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Non-Small Cell Lung Cancer, Colorectal Cancer, Renal Cell Carcinoma, Melanoma and Other Solid TumorPhase 1NCT06839105

A Clinical Study to Evaluate the Safety and Tolerability of AWT020 in Patients With Advanced Malignancies

A Phase 1 study testing Taxol, Cisplatin or Carboplatin and Pemetrexed in people with Non-Small Cell Lung Cancer, Colorectal Cancer, Renal Cell Carcinoma, Melanoma and Other Solid Tumor, run by Shanghai Junshi Bioscience Co., Ltd. at 13 sites 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

The purpose of this phase I clinical study was to evaluate the safety and tolerability of AWT020 monotherapy and combination with other antitumor therapies in patients with advanced malignancies Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Taxol, Cisplatin or Carboplatin and Pemetrexed
Could I receive a placebo?
No, everyone receives an active treatment
How many people
214 participants
Where
13 sitesChina
Study dates
21 Feb 2025to 30 Apr 2028
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

  • Both male and female subjects who are at least 18 years old at the time of signing the consent form;
  • Inclusion of patients with advanced malignancies confirmed histologically or cytologically and meeting the following requirements:
  • Single-agent dose escalation and expansion phase to include patients with advanced malignant tumors who have failed or are intolerant of standard treatment, or have no standard treatment options;
  • Therapeutic effect expansion stage of single drug:
  • NSCLC: histologically or cytologically confirmed, unresectable locally advanced, relapsed, or distant metastatic NSCLC that has progressed after prior treatment with PD-(L)1 antibody and platinum-containing chemotherapy (except after the last dose \> Progression of adjuvant and neoadjuvant therapy within 6 months). Subjects with EGFR or ALK mutations will need to progress with prior treatment with appropriate kinase inhibitors.
  • Melanoma: histologically unresectable stage III or IV melanoma that has progressed after prior chemotherapy and treatment with PD-(L)1 inhibitors (except after the last dose \> Adjuvant and neoadjuvant therapy that progresses within 6 months); Mucosal melanoma does not require prior PD-(L)1 inhibitor therapy.
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  • CRC: colorectal adenocarcinoma or rectal adenocarcinoma with histologically confirmed PD-L1 composite positive score [CPS] ≥1, failure or intolerance of standard treatment, or no standard treatment options. PD-L1 expression levels in tumor tissues are based on the results of the central laboratory tests designated by the sponsor (the inclusion criteria for PD-L1 expression levels can also be adjusted according to previous data during the study).
  • RCC: Histologically confirmed metastatic or unresectable clear cell type of RCC with disease progression after previous treatment with targeted anti-angiogenesis therapy and PD-(L)1 inhibitors.
  • Other advanced malignancies: patients with advanced malignancies who have failed or been intolerant to standard treatment or have no standard treatment options.
  • Combination phase:
  • NSCLC: histologically or cytologically confirmed, unresectable locally advanced, relapsed, or distant metastatic NSCLC that has not progressed after prior treatment with PD-(L)1 antibody and platinum-containing chemotherapy (except after the last dose \> Progression of adjuvant and neoadjuvant therapy within 6 months). Subjects carrying EGFR or ALK mutations were allowed to progress on kinase inhibitor therapy with a previous ≤1 line.
  • CRC: Histologically confirmed PD-L1 CPS≥1 colorectal adenocarcinoma or rectal adenocarcinoma without prior systemic therapy (except after the last dose of medication \> Adjuvant therapy that progresses within 6 months); In patients with MSI-H/dMMR, previous treatment with PD-(L)1 inhibitors is permitted. PD-L1 expression levels in tumor tissues are based on the results of the central laboratory tests designated by the sponsor (the inclusion criteria for PD-L1 expression levels can also be adjusted according to previous data during the study).
  • RCC: Histologically confirmed metastatic or unresectable clear cell RCC with disease progression after previous treatment with anti-angiogenesis targeted therapy and PD-(L)1 inhibitors.
  • Melanoma: histologically unresectable stage III or IV melanoma that has progressed after prior chemotherapy and treatment with PD-(L)1 inhibitors (except after the last dose \> Adjuvant therapy that progresses within 6 months).
  • HCC: Histologically/cytologically confirmed or cirrhotic patients meet the clinical diagnostic criteria for HCC in AASLD, are identified as having stage B (intermediate) or stage C (advanced) BCLC HCC and are not candidates for radical surgery and/or local therapy, and have previously received PD-(L)1 inhibitors and anti-angiogenic targeted therapy progression.
  • Other advanced malignancies: patients with advanced malignancies who have failed or been intolerant to standard treatment, or have no standard treatment options.
  • ECOG score is 0 or 1;
  • Expected survival ≥12 weeks;
  • Have at least one measurable lesion according to RECIST 1.1 evaluation criteria;
  • Good organ function;
  • Fertile female or male subjects must agree to be childfree during the study period until 6 months after the end of the last dose and voluntarily take highly effective contraception with their partner; The serum pregnancy test for WOCBP must be negative within 7 days prior to the first dose and must be non-lactation (specific contraceptive methods and WOCBP definitions are set out in section 10.3);
  • Patients participate voluntarily, give full informed consent, sign written informed consent, and have good compliance.

Who cannot join

  • Received the following drugs or treatments before the first dose:
  • received chemotherapy, immunotherapy and other anti-tumor therapy or other investigational drugs within 21 days before the first dose, or received oral fluorouracil, small molecule targeted drugs or Chinese medicines with anti-tumor indications within 14 days before the first dose;
  • Major surgery or radiotherapy within 28 days before the first dose (palliative radiotherapy for local bone/brain lesions allowed within 14 days before the first dose), coarse needle puncture biopsy or other minor surgery within 7 days before the start of study therapy, excluding placement of vascular infusion devices;
  • In combination therapy, patients who have been systematically treated with corticosteroids (> 10 mg prednisone per day or equivalent) or other immunosuppressants for more than 1 week within 2 weeks prior to initial administration are allowed to be treated with inhaled or topical steroids or ≤10 mg/ day systemic prednisone and equivalent doses of similar drugs;
  • There is active central nervous system metastasis. If the patient has received radiotherapy or surgery in the past, imaging examination within 4 weeks before the first medication indicates stable brain metastases without aggravation or new neurological symptoms, hormone therapy has been discontinued 2 weeks before the first medication, and screening is allowed; For meningeal and brainstem metastases, screening is not allowed regardless of treatment.
  • Immune-related adverse events that led to permanent discontinuation occurred during previous immunosuppressive therapy (such as anti-PD -(L)1, CTLA-4, LAG-3 inhibitors, etc.);
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  • There are pleural effusion, abdominal effusion or pericardial effusion with clinical symptoms that require repeated treatment (puncture or drainage, etc.);
  • There is a history of interstitial lung disease or a history of non-infectious pneumonia treated with corticosteroids, or imaging evidence of active pneumonia during the screening period;
  • The presence of severe, unhealed or split wounds, active ulcers, or untreated fractures (other than old fractures assessed by the investigator without clinical intervention);
  • Obvious bleeding tendency or severe coagulation dysfunction;
  • Have poorly controlled hypertension (systolic blood pressure ≥150 mmHg and/or diastolic blood pressure > 100 mmHg), or have a history of hypertensive crisis or hypertensive encephalopathy;
  • The toxicity of previous antitumor therapy did not return to the level ≤ Class 1 prescribed by CTCAE v5.0 or the level specified by the inclusion/exclusion criteria, except in the following cases: The related toxicity judged by the investigator to be well controlled and does not affect the safety and compliance of patients using the investigational drugs can be screened after confirmation with the sponsor;
  • Severe infection occurred within 28 days prior to administration in the first study (CTCAE v5.0\> Grade 2), such as severe pneumonia, bacteremia, infection complications that require hospitalization; Active infection requiring intravenous anti-infective therapy or fever of unknown origin > 38.5℃ occurred within 2 weeks prior to the first study administration (as determined by the investigators, subjects with fever due to tumors could be enrolled);
  • Clinically significant hemoptysis for any reason (such as blood loss reaching or exceeding 50 ml/ day, or accompanied by clinical symptoms such as dyspnea and shortness of breath) or tumor bleeding (such as significant bleeding caused by tumor, manifested as hemoptysis, hematemesis, bloody stool, etc., and the blood loss reaching 50 ml/ day or more) within 1 month before the first medication, Or accompanied by anemia, hypotension, shock and other symptoms);
  • Gastrointestinal perforation, fistula, abdominal abscess, bleeding, or definite bleeding tendency (including but not limited to: severe esophagofundus varicose veins with bleeding risk, locally active digestive ulcer lesions [may be considered in investigators' assessment of ulcer stability], persistent positive stool occult blood, etc.) within 6 months before randomization; For patients with persistent positive stool occult blood, if they are patients with colorectal cancer or gastric cancer, and the positive occult blood test is believed to be related to tumor after detailed evaluation (such as local bleeding, ulcers, etc.), gastrointestinal bleeding is stable and does not cause clinical symptoms (such as anemia, hypotension, etc.) under tumor treatment or disease control, they can be considered for inclusion;
  • Severe cardiovascular and cerebrovascular diseases, including but not limited to, History of myocardial infarction, severe/unstable angina pectoris, congestive heart failure (NYHA cardiac function rating ≥2), clinically significant supratrioventricular or ventricular arrhythmia requiring pharmacological intervention, aortic aneurysm requiring surgical repair, any arterial thromboembolism/embolism event, grade 3 or higher (CTCAE) within 6 months prior to administration v5.0) Venous thrombosis/embolism events, transient ischemic attacks, cerebrovascular accidents; Left ventricular ejection fraction (LVEF) by color Doppler ultrasound \< 50%. Corrected QTc\> 480ms (using the Fridericia method, if the QTc is abnormal, it can be detected three times at an interval of 2 minutes, and the average value is calculated);
  • Active autoimmune diseases requiring systemic treatment (such as corticosteroids or immunosuppressive drugs) are present within 2 years prior to initial medication, including but not limited to systemic systemic lupus erythematosus, multiple sclerosis, rheumatoid arthritis, inflammatory bowel disease, vasculitis, etc. However, only thyroid, adrenal, or hypopituitarism, type 1 diabetes that can be controlled with hormone replacement therapy, psoriasis or vitiligo that does not require systemic treatment, and childhood asthma/allergies that have resolved are eligible for screening;
  • Had suffered from another malignant tumor within 5 years before the first medication; However, local tumors that have been cured are excluded, including cervical carcinoma in situ, skin basal cell carcinoma and prostate carcinoma in situ;
  • Active tuberculosis, hepatitis B (HBsAg positive with HBV DNA higher than 1000 copies /ml or 200 IU/ml), hepatitis C (HCVAb positive with HCV RNA higher than the lower limit of detection);
  • A history of immunodeficiency, including HIV testing positive, or a known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation;
  • The presence of other serious physical or mental illnesses or abnormalities in laboratory tests that may increase the risk of participation in the study, affect treatment compliance, or interfere with the study results, patients who are judged by the investigator to be unsuitable for participation in the study.

Trial locations and contacts

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

Xiaohong Ding, Master contact

13602465823

xiaohong_ding@junshipharma.com

13 sites in 1 country

China13 sites, 13 recruiting
  • The First Hospital of Jilin University

    Changchun, Jilin

    Di Wu, M.D, +86 13944888991, wudi888991@163.com

    Di Wu, M.D

    Not yet recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan, 410000

    Lin Wu, M.D, 021-22200000, shun_lu@hotmail.com

    Lin Wu, M.D

    Recruiting
  • Fujian Cancer Hospital

    Fuzhou, Fujian, 350014

    Rongbo Lin, M.D, +86 13705919382, linrongbo@fjzlhospital.com

    Rongbo Lin, M.D

    Recruiting
  • Sun Yat-sen University Cancer Center

    Guangzhou, Guangdong, 510060

    Xiaoshi Zhang, M.D, +86 15915733209, zhangxsh@sysucc.org.cn

    Xiaoshi Zhang, M.D

    Not yet recruiting
  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang, 310022

    Meiyu Fang, M.D, +86 13750851650, fangmy@zjcc.org.cn

    Meiyu Fang, M.D

    Not yet recruiting
  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150081

    Yan Yu, M.D, +86 13904505825, lfn540@126.com

    Yan Yu, M.D

    Not yet recruiting
  • Yunnan Cancer Hospital

    Kunming, Yunnan, 650118

    Runxiang Yang, M.D, 13888876721, 13888876721@163.com

    Runxiang Yang, M.D

    Not yet recruiting
  • The First Affiliated Hospital of Henan University of Science & Technology

    Luoyang, Henan, 471099

    Zhiye Zhang, M.D, 13888876721, 13783100985@163.com

    Zhiye Zhang, M.D

    Not yet recruiting
  • First Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

    Longhua Sun, M.D, +86 18279110112, sunlonghua012024@163.com

    Longhua Sun, M.D

    Recruiting
  • Shanghai Chest Hospital

    Shanghai, Shanghai Municipality, 200032

    Shun Lu, M.D, 021-22200000, shun_lu@hotmail.com

    Shun Lu, M.D

    Recruiting
  • Liaoning Cancer Hospital & Institute

    Shenyang, Liaoning, 110042

    Yuan Liang, M.D, +86 18900917786, lnszl_ly@163.com

    Yuan Liang, M.D

    Not yet recruiting
  • The First Hospital of China Medical University

    Shenyang, Liaoning, 400042

    Funan Liu, M.D, +86 13609877906, lfn540@126.com

    Funan Liu, M.D

    Recruiting
  • Hubei Cancer Hospital

    Wuhan, Hubei, 430079

    Xinjun Liang, M.D, +86 13995607152, doctorlxj@163.com

    Xinjun Liang, M.D

    Recruiting

Other trials in China

About this study

Official title: A Phase I Clinical Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of AWT020 Alone and in Combination With Other Antitumor Therapies in Patients With Advanced Malignancies

The purpose of this phase I clinical study was to evaluate the safety and tolerability of AWT020 monotherapy and combination with other antitumor therapies in patients with advanced malignancies

Being tested
Taxol, Cisplatin or Carboplatin, Pemetrexed, Oxaliplatin, Capecitabine
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Colorectal Neoplasms, Carcinoma, Renal Cell, Melanoma

What participants receive

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

  • TaxolDrug

    135~175 mg/m2, Q3W

  • Cisplatin or CarboplatinDrug

    Cisplatin(75 mg/m2, Q3W) or Carboplatin (AUC=5~6, Q3W)

  • PemetrexedDrug

    500 mg/m2, Q3W

  • OxaliplatinDrug

    130 mg/m2, Q3W

  • CapecitabineDrug

    1000 mg/m2, BID, day1-14, oral, q3w

  • BevacizumabDrug

    7.5 mg/kg, Q3W

  • RenvastinibDrug

    8mg or 20mg, QD

  • AWT020Drug

    q3w or q2w, i.v.

Study groups in NCT06839105
Study groupRoleWhat they receive
AWT020ExperimentalIf needed, additional descriptive information (including which interventions are administered in each arm) to differentiate each arm from other arms in the clinical trial.
Receives: Drug: AWT020
AWT020 combination with taxol and cisplatin or carboplatinExperimentalNot described
Receives: Drug: Taxol; Drug: Cisplatin or Carboplatin; Drug: AWT020
AWT020 combination with Pemetrexed and cisplatin or carboplatinExperimentalNot described
Receives: Drug: Cisplatin or Carboplatin; Drug: Pemetrexed; Drug: AWT020
AWT020 combination with Oxaliplatin,Capecitabine and BevacizumabExperimentalNot described
Receives: Drug: Oxaliplatin; Drug: Capecitabine; Drug: Bevacizumab; Drug: AWT020
AWT020 combination with RenvastinibExperimentalNot described
Receives: Drug: Renvastinib; Drug: AWT020

What is being measured

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

  1. DLT rate

    DLT rate

    Measured: Up to approximately 12 months from first patient in

  2. AE

    Safety endpoint: incidence and severity of AE, abnormal changes in clinically significant laboratory and other tests

    Measured: Up to approximately 12 months from first patient in

  3. SAE

    Safety endpoint: incidence and severity of SAE, abnormal changes in clinically significant laboratory and other tests

    Measured: Up to approximately 12 months from first patient in

  4. MTD

    Determine maximum tolerated dose

    Measured: Up to approximately 12 months from first patient in

  5. RP2D

    Recommended phase II dose (RP2D) for AWT020 monotherapy and combination therapy

    Measured: Up to approximately 32 months from first patient in

Secondary outcomes (7)
  1. Drug concentrations

    Drug concentrations in individual subjects at different time points after dosing

    Measured: Up to approximately 24 months from first patient in

  2. Immunogenicity

    Incidence of anti-drug antibody (ADA) and/or neutralizing antibody (Nab), titer of ADA positive samples

    Measured: Up to approximately 24 months from first patient in

  3. ORR

    Efficacy endpoint: Objective response rate(ORR) per RECIST v1.1

    Measured: Up to approximately 32 months from first patient in

  4. DOR

    Efficacy endpoint: Duration of response (DOR) per RECISIT v1.1

    Measured: Up to approximately 32 months from first patient in

  5. DCR

    Efficacy endpoint: Disease control rate (DCR) per RECISIT v1.1

    Measured: Up to approximately 32 months from first patient in

  6. PFS

    Efficacy endpoint: Progress -free survival (PFS) per RECISIT v1.1

    Measured: Up to approximately 32 months from first patient in

  7. OS

    Efficacy endpoint: Overall survival (OS)

    Measured: Up to approximately 32 months from first patient in

Timeline

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

  1. First posted21 Feb 2025
  2. Study start21 Feb 2025
  3. Primary completion30 Apr 2028 (estimated)
  4. Study completion30 Apr 2028 (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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
214 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06839105
Sponsor's protocol ID
AWT020-001-I
Status last verified
Jul 2026
First submitted
18 Feb 2025
Last updated
2 Jul 2026
Results posted
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 study testing Taxol, Cisplatin or Carboplatin and Pemetrexed in people with Non-Small Cell Lung Cancer, Colorectal Cancer, Renal Cell Carcinoma, Melanoma and Other Solid Tumor, run by Shanghai Junshi Bioscience Co., Ltd. at 13 sites 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 22 inclusion and 21 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 2 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites 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 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 Xiaohong Ding, Master (13602465823, xiaohong_ding@junshipharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

DLT rate (time frame: Up to approximately 12 months from first patient in). 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?
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 2 Jul 2026.

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