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Solid TumorsPhase 1NCT07123103

A Study of XB371 Administered in Participants With Locally Advanced or Metastatic Solid Tumors

A Phase 1 study testing XB371 in people with Solid Tumors, run by Exelixis at 9 sites in United States.

Recruiting

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Sites and contacts
Official record

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Trial summary

The primary purpose of the study is to characterize the safety and tolerability of XB371. The dose-escalation cohorts and Part B of the expansion cohorts are non-randomized. Part A of the expansion cohorts is randomized. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumors
What is being tested?
XB371
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
9 sitesUnited States
Study dates
18 Aug 2025to Feb 2028
Phase
Phase 1

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

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
  • Minimum life expectancy of ≥ 12 weeks.
  • Recurrent locally advanced or metastatic solid tumors.
  • Adequate end organ and bone marrow function.

Who cannot join

  • Primary brain tumors or known active brain metastases, leptomeningeal, or cranial epidural disease.
  • History of interstitial lung disease (ILD) of any grade or history of organizing pneumonia.
  • Has acute ocular infection, acute or chronic ulcerative/cicatricial condition of conjunctiva or cornea.
  • Known history of immunodeficiency virus (HIV) unless specific criteria are met.
  • Active infection with hepatitis C virus (HCV) defined as positive for HCV antibody.
  • Major surgery within 4 weeks before the first dose of study treatment.
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  • Received radiation therapy within 2 weeks before the first dose of study treatment.
  • Received prior systemic anticancer therapy including investigational agents within 4 weeks before the first dose of study treatment.
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

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

Backup or International contact

1-650-837-7400

9 sites in 1 country

United States9 sites, 9 recruiting
  • Exelixis Clinical Site #3

    Grand Rapids, Michigan, 49546

    Recruiting
  • Exelixis Clinical Site #8

    Houston, Texas, 77030

    Recruiting
  • Exelixis Clinical Site #2

    Huntersville, North Carolina, 28078

    Recruiting
  • Exelixis Clinical Site #9

    Los Angeles, California, 90033

    Recruiting
  • Exelixis Clinical Site #7

    New Brunswick, New Jersey, 08901

    Recruiting
  • Exelixis Clinical Site #4

    Orlando, Florida, 32827

    Recruiting
  • Exelixis Clinical Site #5

    Rogers, Arkansas, 72758

    Recruiting
  • Exelixis Clinical Site #1

    San Antonio, Texas, 78229

    Recruiting
  • Exelixis Clinical Site #6

    Washington D.C., District of Columbia, 20057

    Recruiting

Other trials in United States

About this study

Official title: A Dose Escalation and Expansion Study of XB371 Administered in Participants With Locally Advanced or Metastatic Solid Tumors

The primary purpose of the study is to characterize the safety and tolerability of XB371. The dose-escalation cohorts and Part B of the expansion cohorts are non-randomized. Part A of the expansion cohorts is randomized.

Conditions
Solid Tumors
Being tested
XB371
Keywords
Advanced Solid Tumors, Metastatic Solid Tumors

What participants receive

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

  • XB371Drug

    Intravenous (IV) infusion.

Study groups in NCT07123103
Study groupRoleWhat they receive
Dose-escalation CohortsExperimentalParticipants will receive escalating doses of XB371 every 3 weeks of a 21-day cycle (alternate schedules may be evaluated) until meeting the criteria for treatment discontinuation.
Receives: Drug: XB371
Dose-expansion Cohorts: Part AExperimentalParticipants with Tumor Type 1 (tumor type will be selected based on available data) will be randomized to receive XB371 at one of two recommended dose levels (recommended dose [RD]-1 or RD-2) every 3 weeks of a 21-day cycle (alternate schedules may be evaluated) until meeting the criteria for treatment discontinuation.
Receives: Drug: XB371
Dose-expansion Cohorts: Part BExperimentalParticipants with Tumor Type 2 (tumor type will be selected based on available data) will receive XB371 at the recommended dose level every 3 weeks of a 21-day cycle (alternate schedules may be evaluated) until meeting the criteria for treatment discontinuation.
Receives: Drug: XB371

What is being measured

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

  1. Number of Participants with a Dose-limiting Toxicity (DLT)

    Measured: Up to the end of the first cycle (Up to Day 21 of a 21-day cycle)

  2. Number of Participants with a Treatment-emergent Adverse Event (TEAE)

    Measured: Up to approximately 7 months

Secondary outcomes (8)
  1. Area Under the Plasma Concentration-time Curve (AUC) of XB371, Total Antibody and Unconjugated Belotecan

    Measured: Up to approximately 7 months

  2. Maximum Observed Plasma Concentration (Cmax) of XB371, Total Antibody and Unconjugated Belotecan

    Measured: Up to approximately 7 months

  3. Time to Maximum Observed Plasma Concentration (Tmax) of XB371, Total Antibody and Unconjugated Belotecan

    Measured: Up to approximately 7 months

  4. Trough Observed Plasma Concentration (Ctrough) of XB371, Total Antibody and Unconjugated Belotecan

    Measured: Up to approximately 7 months

  5. Number of Participants with Antidrug Antibodies to XB371

    Measured: Up to approximately 7 months

  6. Dose-escalation Cohorts Only: Recommended Dose(s) for Expansion

    Measured: Through completion of dose-escalation (up to approximately 18 months)

  7. Dose-expansion Cohorts Only: Objective Response Rate as Assessed by the Investigator per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

    Measured: Up to approximately 18 months

  8. Dose-expansion Cohorts Only: Duration of Response as Assessed by the Investigator per RECIST v1.1

    Measured: Up to approximately 18 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 Aug 2025
  2. Study start18 Aug 2025
  3. Primary completionNov 2027 (estimated)
  4. Study completionFeb 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
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07123103
Sponsor's protocol ID
XB371-101
Status last verified
Feb 2026
First submitted
8 Aug 2025
Last updated
17 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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