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A Phase II Study of AK146D1 Mono or Combined With AK112 in Advanced Urothelial Carcinoma

A Phase II Clinical Study to Evaluate the Safety,Tolerability,Pharmacokinetics and Anti-tumor Efficacy of AK146D1 Monotherapy or Combined With AK112 in Patients With Advanced Urothelial Carcinoma

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07636772
Enrollment
132
Registered
2026-06-09
Start date
2026-06-22
Completion date
2028-08-24
Last updated
2026-06-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Urothelial Carcinoma (UC)

Brief summary

This is a Phase II clinical study aimed at evaluating the safety, tolerability, antitumor efficacy, PK and immunogenicity of AK146D1 monotherapy or combined with AK112 in advanced Urothelial carcinoma.

Interventions

AK146D1 for injection is an antiTrop2/Nectin4 bispecific antibody-drug conjugate

AK112 Injection is a PD-1/VEGF bispecific antibody

Sponsors

Akeso
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Be able to understand and voluntarily sign the written informed consent form. * Age 18-75. * ECOG PS 0 or 1. * Expected lifespan ≥3 months. * Histologically or cytologically documented Urothelial carcinoma. * At least one measurable lesion according to RECIST v1.1. * Sufficient organ function.

Exclusion criteria

* Having other active malignancies within 3 years. * Currently participating in another interventional clinical study. * Presence of active metastases to the central nervous system. * Prior chemotherapy agent targeting topoisomerase I . * Receipt of systemic anti-tumor therapy within 4 weeks prior to the first dose. * Patients with clinically significant cardiovascular or cerebrovascular diseases or risks. * Patients with active autoimmune diseases requiring systemic treatment within 2 years. * Receipt of systemic anti-infective therapy within 2 weeks prior to the first dose. * Previous history of severe hypersensitivity reactions. * Patients with a history of mental illness and incapacitated or limited capacity. * Any disease or condition that, in the opinion of the investigator, would compromise patient safety or interfere with study assessments.

Design outcomes

Primary

MeasureTime frameDescription
Number of participants with dose limiting toxicities(DLTs)During the first 3 weeks of treatmentDLTs are defined as toxicities that meet predefined severity criteria, and assessed as having a suspected relationship to study drug
Objective Response Rate(ORR)Up to 2 yearsORR is the proportion of participants with complete response(CR) or partial response(PR)
Number of participants with adverse events (AEs)From the time of informed consent signed through 90 days after the last doseAEs refer to any untoward medical occurrence or deterioration of existing medical events after the participants sign the ICFs, whether or not considered related to the study treatment.

Secondary

MeasureTime frameDescription
Progression Free Survival(PFS)Up to 2 yearsPFS is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause,whichever occurs first.
Disease Control Rate(DCR)Up to 2 yearsDCR is defined as the proportion of participants with CR, PR, or SD
Duration of response(DoR)Up to 2 yearsDoR is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first.
Time to response(TTR)Up to 2 yearsTTR is defined as the time to objective response
Overall survival(OS)Up to 2 yearsOS is defined as the time from the first dose to death from any cause.

Countries

China

Contacts

CONTACTTing Liu
clinicaltrials@akesobio.com+86 (0760) 8987 3999

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 10, 2026