Time frame: Up to Approximately 2 Years
For participants achieving a confirmed CR/PR, DOR is defined as the time from the initial response of CR/PR to disease progression or death of any cause, whichever occurs earlier.
Percentage of Participants with Clinical Benefit
Time frame: Up to Approximately 2 Years
Clinical benefit is defined as a participant achieving CR/PR, or Stable Disease (SD).
Progression-Free Survival (PFS)
Time frame: Up to Approximately 2 Years
PFS is defined as time from first study treatment to a documented disease progression, as determined by the investigator, or death due to any cause, whichever occurs earlier.
Overall survival (OS)
Time frame: Up to Approximately 2 Years
OS is defined as time from first study treatment to death due to any cause.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2026.
- Derived from this study: PubMed 42225988Byers LA, Cho BC, Cooper AJ, Chiang AC, Han JY, Furqan M, Dowlati A, Morgensztern D, Papadopoulos KP, Choudhury NJ, Vieito M, Bar J, Kim JH, Akerley W, Kim TM, Kim YC, Paz-Ares L, Ahn MJ, Yokouchi H, Meiman D, Munasinghe W, Ogunyankin O, Jahchan N, Wang S, Ferlini C, Robinson RR, Kohlhapp FJ, Palenski T, Rivell G, Hingorani P, Chandana S. SEZ6-targeting antibody-drug conjugate ABBV-706 in advanced small cell lung cancer and solid tumors: a phase 1 trial. Nat Med. 2026 Aug;32(8):2898-2908. doi: 10.1038/s41591-026-04452-0. Epub 2026 Jun 1.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ABBVIE INC. study director
AbbVie
66 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing ABBV-706, Cisplatin and Budigalimab in people with Advanced Solid Tumors, run by AbbVie at 66 sites in 10 countries.
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 12 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 7 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 66 sites in United States, Spain, Japan, China, South Korea and 5 more countries. 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?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Adverse Events (AE) (time frame: Up to Approximately 2 Years). The study lists 14 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 NCT05599984, which also lists 1 linked publication.
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 7 May 2026.