Neoplasms, MalignantPhase 1NCT07660432
A Study of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors
A Phase 1 study testing SIM0689 for Injection in people with Neoplasms, Malignant, run by Jiangsu Simcere Pharmaceutical Co., Ltd. at 6 sites in China.
Trial summary
This study will evaluate the safety, of SIM0689 and how the body processes it, how it affects the body, and its early signs of activity against tumors when given alone to Adult Participants with Locally Advanced or Metastatic Solid Tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neoplasms, Malignant
- What is being tested?
- SIM0689 for Injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 472 participants
- Where
- 6 sitesChina
- Study dates
- 3 Jul 2026to Jun 2029
- 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
- In dose-escalation cohorts (Part 1), histologically or cytologically documented advanced or metastatic solid tumor that is refractory/relapsed to standard therapies, or for which no effective standard therapy is available, or the subject refuses standard therapy.
- In the dose-expansion cohorts (Part 2), histologically or cytologically confirmed selected advanced solid tumors.
- Subjects must have at least one measurable lesion according to RECIST Version1.1.
- Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
- Adequate organ function.
- Available archived tumor tissue sample to allow for correlative biomarker studies. If unavailable or unsuitable, the subject must consent and undergo fresh tumor biopsy.
- Life expectancy ≥12 weeks.
- Patients of childbearing potential (male and female) must agree to use reliable methods of contraception until at least 180 days after the last dose.
Who cannot join
- Symptomatic brain metastases.
- Serious non-healing wounds, ulcers or fractures.
- Toxicity from previous treatment has to restore to ≤ grade 1.
- Major surgery (excluding biopsy) or significant trauma within 4 weeks prior to enrollment.
- Use of aspirin (> 325 mg/day) within 6 months prior to the first dose.
- Active hepatitis B or hepatitis C.
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- Known human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS).
- Known hereditary or acquired predisposition to bleeding and thrombosis.
- History of gastrointestinal perforation, gastrointestinal bleeding, fistula, or any life-threatening bleeding event within 6 months prior to enrollment.
- Prior permanent discontinuation of PD-(L)1 and/or VEGF monoclonal antibody because of immune/anti-angiogenesis toxicities, or history of Grade ≥3 immune/anti-angiogenesis-related AEs
- Known or suspected active autoimmune disease.
- Patients with proteinuria at screening (Urine protein >2+ at screening, or 2+ urine protein accompanied by 24-h urine protein ≥1 g/24 h).
- History of myocardial infarction or stroke within 6 months prior to enrollment.
- Subjects with clinically significant cardiovascular disease within 6 months prior to the first dose.
- Pregnant and lactating women.
- Known allergies to any excipient in the study drug.
Trial locations and contacts
6 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Xueli Bai contact
6 sites in 1 country
China6 sites, 6 recruiting
- Not yet recruiting
Hunan Cancer Hospital
Changsha, Hunan, 410013
Xingxiang Pu
Haiyan Yang
- Recruiting
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
Zengqing Guo
- Recruiting
The First Affiliated Hospital, Zhejiang University school of Medicine
Hangzhou, Zhejiang, 310003
Tingbo Liang
- Not yet recruiting
Cancer Hospital of Shandong First Medical University
Jinan, Shandong, 250117
Shuqin Ni
- Not yet recruiting
The First Hospital of China Medical University
Shenyang, Liaoning, 110000
Yunpeng Liu
- Not yet recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450000
Shuiling Jin
About this study
Official title: Phase I First-in-Human, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors
This study will evaluate the safety, of SIM0689 and how the body processes it, how it affects the body, and its early signs of activity against tumors when given alone to Adult Participants with Locally Advanced or Metastatic Solid Tumors. The study has a dose escalation part to find the highest dose that can be given safely, or recommended dose (RD) for SIM0689 when given alone, and a dose expansion part in subjects with specific tumor types treated with SIM0689 as a single agent at RD.
- Conditions
- Neoplasms, Malignant
- Being tested
- SIM0689 for Injection
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SIM0689 for InjectionDrug
SIM0689 for Injection is a Programmed Cell Death Protein 1(PD1) / Vascular Endothelial Growth Factor (VEGF) bispecific antibody.
| Study group | Role | What they receive |
|---|---|---|
| SIM0689 for Injection | Experimental | One intravenous infusion of SIM0689 for Injection, 28 days or 21 days as a treatment cycle. Receives: Drug: SIM0689 for Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose-limiting toxicity (DLT) (Dose escalation)
DLTs will be assessed during the dose-escalation phase and are defined as toxicities that meet pre-defined severity criteria.
Measured: at the end of Cycle 1 (each cycle is 28 days)
Maximum tolerated dose (MTD)and / or Recommended dose (RD) (Dose escalation)
The MTD is defined as the dose of SIM0689 with an estimated toxicity rate closest to the target toxicity rate of 27%;
RD stands for Recommended Dose, which will be selected based on the evaluation of all available pharmacokinetics, pharmacodynamic, efficacy, safety, and tolerability data
Measured: Up to approximately 2 years
Objective Response Rate (ORR) (Dose expansion)
ORR is the proportion of participants with complete response(CR)or partial response (PR) assessed according to RECIST v1.1.
Measured: Up to approximately 2 years
Secondary outcomes (8)
Adverse event rate
The occurrence of all adverse events (AEs), evaluated by Common Terminology Criteria for Adverse Events (CTCAE) 6.0.
Measured: up to approximately 2 years
Pharmacokinetics: The area under the curve (AUC)
The area under the curve (AUC) of serum concentration of SIM0689
Measured: up to approximately 2 years
Pharmacokinetics: Peak concentration (Cmax)
Maximum observed concentration (Cmax) of SIM0689
Measured: Up to approximately 2 years
Pharmacokinetics: T1/2
Terminal half-life (T1/2)
Measured: Up to approximately 2 years
Pharmacokinetics: Tmax
Time to maximum concentration
Measured: Up to approximately 2 years
Immunogenicity
Titer of serum anti-SIM0689 antibodies
Measured: Up to approximately 2 years
Immunogenicity
Incidence rate of serum anti-SIM0689 antibodies
Measured: Up to approximately 2 years
Immunogenicity
Duration of serum anti-SIM0689 antibodies
Measured: Up to approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2026
- Study start3 Jul 2026
- Primary completionDec 2028 (estimated)
- Study completionJun 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neoplasms, MalignantStudies of the same condition, open and under way.
- More trials run by Jiangsu Simcere Pharmaceutical Co., Ltd.The sponsor's other registered studies.
- 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
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 472 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jiangsu Simcere Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Shanghai Xianwei Medical Technology Co., Ltd.
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07660432
- Sponsor's protocol ID
- SIM0689-101
- Status last verified
- Jun 2026
- First submitted
- 10 Jun 2026
- Last updated
- 20 Aug 2026
- 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 20 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I First-in-Human, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors
- ClinicalTrials.gov ID
- NCT07660432
- Acronym / sponsor ID
- SIM0689-101
- Conditions
- Neoplasms, Malignant
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 472 participants (estimated)
- Lead sponsor
- Jiangsu Simcere Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Shanghai Xianwei Medical Technology Co., Ltd.
- Study start
- 3 Jul 2026 (actual)
- Primary completion
- Dec 2028 (estimated)
- Study completion
- Jun 2029 (estimated)
- First posted
- 22 Jun 2026 (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.
This study will evaluate the safety, of SIM0689 and how the body processes it, how it affects the body, and its early signs of activity against tumors when given alone to Adult Participants with Locally Advanced or Metastatic Solid Tumors. The study has a dose escalation part to find the highest dose that can be given safely, or recommended dose (RD) for SIM0689 when given alone, and a dose expansion part in subjects with specific tumor types treated with SIM0689 as a single agent at RD.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| SIM0689 for Injection | Experimental | Drug: SIM0689 for InjectionOne intravenous infusion of SIM0689 for Injection, 28 days or 21 days as a treatment cycle. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- In dose-escalation cohorts (Part 1), histologically or cytologically documented advanced or metastatic solid tumor that is refractory/relapsed to standard therapies, or for which no effective standard therapy is available, or the subject refuses standard therapy.
- In the dose-expansion cohorts (Part 2), histologically or cytologically confirmed selected advanced solid tumors.
- Subjects must have at least one measurable lesion according to RECIST Version1.1.
- Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
- Adequate organ function.
Key exclusion criteria (16 listed)
- Symptomatic brain metastases.
- Serious non-healing wounds, ulcers or fractures.
- Toxicity from previous treatment has to restore to ≤ grade 1.
- Major surgery (excluding biopsy) or significant trauma within 4 weeks prior to enrollment.
- Use of aspirin (> 325 mg/day) within 6 months prior to the first dose.
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 |
|---|---|---|
| SIM0689 for InjectionSIM0689 for Injection is a Programmed Cell Death Protein 1(PD1) / Vascular Endothelial Growth Factor (VEGF) bispecific antibody. | Drug | SIM0689 for Injection |
Primary outcome
Dose-limiting toxicity (DLT) (Dose escalation)
Time frame: at the end of Cycle 1 (each cycle is 28 days)
DLTs will be assessed during the dose-escalation phase and are defined as toxicities that meet pre-defined severity criteria.
Maximum tolerated dose (MTD)and / or Recommended dose (RD) (Dose escalation)
Time frame: Up to approximately 2 years
The MTD is defined as the dose of SIM0689 with an estimated toxicity rate closest to the target toxicity rate of 27%; RD stands for Recommended Dose, which will be selected based on the evaluation of all available pharmacokinetics, pharmacodynamic, efficacy, safety, and tolerability data
Objective Response Rate (ORR) (Dose expansion)
Time frame: Up to approximately 2 years
ORR is the proportion of participants with complete response(CR)or partial response (PR) assessed according to RECIST v1.1.
8 secondary outcomes
Adverse event rate
Time frame: up to approximately 2 years
Pharmacokinetics: The area under the curve (AUC)
Time frame: up to approximately 2 years
Pharmacokinetics: Peak concentration (Cmax)
Time frame: Up to approximately 2 years
Pharmacokinetics: T1/2
Time frame: Up to approximately 2 years
Pharmacokinetics: Tmax
Time frame: Up to approximately 2 years
Immunogenicity
Time frame: Up to approximately 2 years
Immunogenicity
Time frame: Up to approximately 2 years
Immunogenicity
Time frame: Up to approximately 2 years
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 20 Aug 2026.
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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.
Xueli Bai contact
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing SIM0689 for Injection in people with Neoplasms, Malignant, run by Jiangsu Simcere Pharmaceutical Co., Ltd. at 6 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 8 inclusion and 16 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 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 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 Tingbo Liang (+86 13666676121, liangtingbo_trial@163.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) (Dose escalation) (time frame: at the end of Cycle 1 (each cycle is 28 days)). 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 20 Aug 2026.