GliomaPhase 2NCT07678684
A Study of HF1K16 Combined With Bevacizumab in Patients With Recurrent or Progressive Glioma
A Phase 2 study testing HF1K16 in people with Glioma and Adult, run by HighField Biopharmaceuticals Corporation at 1 site in China.
Trial summary
The primary purpose of this Phase II study is to evaluate the preliminary anti-tumor efficacy of HF1K16 in combination with Bevacizumab in patients with recurrent or progressive glioma. The study also evaluates the safety and tolerability of the combination therapy. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- What is being tested?
- HF1K16
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteChina
- Study dates
- 30 Jun 2026to 31 Dec 2028
- Phase
- Phase 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
- The patient and/or guardian must voluntarily sign and date a written informed consent form.
- Age ≥ 18 years and ≤ 75 years at the time of informed consent signing, male or female.
- Confirmed diagnosis of glioma by histopathology and molecular pathology, with recurrent or progressive disease following prior therapy, and no available standard treatment or intolerance to standard treatment.
- Expected survival time of at least 3 months.
- Karnofsky Performance Status (KPS) score ≥ 60.
- Adequate organ and bone marrow function as defined by the following criteria:
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- Bone marrow reserve: absolute neutrophil count ≥ 1.5×10⁹/L, platelet count ≥ 90×10⁹/L, and hemoglobin ≥ 9.0 g/dL (without transfusion or hematopoietic growth factor support within 14 days);
- Coagulation function: activated partial thromboplastin time (APTT) ≤ 1.5×ULN, and international normalized ratio (INR) ≤ 1.5×ULN;
- Hepatic function: total bilirubin (TBIL) ≤ 1.5×ULN, and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5×ULN; in the presence of liver metastases, ALT and AST ≤ 5×ULN and TBIL ≤ 3×ULN;
- Renal function: creatinine clearance ≥ 60 mL/min (calculated using the Cockcroft-Gault formula);
- Left ventricular ejection fraction (LVEF) ≥ 50%;
- QTcF interval on electrocardiogram < 450 ms (males) or < 470 ms (females).
- Subjects of reproductive potential (including male subjects) must agree to avoid pregnancy and use effective contraceptive measures with their partners during the study period and for 6 months after the last dose. A negative serum pregnancy test must be confirmed between screening and prior to the first dose.
Who cannot join
- Any active autoimmune disease, or a history of autoimmune disease requiring systemic steroid therapy, with a daily prednisone dose > 10 mg or equivalent corticosteroid within 2 weeks prior to study treatment.
- Uncontrolled seizures, hypertension, or psychiatric disorder at screening.
- Severe infection occurring within 4 weeks prior to the first dose, including but not limited to complicated infection requiring hospitalization, sepsis, or severe pneumonia; active infection requiring systemic anti-infective therapy within 2 weeks prior to the first dose, except for antiviral therapy for hepatitis B or hepatitis C.
- Third-space effusion that cannot be effectively controlled by drainage or other measures.
- Participation in another clinical trial of an investigational drug within 4 weeks prior to enrollment.
- Receipt of any anti-tumor therapy including chemotherapy, targeted therapy, biologic therapy, immunotherapy, radical radiotherapy, or major surgery within 2 weeks prior to enrollment or within 3 half-lives (whichever is shorter).
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- Any other active malignancy within 5 years prior to enrollment. Subjects with other malignancies cured by local therapy (e.g., basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix) are excepted.
- Patients with hyperthyroidism are excluded. Subjects with hypothyroidism on a stable dose of thyroid hormone replacement therapy with stable thyroid function (TSH ≤ 10 μIU/mL and no clinical manifestations of hypothyroidism) may be enrolled.
- Failure to recover from all adverse events due to prior therapy to Grade ≤ 1 (per CTCAE v5.0) or to baseline levels, except for toxicities deemed by the investigator to pose no safety risk (such as alopecia, Grade 2 peripheral neuropathy, hypothyroidism stabilized with hormone replacement therapy, etc.).
- Any active cardiac disease within 6 months prior to the first dose, including New York Heart Association (NYHA) Class II-IV cardiac dysfunction, congestive heart failure, myocardial infarction, unstable angina, and/or stroke or other cardiovascular or cerebrovascular events of Grade 3 or higher, or left ventricular ejection fraction (LVEF) < 50%.
- HIV infection, active HBV infection (HBV DNA above the upper limit of normal), or active HCV infection (HCV RNA above the upper limit of normal).
- Any other serious systemic disease or any other condition that, in the opinion of the investigator, would render the subject ineligible for participation in this clinical study.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site, 1 recruiting
- Recruiting
Huashan Hospital Affiliated to Fudan University
Shanghai, Shanghai Municipality
Ruofan Huang, huangruofan@huashan.org.cn
Jinsong Wu, MD, PhD
About this study
Official title: A Multicenter, Open-Label, Adaptive Phase Ⅱ Clinical Study of HF1K16 Combined With Bevacizumab in Recurrent or Progressive Glioma
The primary purpose of this Phase II study is to evaluate the preliminary anti-tumor efficacy of HF1K16 in combination with Bevacizumab in patients with recurrent or progressive glioma. The study also evaluates the safety and tolerability of the combination therapy.
Read the detailed description
This multicenter, open-label, adaptive Phase II study evaluates the combination of HF1K16 and Bevacizumab in recurrent or progressive glioma. HF1K16 combines a lipid bilayer structure with all-trans retinoic acid (ATRA). In glioma patients, myeloid-derived suppressor cells (MDSCs) typically accumulate and exert strong immunosuppressive activity. HF1K16 is designed to induce immature MDSCs to differentiate into mature, active immune cells, thereby reversing immune suppression in the tumor microenvironment. The combination of HF1K16 and Bevacizumab is expected to achieve a synergistic anti-tumor effect by simultaneously inhibiting angiogenesis and remodeling the immunosuppressive tumor microenvironment to maximize efficacy.
- Being tested
- HF1K16
- Keywords
- Drug Combinations, Drug Safety, Drug Tolerance
- Medical subject headings
- Glioma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HF1K16Drug
An investigational drug administered via intravenous (IV) infusion on specified days of a 28-day cycle.
| Study group | Role | What they receive |
|---|---|---|
| HF1K16 + Bevacizumab | Experimental | This study includes a dose-escalation phase followed by an adaptive expansion phase. Participants will receive combination therapy of HF1K16 (at 3 planned dose levels during escalation) and Bevacizumab to evaluate preliminary efficacy and safety. Receives: Drug: HF1K16 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adverse Events
The number and percentage of participants experiencing adverse events (AEs), graded according to NCI-CTCAE v5.0
Measured: Up to 2 years
The recommended Phase II dose
The RP2D will be determined via dose escalation, and efficacy evaluation will be conducted at the RP2D across different tumor types during the expansion phase.
Measured: Up to 2 years
Progression-Free Survival(PFS)
Time from the first dose to disease progression or death.
Measured: Up to 2 years
Secondary outcomes (5)
The objective response rate(ORR)
Proportion of participants achieving a complete response (CR) or partial response (PR) based on RECIST v1.1 criteria.
Measured: Up to 2 years
Time-To-Next-Intervention (TTNI)
The time from the date of the first dose of study treatment to the date of initiation of the first subsequent anti-cancer therapy or intervention
Measured: Up to 2 years
Disease control rate (DCR)
Proportion of participants achieving CR, PR, or stable disease (SD) based on RECIST v1.1.
Measured: Up to 2 years
Change from Baseline in the Quantity of Myeloid-derived suppressor cells(MDSC)
Evaluated by measuring the percentage or absolute counts of MDSCs in peripheral blood samples collected from participants before and after treatment.
Measured: Baseline, and at designated time points during treatment up to 2 years
Overall Survival (OS)
Time from the first dose to death from any cause.
Measured: Up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2026
- Study start30 Jun 2026 (estimated)
- Primary completion31 Dec 2028 (estimated)
- Study completion31 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for GliomaStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- HighField Biopharmaceuticals Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07678684
- Sponsor's protocol ID
- HF1K16-201
- Status last verified
- May 2026
- First submitted
- 7 Jun 2026
- Last updated
- 10 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label, Adaptive Phase Ⅱ Clinical Study of HF1K16 Combined With Bevacizumab in Recurrent or Progressive Glioma
- ClinicalTrials.gov ID
- NCT07678684
- Acronym / sponsor ID
- HF1K16-201
- Keywords
- Drug Combinations, Drug Safety, Drug Tolerance
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- HighField Biopharmaceuticals CorporationIndustry (pharma, biotech, devices)
- Study start
- 30 Jun 2026 (estimated)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 31 Dec 2028 (estimated)
- First posted
- 1 Jul 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.
The primary purpose of this Phase II study is to evaluate the preliminary anti-tumor efficacy of HF1K16 in combination with Bevacizumab in patients with recurrent or progressive glioma. The study also evaluates the safety and tolerability of the combination therapy.
Detailed description
This multicenter, open-label, adaptive Phase II study evaluates the combination of HF1K16 and Bevacizumab in recurrent or progressive glioma. HF1K16 combines a lipid bilayer structure with all-trans retinoic acid (ATRA). In glioma patients, myeloid-derived suppressor cells (MDSCs) typically accumulate and exert strong immunosuppressive activity. HF1K16 is designed to induce immature MDSCs to differentiate into mature, active immune cells, thereby reversing immune suppression in the tumor microenvironment. The combination of HF1K16 and Bevacizumab is expected to achieve a synergistic anti-tumor effect by simultaneously inhibiting angiogenesis and remodeling the immunosuppressive tumor microenvironment to maximize efficacy.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| HF1K16 + Bevacizumab | Experimental | Drug: HF1K16This study includes a dose-escalation phase followed by an adaptive expansion phase. Participants will receive combination therapy of HF1K16 (at 3 planned dose levels during escalation) and Bevacizumab to evaluate preliminary efficacy and safety. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- The patient and/or guardian must voluntarily sign and date a written informed consent form.
- Age ≥ 18 years and ≤ 75 years at the time of informed consent signing, male or female.
- Confirmed diagnosis of glioma by histopathology and molecular pathology, with recurrent or progressive disease following prior therapy, and no available standard treatment or intolerance to standard treatment.
- Expected survival time of at least 3 months.
- Karnofsky Performance Status (KPS) score ≥ 60.
Key exclusion criteria (12 listed)
- Any active autoimmune disease, or a history of autoimmune disease requiring systemic steroid therapy, with a daily prednisone dose > 10 mg or equivalent corticosteroid within 2 weeks prior to study treatment.
- Uncontrolled seizures, hypertension, or psychiatric disorder at screening.
- Severe infection occurring within 4 weeks prior to the first dose, including but not limited to complicated infection requiring hospitalization, sepsis, or severe pneumonia; active infection requiring systemic anti-infective therapy within 2 weeks prior to the first dose, except for antiviral therapy for hepatitis B or hepatitis C.
- Third-space effusion that cannot be effectively controlled by drainage or other measures.
- Participation in another clinical trial of an investigational drug within 4 weeks prior to enrollment.
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 |
|---|---|---|
| HF1K16An investigational drug administered via intravenous (IV) infusion on specified days of a 28-day cycle. | Drug | HF1K16 + Bevacizumab |
Primary outcome
Incidence of Adverse Events
Time frame: Up to 2 years
The number and percentage of participants experiencing adverse events (AEs), graded according to NCI-CTCAE v5.0
The recommended Phase II dose
Time frame: Up to 2 years
The RP2D will be determined via dose escalation, and efficacy evaluation will be conducted at the RP2D across different tumor types during the expansion phase.
Progression-Free Survival(PFS)
Time frame: Up to 2 years
Time from the first dose to disease progression or death.
5 secondary outcomes
The objective response rate(ORR)
Time frame: Up to 2 years
Time-To-Next-Intervention (TTNI)
Time frame: Up to 2 years
Disease control rate (DCR)
Time frame: Up to 2 years
Change from Baseline in the Quantity of Myeloid-derived suppressor cells(MDSC)
Time frame: Baseline, and at designated time points during treatment up to 2 years
Overall Survival (OS)
Time frame: Up to 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 10 Jul 2026.
- Individual participant dataSharing planned: No
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing HF1K16 in people with Glioma and Adult, run by HighField Biopharmaceuticals Corporation at 1 site 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 13 inclusion and 12 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 10 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 1 site 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 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 xun Wang (+86-571-86961869, wangxun21@hf-biopharm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Adverse Events (time frame: Up to 2 years). 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 10 Jul 2026; AzTrials last refreshed its copy on 8 Nov 2026.