Advanced/Metastatic Solid TumorsPhase 1CLINCHNCT05718895
A Study of ATG-022 in Patients With Advanced/Metastatic Solid Tumors
A Phase 1 study testing ATG-022 in people with Advanced/Metastatic Solid Tumors, run by Antengene Biologics Limited at 22 sites in 2 countries.
Trial summary
This is an Open, Multi-center, Phase I Clinical Study of ATG 022 in Patients with Advanced/metastatic Solid Tumors Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced/Metastatic Solid Tumors
- What is being tested?
- ATG-022
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 156 participants
- Where
- 22 sitesin 2 countries
- Study dates
- 27 Mar 2023to 30 Dec 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
- Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling, and analyses.
- Aged at least 18 years as of the date of consent.
- Histological or cytological confirmation of a solid tumor, and have progressed despite standard therapy(ies), or are intolerant to standard therapy(ies), or not applicable for standard therapy(ies).
- Dose Escalation Phase: all solid tumors.
- Dose Expansion Phase: Claudin 18.2 positive solid tumors.
- Subjects should be willing to receive a biopsy at screening, if no former available tumor tissue samples within 36 months prior to participating in the study are provided.
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- At least 1 measurable lesion per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.
- Estimated life expectancy of a minimum of 12 weeks.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 .
- Females should be using adequate contraceptive measures until 180 days after the end of treatment, should not be breastfeeding, and must have a negative pregnancy test prior to the start of dosing if of child-bearing potential or must have evidence of nonchild-bearing potential by fulfilling one of the following criteria at screening
- Male subjects should be willing to use effective contraception, ie condoms, for the duration of the study and 180 days after the final dose of study treatment.
Who cannot join
- Primary central nervous system disease or central nervous system metastatic disease.
- Prior exposure to a Claudin 18.2 targeting agent.
- Prior therapy with any chemotherapy, immunotherapy, anticancer agents, or investigational products from a previous clinical study within 28 days of the first dose of study treatment or within a period during which the investigational product or systemic anticancer treatment has not been cleared from the body (eg, a period of 5 'half-lives'.
- Prior vaccination within 28 days of the first dose of study therapy.
- Prior any solid organ transplant. Autologous stem cell transplant or CAR-T cell infusion < 6 months prior to the first dose of study treatment.
- Active infection including hepatitis B, and/or hepatitis C.
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- Known history of human immunodeficiency virus (HIV) infection.
- Any unresolved toxicities from prior therapy greater than Grade 1 at the time of ICF signature, with the exception of alopecia.
- Pregnant or nursing females.
- History of hypersensitivity or history of allergic reactions attributed to drugs with a similar chemical or biologic structure or class to ATG-022.
- Other primary malignancies developed within 5 years prior to the first dose of the study drug, except locally curable malignancies after radical treatment .
- In the opinion of the investigator, subject's complications, or other conditions (psychological, familial, sociological, or geographical etc.) may affect protocol compliance or may be unsuitable for participation in the study.
Trial locations and contacts
22 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
Sunny He contact
22 sites in 2 countries
China19 sites, 19 recruiting
- Recruiting
Beijing GoBroad Hospital
Beijing
Ming Lu, MD, qiminglu_mail@126.com
Ming Lu, MD
- Recruiting
West China Hospital, Sichuan University
Chengdu
Li Zheng, MD, 18980601950@163.com
Li Zheng, MD
- Recruiting
Fujian Cancer Hospital
Fuzhou
Rongbo Lin, MD, Rongbo_lin@163.com
Rongbo Lin, MD
- Recruiting
Anhui Provincial Hospital
Hefei
Gang Wang, MD, wanggang829@126.com
Gang Wang, MD
- Recruiting
The First Affiliated Hospital of Anhui Medical University
Hefei
Kangsheng Gu, MD, 13805692145@163.com
Kangsheng Gu, MD
- Recruiting
Jinan Central Hospital
Jinan
Meili Sun, MD, smli1980@163.com
Meili Sun, MD
- Recruiting
Gansu provincial cancer hospital [recruiting]
Lanzhou
Yuhua Liu, MD, tianlujyx@163.com
Yuhua Liu, MD
- Recruiting
The Affiliated Hospital of Qingdao University
Qingdao
Jing Lv, MD, qdfy82912773@126.com
Jing Lv, MD
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai
Hongxia Wang, MD, whx365@126.com
Hongxia Wang, MD
- Recruiting
Tongren Hospital Shanghai
Shanghai
Jianjun Zhang, MD, robustzhang168@aliyun.com
Jianjun Zhang, MD
- Recruiting
Liaoning Cancer Hospital
Shenyang
Jingdong Zhang, MD, jdzhang@cancerhosp-ln-cmu.com
Jingdong Zhang, MD
- Recruiting
The Fourth Hospital of Hebei Medical University
Shijiangzhuang
Qun Zhao, MD, zhaoqun516@126.com
Qun Zhao, MD
- Recruiting
Shanxi provincial cancer hospital
Taiyuan
Jinfeng Ma, MD, mjinfeng99@163.com
Jinfeng Ma, MD
- Recruiting
Tianjin Medical Universuty Cancer Institute & Hospital
Tianjin
Ting Deng, MD, xymcdengting@126.com
Ting Deng, MD
- Recruiting
Hubei Cancer Hospital
Wuhan
Xinjun Liang, MD, 459992533@qq.com
Xinjun Liang, MD
- Recruiting
The First affiliated hospital of Xi'An Jiao Tong Ubiversity
Xi'an
Aili Suo, MD, Ailisuo@mail.xjtu.edu.cn
Aili Suo, MD
- Recruiting
Xuzhou Central Hospital
Xuzhou
Yuan Yuan, MD, wwww8866@163.com
Yuan Yuan, MD
- Recruiting
General Hospital of Ningxia Medical University
Yinchuan
Ping Chen, MD, Chenping2536@qq.com
Ping Chen, MD
- Recruiting
The First Affiliated Hospital of Zhenghzou University
Zhengzhou
Yanru Qin, MD, yanruqin@163.com
Yanru Qin, MD
Australia3 sites, 2 recruiting
- Completed
Cancer Research SA Pty Ltd
Adelaide
- Recruiting
Cabrini Health Limited
Malvern
Deb Macdonald, researchgovernance@cabrini.com.au
SHEHARA MENDIS, MD
- Recruiting
Integrated Clinical Oncology Network Pty Ltd (Icon)
South Brisbane
Senior Operations Manager, CFRemittances@Icon.team
Jermaine COWARD
About this study
Official title: An Open, Multi-center, Phase I Clinical Study of ATG 022 in Patients With Advanced/Metastatic Solid Tumors
This is an Open, Multi-center, Phase I Clinical Study of ATG 022 in Patients with Advanced/metastatic Solid Tumors
Read the detailed description
This is a Phase I, multi-center, open-label, dose-finding study of ATG-022 in patients with advanced solid tumours. The study design includes a Dose Escalation Phase which will enroll subjects with advanced/metastatic solid tumors, and a Dose Expansion Phase which will enroll select advanced/metastatic solid tumors with Claudin 18.2-positive expression at the defined maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) to further evaluate the safety, tolerability, and efficacy of ATG-022.
- Conditions
- Advanced/Metastatic Solid Tumors
- Being tested
- ATG-022
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ATG-022Drug
Dose Escalation Phase:
A treatment cycle of ATG-022 will be defined as 21 days. Dosing will begin at 0.3 mg/kg once every 3 weeks (Q3W) with 1 subject ,the following dose cohorts (0.9, 1.8, 2.4, 3.0, and 3.6 mg/kg Q3W) will require at least 3 and up to 6 evaluable subjects by using dose escalation plan of "3+3" design.
| Study group | Role | What they receive |
|---|---|---|
| ATG-022 | Experimental | Dose Escalation Phase:
for subjects with solid tumors,approximately 16-36 subjects will be enrolled .
Dose Expansion Phase:
The tumor types in the Dose Expansion Phase may involve other tumor types based on the signals from the Dose Escalation Phase. The total number of patients in dose expansion will be up to approximately 120 patients. Receives: Drug: ATG-022 |
What is being measured
The primary outcome is the main question the study is designed to answer.
DLT
Number of Participants with Dose Limiting Toxicity
Measured: Up to 21 Days
MTD
Maximum Tolerated Dose
Measured: Up to 21 Days
RP2D
RP2D= Recommended Phase 2 Dose
Measured: Up to 21 Days
Secondary outcomes (3)
PFS
Progression Free Survival
Measured: 12 months after the last subject enrolled
ORR
Overall Response Rate
Measured: 12 months after the last subject enrolled
DOR
Duration of Response
Measured: 12 months after the last subject enrolled
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2023
- Study start27 Mar 2023
- Primary completion30 Dec 2027 (estimated)
- Study completion30 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced/Metastatic Solid TumorsStudies of the same condition, open and under way.
- 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
- Not applicable
- Intervention model
- Sequential
- Model description
- A treatment cycle of ATG-022 will be defined as 21 days. Dosing will begin at 0.3 mg/kg Q3W with 1 subject
- Masking
- None (open label)
- Enrolment
- 156 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Antengene Biologics Limited
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05718895
- Sponsor's protocol ID
- ATG-022-ST-001
- Acronym
- CLINCH
- Status last verified
- Apr 2026
- First submitted
- 17 Jan 2023
- Last updated
- 15 Apr 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open, Multi-center, Phase I Clinical Study of ATG 022 in Patients With Advanced/Metastatic Solid Tumors
- ClinicalTrials.gov ID
- NCT05718895
- Acronym / sponsor ID
- CLINCH / ATG-022-ST-001
- Conditions
- Advanced/Metastatic Solid Tumors
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 156 participants (estimated)
- Lead sponsor
- Antengene Biologics LimitedIndustry (pharma, biotech, devices)
- Study start
- 27 Mar 2023 (actual)
- Primary completion
- 30 Dec 2027 (estimated)
- Study completion
- 30 Dec 2027 (estimated)
- First posted
- 8 Feb 2023 (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.
This is an Open, Multi-center, Phase I Clinical Study of ATG 022 in Patients with Advanced/metastatic Solid Tumors
Detailed description
This is a Phase I, multi-center, open-label, dose-finding study of ATG-022 in patients with advanced solid tumours. The study design includes a Dose Escalation Phase which will enroll subjects with advanced/metastatic solid tumors, and a Dose Expansion Phase which will enroll select advanced/metastatic solid tumors with Claudin 18.2-positive expression at the defined maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) to further evaluate the safety, tolerability, and efficacy of ATG-022.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- A treatment cycle of ATG-022 will be defined as 21 days. Dosing will begin at 0.3 mg/kg Q3W with 1 subject
| Arm | Type | Receives |
|---|---|---|
| ATG-022 | Experimental | Drug: ATG-022Dose Escalation Phase: for subjects with solid tumors,approximately 16-36 subjects will be enrolled . Dose Expansion Phase: The tumor types in the Dose Expansion Phase may involve other tumor types based on the signals from the Dose Escalation Phase. The total number of patients in dose expansion will be up to approximately 120 patients. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling, and analyses.
- Aged at least 18 years as of the date of consent.
- Histological or cytological confirmation of a solid tumor, and have progressed despite standard therapy(ies), or are intolerant to standard therapy(ies), or not applicable for standard therapy(ies).
- Subjects should be willing to receive a biopsy at screening, if no former available tumor tissue samples within 36 months prior to participating in the study are provided.
- At least 1 measurable lesion per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.
Key exclusion criteria (12 listed)
- Primary central nervous system disease or central nervous system metastatic disease.
- Prior exposure to a Claudin 18.2 targeting agent.
- Prior therapy with any chemotherapy, immunotherapy, anticancer agents, or investigational products from a previous clinical study within 28 days of the first dose of study treatment or within a period during which the investigational product or systemic anticancer treatment has not been cleared from the body (eg, a period of 5 'half-lives'.
- Prior vaccination within 28 days of the first dose of study therapy.
- Prior any solid organ transplant. Autologous stem cell transplant or CAR-T cell infusion < 6 months prior to the first dose of study treatment.
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 |
|---|---|---|
| ATG-022Dose Escalation Phase: A treatment cycle of ATG-022 will be defined as 21 days. Dosing will begin at 0.3 mg/kg once every 3 weeks (Q3W) with 1 subject ,the following dose cohorts (0.9, 1.8, 2.4, 3.0, and 3.6 mg/kg Q3W) will require at least 3 and up to 6 evaluable subjects by using dose escalation plan of "3+3" design. | Drug | ATG-022 |
Primary outcome
DLT
Time frame: Up to 21 Days
Number of Participants with Dose Limiting Toxicity
MTD
Time frame: Up to 21 Days
Maximum Tolerated Dose
RP2D
Time frame: Up to 21 Days
RP2D= Recommended Phase 2 Dose
3 secondary outcomes
PFS
Time frame: 12 months after the last subject enrolled
ORR
Time frame: 12 months after the last subject enrolled
DOR
Time frame: 12 months after the last subject enrolled
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 15 Apr 2026.
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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.
Sunny He contact
22 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing ATG-022 in people with Advanced/Metastatic Solid Tumors, run by Antengene Biologics Limited at 22 sites in 2 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 11 inclusion and 12 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 15 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 22 sites in China, Australia. 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 Felix Li (021-32501095, felix.li@antengene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
DLT (time frame: Up to 21 Days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 15 Apr 2026.