Solid TumorsPhase 1/2NCT07105215
A I/II Phase Clinical Study to Evaluate the Safety and Efficacy of RC278 in the Treatment of Solid Tumors
A Phase 1/2 study testing RC278 in people with Solid Tumors, run by RemeGen Co., Ltd. at 39 sites in China.
Trial summary
The primary objective is to evaluate the safety and tolerability of RC278; determine the maximum tolerated dose (MTD) and/or maximum administered dose (MAD) of RC278; and determine the recommended phase 2 dose (RP2D), and assess the efficacy of RC278 at the RP2D dose; Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Solid Tumors
- What is being tested?
- RC278
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 312 participants
- Where
- 39 sitesChina
- Study dates
- 11 Aug 2025to 31 May 2030
- 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
- Voluntarily participate in this study, sign the informed consent form, and be able to adhere to the study protocol;
- Age between 18 and 75 years (including 18 and 75 years);
- ECOG PS score of 0 or 1;
- Expected survival ≥12 weeks;
- According to RECIST v1.1 criteria, based on imaging examinations, there is at least one measurable target lesion;
- Sufficient bone marrow, liver, kidney, and blood clotting function
Who cannot join
- Pregnant, breastfeeding, or intending to become pregnant subjects.
- Subjects with brain metastases.
- Subjects with unresolved toxicities from prior anti-tumor therapy not recovered to NCI-CTCAE v5.0 Grade 1.
- Subjects with known hypersensitivity or delayed allergic reactions to any component of the investigational drug or similar drugs.
- Subjects with acute, chronic, or symptomatic infections.
- Subjects with uncontrolled cardiovascular diseases.
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- Subjects with confirmed or suspected interstitial lung disease (ILD), drug-related pneumonia, radiation pneumonitis, severely impaired pulmonary function, or other pulmonary diseases.
- Subjects with a history of cirrhosis (Child-Pugh B or C class).
- Subjects with active inflammatory bowel disease.
- Subjects with uncontrolled diabetes (HbA1c ≥ 10%).
- Subjects who experienced arterial/venous thromboembolic events, deep vein thrombosis, pulmonary embolism, or stroke within 6 months prior to the first dose.
- Subjects with pericardial effusion or cardiac tamponade, or third-space fluid accumulation, which, in the investigator's judgment, cannot be controlled or stabilized by drainage or other methods.
- Subjects with active autoimmune diseases requiring systemic treatment within the past 2 years.
- Subjects with a history of other invasive malignancies within 5 years prior to the first dose, or evidence of residual disease from a previously diagnosed malignancy.
- Subjects with a history of other acquired or congenital immunodeficiency diseases or organ transplantation.
- Subjects with a history or current diagnosis of uncontrolled psychiatric disorders.
- Subjects with poor adherence, who are unlikely to comply with the trial procedures.
- Subjects with any other diseases, metabolic abnormalities, physical examination abnormalities, or laboratory abnormalities, which, in the investigator's judgment, raise suspicion of an underlying condition making the subject unsuitable for the investigational drug, or which may affect the interpretation of the study results, or place the subject at high risk.
Trial locations and contacts
39 sites in 1 country. Contact the study team or a site near you to ask about taking part.
39 sites in 1 country
China39 sites, 39 recruiting
- Recruiting
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality
Hu Xingsheng
- Recruiting
Hunan Cancer Hospital
Changsha, Hunan
Liu Zhenyang
- Recruiting
Hunan Cancer Hospital
Changsha, Hunan
Jiang Shusuan
- Recruiting
Hunan Cancer Hospital
Changsha, Hunan
Ouyang Quchang
- Recruiting
Hunan Cancer Hospital
Changsha, Hunan
Wu lin
- Recruiting
West China Hospital of Sichuan University
Chengdu, Sichuan
Li mei
- Recruiting
Fujian Cancer Hospital
Fuzhou, Fujian
Guo Zengqing
- Recruiting
Fujian Cancer Hospital
Fuzhou, Fujian
Huang Zhangzhou
- Recruiting
Fujian Medical University Union Hospital
Fuzhou, Fujian
Lai jinhuo
- Recruiting
Sun Yat-sen University Cancer Center
Guangzhou
xu ruihua
- Recruiting
The Second Affiliated Hospital of Guilin Medical University
Guilin, Guangxi
Li Bihui
- Recruiting
Sir Run Run Shaw Hospital, affiliated with Zhejiang University School of Medicine
Hangzhou, Zhejiang
Fang yong
- Recruiting
Zhejiang Cancer Hospital
Hangzhou, Zhejiang
Fanyun
- Recruiting
The First Affiliated Hospital, Zhejiang University School Of Medicine
Hangzhou
Zhao qingwei
Fang weijia
- Recruiting
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang
Wang guangyu
- Recruiting
Cancer Hospital of Shandong First Medical University
Jinan
Zhang yan
Wang linlin
- Recruiting
Jinan Central Hospital
Jinan
Wen qing
Sun meili
- Recruiting
Yunnan Tumor Hospital
Kunming, Yunnan
Yang Runxiang
- Recruiting
Anyang Cancer Hospital
Luoyan, Henan
Ji yuanyuan
- Recruiting
The First Affiliated Hospital of Henan University of Science &Technology
Luoyang, Henan
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi
Sun Longhua
- Recruiting
Jiangsu Province Hospital
Nanjing, Jiangsu
Gu yanhong
- Recruiting
Guangxi Medical University Cancer Hospital & Guangxi Cancer Institute
Nanning, Guangxi
Zhang Qingyun
- Recruiting
Nanyang Second General Hospital
Nanyang, Henan
Wang Qichuan
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality
Chen Zhiyu
- Recruiting
Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality
Yu yiwei
- Recruiting
Liaoning Cancer Hospital & Institute
Shenyang, Liaoning
Liu Hongxv
- Recruiting
The first Hospital of China Medical University
Shenyang, Liaoning
Zhao Mingfang
- Recruiting
Shanxi Cancer Hospital
Taiyuan
Wang xin
- Recruiting
Taizhou Hospital of Zhejiang Province
Taizhou, Zhejiang
Lv Dongqing
- Recruiting
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, China
Wuhan, Hu'Nan
Zhang tao
- Recruiting
Hubei Cancer Hospital
Wuhan, Hubei
Liang xinjun
Yang bin
- Recruiting
Tongji Hospital, Tongji Medical College of HUST, China
Wuhan, Hubei
Chu qian
- Recruiting
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian
Wu Jingxun
- Recruiting
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, Henan
Ji Yinghua
- Recruiting
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu
Zhang Wenhui
- Recruiting
Xuzhou Central Hospital
Xuzhou, Jiangsu
Han liang
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan
Jin shuiling
- Recruiting
Henan Cancer Hospital
Zhengzhou
Luo suxia
About this study
Official title: A Multicenter Phase I/II Clinical Study to Evaluate the Safety and Efficacy of RC278 for Injection in the Treatment of Locally Advanced Unresectable or Metastatic Malignant Solid Tumor
The primary objective is to evaluate the safety and tolerability of RC278; determine the maximum tolerated dose (MTD) and/or maximum administered dose (MAD) of RC278; and determine the recommended phase 2 dose (RP2D), and assess the efficacy of RC278 at the RP2D dose;
- Conditions
- Solid Tumors
- Being tested
- RC278
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RC278Drug
Also called RC278 For Injection
Intravenous (IV) administration of RC278 Q3W. Patients will continue treatment until unacceptable toxicities, disease progression, or any criterion for withdrawl from the study.
| Study group | Role | What they receive |
|---|---|---|
| RC278 (Phase I, dose escalation) | Experimental | There are five escalating dose cohorts. Receives: Drug: RC278 |
| RC278 (Phase I, dose expansion) | Experimental | The recommended dose from the dose-escalation stage and other potential doses will be further explored. Receives: Drug: RC278 |
| RC278 (Phase I, dose optimization) | Experimental | Based on the safety, pharmacokinetic (PK), and efficacy data from the subjects, select at least two dose levels and randomly assign subjects in a 1:1 ratio to determine the recommended Phase II dose (RP2D) for entering the Phase II stage. Receives: Drug: RC278 |
| RC278 (Phase II) | Experimental | In the multi-indication cohort expansion phase, further assess the efficacy and safety of RC278 in various cancer types using the RP2D. Receives: Drug: RC278 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose-Limiting Toxicity (DLT)
DLT is defined as the adverse events (AEs) occurring during the DLT observation period that the investigator determines to be related to the RC278 treatment.
Measured: 24 months
Incidence and severity of adverse events/serious adverse events (graded according to NCI CTCAE v5.0)
AE assessed by investigator exclusively related to subject's underlying disease or medical condition [graded according to the CTCAE Version 5.0].
Measured: 24 months
Determine RP2D of RC278
To determine the RP2D for further evaluation of RC278 in subjects with advanced solid tumor.
Measured: 24 months
MTD and/or MAD
To determine the MTD and/or MAD for further evaluation of RC278 in subjects with advanced solid tumor.
Measured: 24 months
Investigator assessed ORR according to RECIST v1.1 criteria
Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline. ORR is evaluated by the number of participants with best overall response of CR and PR (Confirmed CR/PR assessment require at least 1 repeat).
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Aug 2025
- Study start11 Aug 2025
- Primary completion31 Dec 2027 (estimated)
- Study completion31 May 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 312 participants (estimated)
Sponsor and investigators
- Lead sponsor
- RemeGen Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07105215
- Sponsor's protocol ID
- RC278-C001
- Status last verified
- Aug 2025
- First submitted
- 22 Jul 2025
- Last updated
- 26 Nov 2025
- 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 26 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter Phase I/II Clinical Study to Evaluate the Safety and Efficacy of RC278 for Injection in the Treatment of Locally Advanced Unresectable or Metastatic Malignant Solid Tumor
- ClinicalTrials.gov ID
- NCT07105215
- Acronym / sponsor ID
- RC278-C001
- Conditions
- Solid Tumors
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 312 participants (estimated)
- Lead sponsor
- RemeGen Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 11 Aug 2025 (actual)
- Primary completion
- 31 Dec 2027 (estimated)
- Study completion
- 31 May 2030 (estimated)
- First posted
- 5 Aug 2025 (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.
The primary objective is to evaluate the safety and tolerability of RC278; determine the maximum tolerated dose (MTD) and/or maximum administered dose (MAD) of RC278; and determine the recommended phase 2 dose (RP2D), and assess the efficacy of RC278 at the RP2D dose;
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| RC278 (Phase I, dose escalation) | Experimental | Drug: RC278There are five escalating dose cohorts. |
| RC278 (Phase I, dose expansion) | Experimental | Drug: RC278The recommended dose from the dose-escalation stage and other potential doses will be further explored. |
| RC278 (Phase I, dose optimization) | Experimental | Drug: RC278Based on the safety, pharmacokinetic (PK), and efficacy data from the subjects, select at least two dose levels and randomly assign subjects in a 1:1 ratio to determine the recommended Phase II dose (RP2D) for entering the Phase II stage. |
| RC278 (Phase II) | Experimental | Drug: RC278In the multi-indication cohort expansion phase, further assess the efficacy and safety of RC278 in various cancer types using the RP2D. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Voluntarily participate in this study, sign the informed consent form, and be able to adhere to the study protocol;
- Age between 18 and 75 years (including 18 and 75 years);
- ECOG PS score of 0 or 1;
- Expected survival ≥12 weeks;
- According to RECIST v1.1 criteria, based on imaging examinations, there is at least one measurable target lesion;
Key exclusion criteria (18 listed)
- Pregnant, breastfeeding, or intending to become pregnant subjects.
- Subjects with brain metastases.
- Subjects with unresolved toxicities from prior anti-tumor therapy not recovered to NCI-CTCAE v5.0 Grade 1.
- Subjects with known hypersensitivity or delayed allergic reactions to any component of the investigational drug or similar drugs.
- Subjects with acute, chronic, or symptomatic infections.
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 |
|---|---|---|
| RC278Also: RC278 For InjectionIntravenous (IV) administration of RC278 Q3W. Patients will continue treatment until unacceptable toxicities, disease progression, or any criterion for withdrawl from the study. | Drug | RC278 (Phase I, dose escalation), RC278 (Phase I, dose expansion), RC278 (Phase I, dose optimization), RC278 (Phase II) |
Primary outcome
Dose-Limiting Toxicity (DLT)
Time frame: 24 months
DLT is defined as the adverse events (AEs) occurring during the DLT observation period that the investigator determines to be related to the RC278 treatment.
Incidence and severity of adverse events/serious adverse events (graded according to NCI CTCAE v5.0)
Time frame: 24 months
AE assessed by investigator exclusively related to subject's underlying disease or medical condition [graded according to the CTCAE Version 5.0].
Determine RP2D of RC278
Time frame: 24 months
To determine the RP2D for further evaluation of RC278 in subjects with advanced solid tumor.
MTD and/or MAD
Time frame: 24 months
To determine the MTD and/or MAD for further evaluation of RC278 in subjects with advanced solid tumor.
Investigator assessed ORR according to RECIST v1.1 criteria
Time frame: 24 months
Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline. ORR is evaluated by the number of participants with best overall response of CR and PR (Confirmed CR/PR assessment require at least 1 repeat).
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 26 Nov 2025.
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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.
39 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing RC278 in people with Solid Tumors, run by RemeGen Co., Ltd. at 39 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 6 inclusion and 18 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 26 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 39 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 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 Xiaohong Su (+8610-65018841, na.su@remegen.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dose-Limiting Toxicity (DLT) (time frame: 24 months). 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 26 Nov 2025.