Metastatic Pancreatic CancerPhase 1NCT07707674
Phase I Open-Label Randomized Multicenter Study of XNW28012 Monotherapy in Metastatic Pancreatic Cancer
A Phase 1 study testing XNW28012 in people with Metastatic Pancreatic Cancer, run by Evopoint Biosciences Inc. at 8 sites in United States.
Trial summary
A Phase I, Open-Label, Randomized, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Efficacy of XNW28012 Monotherapy in the Treatment of Subjects with Metastatic Pancreatic Cancer Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Pancreatic Cancer
- What is being tested?
- XNW28012
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 8 sitesUnited States
- Study dates
- 30 Jul 2026to 30 Apr 2028
- 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
- subjects with histologically or cytologically confirmed metastatic PDAC, whose disease has progressed after at least 1 prior systemic therapy.
- Age ≥ 18 years old at the time of consent.
- Subjects must have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale. ECOG status of 2 can be allowed if it is a result of disease progression and warrantsdiscussion with the medical monitor.
- Subjects must have adequate organ function within 7 days prior to the first study drug administration, as indicated by the following laboratory values;
- Life expectancy of at least 12 weeks.
- Females of childbearing potential must have a negative pregnancy test within 7 days prior to the first dose of study drug.
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- Non-sterile subjects must be willing to use a highly effective contraception (e.g., IUD, pill, or condom) for the duration of the study and for 6 months after the last dose of study drug unless their partner is sterilized.
- Subjects are able to provide written informed consent, understand and are willing to comply with the requirements of the study.
- -
Who cannot join
- A history of severe infusion reactions to other monoclonal antibodies/antibody drug conjugates (ADCs), or allergic reactions to any components of XNW28012, or treatment with TF-directed therapy.
- Any anti-tumor therapy within 21 days prior to the first dose, including but not limited to: small molecules, immunotherapy, chemotherapy, monoclonal antibodies, or any other experimental drugs.
- Any active malignancy, with the exception of the specific types of cancersunder investigation in this study and any locally recurring cancer that has been treated curatively .
- Have received a live vaccine within 4 weeks prior to the first dose of study drug. Note: Seasonal vaccines for influenza are generally inactivated vaccines and are allowed; however, intranasal influenza vaccines will not be allowed if they are attenuated live vaccines.
- Have received granulocyte colony stimulating factor (G-CSF) or granulocyte / macrophage colony stimulating factor support within 1 week before screening, or pegylated G-CSF within 2 weeks before screening.
- Subjects with toxicities (as a result of prior anti-cancer therapy) that have not improved to CTCAE grade ≤ 1 or stabilized, except those AEs not considered as a likely safety risk (e.g., alopecia).
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- Any history of pneumonitis or interstitial lung disease (ILD).
- Any history of intracerebral arteriovenous malformation, cerebral aneurysm, or stroke (transient ischemic attack) ≤ 3 months prior to screening is allowed if stable.
- Any hematological risk factors.
- Clinically significant cardiovascular/cerebrovascular conditions.
- Subjects have known active CNS metastases and/or carcinomatous meningitis.
- Active ocular surface disease at screening, or subjects with any prior episode of cicatricial conjunctivitis, or corneal nebula; subjects with glaucoma of CTCAE grade ≥ 2.
- Any history of Toxic Epidermal Necrolysis (TEN) or Steven Johnson Syndrome.
- Subjects who have undergone major surgery within 28 days prior to the first dose of study drug, except if the procedure is minimally invasive.
- Subjects with untreated chronic hepatitis B or chronic hepatitis B virus (HBV) carriers whose HBV DNA is higher than 500 IU/mL or subjects with positive hepatitis C virus (HCV) RNA. Inactive hepatitis B surface antigen (HbsAg) carriers, treated and stable hepatitis B (HBV DNA < 500 IU/mL), and cured hepatitis C subjects may be enrolled.
- A known history of HIV infection or acquired immunodeficiency syndrome (AIDS).
- Subjects with severe chronic or active infections requiring antibacterial, antifungal or antiviral therapy.
- Known immunodeficiency or any condition that requires systemic treatment with either corticosteroids (≥ 10 mg daily of prednisone or equivalent) or other immunosuppressive medication within 7 days before the first dose of study drug.
- Subjects who have received (or plan to receive during the study treatment period) strong/moderate CYP3A4 inhibitors or inducers, or strong/moderate CYP2D6 inhibitors within 2 weeks or 5 half-lives (whichever is longer) prior to the first dose of study drug.
- Have an ongoing significant, uncontrolled medical condition.
- Subjects who are pregnant or breastfeeding or expecting to conceive within the projected duration of the study.
- Underlying medical conditions or alcohol, drug abuse or dependence that, in Investigator's opinion, will be unfavorable for the administration of study drug or affect the explanation of drug toxicity or adverse events, or insufficient compliance during the study according to Investigator's judgment.
Trial locations and contacts
8 sites in 1 country. Contact the study team or a site near you to ask about taking part.
8 sites in 1 country
United States8 sites
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Cancer Care Line, +1 (216) 444-7923, CancerAnswer@ccf.org
SCRI at Mary Crowley
Dallas, Texas, 75230
Reva Schneider, MD, +1 (972) 566-3000, reva.schneider@scri.com
Karmanos Cancer Institute
Detroit, Michigan, 48201
Dr. Wasif Saif, +1 (800) 527-6266, saifw@karmanos.org
New Patient Referrals
START - Midwest
Grand Rapids, Michigan, 49546
New Patient Referrals, +1 (616) 954-5554, hopeteam@startresearch.com
START - New York Long Island
Lake Success, New York, 10042
New Patient Referrals, +1 (363) 207-5160, hopeteam@startresearch.com
SCRI Oncology Partners
Nashville, Tennessee, 37203
New Patient Referrals, +1 (615) 329-7640, scri.referrals@scri.com
Oklahoma University Health Sciences Center
Oklahoma City, Oklahoma, 73104
Coordinator Clinicial Operations Director, +1 (405) 271-1112, SCC-Clinical-Trials-Office@ouhsc.edu
START - San Antonio
San Antonio, Texas, 78229
New Patient Referrals, +1 (210) 593-5250, hopeteam@startresearch.com
About this study
Official title: A Phase I, Open-Label, Randomized, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Efficacy of XNW28012 Monotherapy in the Treatment of Subjects With Metastatic Pancreatic Cancer
A Phase I, Open-Label, Randomized, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Efficacy of XNW28012 Monotherapy in the Treatment of Subjects with Metastatic Pancreatic Cancer
- Conditions
- Metastatic Pancreatic Cancer
- Being tested
- XNW28012
- Medical subject headings
- Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
XNW28012Drug
XNW28012 is an antibody-drug conjugate (ADC) composed of a humanized immunoglobulin G1 (IgG1) monoclonal antibody (mAb) targeting Tissue Factor (TF) and a topoisomerase I inhibitor.
| Study group | Role | What they receive |
|---|---|---|
| XNW28012 2.0 mg/kg dose level | Experimental | XNW28012 2.0 mg/kg, IV, every 3 weeks (Q3W; 21-day cycles). Receives: Drug: XNW28012 |
| XNW 28012 2.4 mg/kg dose level | Experimental | XNW28012 2.4 mg/kg, IV, every 3 weeks (Q3W; 21-day cycles). Receives: Drug: XNW28012 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adverse Events (AEs)
Number and percentage of participants experiencing treatment-emergent adverse events (TEAEs), including assessment of severity according to CTCAE criteria.
Measured: From the first dose of study treatment through 30 days after the last dose of study treatment.
Incidence of Serious Adverse Events (SAEs)
Number and percentage of participants experiencing treatment-emergent serious adverse events (SAEs).
Measured: From the first dose of study treatment through 30 days after the last dose of study treatment.
Secondary outcomes (9)
RP2D
To determine the optimal dose of XNW28012 for future development
Measured: From the first dose of study treatment through 30 days after the last dose of study treatment.
Maximum Plasma Concentration (Cmax)
Maximum observed plasma concentration of study drug following administration.
Measured: From first dose of study treatment through 30 days after the last dose of study treatment.
Area Under the Plasma Concentration-Time Curve (AUC)
Area under the plasma concentration-time curve of study drug following administration.
Measured: From the first dose of study treatment through 30 days after the last dose of study treatment.
Terminal Elimination Half-Life (t1/2)
Terminal elimination half-life of study drug following administration.
Measured: From first dose of study treatment through 30 days after the last dose of study treatment.
Time to Maximum Plasma Concentration (Tmax)
Time to reach maximum observed plasma concentration of study drug following administration.
Measured: From first dose of study treatment through 30 days after the last dose of study treatment.
Incidence of Treatment-Emergent Anti-Drug Antibodies (ADA)
Proportion of participants who develop treatment-emergent anti-drug antibodies during the study period.
Measured: From the first dose of study treatment through 30 days after the last dose of study treatment.
Objective Response Rate (ORR)
Percentage of participants with a best overall response of complete response (CR) or partial response (PR) as assessed by investigator according to [RECIST 1.1/Lugano criteria].
Measured: 24 months
Duration of Response (DOR)
Time from the first documented objective response (CR or PR) to disease progression or death, assessed according to [criteria].
Measured: 24 months
Progression-Free Survival (PFS)
Time from first dose of study treatment to documented disease progression or death from any cause.
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 posted16 Jul 2026
- Study start30 Jul 2026 (estimated)
- Primary completion30 Apr 2028 (estimated)
- Study completion30 Apr 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Pancreatic CancerStudies of the same condition, open and under way.
- More trials run by Evopoint Biosciences Inc.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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 24 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Evopoint Biosciences Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07707674
- Sponsor's protocol ID
- XNW28012-I-03
- Status last verified
- Jul 2026
- First submitted
- 6 Jul 2026
- Last updated
- 22 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I, Open-Label, Randomized, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Efficacy of XNW28012 Monotherapy in the Treatment of Subjects With Metastatic Pancreatic Cancer
- ClinicalTrials.gov ID
- NCT07707674
- Acronym / sponsor ID
- XNW28012-I-03
- Conditions
- Metastatic Pancreatic Cancer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 24 participants (estimated)
- Lead sponsor
- Evopoint Biosciences Inc.Industry (pharma, biotech, devices)
- Study start
- 30 Jul 2026 (estimated)
- Primary completion
- 30 Apr 2028 (estimated)
- Study completion
- 30 Apr 2028 (estimated)
- First posted
- 16 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.
A Phase I, Open-Label, Randomized, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Efficacy of XNW28012 Monotherapy in the Treatment of Subjects with Metastatic Pancreatic Cancer
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| XNW28012 2.0 mg/kg dose level | Experimental | Drug: XNW28012XNW28012 2.0 mg/kg, IV, every 3 weeks (Q3W; 21-day cycles). |
| XNW 28012 2.4 mg/kg dose level | Experimental | Drug: XNW28012XNW28012 2.4 mg/kg, IV, every 3 weeks (Q3W; 21-day cycles). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- subjects with histologically or cytologically confirmed metastatic PDAC, whose disease has progressed after at least 1 prior systemic therapy.
- Age ≥ 18 years old at the time of consent.
- Subjects must have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale. ECOG status of 2 can be allowed if it is a result of disease progression and warrantsdiscussion with the medical monitor.
- Subjects must have adequate organ function within 7 days prior to the first study drug administration, as indicated by the following laboratory values;
- Life expectancy of at least 12 weeks.
Key exclusion criteria (22 listed)
- A history of severe infusion reactions to other monoclonal antibodies/antibody drug conjugates (ADCs), or allergic reactions to any components of XNW28012, or treatment with TF-directed therapy.
- Any anti-tumor therapy within 21 days prior to the first dose, including but not limited to: small molecules, immunotherapy, chemotherapy, monoclonal antibodies, or any other experimental drugs.
- Any active malignancy, with the exception of the specific types of cancersunder investigation in this study and any locally recurring cancer that has been treated curatively .
- Have received a live vaccine within 4 weeks prior to the first dose of study drug. Note: Seasonal vaccines for influenza are generally inactivated vaccines and are allowed; however, intranasal influenza vaccines will not be allowed if they are attenuated live vaccines.
- Have received granulocyte colony stimulating factor (G-CSF) or granulocyte / macrophage colony stimulating factor support within 1 week before screening, or pegylated G-CSF within 2 weeks before screening.
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 |
|---|---|---|
| XNW28012XNW28012 is an antibody-drug conjugate (ADC) composed of a humanized immunoglobulin G1 (IgG1) monoclonal antibody (mAb) targeting Tissue Factor (TF) and a topoisomerase I inhibitor. | Drug | XNW 28012 2.4 mg/kg dose level, XNW28012 2.0 mg/kg dose level |
Primary outcome
Incidence of Adverse Events (AEs)
Time frame: From the first dose of study treatment through 30 days after the last dose of study treatment.
Number and percentage of participants experiencing treatment-emergent adverse events (TEAEs), including assessment of severity according to CTCAE criteria.
Incidence of Serious Adverse Events (SAEs)
Time frame: From the first dose of study treatment through 30 days after the last dose of study treatment.
Number and percentage of participants experiencing treatment-emergent serious adverse events (SAEs).
9 secondary outcomes
RP2D
Time frame: From the first dose of study treatment through 30 days after the last dose of study treatment.
Maximum Plasma Concentration (Cmax)
Time frame: From first dose of study treatment through 30 days after the last dose of study treatment.
Area Under the Plasma Concentration-Time Curve (AUC)
Time frame: From the first dose of study treatment through 30 days after the last dose of study treatment.
Terminal Elimination Half-Life (t1/2)
Time frame: From first dose of study treatment through 30 days after the last dose of study treatment.
Time to Maximum Plasma Concentration (Tmax)
Time frame: From first dose of study treatment through 30 days after the last dose of study treatment.
Incidence of Treatment-Emergent Anti-Drug Antibodies (ADA)
Time frame: From the first dose of study treatment through 30 days after the last dose of study treatment.
Objective Response Rate (ORR)
Time frame: 24 months
Duration of Response (DOR)
Time frame: 24 months
Progression-Free Survival (PFS)
Time frame: 24 months
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 22 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.
8 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 XNW28012 in people with Metastatic Pancreatic Cancer, run by Evopoint Biosciences Inc. at 8 sites in United States.
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 9 inclusion and 22 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: opening soon, as of the sponsor's last update on 22 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 8 sites in United States. 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 Yingyi Zhang (562-796-8006, yingyi.zhang@evopointbio.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 (AEs) (time frame: From the first dose of study treatment through 30 days after the last dose of study treatment.). The study lists 2 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 22 Jul 2026.