A Study of ZL-1218 with or without Pembrolizumab in Subjects with Advanced Solid Tumor Cancers to Find a Suitable Dose and to Test How Different Doses of these Medications can be Tolerated by the Body

2022-503102-20-00 Protocol ZL-1218-001 Human pharmacology (Phase I) - First administration to humans Ended

Start 10 Mar 2025 · End 28 Aug 2025 · Status Ended · 1 EU/EEA countries · 8 sites · Protocol ZL-1218-001

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - First administration to humans
Status Ended
Participants planned 100
Countries 1
Sites 8

Advanced solid tumors

Key facts

Sponsor
Zai Lab (Shanghai) Co. Ltd.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
10 Mar 2025 → 28 Aug 2025
Decision date (initial)
2023-08-28
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Conditions and MedDRA coding

Advanced solid tumors

VersionLevelCodeTermSystem organ class
21.1 LLT 10065147 Malignant solid tumor 10029104

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Zai Lab (Shanghai) Co. Ltd.

Sponsor organisation
Zai Lab (Shanghai) Co. Ltd.
Address
South Building Building 1 F 4, No. 4560 Jinke Road, Trade Zone No. 4560 Jinke Road Trade Zone
City
Pilot Free
Postcode
201210
Country
China

Scientific contact point

Organisation
Zai Biopharmaceutical (Suzhou) Co. Ltd.
Contact name
Nehal Parikh

Public contact point

Organisation
Zai Biopharmaceutical (Suzhou) Co. Ltd.
Contact name
Guanying Wang

Locations

1 EU/EEA country · 8 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ended 40 8
Rest of world
China, United States
60

Investigational sites

Spain

8 sites · Ended
Fundacion Instituto Valenciano De Oncologia
Oncology Department, Calle Professor Beltran Baguena 8, 46009, Valencia
Hospital Universitario Hm Sanchinarro
Oncology Department, Calle Ona 10, 28050, Madrid
Hospital Quironsalud Barcelona
Oncology Department, Placa D'alfonso Comin 5-7, 08023, Barcelona
Hospital Clinico Universitario De Valencia
Oncology Department, Avenida Blasco Ibanez 17, 46010, Valencia
Hospital Universitario Quironsalud Madrid
Oncology Department, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital Universitario Virgen De La Macarena
Oncology Department, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Universitario Fundacion Jimenez Diaz
Oncology Department, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitari Vall D Hebron
Oncology Department, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2023-09-12 2023-09-28 2025-08-18

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 2 · Art. 38 CTR

Temporary halt TH-46318

Halt date
2024-09-10
Member states concerned
Spain
Publication date
2024-09-16
Reason
Sponsor decision, Safety related (clinical or pre-clinical results), Medicinal Product related
Explanation
The Sponsor has temporarily halted new patient enrollments for ZL-1218 in monotherapy and in combination-therapy with pembrolizumab following pre-specified Study Stopping Rules in protocol version 4, section 6.4: “The clinical study will be halted for safety analysis if there are two Grade 4 toxicities or one Grade 5 toxicity that are at least possibly related to the investigational agent, and notification will be provided to the relevant health authorities as well as the respective IRB/IEC as required.”
Follow-up measures
For the patients who continue to receive the study treatment, ZL-1218 dosing must be switched from a schedule of every 21 days (every 3 weeks) to a schedule of every 63 days (every 9 weeks). For all patients currently in the Combination cohort, the pembrolizumab dosing will not change.
Benefit-risk balance changed
Yes
Treatment stopped
No

Temporary halt TH-46305

Halt date
2024-09-10
Member states concerned
Spain
Publication date
2024-09-16
Reason
Sponsor decision, Safety related (clinical or pre-clinical results), Medicinal Product related
Explanation
The Sponsor has temporarily halted new patient enrollments for ZL-1218 in monotherapy and in combination-therapy with pembrolizumab following pre-specified Study Stopping Rules in protocol version 4, section 6.4: “The clinical study will be halted for safety analysis if there are two Grade 4 toxicities or one Grade 5 toxicity that are at least possibly related to the investigational agent, and notification will be provided to the relevant health authorities as well as the respective IRB/IEC as required.”
Follow-up measures
For the patients who continue to receive the study treatment, ZL-1218 dosing must be switched from a schedule of every 21 days (every 3 weeks) to a schedule of every 63 days (every 9 weeks). For all patients currently in the Combination cohort, the pembrolizumab dosing will not change.
Benefit-risk balance changed
Yes
Treatment stopped
No

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-30 Spain Acceptable
2023-08-28
2023-08-28
2 SUBSTANTIAL MODIFICATION SM-1 2024-03-22 Spain Acceptable
2024-05-10
2024-05-10
3 SUBSTANTIAL MODIFICATION SM-2 2024-09-26 Spain Acceptable 2024-11-04
4 SUBSTANTIAL MODIFICATION SM-3 2024-12-20 Spain Acceptable
2025-01-15
2025-01-15
5 SUBSTANTIAL MODIFICATION SM-4 2025-01-24 Spain Acceptable
2025-03-10
2025-03-10
6 NON SUBSTANTIAL MODIFICATION NSM-1 2025-04-01 Spain Acceptable
2025-03-10
2025-04-01