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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 (May 2026). This Phase 1 trial studies BL-M05D1 for gastric adenocarcinoma.

Phase 1RecruitingSystImmune Inc.NCT07021066Data as of May 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

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)

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 →

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