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Advanced Solid TumorsPhase 1NCT07719920

A Phase Ia/Ib Study of HW221043 in Participants With Advanced Solid Tumors

A Phase 1 study testing HW221043 Tablets in people with Advanced Solid Tumors, run by Hubei Bio-Pharmaceutical Industrial Technological Institute Inc. at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a Phase Ia/Ib, dose escalation and dose expansion study to evaluate the safety, tolerability, PK, and preliminary efficacy of HW221043 tablets in participants with advanced solid tumors. It includes two parts: the dose escalation study (Phase Ia) and the dose expansion study (Phase Ib). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumors
What is being tested?
HW221043 Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
99 participants
Where
1 siteChina
Study dates
10 Sep 2026to 31 Dec 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

  • Men or women ≥18 years old.
  • Histologically and/or cytologically confirmed recurrent or metastatic advanced solid tumors.
  • Absence of available standard therapy, failure of standard therapy, or ineligibility for standard therapy.
  • Survival expectation is ≥12 weeks.
  • Adequate major organ function at screening; no blood transfusion or hematopoietic growth factor administration within 14 days prior to screening; and no significant abnormalities in hematology, coagulation profiles, or blood chemistry.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
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  • Presence of at least one measurable target lesion as defined by RECIST 1.1
  • Participants are willing to provide tumor tissue samples.
  • Participants of childbearing potential must be non-pregnant at screening. Male and female of childbearing potential must agree to use effective methods of contraception throughout the study.
  • Participants must have demonstrated a full understanding of the study, voluntarily signed the informed consent form (ICF), and be willing and able to comply with all study procedures and required follow-up visits.

Who cannot join

  • Allergic to HW221043 Tablet or its components.
  • Has a treatment history of KIF18A inhibitor.
  • Known presence of a recognizable hypermutated phenotype.
  • Prior receipt of any unapproved investigational drug or therapy within 28 days before first dose.
  • Inadequate washout from prior antitumor therapy.
  • Use of any medication that may interfere with the safety conduct of the study within 14 days prior to the first dose (or within at least 5 half-lives of the agent, whichever is longer), or planned use of such medications during the study period.
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  • Continuous use of systemic corticosteroids within 4 weeks prior to the first dose.
  • Live vaccination within 28 days prior to first dose or anticipated during the study.
  • Major surgery within 28 days prior to the first dose of the investigational product.
  • Major surgical procedure within 28 days prior to first dose.
  • History of another active malignancy within 3 years prior to initiation of the investigational product.
  • ≥ Grade 2 prior antitumor therapy-related toxicity per CTCAE v6.0 (except abnormalities deemed clinically insignificant).
  • Tumor invasion into adjacent vital organs, major vessels, or central nervous system (CNS), or evidence of progressive brain metastases.
  • Presence of severe underlying pulmonary disease, severe cardiac/cerebrovascular disease, or clinically significant QTc prolongation.
  • Presence of an active infectious disease.
  • Diagnosis of an autoimmune disease or presence of an immunodeficient state.
  • Inability to swallow oral medications, or uncontrolled nausea, vomiting, diarrhea, or other gastrointestinal dysfunction likely to affect drug absorption.
  • History of alcohol abuse or substance abuse.
  • Women who are pregnant, breastfeeding, or planning to become pregnant/ breastfeeding during the study.
  • Any condition that, in the judgment of the Investigator, would make the participant unsuitable for enrollment.

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
  • Fudan University Shanghai Cancer Center

    Shanghai, Shanghai Municipality, 200032

    Xiaohua Wu, Doctorate, +86-21-64175590 ext. 81000, wu.xh@fudan.edu.cn

    Jian Zhang, Doctorate, +8618017312991, syner2000@163.com

    Recruiting

Other trials in China

About this study

Official title: A Phase I Study Evaluating the Safety, Pharmacokinetics, and Efficacy of HW221043 Tablets in Participants With Advanced Solid Tumors

This is a Phase Ia/Ib, dose escalation and dose expansion study to evaluate the safety, tolerability, PK, and preliminary efficacy of HW221043 tablets in participants with advanced solid tumors. It includes two parts: the dose escalation study (Phase Ia) and the dose expansion study (Phase Ib).

Being tested
HW221043 Tablets

What participants receive

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

  • HW221043 TabletsDrug

    HW221043 Tablets for oral administration at specified doses on scheduled days.

Study groups in NCT07719920
Study groupRoleWhat they receive
HW221043 Tablets GroupExperimentalNot described
Receives: Drug: HW221043 Tablets

What is being measured

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

  1. Adverse Events (AE) or Serious Adverse Events (SAE)

    Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) according to NCI CTCAE 6.0.

    Measured: 2 years

  2. Dose Limited Toxicity (DLT)

    Measured: 2 years

Secondary outcomes (5)
  1. Maximum Plasma Concentration (Cmax)

    Highest Plasma Concentration of HW221043

    Measured: 2 years

  2. Area Under the Concentration-Time Curve (AUC)

    Measured: 2 years

  3. Tmax

    Time to Achieve Cmax

    Measured: 2 years

  4. Objective Response Rate (ORR)

    Measured: 2 years to 3 years

  5. Progression-Free Survival (PFS)

    Measured: 2 years to 3 years

Timeline

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

  1. First posted22 Jul 2026
  2. Study start10 Sep 2026
  3. Primary completion30 Jun 2029 (estimated)
  4. Study completion31 Dec 2029 (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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
99 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07719920
Sponsor's protocol ID
HW221043-101
Status last verified
Sep 2026
First submitted
17 Jul 2026
Last updated
11 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Final decisions on IPD sharing will be informed by a comprehensive assessment of data completeness, quality, and participant privacy protections once the database is locked. The registration will be updated accordingly at that time.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HW221043 Tablets in people with Advanced Solid Tumors, run by Hubei Bio-Pharmaceutical Industrial Technological Institute Inc. 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 10 inclusion and 20 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 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 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 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 Lifei Liu (+86-27-87173753, liulifei@renfu.com.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse Events (AE) or Serious Adverse Events (SAE) (time frame: 2 years). 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 11 Sep 2026.

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