Phase I Dose Escalation and Cohort Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of SYS6043 in Patients With Advanced/Metastatic Solid Tumors
Led by Conjupro Biotherapeutics, Inc. · Updated on 2026-04-07
386
Participants Needed
5
Research Sites
17 weeks
Total Duration
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What this Trial Is About
Researchers are evaluating an investigational drug called SYS6043 in adults with advanced or metastatic solid tumors that have spread or cannot be treated with standard therapies. This open-label, multicenter Phase I study aims to assess the safety, tolerability, pharmacokinetics, and early anti-tumor effects of SYS6043, which targets the B7-H3 protein. The study also explores how the drug moves through the body and whether the immune system responds to it, with a focus on determining the dose that can be safely given to patients.
The study has three parts: dose escalation, pharmacokinetic expansion, and cohort expansion. Initially, doses are increased carefully to find the maximum tolerated dose or recommended Phase II dose. Next, selected doses are further studied for safety, drug behavior, and tumor response. The final part involves expanding participant groups to assess safety and effectiveness at the chosen dose. SYS6043 is given by intravenous infusion every three weeks, and dosing continues until the doctor decides to stop based on treatment response.
Participants will provide consent, undergo screening tests, and attend all study visits. Researchers will monitor safety through adverse event tracking and follow participants until their disease progresses. Various assessments include tumor measurements, heart function tests, and immune response checks. Safety follow-up and long-term monitoring are included, with an average study duration of about one year for key outcomes such as adverse events, drug levels, tumor response, and protein expression related to treatment effects.
CONDITIONS
Brief Title
Phase I Study of SYS6043 in Patients With Advanced/Metastatic Solid Tumors
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Aged 18 years or older at the time of signing consent
Diagnosed with advanced, unresectable, or metastatic solid tumors confirmed by tissue tests
Disease has recurred or progressed during or after standard systemic therapy, or no standard therapy is available
At least one measurable tumor lesion based on RECIST V1.1 criteria
Expected life expectancy of 3 months or more
ECOG performance status of 0 or 1 with no worsening in the past 28 days
Left ventricular ejection fraction (LVEF) of 50% or higher as shown by heart imaging within 28 days prior to enrollment
You will not qualify if you...
Prior treatment with B7-H3 targeted therapies
Previous therapy with topoisomerase inhibitor antibody-drug conjugates
Symptomatic congestive heart failure (NYHA Class II-IV) or severe arrhythmia requiring treatment
History of recent myocardial infarction or unstable angina within 6 months
Prolonged QTc interval above 470 ms on ECG
Unable or unwilling to stop medications that extend QT interval
Current or history of interstitial lung disease or significant lung disorders
Autoimmune, connective tissue, or inflammatory lung diseases
Active uncontrolled infections requiring intravenous antibiotics, antivirals, or antifungals
Positive for hepatitis C or HIV or syphilis infections with clinical significance
Positive hepatitis B surface antigen with high viral load unless adequately treated
Pregnant or breastfeeding women, or women unwilling to stop breastfeeding
Presence of spinal cord compression or untreated symptomatic brain or meningeal metastases
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Run-in Period
Duration - Up to 1 year
Participants undergo dose escalation to determine the maximum tolerated dose and recommended Phase II dose of SYS6043.
Multiple visits during dose escalation
Treatment
Duration - Up to 1 year
Participants receive SYS6043 at selected dose levels to evaluate safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity.
Regular visits for treatment and assessments
Follow-up
Duration - Up to 1 year
Participants are monitored for ongoing safety and treatment effects after completing SYS6043 treatment.