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EGFR Mutation-positive NSCLCPhase 1NCT07500987

Phase I Study of [111In]-FPI-2107 in EGFR Mutation-positive NSCLC

A Phase 1 study testing [111In]-FPI-2107 and FPI-2053 in people with EGFR Mutation-positive NSCLC, run by AstraZeneca at 3 sites in China.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a Phase I, multicentre, open-label clinical study designed to investigate the safety, tolerability, dosimetry, biodistribution, PD, and PK of [111In]-FPI-2107 after pre-dose administration of FPI-2053 in Chinese participants with EGFR mutation-positive NSCLC. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
EGFR Mutation-positive NSCLC
What is being tested?
[111In]-FPI-2107 and FPI-2053
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6 participants
Where
3 sitesChina
Study dates
27 Feb 2026to 13 May 2026
Phase
Phase 1
Are there results?
None posted in the registry

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 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed EGFR mutation positive NSCLC.
  • Without any ongoing anti-cancer therapy or with stable ongoing anti-cancer therapy.
  • At least one lesion that is present on 18F-FDG PET/CT scan during screening.
  • ECOG performance status of 0 or 1.
  • Anticipated life expectancy ≥ 12 weeks, in the opinion of the Investigator.
  • Able to provide tumour tissue for analysis.

Who cannot join

  • Confirmed radiographic disease progression or Investigator-assessed clinical disease progression within 28 days prior to the administration of [111In]-FPI-2107.
  • Contraindications to or inability to perform the imaging procedures required in this study.
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (≥ once per month).
  • History of myocardial infarction or New York Heart Association Class II-IV congestive heart failure within 6 months of the administration of [111In]-FPI-2107, CTCAE Grade 2 or worse conduction defect or uncontrolled hypertension.
  • Clinically relevant proteinuria, or daily urinary protein excretion > 500 mg).
  • Any antibody-based therapy targeting EGFR and/or c-MET, or investigational agent within 28 days or 5 half-lives prior to the administration of [111In]-FPI-2107, whichever is shorter.
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  • Any systemic radiopharmaceutical within 28 days or 5 radioactive half-lives prior to the administration of [111In]-FPI-2107, whichever is shorter.
  • Any anticipated need for switching of any concomitant anti-cancer therapy during the imaging period of the study.
  • External beam radiation therapy within 28 days prior to the administration of [111In]-FPI-2107.

Trial locations and contacts

3 sites in 1 country.

China3 sites
  • Research Site

    Beijing, 100142

  • Research Site

    Shandong

  • Research Site

    Wuhan, 430022

Other trials in China

About this study

Official title: A Phase I Multicentre Open-label Study to Evaluate Safety, Tolerability, and Dosimetry of [111In]-FPI-2107 in Chinese Adult Participants With EGFR Mutation-positive NSCLC

This is a Phase I, multicentre, open-label clinical study designed to investigate the safety, tolerability, dosimetry, biodistribution, PD, and PK of [111In]-FPI-2107 after pre-dose administration of FPI-2053 in Chinese participants with EGFR mutation-positive NSCLC.

Being tested
[111In]-FPI-2107, FPI-2053
Keywords
EGFR mutation-positive NSCLC, [111In]-FPI-2107, FPI-2053

What participants receive

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

  • [111In]-FPI-2107Drug

    radioimmuno-SPECT agent

  • FPI-2053Drug

    unconjugated/unlabelled bispecific antibody [cold]

Study groups in NCT07500987
Study groupRoleWhat they receive
[111In]-FPI-2107 and FPI-2053Experimental2 study interventions both based on the same EGFR and c-MET bispecific antibody
Receives: Drug: [111In]-FPI-2107; Drug: FPI-2053

What is being measured

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

  1. Safety and tolerability of [111In]-FPI 2107 following the administration of FPI 2053

    Safety and tolerability will be evaluated by frequency, duration, and severity of AEs, and changes in clinical, laboratory, and ECG parameters compared to baseline

    Measured: From the screening period to 21 days after dosing

  2. Dosimetry parameter of [111In]-FPI 2107 following the administration of FPI 2053

    Residence time of the segmented source organs

    Measured: During the Imaging period (Day1 - Day4/5)

  3. Dosimetry parameter of [111In]-FPI 2107 following the administration of FPI 2053

    Absorbed radiation doses of all target organs

    Measured: During the Imaging period (Day1 - Day4/5)

Secondary outcomes (5)
  1. Tumour uptake of [111In]-FPI-2107

    Tumour uptake of [111In]-FPI 2107 in selected regions of interest on SPECT/CT and/or planar images

    Measured: During the Imaging period (Day1 - Day4/5)

  2. PK of [111In]-FPI-2107: Peak Plasma Concentration (Cmax)

    Determine the peak plasma concentration of [111In]-FPI-2107 following administration of FPI-2053 and [111In]-FPI-2107

    Measured: From the dose of investigation product (Day 1) until Day 4/5

  3. PK of [111In]-FPI-2107: AUClast

    Calculate the area under the curve using PK concentrations of [111In]-FPI-2107 to determine exposure of the product

    Measured: From the dose of investigation product (Day 1) until Day 4/5

  4. PK of [111In]-FPI-2107: Clearance

    Determine the clearance of [111In]-FPI-2107 with the pre-dose administration of FPI-2053 using PK concentrations of [111In]-FPI-2107

    Measured: From the dose of investigation product (Day 1) until Day 4/5

  5. PK of [111In]-FPI-2107: Half-life

    Determine the half-life of [111In]-FPI-2107 with the pre-dose administration of FPI-2053 using PK concentrations of [111In]-FPI-2107

    Measured: From the dose of investigation product (Day 1) until Day 4/5

Timeline

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

  1. First posted30 Mar 2026
  2. Study start27 Feb 2026
  3. Primary completion13 May 2026
  4. Study completion13 May 2026

Why it stopped: Early termination was due to insufficient tumor uptake thought to be limited by the binding affinity of EGFR, The termination is not related to any safety or quality concerns.

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
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07500987
Sponsor's protocol ID
D8650C00002
Status last verified
Aug 2026
First submitted
18 Feb 2026
Last updated
11 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing [111In]-FPI-2107 and FPI-2053 in people with EGFR Mutation-positive NSCLC, run by AstraZeneca at 3 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 9 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: stopped early, as of the sponsor's last update on 11 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 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?

The study was stopped early (reason given: Early termination was due to insufficient tumor uptake thought to be limited by the binding affinity of EGFR, The termination is not related to any safety or quality concerns.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and tolerability of [111In]-FPI 2107 following the administration of FPI 2053 (time frame: From the screening period to 21 days after dosing). The study lists 3 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 11 Sep 2026.

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