A Study to Assess the Safety, Tolerability, and Pharmacokinetics of ABSK-021 in Patients With Advanced Solid Tumor

November 6, 2026 updated by: Abbisko Therapeutics Co, Ltd

A Phase 1, Open-Label Study of ABSK021 to Assess Safety, Tolerability, and Pharmacokinetics in Patients With Advanced Solid Tumor

This is an open-label phase 1 study to determine the safety and tolebility of oral ABSK021 in patients with advanced solid tumor as well as the Recommended Phase 2 dose (RP2D) of oral ABSK021. Preliminary antitumor activity will also be assessed.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

The study will start with a dose escalation part of single-agent ABSK021 administered in repeated 28-day cycles in patients with advanced solid for safety and tolerability. The expansion part of oral ABSK021 at recommended dose of expansion (RDE) will be followed for further evaluating safety and tolerability among selected tumor types. Preliminary antitumor activity will also be assessed.

Study Type

Interventional

Enrollment (Estimated)

276

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

    • Beijing Municipality
      • Beijing, Beijing Municipality, China
        • Recruiting
        • Beijing Jishuitan Hospital
        • Contact:
          • Xiaohui Niu, MD
        • Principal Investigator:
          • Xiaohui Niu, MD
    • Guangzhou
      • Guangdong, Guangzhou, China
        • Active, not recruiting
        • The First Affiliated Hospital of Sun Yat-sen University
    • Hebei
      • Shijiazhuang, Hebei, China
        • Completed
        • Hebei Medical University Third Hospital
    • Henan
      • Zhengzhou, Henan, China
        • Completed
        • The First Affiliated Hospital of Zhengzhou Universtity
      • Zhengzhou, Henan, China
        • Active, not recruiting
        • Henan Cancer Hospital
    • Jiangsu
      • Nanjing, Jiangsu, China
        • Active, not recruiting
        • Nanjing Drum Tower Hospital
      • Nanjing, Jiangsu, China
        • Active, not recruiting
        • Jiangsu Province Hospital
    • Liaoning
      • Shenyang, Liaoning, China
        • Completed
        • Liaoning Cancer Hospital
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, China
        • Completed
        • Huashan Hospital of Fudan University
      • Shanghai, Shanghai Municipality, China
        • Completed
        • Shanghai Sixth People's Hospital
    • Shanxi
      • Xian, Shanxi, China
        • Active, not recruiting
        • Xi'an Hong Hui Hospital
    • Sichuan
      • Chengdu, Sichuan, China
        • Recruiting
        • West China Hospital of Sichuan University
        • Contact:
          • Yong Zhou, MD
        • Principal Investigator:
          • Yong Zhou, MD
    • Zhejiang
      • Hangzhou, Zhejiang, China
        • Recruiting
        • The Second Affiliated Hospital Zhejiang University School of Medicine
        • Contact:
          • Zhaoming Ye, MD
        • Principal Investigator:
          • Zhaoming Ye, MD
    • California
      • Beverly Hills, California, United States, 90212
        • Active, not recruiting
        • Precision NextGen Oncology
    • Colorado
      • Denver, Colorado, United States, 80218-1238
        • Completed
        • SCRI at HealthOne
    • Georgia
      • Atlanta, Georgia, United States, 30322
        • Completed
        • The Winship Cancer Institute of Emory University
    • Texas
      • Houston, Texas, United States, 77030
        • Completed
        • MD Anderson Cancer Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

12 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Histologically confirmed solid tumors that have progressed on or intolerant to standard therapy or whom no standard therapy exists
  • ECOG (electrocorticogram) performance status 0~1
  • Life expectancy ≥ 3 months
  • Adequate organ function and bone marrow function

For patients with tenosynovial giant cell tumor (TGCT) :

  1. A diagnosis of TGCT [i ncluding pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT TS) (i) that has been histologically confirmed either by a pathologist at the treating institution or a central pathologist,and (ii) where surgical resection would be associated with potentially worsening functional limitation or severe morbidity (locally advanced disease), with morbidity determined consensually by qualified personnel (eg, two surgeons or a multi disciplinary tumor board);
  2. Measurable disease as defined by RECIST 1.1 (except that a minimal size of 2 cm is required), assessed from MRI scans;
  3. Others

For Adolescent Cohort (China only):

  1. Patient and/or legally acceptable representative should understand, sign, and date the written voluntary informed consent form prior to screening.
  2. Adolescents≥ 12 years of age and < 18 years at the time of informed consent.
  3. Body weight ≥ 40kg.
  4. A diagnosis of TGCT [including pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT-TS)] (i) that has been histologically confirmed either by local laboratory, and (ii) unresectable, defined as confirmed by assessment by at least two clinical experts (including at least one independent expert who is not part of the trial conduct), meeting one of the following 2 requirements: ①located in a complex anatomical site, is extensively invasive, and cannot be completely resected; ②surgical operation may cause dysfunction or serious complications.
  5. Measurable disease as defined by RECIST v1.1 (with at least 1 lesion ≥ 2 cm is required), assessed by MRI scans in local site prior to dosing.
  6. Others

Exclusion Criteria:

  • Known allergy or hypersensitivity to any component of the investigational drug product Previous treatment with CSF-1(colony stimulating factor 1)/CSF-1R (colony stimulating factor 1 receptor) pathway inhibitors
  • Known additional malignancy that is progressing or required active treatment within 3 years of the first dose of study treatment
  • Inability to take oral medication or significant nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption of oral medication
  • Previous anti-cancer therapy, including chemotherapy, radiotherapy, endocrine therapy or molecular targeted therapy within ≤ 5-halflife or ≤ 4 weeks (whichever is shorter) prior to initiation of study treatment (chemotherapy with nitrosourea or mitomycin should be 6 weeks prior to initiation of study treatment)
  • Major surgery within 4 weeks of the first dose of study drug and all surgical wounds must be healed and free of infection or dehiscence
  • Prior toxicities from chemotherapy, radiotherapy, and other anti-cancer therapies, including immunotherapy that have not regressed to Grade ≤2 severity (CTCAE v5.0) with the exception of alopecia and vitiligo
  • Prior corticosteroids as anti-cancer therapy within a minimum of 2 weeks of the first dose of study drug
  • Concomitant use of strong inhibitors or inducers of CYP3A4
  • Active central nervous system (CNS) metastases
  • Impaired cardiac function or clinically significant cardiac disease
  • Patients with Gilbert's Syndrome or other underlying conditions that may lead to a greater likelihood of developing LFT(liver function test) abnormalities during the study
  • Known human immunodeficiency virus or active hepatitis B, or active hepatitis C infection
  • Refractory/uncontrolled ascites or pleural effusion
  • Pregnant or nursing

For patients with tenosynovial giant cell tumor (TGCT) :

  1. Known allergy or hypersensitivity to any component of the investigational drug product
  2. For expansion part, previous treatment with CSF 1/CSF 1R pathway inhibitors (not applicable for TGCT patients in US)
  3. Others

For Adolescent Cohort (China only):

  1. Known allergy or hypersensitivity to any component of the investigational drug product.
  2. Previous treatment with highly selective inhibitors targeting CSF-1/CSF-1R prior to first dosing. However, patients who have received prior treatment with multi-kinase inhibitors that include the CSF-1/CSF-1R pathway are allowed, such as Imatinib and Nilotinib.
  3. Know additional malignancy that required active treatment and may affect the patient's participation in the study or affect the outcome of the study as assessed by the Investigator. Exceptions include cured basal cell carcinoma of skin, squamous cell carcinoma of skin, and other carcinoma in situ.
  4. Others

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: ABSK021

Dose escalation of oral ABSK021 with a starting dose of 25mg once daily will be guided by"3+3" escalation rules based on safety data until an MTD has been identified or a RDE. For each dose, patients will first receive a single dose ABSK021 tablet(s) by mouth at Day -3 and be followed by a 3-day off as a run-in period to access the safety and PK of single-dose. Then, patients will continuously receive ABSK021 once daily (QD) in repeated 28-day cycles.

ABSK021 oral capsule

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Incidence and Severity of AEs
Time Frame: Through study completion, an average of 6 months

Adverse events (AEs), adverse events of special interest (AESIs) and serious adverse events (SAEs)

Through study completion, an average of 6 months
Incidence of DLTs
Time Frame: At the end of Cycle 1 (each cycle is 28 days)

DLT(dose-limiting toxicity)

At the end of Cycle 1 (each cycle is 28 days)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
PFS
Time Frame: From date of enrollment until the date of first documented progression or death, assessed up to 12 months

Progression-Free Survival (PFS)

From date of enrollment until the date of first documented progression or death, assessed up to 12 months
DoR
Time Frame: From date of enrollment until the date of first documented progression or death, assessed up to 12 months

Duration of Response (DoR)

From date of enrollment until the date of first documented progression or death, assessed up to 12 months
DCR
Time Frame: 24 weeks post-dose

Disease Control Rate (DCR)

24 weeks post-dose
Cmax
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose

The peak plasma concentration of a drug after administration

Pre-dose and multiple timepoints (up to 72 hours) post-dose
tmax
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose

Time to reach Cmax

Pre-dose and multiple timepoints (up to 72 hours) post-dose
Bioavailability
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose

The systemically available fraction of a drug

Pre-dose and multiple timepoints (up to 72 hours) post-dose
Elimination half-life
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose

The time required for the concentration of the drug to reach half of its original value

Pre-dose and multiple timepoints (up to 72 hours) post-dose

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Siqing Fu, MD, M.D. Anderson Cancer Center

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 20, 2020

Primary Completion (Estimated)

December 31, 2031

Study Completion (Estimated)

December 31, 2031

Study Registration Dates

First Submitted

November 27, 2019

First Submitted That Met QC Criteria

December 9, 2019

First Posted (Actual)

December 10, 2019

Study Record Updates

Last Update Posted (Actual)

November 9, 2026

Last Update Submitted That Met QC Criteria

November 6, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • ABSK021-101

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.