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Solid Tumor, AdultPhase 1/2NCT06554795

First-in-human Study of DB-1419 for Advanced/Metastatic Solid Tumors

A Phase 1/2 study testing DB-1419 in people with Solid Tumor, Adult, run by DualityBio Inc. at 36 sites in 3 countries.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

A Phase 1/2a First-in-Human Study of DB-1419 in Advanced/Metastatic Solid Tumors Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor, Adult
What is being tested?
DB-1419
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
360 participants
Where
36 sitesin 3 countries
Study dates
3 Sep 2024to 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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged ≥ 18 years at the time of voluntarily signing informed consent.
  • Histologically or cytologically confirmed unresectable advanced/metastatic solid tumor that has relapsed or progressed on or after standard systemic treatments, or refused the standard treatment, or for which no standard treatment is available.
  • At least one measurable lesion as assessed by the Investigator according to RECIST v1.1 criteria (Only applicable to backfill participants in phase 1a and participants in phase 1b/2a). CRPC participants with bone-only disease may be eligible on a case-by-case basis after discussion with the Medical Monitor.
  • Has a life expectancy of ≥ 3 months.
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1.
  • Has LVEF ≥ 50% by either echocardiography (ECHO) or multiple-gated acquisition (MUGA) within 28 days before enrollment.
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  • Has adequate organ function within 7 days prior to the first dose of study treatment.
  • Has adequate treatment washout period prior to the first dose of study treatment.
  • Is willing to provide pre-existing resected tumor samples when available or undergo fresh tumor biopsy if feasible for the measurement of B7-H3 level and other biomarkers if no contraindication.
  • Note: there is no minimum B7-H3 expression level mandatory for entry into the study.
  • Is capable of comprehending study procedures and risks outlined in the informed consent and able to provide written consent and agree to comply with the requirements of the study and the schedule of assessments.
  • Male and female participants of reproductive/childbearing potential must agree to avoid pregnancy during the study and for at least 4 months and 7 months after the last dose of study treatment, respectively.
  • Male participants must not freeze or donate sperm starting at screening and throughout the study period, and at least 4 months after the final study treatment administration. Female participants must not donate, or retrieve for their own use, ova from the time of screening and throughout the study treatment period, and for at least 7 months after the final study treatment administration.

Who cannot join

  • Prior treatment with B7-H3 targeted therapy or prior treatment with ADC containing a topoisomerase I inhibitor payload.
  • Has a medical history of symptomatic congestive heart failure (New York Heart Association [NYHA] classes II-IV or serious cardiac arrhythmia requiring treatment.
  • Has a medical history of myocardial infarction or unstable angina within 6 months before enrollment.
  • Has an average of Fredericia's formula-QT corrected interval (QTcF) prolongation to > 470 millisecond (ms) in males and females based on a 12-lead electrocardiogram (ECG) in triplicate.
  • Has a medical history of interstitial lung diseases (e.g., non-infectious interstitial pneumonia, pneumonitis, pulmonary fibrosis, and severe radiation pneumonitis which needs glucocorticoids and antibiotics) or current interstitial lung diseases or who are suspected to have these diseases by imaging at screening.
  • Has a history of underlying pulmonary disorder including, but not limited to, pulmonary emboli within 3 months of the start of study treatment, severe asthma, severe COPD, restrictive lung disease, and other clinically significant pulmonary compromise or requirement for supplemental oxygen.
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  • Has an active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is allowed.
  • Has an uncontrolled infection requiring intravenous injection of antibiotics, antivirals, or antifungals within 2 weeks before first dose of study treatment.
  • Know human immunodeficiency virus (HIV) infection.
  • Has active viral hepatitis.
  • Is a lactating mother, or pregnant as confirmed by pregnancy tests performed within 7 days prior to enrollment.
  • Has spinal cord compression or clinically active central nervous system (CNS) metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms. Participants with asymptomatic CNS metastases who are radiologically and neurologically stable for at least 4 weeks following CNS-directed therapy, and are on stable or decreasing doses of corticosteroids equivalent to ≤10 mg/day prednisone are eligible for study entry.
  • Has unresolved toxicities from previous anticancer therapy, defined as toxicities (other than alopecia) not yet resolved to NCI-CTCAE v 5.0, Grade ≤ 1 or baseline.
  • Has a prior history of immune-related adverse event that required permanent immune checkpoint inhibitor discontinuation per NCCN guidelines.
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

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

36 sites in 3 countries

China24 sites, 24 recruiting
  • Site CHN28-0

    Beijing, Beijing Municipality, 100142

    Not yet recruiting
  • Site CHN21-0

    Changsha, Hunan, 410011

    Recruiting
  • Site CHN18-0

    Chengdu, Sichuan, 610041

    Recruiting
  • Site CHN16-0

    Chongqing, Chongqing Municipality, 400030

    Recruiting
  • Site CHN20-0

    Fuzhou, Fujian, 350000

    Recruiting
  • Site CHN17-0

    Hangzhou, Zhejiang, 310005

    Not yet recruiting
  • Site CHN37-0

    Hangzhou, Zhejiang, 310009

    Not yet recruiting
  • Site CHN08-0

    Harbin, Heilongjiang, 150001

    Recruiting
  • Site CHN23-0

    Harbin, Heilongjiang, 150001

    Not yet recruiting
  • Site CHN24-0

    Hefei, Anhui, 230000

    Not yet recruiting
  • Site CHN39-0

    Hefei, Anhui, 230031

    Not yet recruiting
  • Site CHN13-0

    Jilin City, Changchun, 130000

    Not yet recruiting
  • Site CHN29-0

    Jinan, Shandong, 250117

    Not yet recruiting
  • Site CHN19-0

    Kunming, Yunnan, 650118

    Not yet recruiting
  • Site CHN26-0

    Linyi, Shandong, 276034

    Recruiting
  • Site CHN03-0

    Luoyang, Henan, 471000

    Recruiting
  • Site CHN32-0

    Nanning, Guangxi, 530012

    Not yet recruiting
  • Site CHN01-0

    Shanghai, Shanghai Municipality, 200030

    Recruiting
  • Site CHN15-0

    Shanghai, Shanghai Municipality, 200030

    Recruiting
  • Site CHN31-0

    Shenyang, Liaoning, 110000

    Not yet recruiting
  • Site CHN38-0

    Tianjin, Tianjin Municipality, 300000

    Not yet recruiting
  • Site CHN34-0

    Wuhan, Hubei, 430079

    Recruiting
  • Site CHN09-0

    Zhengzhou, Henan, 450000

    Not yet recruiting
  • Site CHN25-0

    Zhengzhou, Henan, 451191

    Not yet recruiting

Other trials in China

United States9 sites, 9 recruiting
  • Site USA11-0

    Chicago, Illinois, 60637

    Recruiting
  • Site USA02-0

    Florida City, Florida, 32827

    Recruiting
  • Site USA03

    Huntersville, North Carolina, 28078

    Recruiting
  • Site USA12-0

    Los Angeles, California, 90095

    Recruiting
  • Site USA07-0

    Nashville, Tennessee, 37203

    Recruiting
  • Site USA08-0

    Newport Beach, California, 92663

    Recruiting
  • Site USA05-0

    Philadelphia, Pennsylvania, 19107

    Not yet recruiting
  • Site USA06-0

    Washington D.C., District of Columbia, 20007

    Recruiting
  • Site USA09-0

    West Valley City, Utah, 84119

    Recruiting

Other trials in United States

Australia3 sites, 3 recruiting
  • AUS02-0

    Nedlands, Washington, 6009

    cancertrialsonc3@linear.org.au

    Recruiting
  • AUS03-0

    North Ryde, New South Wales, 2109

    Recruiting
  • AUS01-0

    Randwick, New South Wales, 2031

    Recruiting

Other trials in Australia

About this study

Official title: A Phase 1/2a, Multicenter, Open-Label, First in Human Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of DB-1419 in Participants With Advanced/Metastatic Solid Tumors

A Phase 1/2a First-in-Human Study of DB-1419 in Advanced/Metastatic Solid Tumors

Read the detailed description

A Phase 1/2a, Multicenter, Open-Label, First in Human Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of DB-1419 in Participants with Advanced/Metastatic Solid Tumors

Being tested
DB-1419

What participants receive

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

  • DB-1419Drug

    Administered Injection of Vein (I.V.)

Study groups in NCT06554795
Study groupRoleWhat they receive
Dose Level 1ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 1
Receives: Drug: DB-1419
Dose Level 2ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 2
Receives: Drug: DB-1419
Dose Level 3ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 3
Receives: Drug: DB-1419
Dose Level 4ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 4
Receives: Drug: DB-1419
Dose Level 5ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 5
Receives: Drug: DB-1419
Dose Level 6ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 6
Receives: Drug: DB-1419
Dose Expansion 1ExperimentalNot described
Receives: Drug: DB-1419
Dose Expansion 2ExperimentalNot described
Receives: Drug: DB-1419
Dose Expansion 3ExperimentalNot described
Receives: Drug: DB-1419
Dose Expansion 4ExperimentalNot described
Receives: Drug: DB-1419
Dose Expansion 5ExperimentalNot described
Receives: Drug: DB-1419
Dose Expansion 6ExperimentalNot described
Receives: Drug: DB-1419
Dose Expansion 7ExperimentalNot described
Receives: Drug: DB-1419
Dose Expansion 8ExperimentalNot described
Receives: Drug: DB-1419
Dose Level 7ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 7
Receives: Drug: DB-1419
Dose Level 8ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 8
Receives: Drug: DB-1419
Dose Level 9ExperimentalEnrolled subjects will receive DB-1419 at Dose Level 9
Receives: Drug: DB-1419

What is being measured

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

  1. Phase 1/2a: Percentage of Participants with Adverse events (AE) serious AE (SAE)

    Percentage of participants with TEAEs graded according to NCI CTCAE v5.0

    Measured: Up to 90 days after last study treatment administration or before starting new anticancer treatment, whichever comes first

  2. Phase 1/2a: Percentage of Participants with serious AE (SAE)

    Percentage of participants with SAEs graded according to NCI CTCAE v5.0

    Measured: Up to 90 days after last study treatment administration or before starting new anticancer treatment, whichever comes first

  3. Phase 1a: Maximum Tolerated Dose (MTD)

    MTD on the data collected during Part 1

    Measured: From first study treatment administration until the initiation of Phase1b/2a, approximately up to 12 months.

  4. Phase 1a: Recommended Phase 2 Dose (RP2D)

    RP2D of DB-1419 based on the data collected during Part 1

    Measured: From first study treatment administration until the initiation of Phase 1b/2a, approximately up to 12 months.

  5. Phase 1b/2a: Objective Response Rate (ORR) determined by Investigator per RECIST v1.1

    The percentage of subjects with best overall response of CR and PR

    Measured: Up to disease progression or death or before starting new anticancer treatment or withdrawal from the trial, whichever comes first, approximately up to 12 months.

Secondary outcomes (11)
  1. Phase 1a: ORR determined from tumor assessments by Investigator per RECIST v1.1

    The percentage of subjects with best overall response of CR and PR

    Measured: Up to disease progression or death or before starting new anticancer treatment or withdrawal from the trial, whichever comes first, approximately up to 12 months.

  2. Phase 1/2a: Progression free survival (PFS) determined from tumor assessments by Investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1

    PFS will be determined from tumor assessments by investigator per RECIST 1.1

    Measured: Up to disease progression or death or before starting new anticancer treatment or withdrawal from the trial, whichever comes first, approximately up to 12 months

  3. Phase 1/2a: OS

    overall survival (OS)

    Measured: From the start date of study drug to the date of death due to any cause, whichever occurs first, approximately up to 12 months after last patient first dose.

  4. Phase 1/2a: AUC0-last

    the area under the concentration-time curve from time zero to the last quantifiable concentration

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

  5. Phase 1/2a: AUC0-tau

    the area under the concentration-time curve from time zero to time tau

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

  6. Phase 1/2a: AUCinf

    the area under the concentration-time curve from time zero to infinite

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

  7. Phase 1/2a: Cmax

    peak observed concentration

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

  8. Phase 1/2a: Tmax

    Time to Cmax

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

  9. Phase 1/2a: Ctrough

    trough concentration

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

  10. Phase 1/2a: ADA prevalence

    the proportion of participants who are ADA positive at any point in time (at baseline and post-baseline)

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

  11. Phase 1/2a: ADA incidence

    the proportion of participants having treatment-emergent ADA.

    Measured: within 8 cycles (each cycle is 21 days or 14 days)

Timeline

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

  1. First posted15 Aug 2024
  2. Study start3 Sep 2024
  3. Primary completionFeb 2027 (estimated)
  4. Study completionFeb 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
Parallel groups
Masking
None (open label)
Enrolment
360 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06554795
Sponsor's protocol ID
DB-1419-O-1001
Status last verified
Jun 2026
First submitted
6 Aug 2024
Last updated
5 Jun 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Li C, Yao J, Yang J, Zhang Y, Qiu Y, Zhu Z, Hua H. Preclinical Evaluation of DB-1419, a Novel Bifunctional and Bispecific Anti-B7-H3 x PD-L1 Antibody-Drug Conjugate. Clin Cancer Res. 2025 Aug 14;31(16):3581-3593. doi: 10.1158/1078-0432.CCR-25-0634.

    PubMed 40499141

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing DB-1419 in people with Solid Tumor, Adult, run by DualityBio Inc. at 36 sites in 3 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 13 inclusion and 15 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 5 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in China, United States, 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 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?

Contact Milly Zang (201-503-5410, milly.zang@dualitybiologics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1/2a: Percentage of Participants with Adverse events (AE) serious AE (SAE) (time frame: Up to 90 days after last study treatment administration or before starting new anticancer treatment, whichever comes first). The study lists 5 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 NCT06554795, 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 5 Jun 2026.

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