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OncoMatch/Clinical Trials/NCT07021066

Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of BL-M05D1 in Subjects With Solid Tumors

Is NCT07021066 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1 trial studies BL-M05D1 for gastric adenocarcinoma.

Phase 1RecruitingSystImmune Inc.NCT07021066Data as of Jun 2026

Treatment: BL-M05D1The objective of this study is to evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of BL-M05D1 in Subjects with Advanced or Metastatic Solid Tumors.

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Extracted eligibility criteria

Treatments studied

Other

BL-M05D1

Cancer type

Gastric Cancer

Pancreatic Cancer

Esophageal Carcinoma

Cholangiocarcinoma

Tumor Agnostic

Biomarker criteria

Required: CLDN18 expression by IHC (1+) (1+)

Other solid tumors not specified above may be included IF they have documented CLDN18.2 expression by IHC (1+)

Allowed: HER2 (ERBB2) positive

Subjects with CLDN18.2, human epidermal growth factor receptor 2 (HER2), PD-L1 and/or microsatellite instability high (MSI-H)/ mismatch repair deficiency (dMMR) positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: PD-L1 (CD274) positive

Subjects with CLDN18.2, human epidermal growth factor receptor 2 (HER2), PD-L1 and/or microsatellite instability high (MSI-H)/ mismatch repair deficiency (dMMR) positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: MSH2 deficiency (dMMR)

Subjects with CLDN18.2, human epidermal growth factor receptor 2 (HER2), PD-L1 and/or microsatellite instability high (MSI-H)/ mismatch repair deficiency (dMMR) positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: MSH6 deficiency (dMMR)

Subjects with CLDN18.2, human epidermal growth factor receptor 2 (HER2), PD-L1 and/or microsatellite instability high (MSI-H)/ mismatch repair deficiency (dMMR) positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: MLH1 deficiency (dMMR)

Subjects with CLDN18.2, human epidermal growth factor receptor 2 (HER2), PD-L1 and/or microsatellite instability high (MSI-H)/ mismatch repair deficiency (dMMR) positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: PMS2 deficiency (dMMR)

Subjects with CLDN18.2, human epidermal growth factor receptor 2 (HER2), PD-L1 and/or microsatellite instability high (MSI-H)/ mismatch repair deficiency (dMMR) positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: NTRK1 fusion

Subjects with HER2 overexpression, NTRK fusions, KRAS mutations, IDH1 mutations, FGFR2 fusions, BRAF mutations and/or MSI-H/dMMR positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: NTRK2 fusion

Subjects with HER2 overexpression, NTRK fusions, KRAS mutations, IDH1 mutations, FGFR2 fusions, BRAF mutations and/or MSI-H/dMMR positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: NTRK3 fusion

Subjects with HER2 overexpression, NTRK fusions, KRAS mutations, IDH1 mutations, FGFR2 fusions, BRAF mutations and/or MSI-H/dMMR positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: KRAS mutation

Subjects with HER2 overexpression, NTRK fusions, KRAS mutations, IDH1 mutations, FGFR2 fusions, BRAF mutations and/or MSI-H/dMMR positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: IDH1 mutation

Subjects with HER2 overexpression, NTRK fusions, KRAS mutations, IDH1 mutations, FGFR2 fusions, BRAF mutations and/or MSI-H/dMMR positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: FGFR2 fusion

Subjects with HER2 overexpression, NTRK fusions, KRAS mutations, IDH1 mutations, FGFR2 fusions, BRAF mutations and/or MSI-H/dMMR positive tumors must have received targeted treatment in their prior lines of therapy

Allowed: BRAF mutation

Subjects with HER2 overexpression, NTRK fusions, KRAS mutations, IDH1 mutations, FGFR2 fusions, BRAF mutations and/or MSI-H/dMMR positive tumors must have received targeted treatment in their prior lines of therapy

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 85

Prior therapy

Min 1 prior line

Cannot have received: anthracycline

Subjects with known treatment with anthracyclines with a cumulative dose exceeding 360 mg/m2

Lab requirements

Blood counts

ANC ≥1.5×10^9/L, platelet count ≥100×10^9/L, hemoglobin ≥9.0 g/dL

Kidney function

Creatinine clearance ≥60 mL/min (Cockcroft-Gault) or eGFR ≥50 mL/min/1.73 m2 (CKD-EPI)

Liver function

Total bilirubin ≤1.5×ULN (≤3×ULN for Gilbert's syndrome or liver metastasis), AST/ALT without liver metastasis ≤3.0×ULN, AST/ALT with liver metastasis ≤5.0×ULN

Cardiac function

left ventricular ejection fraction ≥50%

Has adequate organ function before enrollment, defined as: Marrow function: Absolute neutrophil count (ANC) ≥1.5×10^9/L, platelet count (PLT) ≥100×10^9/L, hemoglobin (Hb) ≥9.0 g/dL; Hepatic function: Total bilirubin (TBIL) ≤1.5×ULN (≤3×ULN for subjects with Gilbert's syndrome or liver metastasis at baseline), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) without liver metastasis ≤3.0×ULN, AST and ALT with liver metastasis ≤5.0×ULN; Renal function: Creatinine (Cr) clearance ≥60 mL/min (Cockcroft-Gault equation) or estimated glomerular filtration rate (eGFR) ≥50 mL/min/1.73 m2 (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] equation)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Mayo Clinic Cancer Center- Phoenix · Phoenix, Arizona
  • HonorHealth · Scottsdale, Arizona
  • University of Colorado Health · Aurora, Colorado
  • Yale Cancer Center · New Haven, Connecticut
  • Ochsner Medical Center · New Orleans, Louisiana

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT07021066 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior anthracycline disqualifies patients from enrollment.

Does this trial require CLDN18?

Yes, CLDN18 expression by IHC (1+) is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 85 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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