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Advanced Solid TumorsPhase 1/2NCT06208410

A Clinical Study of JS105 in Combination With Other Anti-tumor Therapies in Patients With Solid Tumors

A Phase 1/2 study testing JS105, Fulvestrant injection and Dalpiciclib Isetionate Tablets in people with Advanced Solid Tumors, run by Risen (Suzhou) Pharma Tech 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 an open-label, multicenter, Phase Ib/II clinical study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of JS105 in combination with other anti-tumor therapies in patients with advanced solid tumors. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Advanced Solid Tumors
What is being tested?
JS105, Fulvestrant injection and Dalpiciclib Isetionate Tablets
Could I receive a placebo?
No, everyone receives an active treatment
How many people
306 participants
Where
1 siteChina
Study dates
11 Jan 2024to 26 Feb 2027
Phase
Phase 1/2
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Understand and voluntarily sign the informed consent form;
  • 18≤ age ≤ 75 years old, male or female;
  • Arms A and B, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
  • Patients with histologically or cytologically confirmed recurrent/metastatic HR-positive and HER2-negative breast cancer;
  • HER2 negative must meet one of the following: IHC 0, IHC 1+; IHC2+ should be further confirmed by in situ hybridization (ISH) to determine HER2 negative, and different tissue blocks can also be selected for re-testing;
  • ER-positive and/or PR-positive: ER-positive requires >10% of tumor cell nuclei in the whole section to express ER;
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  • For females, either postmenopausal or premenopausal/perimenopausal can be enrolled: postmenopausal, defined as meeting at least one of the following criteria: 1) age ≥ 60 years, 2) age < 60 years, and amenorrhea ≥ 12 months, and follicle-stimulating hormone and estradiol levels in the postmenopausal range in the absence of chemotherapy, endocrine therapy, or ovarian function suppression therapy, 3) prior bilateral oophorectomy. Premenopausal or perimenopausal (i.e., does not meet postmenopausal criteria) and meets the following criteria: Started at least 2 weeks before the first dose of study drug and continuously treated with luteinizing hormone-releasing hormone (LHRH) agonists (e.g., goserelin or leuprolide) for the duration of study treatment
  • For stage Ib, the patient has disease progression during or after prior endocrine therapy or other systemic therapy, with no limit on the number of prior lines of therapy;
  • For Group A Phase II, patients meet the following criteria: disease progression or recurrence during or after prior treatment with AI with or without CDK4/6 inhibitors, ≤2 lines of systemic therapy in advanced breast cancer, ≤1 line of chemotherapy (neoadjuvant/adjuvant chemotherapy is not counted as a line of chemotherapy), and > after completion of (neo)adjuvant endocrine therapy patients with recurrence at 12 months must receive 1 to 2 lines of systemic therapy for advanced disease to be enrolled;
  • For Group B stage II, patients who meet: recurrence during or ≤ 12 months after completion of (neo)adjuvant endocrine therapy or disease progression after receiving 1st line of endocrine therapy in the advanced stage, ≤ 1st line chemotherapy in the advanced breast cancer stage are allowed;
  • Arm C, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
  • Patients with histologically or cytologically confirmed recurrent/metastatic endometrial and cervical cancer;
  • Disease progression or intolerance to standard therapy after receiving ≥1 line of systemic therapy;
  • Group D, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
  • ■ Patients with histologically or cytologically confirmed recurrent/metastatic triple-negative breast cancer or patients with advanced gynecologic tumors (including patients with epithelial ovarian, fallopian tube or primary peritoneal cancer, endometrial cancer, and cervical cancer);
  • Disease progression or intolerance to standard therapy after receiving ≥1 line of systemic therapy;
  • For stage II, in the case of ovarian cancer, must be a platinum-resistant/platinum-refractory patient (defined as disease progression during or within 6 months of completion of platinum-containing chemotherapy) For groups A, B, and D, stage Ib can be enrolled regardless of whether PIK3CA is mutated or not, and stage II should have PIK3CA activating mutations, which are determined by the central laboratory to be PIK3CA activating mutations by the sponsor. The test results of the preferred tissue sample are used as the basis for enrollment, and for patients who are truly unable to provide a tissue sample that meets the requirements, a positive PIK3CA mutation of the ctDNA test is allowed as the basis for enrollment.
  • Arm E, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
  • Patients with histologically or cytologically confirmed recurrent/metastatic triple-negative breast cancer or epithelial ovarian, fallopian tube, or primary peritoneal cancer
  • Disease progression or intolerance to standard therapy after receiving ≥1 line of systemic therapy
  • For stage II, in the case of ovarian cancer, must be a platinum-resistant/platinum-refractory patient (defined as disease progression during or within 6 months of completion of platinum-containing chemotherapy)
  • Arm F, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
  • ■ Patients with histologically or cytologically confirmed recurrent/metastatic HER2-positive breast cancer;
  • ■ Disease progression or intolerance to standard therapy after receiving ≥1 line of anti-HER2 therapy;
  • Group G: including Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
  • Patients with histologically or cytologically confirmed triple-negative breast cancer, i.e., HER2, ER, PR are all negative;
  • Patients with first-diagnosed stage IV (AJCC 8th edition) or recurrent/metastatic triple-negative breast cancer who are not candidates for surgical treatment, and have not received prior systemic therapy for advanced disease;
  • Agree to provide tumor tissue and blood samples for PIK3CA mutation testing required for enrollment:
  • ■Tumor tissue specimens: fresh or archival unstained sections, preferably from tumor samples collected after the most recent disease progression or recurrence. Formalin-fixed, paraffin-embedded (FFPE) unstained sections (at least 5 surgical samples and 10 needle biopsy samples are recommended) are required. For patients who are unable to provide tissue samples or the number of sections is insufficient, it is necessary to communicate with the sponsor whether they can be enrolled;
  • ■Freshly collected pre-treatment blood sample of at least 10ml
  • All acute toxicities due to prior antineoplastic therapy, surgery, or radiotherapy, etc., resolved to Grade 0-1 (according to NCI CTCAE version 5.0) or the level specified by the enrollment/exclusion criteria. Except for alopecia, pigmentation, or other toxicities that, in the opinion of the investigator, do not pose a safety risk to the patient and do not affect treatment compliance;
  • At least one measurable lesion (only for Phase II cohort expansion phase) or non-measurable osteolytic or mixed bone lesion (for breast cancer patients only) that meets the requirements of RECIST v1.1;
  • Eastern Cooperative Oncology (ECOG) performance status score: 0 or 1;
  • Expected survival ≥ 12 weeks;
  • Ability to swallow oral medications (capsules and tablets) without chewing, breaking, crushing, opening, or otherwise altering the dosage form of the product;
  • Functions of vital organs, in line with the requirements:
  • No blood transfusion blood products or hematopoietic growth factors to correct the blood cell count within 14 days before the examination creatinine clearance was calculated using the Cockcroft/Gault formula: Creatinine clearance (mL/min) = (140-age)× Body weight (kg) ×(0.85 [females only]) 72 × serum creatinine (mg/dl) c. For patients with FPG ≥ 100 mg/dL and/or HbA1c ≥ 5.7% (eg, prediabetes threshold) during the screening period, lifestyle changes such as dietary prescription (eg, small and frequent meals, low-carb diet, high-fiber diet, etc.) and exercise are recommended according to ADA guidelines, and endocrinologist consultation is recommended.
  • Patients receiving anticoagulant therapy (such as low molecular weight heparin or warfarin) should be stable at the dose of anticoagulant drugs for at least 4 weeks without dose adjustment; e. Only urine routine showed urine protein ≥2+, and additional 24-hour urine protein quantification was required
  • Within 7 days before the first dose of study drug, females of childbearing potential must confirm that the serum HCG test is negative and non-lactating, and female patients, as well as male patients whose partner is a female of childbearing age, need to use highly effective contraception during study treatment and within 30 days after the last dose of JS105 or during the contraceptive period specified in the label of other antineoplastic drugs, whichever occurs later, (see section 10.3 for the definition of WOCBP);

Who cannot join

  • Prior treatment with PI3K/AKT/mTOR inhibitors, prior treatment with fulvestrant and other SERDs (applicable to phase II of group A and phase II of group B);
  • Patients with known hypersensitivity to JS105 and/or the corresponding group of combination drug components;
  • Received the following treatments before the first dose of the study drug:
  • 1) Major surgery or radiotherapy within 4 weeks, or anticipated major surgery (except tumor biopsy) or radiotherapy during the study; 2) Systemic chemotherapy within 4 weeks (6 weeks for nitrosourea or mitomycin; oral fluorouracil can be shortened to 2 weeks or 5 half-lives of the drug, whichever is longer), targeted therapy (small molecule targeted drugs can be shortened to 2 weeks or 5 half-lives of the drug, whichever is longer), immunotherapy or biological therapy; 3) Receiving endocrine therapy or proprietary Chinese medicine preparations with anti-tumor indications within 2 weeks.
  • 4) Other clinical investigational drugs (without placebo) within 4 weeks; 5) Vaccination with live attenuated vaccine within 4 weeks; 6) Received drug treatment with a known strong inhibitor or inducer of the isoenzyme CYP3A4 within 7 days (see Appendix 4 for a strong inhibitor or inducer of the isoenzyme CYP3A4); 7) Need for long-term use or use of ≥10mg/day prednisone and equivalent doses of systemic corticosteroids or immunosuppressive drugs within 2 weeks before the first dose; 4. Previous allogeneic bone marrow transplantation or solid organ transplantation; 5. Other malignancies other than study disease within 5 years before the first dose, except for malignancies that can be expected to heal after treatment (including but not limited to adequately treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell skin cancer, or ductal carcinoma in situ of the breast treated with radical surgery); 6. Patients with symptomatic, untreated, or ongoing central nervous system metastases requiring ongoing treatment (previously treated patients who have been stable for at least 3 months, have no disease progression as determined by imaging within 4 weeks before the first dose of the study, and all neurological symptoms have returned to baseline, have no evidence of new or enlarging brain metastases, and have stopped using radiation, surgery, or steroids at least 4 weeks before the first dose of study treatment, may be enrolled); 7. Pleural effusion, pericardial effusion, or ascites effusion (once a month or more frequent) that is uncontrolled or requires repeated drainage. Patients who need to be stable for at least 1 week before enrollment after drainage can be enrolled (stable is defined as no clear increase in pleural effusion without any intervention); 8. Concomitant and uncontrollable concomitant diseases, including but not limited to:
  • History of acute pancreatitis, history of chronic pancreatitis, or presence of pancreatic metastases within one year before screening;
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  • Presence of type I diabetes mellitus or history of uncontrolled type II diabetes;
  • Ongoing active infection, unexplained fever > 38.5°C
  • Severe cardiovascular disease, including but not limited to a history of stroke or transient ischemic attack, angina pectoris, or myocardial infarction within 6 months before the first dose of study treatment, documented history of congestive heart failure (New York Heart Association Class II-IV) or cardiomyopathy, uncontrolled cardiac arrhythmia, active ventricular arrhythmia requiring medication or related history, symptomatic coronary heart disease or unstable angina;
  • History of interstitial pneumonia, drug-induced pneumonia, radiation pneumonitis requiring steroid treatment, or active pneumonitis with clinical symptoms, or other moderate to severe lung diseases that seriously affect lung function;
  • Presence of gastrointestinal insufficiency or gastrointestinal disease that may affect the swallowing (taking) or absorption of the study drug (e.g., ulcerative disease, uncontrolled vomiting, diarrhea, malabsorption syndrome, small bowel resection, history of active inflammatory bowel disease (such as Crohn's disease or ulcerative colitis), etc.); 9. Known human immunodeficiency virus (HIV) positive patient or active hepatitis B or C, except for the following:
  • 1) Hepatitis B core antibody (HBcAb) positive and hepatitis B surface antigen (HBsAg) negative during the screening period can participate in this study; 2) Patients who are HBsAg positive and whose HBV DNA is less than the lower limit of detection can be enrolled, and the risk will be assessed by the investigator, if necessary, anti-HBV therapy should be received throughout the study treatment period to avoid viral activation; 3) Patients with positive HCV antibody can only be enrolled if the HCV RNA PCR test result is negative; 10. Female patients who are pregnant, lactating, or intend to become pregnant during the study; 11. Any other clinically significant disease or condition that, in the opinion of the investigator, could affect protocol compliance (such as a history of psychiatric illness or substance abuse), or affect the patient's signing of informed consent (such as drug use and substance abuse), or would be inappropriate to participate in this clinical study.

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
  • Henan Provincial Cancer Hospital

    Zhengzhou, Henan, 450000

    Jing Ding, NA, 0371-65588251, dingjing201305@163.com

    Min Yan

    Recruiting

Other trials in China

About this study

Official title: A Clinical Study of JS105 in Combination With Other Anti-tumor Therapies in Patients With Advanced Solid Tumors

This study is an open-label, multicenter, Phase Ib/II clinical study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of JS105 in combination with other anti-tumor therapies in patients with advanced solid tumors. Patients will be enrolled in two stages: a dose-escalation stage and a dose-expansion stage.

Being tested
JS105, Fulvestrant injection, Dalpiciclib Isetionate Tablets, Toripalimab Injection, Paclitaxel for Injection (Albumin Bound)

What participants receive

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

  • JS105Drug

    JS105 is administered once daily, orally

  • Fulvestrant injectionDrug

    Fulvestrant intramuscularly,The first cycle was injected once in D1 and D15, and then once in each cycle D1, and 28 days was 1 cycle

  • Dalpiciclib Isetionate TabletsDrug

    Dalpiciclib Isetionate Tablets, QD, oral, taken continuously for 21 days, then stopped for 7 days, 28 days for a cycle

  • Toripalimab InjectionDrug

    Toripalimab Injection,Intravenous infusion, once every 3 weeks, 21 days for 1 cycle

  • Paclitaxel for Injection (Albumin Bound)Drug

    Paclitaxel for Injection (Albumin Bound),Intravenous infusion, D1, 8, 15 infusion, every 28 days for a cycle

  • Fluzoparib CapsulesDrug

    Fluzoparib Capsules is administered once daily, orally

  • Pyrotinib Maleate TabletsDrug

    Pyrotinib Maleate Tablets is administered once daily, orally

  • Capecitabine TabletsDrug

    Capecitabine Tablets is administered once daily, orally

Study groups in NCT06208410
Study groupRoleWhat they receive
Arm A:JS105+Fulvestrant InjectionExperimentalJS105 administered orally, Fulvestrant intramuscularly
Receives: Drug: JS105; Drug: Fulvestrant injection
Arm B:JS105+Fulvestrant Injection+Dalpiciclib Isetionate TabletsExperimentalJS105 administered orally, Dalpiciclib administered orally, Fulvestrant intramuscularly
Receives: Drug: JS105; Drug: Fulvestrant injection; Drug: Dalpiciclib Isetionate Tablets
Arm C:JS105+Toripalimab InjectionExperimentalJS105 administered orally, Toripalimab intravenous infusion
Receives: Drug: JS105; Drug: Toripalimab Injection
Arm D:JS105+Paclitaxel for Injection (Albumin Bound)ExperimentalJS105 administered orally, Paclitaxel (Albumin Bound) intravenous infusion
Receives: Drug: JS105; Drug: Paclitaxel for Injection (Albumin Bound)
Arm E:JS105+Fluzoparib CapsulesExperimentalJS105 administered orally, Fluzoparib administered orally
Receives: Drug: JS105; Drug: Fluzoparib Capsules
Arm F:JS105+Pyrotinib Maleate Tablets+Capecitabine TabletsExperimentalJS105 administered orally, Pyrotinib administered orally,Capecitabine administered orally
Receives: Drug: JS105; Drug: Pyrotinib Maleate Tablets; Drug: Capecitabine Tablets
Arm G:JS105+Toripalimab Injection+Paclitaxel for Injection (Albumin Bound)ExperimentalJS105 administered orally, Toripalimab intravenous infusion, Paclitaxel (Albumin Bound) intravenous infusion
Receives: Drug: JS105; Drug: Toripalimab Injection; Drug: Paclitaxel for Injection (Albumin Bound)

What is being measured

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

  1. Dose-limiting toxicity

    Incidence and severity of DLT events.

    Measured: At the end of Cycle 1 (each cycle is 28 days)

  2. MTD

    Maximum tolerated dose

    Measured: At the end of Cycle 1 (each cycle is 28 days)

  3. RP2D

    Recommended phase II dose

    Measured: At the end of Cycle 1 (each cycle is 28 days)

  4. Incidence and severity of adverse events including serious adverse events

    Abnormal changes in clinical symptoms, vital signs, physical examination, laboratory tests, electrocardiograph and other examinations.

    Measured: Up to 2 years

Secondary outcomes (11)
  1. Objective Response Rate (ORR)

    Objective Response Rate (ORR) as Assessed by Investigator according to RECIST v1.1

    Measured: Up to 2 years

  2. Duration of Objective Response (DOR)

    Duration of Objective Response (DOR) as Assessed by Investigator according to RECIST v1.1

    Measured: Up to 2 years

  3. Disease Control Rate(DCR)

    Disease Control Rate(DCR)

    Measured: Up to 2 years

  4. Progression-Free Survival (PFS)

    Progression-Free Survival (PFS) as Determined by Investigator according to RECIST v1.1

    Measured: Up to 2 years

  5. Overall Survival (OS)

    Overall Survival (OS)

    Measured: Up to 2 years

  6. AUC of JS105,dalpiciclib and fluzoparib

    Area under the curve of JS105,dalpiciclib and fluzoparib

    Measured: At pre-defined intervals up to 2 years

  7. Tmax of JS105, dalpiciclib and fluzoparib

    Time to reach maximum concentration of JS105,dalpiciclib and fluzoparib

    Measured: At pre-defined intervals up to 2 years

  8. Cmax of JS105,dalpiciclib and fluzoparib

    Maximum Plasma Concentration (Cmax) of JS105, dalpiciclib and fluzoparib

    Measured: At pre-defined intervals up to 2 years

  9. Vz/F of JS105, dalpiciclib and fluzoparib

    Apparent volume of distribution of JS105, dalpiciclib and fluzoparib

    Measured: At pre-defined intervals up to 2 years

  10. Clearance(CL) of JS105, dalpiciclib and fluzoparib

    Clearance(CL) of JS105, dalpiciclib and fluzoparib

    Measured: At pre-defined intervals up to 2 years

  11. Half-life(T1/2) of JS105, dalpiciclib and fluzoparib

    Half-life(T1/2) of JS105, dalpiciclib and fluzoparib

    Measured: At pre-defined intervals up to 2 years

Timeline

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

  1. First posted17 Jan 2024
  2. Study start11 Jan 2024
  3. Primary completion26 Feb 2027 (estimated)
  4. Study completion26 Feb 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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
306 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06208410
Sponsor's protocol ID
JS105-002-Ib/II
Status last verified
Jul 2025
First submitted
18 Dec 2023
Last updated
25 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing JS105, Fulvestrant injection and Dalpiciclib Isetionate Tablets in people with Advanced Solid Tumors, run by Risen (Suzhou) Pharma Tech Co., Ltd. at 1 site in China.

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 39 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 25 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose-limiting toxicity (time frame: At the end of Cycle 1 (each cycle is 28 days)). The study lists 4 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 25 Jul 2025.

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