A Phase I, First in Human Study of CBA-1205, Anti-DLK1 Monoclonal Antibody in Patients With Advanced Solid Tumors, Hepatocellular Carcinoma (HCC), Melanoma, and Pediatric Cancer

Last updated: September 15, 2025
Sponsor: Chiome Bioscience Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Retinoblastoma

Melanoma

Malignant Melanoma

Treatment

CBA-1205 Part 5

CBA-1205 Part 1

CBA-1205 Part 3

Clinical Study ID

NCT06636435
1205-001
jRCT2080225288
  • Ages > 2
  • All Genders

Study Summary

In this first-in-human, muticenter, non-randomized, open-label, standard 3+3 dose escalation Phase I study encompasses 5 parts (Part 1-5). The purpose of this FIH study is to evaluate the safety and tolerability profile of CBA-1205.

Eligibility Criteria

Inclusion

Inclusion Criteria:(Part 1-4)

  • Patients who provide voluntary written informed consent to participate in the study

  • Patients with an Eastern Cooperative Oncology Group (ECOG) performance status (PS)of≤1

  • Patients with preserved renal function as evidenced by laboratory data obtainedwithin 7 days before enrollment (creatinine: ≤ ULN ×1.5)

  • Patients who meet the following laboratory criteria of bone marrow function asevidenced by laboratory data obtained within 7 days before enrollment: Neutrophilcount;≥1500/μL, Platelet count; ≥75000/μL, Hemoglobin;≥9.0 g/dL.

  • Patients having Solid Tumors with no standard therapy available or refractory orintolerable to standard therapy (Part2, 3)

  • Patients with Child-Pugh A or B (Part2, 3)

  • Patients with Malignant Melanoma who are refractory or intolerant to standardtherapy (Part 4)

Inclusion Criteria:(Part 5)

  • Patients who provide voluntary written informed consent to participate in the studyfrom both the subject (if aged 16 years or older) and their legal representatives

  • Japanese patients aged 2 years or older and under 20 years at the time of informedconsent

  • Patients with a Lansky Performance Status (LPS) of ≥70 (for patients aged 15 yearsor younger) or a Karnofsky Performance Status (KPS) of ≥70 (for patients aged 16years or older)

  • Patients with preserved renal function as evidenced by laboratory data obtainedwithin 7 days before enrollment (eGFR ≥60 mL/min/1.73 m²)

  • Pediatric patients with cancers with no standard therapy available or refractory orintolerable to the standard therapy

Exclusion

Exclusion criteria: (Part1-5)

  • Patients who have undergone major surgery within 28 days before enrollment

  • Patients who have received anticancer treatment with surgical therapy, radiationtherapy, and/or drug therapy within 14 days before enrollment

  • Patients who have received anticancer treatment with immune checkpoint inhibitor,etc. within 28 days before enrollment

  • Patients with Grade 2 or higher concurrent disease or prior therapy-related toxicity

  • Patients who have received any other investigational product within 28 days beforeenrollment

  • Patients with current or previous inadequately controlled or clinically significantcardiac disease

  • Patients who, in the opinion of the investigator or subinvestigator, is notappropriate

Study Design

Total Participants: 66
Treatment Group(s): 6
Primary Treatment: CBA-1205 Part 5
Phase: 1
Study Start date:
June 01, 2020
Estimated Completion Date:
June 30, 2026

Study Description

To evaluate safety and efficacy of CBA-1205 in the following five parts in a stepwise manner:

Part 1

  • In Part 1, safety and tolerability in patients with Solid Tumor where no standard treatment is available, or who are intolerable or non-responder to the standard treatment will be evaluated. Initial dose for Part 2 will be determined.

Part 2

  • In Part 2, safety and tolerability in patients with advanced and/or recurrent Hepatocellular Carcinoma which are unresectable, or who are intolerable or non-responder to the standard treatment will be evaluated. Recommended dose in this population will be determined.

Part 3

  • In Part 3, safety and efficacy at the recommended dose in patients with advanced and/or recurrent Hepatocellular Carcinoma which are unresectable, or who are intolerable or non-responder to the standard treatment will be evaluated.

Part 4

  • In Part 4, safety and efficacy in patients with Malignant Melanoma who are refractory or intolerant to standard therapy.

Part 5

  • In Part 5, safety, tolerability and the recommended dose of the study drug in patients with Pediatric Cancer where no standard treatment is available, or who are intolerable or non-responder to the standard treatment will be evaluated.

PK analysis

Connect with a study center

  • National Cancer Center Hospital East

    Kashiwa, Chiba
    Japan

    Site Not Available

  • National Cancer Center Hospital East

    Kashiwa 1859924, Chiba 2113014 277-8577
    Japan

    Active - Recruiting

  • Kanagawa Cancer Center

    Yokohama, Kanagawa
    Japan

    Site Not Available

  • Kanagawa Cancer Center

    Yokohama 1848354, Kanagawa 1860291 241-8515
    Japan

    Active - Recruiting

  • Niigata University Medical and Dental Hospital

    Niigata 1855431, Niigata 1855429 951-8520
    Japan

    Active - Recruiting

  • National Cancer Center Hospital

    Chuo, Tokyo
    Japan

    Site Not Available

  • National Cancer Center Hospital

    Chūō 13353695, Tokyo 1850144 104-0045
    Japan

    Active - Recruiting

  • University of Yamanashi Hospital

    Chūō 11612585, Yamanashi 1848649 409-3898
    Japan

    Active - Recruiting

  • Niigata University Medical and Dental Hospital

    Niigata,
    Japan

    Site Not Available

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