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Gynecological MalignanciesPhase 1/2NCT06131450

A Study of BL-M07D1 in Patients With Recurrent or Metastatic Gynecologic Malignancies

A Phase 1/2 study testing BL-M07D1 in people with Gynecological Malignancies, run by Sichuan Baili Pharmaceutical Co., Ltd. at 1 site in China.

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 study is a single-arm, open, multicenter, non-randomized phase Ib/II clinical study evaluating the efficacy and safety of BL-M07D1 for injection in patients with recurrent or metastatic gynecologic malignancies. Read more about this study

Who is it for?
Ages 18 to 75 years, women only
Conditions the study is for
Gynecological Malignancies
What is being tested?
BL-M07D1
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
158 participants
Where
1 siteChina
Study dates
29 Feb 2024to Dec 2027
Phase
Phase 1/2

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 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Sign the informed consent form voluntarily and follow the protocol requirements;
  • Female;
  • Age: ≥18 years old and ≤75 years old;
  • Expected survival time ≥3 months;
  • patients with recurrent or metastatic HER2-positive/low-expression gynecologic malignancies who have failed or are intolerant to standard treatment or who currently have no standard treatment;
  • The histopathology of gynecological malignant tumors should meet the following conditions: HER2 positive; Low expression of HER2;
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  • Consent to provide archived tumor tissue samples or fresh tissue samples of primary or metastatic lesions within 2 years;
  • At least one measurable lesion meeting the RECIST v1.1 definition was required;
  • ECOG score 0 or 1;
  • The toxicity of previous antineoplastic therapy has returned to ≤ grade 1 defined by NCI-CTCAE v5.0;
  • No severe cardiac dysfunction, left ventricular ejection fraction ≥50%;
  • No blood transfusion, use of any cell growth factors and/or platelet-raising drugs were allowed within 14 days before screening, and the organ function level had to be acceptable;
  • Urinary protein ≤2+ or ≤1000mg/24h;
  • albumin ≥30 g/L;
  • Women who are likely to give birth must have negative serum/urine pregnancy within 7 days before treatment and must be non-lactating; All enrolled patients should have adequate contraception throughout the treatment cycle and for 6 months after the end of treatment.

Who cannot join

  • had received anti-tumor therapy before the first dose; Mitomycin and nitrosoureas; Oral fluorouracils; Palliative radiotherapy; Anti-tumor traditional Chinese medicine or Chinese patent medicine;
  • had received prior ADC drug therapy with camptothecin derivative (topoisomerase I inhibitor) as toxin;
  • had a history of serious cardiovascular and cerebrovascular diseases;
  • active autoimmune or inflammatory diseases;
  • Patients with other malignant tumors within 5 years before the first administration, except cured skin squamous cell carcinoma, basal cell carcinoma, superficial bladder cancer and prostate/cervix/breast cancer in situ;
  • Unstable thrombotic events such as deep vein thrombosis, arterial thrombosis, and pulmonary embolism requiring medical intervention within 6 months before screening;
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  • patients with massive or symptomatic effusions or poorly controlled effusions;
  • Hypertension poorly controlled by antihypertensive drugs (systolic blood pressure \> 150 mmHg or diastolic blood pressure \> 100 mmHg);
  • Current interstitial lung disease, drug-induced interstitial pneumonia, radiation pneumonitis requiring steroid therapy, or a history of these diseases;
  • patients with central nervous system (CNS) metastases and/or carcinomatous meningitis (meningeal metastases);
  • patients with a history of allergy to recombinant humanized antibody or human-mouse chimeric antibody or to any ingredient of BL-M07D1;
  • patients received previous organ transplantation or allogeneic hematopoietic stem cell transplantation (Allo-HSCT);
  • HIVAb positive, active tuberculosis, active hepatitis B virus infection, or active hepatitis C virus infection;
  • active infections requiring systemic therapy, such as severe pneumonia, bacteremia, sepsis, etc.;
  • had participated in another clinical trial within 4 weeks before the first dose;
  • pregnant or lactating women;
  • The investigator did not consider it appropriate to apply other criteria for participation in the trial.

Trial locations and contacts

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

China1 site, 1 recruiting
  • Cancer Hospital, Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality

    Lingying Wu

    Recruiting

Other trials in China

About this study

Official title: A Phase Ib/II Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of BL-M07D1 for Injection in Patients With Recurrent or Metastatic Gynecologic Malignancies

This study is a single-arm, open, multicenter, non-randomized phase Ib/II clinical study evaluating the efficacy and safety of BL-M07D1 for injection in patients with recurrent or metastatic gynecologic malignancies.

Being tested
BL-M07D1

What participants receive

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

  • BL-M07D1Drug

    Administration by intravenous infusion

Study groups in NCT06131450
Study groupRoleWhat they receive
BL-M07D1ExperimentalParticipants receive BL-M07D1 as intravenous infusion for the first cycle (3 weeks). Participants with clinical benefit could receive additional treatment for more cycles. The administration will be terminated because of disease progression or intolerable toxicity occurring or other reasons.
Receives: Drug: BL-M07D1

What is being measured

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

  1. Phase Ib: Recommended Phase II Dose (RP2D)

    The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for phase II study, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation study of BL-M07D1.

    Measured: Up to approximately 24 months

  2. Phase II: Objective Response Rate (ORR)

    ORR is defined as the percentage of participants, who has a CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions). The percentage of participants who experiences a confirmed CR or PR is according to RECIST 1.1.

    Measured: Up to approximately 24 months

Secondary outcomes (9)
  1. Treatment-Emergent Adverse Event (TEAE)

    TEAE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally emerging, or any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition during the treatment of BL-M07D1. The type, frequency and severity of TEAE will be evaluated during the treatment of BL-M07D1.

    Measured: Up to approximately 24 months

  2. Phase Ib: Objective Response Rate (ORR)

    ORR is defined as the percentage of participants, who has a CR (disappearance of all target lesions) or PR (at least a 30% decrease in the sum of diameters of target lesions). The percentage of participants who experiences a confirmed CR or PR is according to RECIST 1.1.

    Measured: Up to approximately 24 months

  3. Disease Control Rate (DCR)

    The DCR is defined as the percentage of participants who has a CR, PR, or Stable Disease (SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease [PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD]).

    Measured: Up to approximately 24 months

  4. Duration of Response (DOR)

    The DOR for a responder is defined as the time from the participant's initial objective response to the first date of either disease progression or death, whichever occurs first.

    Measured: Up to approximately 24 months

  5. Progression-free Survival (PFS)

    The PFS is defined as the time from the participant's first dose of BL-M07D1 to the first date of either disease progression or death, whichever occurs first.

    Measured: Up to approximately 24 months

  6. Cmax

    Maximum serum concentration (Cmax) of BL-M07D1 will be investigated.

    Measured: Up to approximately 24 months

  7. Tmax

    Time to maximum serum concentration (Tmax) of BL-M07D1 will be investigated.

    Measured: Up to approximately 24 months

  8. Ctrough

    Ctrough is defined as the lowest serum concentration of BL-M07D1 prior to the next dose will be administered.

    Measured: Up to approximately 24 months

  9. ADA (anti-drug antibody)

    Frequency of anti-BL-M07D1 antibody (ADA) will be investigated.

    Measured: Up to approximately 24 months

Timeline

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

  1. First posted14 Nov 2023
  2. Study start29 Feb 2024
  3. Primary completionJan 2027 (estimated)
  4. Study completionDec 2027 (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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
158 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06131450
Sponsor's protocol ID
BL-M07D1-203
Status last verified
Oct 2026
First submitted
9 Nov 2023
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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