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> Record changed: 2026-10-13

# A Study of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

NCT07660432

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

Participants

472

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

Lead sponsor

Jiangsu Simcere Pharmaceutical Co., Ltd.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

Start date

2026-07-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

Number of sites

6

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Title and summary

**Summary**

This study will evaluate the safety, of SIM0689 and how the body processes it, how it affects the body, and its early signs of activity against tumors when given alone to Adult Participants with Locally Advanced or Metastatic Solid Tumors. The study has a dose escalation part to find the highest dose that can be given safely, or recommended dose (RD) for SIM0689 when given alone, and a dose expansion part in subjects with specific tumor types treated with SIM0689 as a single agent at RD.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Short title**

A Study of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Official title**

Phase I First-in-Human, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Dates

**Completion date**

2029-06-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**First posted**

2026-06-22

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Registry last updated**

2026-08-20

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Primary completion date**

2028-12-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Start date**

2026-07-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Size and sites

**Participants**

472

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Planned participants**

472

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Number of sites**

6

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Sponsor and oversight

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Lead sponsor**

Jiangsu Simcere Pharmaceutical Co., Ltd.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Identifiers

**Registry ID**

NCT07660432

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**ClinicalTrials.gov ID**

NCT07660432

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Study design

**Allocation**

Not applicable

**Model**

Single group

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Outcomes

### Primary outcomes

1. Dose-limiting toxicity (DLT) (Dose escalation)  
Timeframe: at the end of Cycle 1 (each cycle is 28 days)  
DLTs will be assessed during the dose-escalation phase and are defined as toxicities that meet pre-defined severity criteria.
2. Maximum tolerated dose (MTD)and / or Recommended dose (RD) (Dose escalation)  
Timeframe: Up to approximately 2 years  
The MTD is defined as the dose of SIM0689 with an estimated toxicity rate closest to the target toxicity rate of 27%； RD stands for Recommended Dose, which will be selected based on the evaluation of all available pharmacokinetics, pharmacodynamic, efficacy, safety, and tolerability data
3. Objective Response Rate (ORR) (Dose expansion)  
Timeframe: Up to approximately 2 years  
ORR is the proportion of participants with complete response(CR)or partial response (PR) assessed according to RECIST v1.1.

### Secondary outcomes

1. Adverse event rate  
Timeframe: up to approximately 2 years  
The occurrence of all adverse events (AEs), evaluated by Common Terminology Criteria for Adverse Events (CTCAE) 6.0.
2. Pharmacokinetics: The area under the curve (AUC)  
Timeframe: up to approximately 2 years  
The area under the curve (AUC) of serum concentration of SIM0689
3. Pharmacokinetics: Peak concentration (Cmax)  
Timeframe: Up to approximately 2 years  
Maximum observed concentration (Cmax) of SIM0689
4. Pharmacokinetics: T1/2  
Timeframe: Up to approximately 2 years  
Terminal half-life (T1/2)
5. Pharmacokinetics: Tmax  
Timeframe: Up to approximately 2 years  
Time to maximum concentration
6. Immunogenicity  
Timeframe: Up to approximately 2 years  
Titer of serum anti-SIM0689 antibodies
7. Immunogenicity  
Timeframe: Up to approximately 2 years  
Incidence rate of serum anti-SIM0689 antibodies
8. Immunogenicity  
Timeframe: Up to approximately 2 years  
Duration of serum anti-SIM0689 antibodies

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- In dose-escalation cohorts (Part 1), histologically or cytologically documented advanced or metastatic solid tumor that is refractory/relapsed to standard therapies, or for which no effective standard therapy is available, or the subject refuses standard therapy.
- In the dose-expansion cohorts (Part 2), histologically or cytologically confirmed selected advanced solid tumors.
- Subjects must have at least one measurable lesion according to RECIST Version1.1.
- Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
- Adequate organ function.
- Available archived tumor tissue sample to allow for correlative biomarker studies. If unavailable or unsuitable, the subject must consent and undergo fresh tumor biopsy.
- Life expectancy ≥12 weeks.
- Patients of childbearing potential (male and female) must agree to use reliable methods of contraception until at least 180 days after the last dose.

### Exclusion criteria

- Symptomatic brain metastases.
- Serious non-healing wounds, ulcers or fractures.
- Toxicity from previous treatment has to restore to ≤ grade 1.
- Major surgery (excluding biopsy) or significant trauma within 4 weeks prior to enrollment.
- Use of aspirin (> 325 mg/day) within 6 months prior to the first dose.
- Active hepatitis B or hepatitis C.
- Known human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS).
- Known hereditary or acquired predisposition to bleeding and thrombosis.
- History of gastrointestinal perforation, gastrointestinal bleeding, fistula, or any life-threatening bleeding event within 6 months prior to enrollment.
- Prior permanent discontinuation of PD-(L)1 and/or VEGF monoclonal antibody because of immune/anti-angiogenesis toxicities, or history of Grade ≥3 immune/anti-angiogenesis-related AEs
- Known or suspected active autoimmune disease.
- Patients with proteinuria at screening (Urine protein >2+ at screening, or 2+ urine protein accompanied by 24-h urine protein ≥1 g/24 h).
- History of myocardial infarction or stroke within 6 months prior to enrollment.
- Subjects with clinically significant cardiovascular disease within 6 months prior to the first dose.
- Pregnant and lactating women.
- Known allergies to any excipient in the study drug.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Sites

- Fujian Cancer HospitalFuzhou, ChinaRecruiting
- The First Affiliated Hospital of Zhengzhou UniversityZhengzhou, ChinaNot yet recruiting
- Hunan Cancer HospitalChangsha, ChinaNot yet recruiting
- The First Hospital of China Medical UniversityShenyang, ChinaNot yet recruiting
- Cancer Hospital of Shandong First Medical UniversityJinan, ChinaNot yet recruiting
- The First Affiliated Hospital, Zhejiang University school of MedicineHangzhou, ChinaRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07660432)

## Related records

### Drugs (1)

- [Delafloxacin](https://trialight.com/data/asset/delafloxacin-70daac65-8439-49a7-b10b-4046284fc0e6.md)

### Collaborators (1)

- Shanghai Xianwei Medical Technology Co., Ltd.

### Lead sponsors (1)

- [Jiangsu Simcere Pharmaceutical Co., Ltd.](https://trialight.com/data/company/jiangsu-simcere-pharmaceutical-co-ltd-c562a90c-ad12-4011-96b9-b0005ac2bf4f.md)

### Conditions (1)

- [Anaplastic meningioma](https://trialight.com/data/condition/anaplastic-meningioma-bc202df0-3448-5b57-9aab-345abc07fa46.md) Primary condition

---

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