Actively Recruiting

Phase 1
Age: 18Years - 85Years
All Genders
NCT07080242

Evaluating BL-M14D1 in Subjects With Locally Advanced or Metastatic Small Cell Lung Cancer and Neuroendocrine Tumors

Led by SystImmune Inc. · Updated on 2026-02-09

120

Participants Needed

20

Research Sites

139 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The objective of this study is to evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of BL-M14D1 in Subjects with locally Advanced or Metastatic Small Cell Lung Cancer and Other Neuroendocrine Neoplasms

CONDITIONS

Official Title

Evaluating BL-M14D1 in Subjects With Locally Advanced or Metastatic Small Cell Lung Cancer and Neuroendocrine Tumors

Who Can Participate

Age: 18Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent and agreed to follow trial requirements
  • Age 18 years or older
  • Weighs more than 40 kg
  • Life expectancy of at least 3 months
  • Documented locally advanced or metastatic small cell lung cancer, large cell neuroendocrine lung cancer, neuroendocrine prostate cancer, poorly differentiated gastroenteropancreatic neuroendocrine carcinomas, extrapulmonary neuroendocrine carcinomas, Merkel cell carcinoma, or other high-grade neuroendocrine neoplasms with DLL3 expression
  • Failed at least one line of standard therapy in the advanced/metastatic setting or unable to receive standard treatment
  • Agree to provide archival or fresh tumor tissue samples as specified
  • At least one measurable lesion based on RECIST v1.1
  • Eastern Cooperative Oncology Group performance status of 0 to 1
  • Previous therapy toxicity returned to Grade 1 or less, except for controlled alopecia and endocrinopathies
  • No serious cardiac dysfunction and left ventricular ejection fraction of 50% or higher
  • Adequate marrow, liver, and kidney function as defined
  • Coagulation parameters within specified limits or on stable anticoagulation
  • Urine protein 2+ or less or less than 1000 mg/24 hours
  • Agree to use highly effective contraception if fertile and sexually active
  • Women of childbearing potential must have a negative pregnancy test and not be lactating
  • Women considered non-childbearing if permanently sterilized or postmenopausal with confirmed hormone levels
Not Eligible

You will not qualify if you...

  • Recent chemotherapy, biological therapy, immunotherapy, targeted therapy, radiotherapy, or major surgery within specified timeframes prior to first dose
  • Prior topoisomerase inhibitor-based ADC therapy
  • Use of strong CYP enzyme inhibitors or inducers
  • History of severe heart disease or recent myocardial infarction or unstable angina
  • Prolonged QT interval, certain heart conduction abnormalities, or risk factors for Torsades de Pointes
  • Active autoimmune or inflammatory diseases requiring systemic treatment, except well-controlled conditions
  • Other active or recent malignancies except certain skin cancers or those disease-free for at least 3 years
  • Poorly controlled hypertension
  • Advanced or significant lung diseases like poorly controlled COPD or asthma
  • History or presence of interstitial lung disease or pneumonitis requiring treatment
  • Recent stroke or transient ischemic attack
  • Recent thromboembolic events unless stable on anticoagulation
  • Active or untreated central nervous system malignancies or metastases unless stable
  • Preexisting Grade 2 or higher peripheral neuropathy
  • History of severe allergic reactions to humanized or chimeric antibodies or BL-M14D1 components
  • Previous organ or stem cell transplantation
  • Treatment with high-dose systemic glucocorticoids except for specific cases
  • Known HIV infection unless meeting stability criteria
  • Active hepatitis B or C infections unless controlled as specified
  • Active or latent tuberculosis
  • Active infections requiring intravenous antimicrobial treatment within one week before first dose
  • Participation in another clinical trial within 4 weeks prior to first dose
  • Pregnant or breastfeeding or planning pregnancy during the study
  • Any other condition judged unsuitable by Investigator or Sponsor

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 20 locations

1

Valkyrie Clinical Trials

Los Angeles, California, United States, 90067

Actively Recruiting

2

UCLA

Los Angeles, California, United States, 90095

Not Yet Recruiting

3

UCSF- San Francisco (Helen Diller Family Comprehensive Cancer Center)

San Francisco, California, United States, 94158

Not Yet Recruiting

4

University of Colorado - Anschutz Cancer Pavilion

Aurora, Colorado, United States, 80045

Not Yet Recruiting

5

Yale Cancer Center

New Haven, Connecticut, United States, 06520-8028

Not Yet Recruiting

6

Emory Winship

Atlanta, Georgia, United States, 30322

Actively Recruiting

7

University of Kentucky - Markey Cancer Center

Lexington, Kentucky, United States, 40536

Not Yet Recruiting

8

John Theurer Cancer Center-Hackensack

Hackensack, New Jersey, United States, 07601

Actively Recruiting

9

Rutgers Cancer Institute

New Brunswick, New Jersey, United States, 08901

Not Yet Recruiting

10

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Not Yet Recruiting

11

Ohio State University

Columbus, Ohio, United States, 43201

Not Yet Recruiting

12

Providence Cancer Institute

Portland, Oregon, United States, 97213

Not Yet Recruiting

13

Prisma Health Cancer Institute

Greenville, South Carolina, United States, 29605

Not Yet Recruiting

14

NEXT Dallas

Dallas, Texas, United States, 75039

Not Yet Recruiting

15

START Dallas- Fort Worth

Dallas, Texas, United States, 76104

Not Yet Recruiting

16

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

17

NEXT Houston

Houston, Texas, United States, 77054

Not Yet Recruiting

18

START- San Antonio

San Antonio, Texas, United States, 78229

Not Yet Recruiting

19

NEXT Oncology Virginia

Fairfax, Virginia, United States, 22031

Actively Recruiting

20

University of Washington/Fred Hutchinson Cancer Center

Seattle, Washington, United States, 98195

Not Yet Recruiting

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Research Team

L

Lien Huzzy

CONTACT

W

Whitney Eakins

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

1

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