Phase 1/2 Study of DS010 in Advanced Cancer Patients With Cachexia

November 2, 2026 updated by: Dartsbio Pharmaceuticals Ltd.

A Phase 1/2, Dose Escalation and Cohort Expansion Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of DS010 as Single Agent in Patients With Advanced Cancer and Cachexia

A study to evaluate the safety, tolerability, and preliminary efficacy of DS010 in patients with cancer and cachexia

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

58

Phase

  • Phase 2
  • 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 Locations

    • New South Wales
      • Concord West, New South Wales, Australia, 2138
        • Recruiting
        • Concord Cancer Centre Medical Oncology Clinical Trials Unit
        • Contact:
        • Principal Investigator:
          • Tam Bui Kim
      • Frenchs Forest, New South Wales, Australia, 2086
        • Recruiting
        • Cancer Care Northern Beache
        • Contact:
        • Principal Investigator:
          • Paul De Souza
      • Miranda, New South Wales, Australia, 2228
        • Recruiting
        • Southside Cancer Care Centre
        • Contact:
        • Principal Investigator:
          • Mahmood Alam
    • Victoria
      • Frankston, Victoria, Australia, 3199
        • Recruiting
        • Peninsula and Southeast Oncology (PASO)
        • Principal Investigator:
          • Vinod Ganju
        • Contact:

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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Key Inclusion Criteria:

    1. Subjects aged ≥ 18 years at screening;
    2. Subjects who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, and other study procedures;
    3. Able to provide written informed consent;
    4. ECOG performance status score of 0, 1, or 2;
    5. Patients with histologically or cytologically confirmed malignant solid tumor;
    6. Cancer cachexia documented in medical records;

Exclusion Criteria:

  • Key Exclusion Criteria:

    1. History of hypersensitivity or anaphylactic reaction to any therapeutic or diagnostic monoclonal antibody or molecules composed of monoclonal antibody components;
    2. Presence of reversible decreased food intake, as determined by the investigator;
    3. Receiving tube feeding or parenteral nutrition (total or partial parenteral nutrition) at screening;
    4. Severe gastrointestinal disorders (including esophagitis, gastritis, malabsorption);
    5. Cachexia caused by other reasons;
    6. Currently participating in another investigational drug study, or receipt of another investigational product ;

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: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: DS010 dose level 1

Once every 3 weeks intravenously injection

Experimental: DS010 dose level 2

Once every 3 weeks intravenously injection

Experimental: DS010 dose level 3

Once every 3 weeks intravenously injection

Experimental: DS010 dose level 4

Once every 3 weeks intravenously injection

Experimental: DS010 dose level 5

Once every 3 weeks intravenously injection

Experimental: DS010 dose level 6

Once every 3 weeks intravenously injection

Experimental: DS010 expansion 1

Once every 3 weeks intravenously injection

Experimental: DS010 expansion 2

Once every 3 weeks intravenously injection

Experimental: DS010 expansion 3

Once every 3 weeks intravenously injection

Experimental: DS010 expansion 4

Once every 3 weeks intravenously injection

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Phase 1: Dose-limiting toxicity (DLT)
Time Frame: 21 days after the first dose
21 days after the first dose
Phase 1: Incidence of adverse events as assessed by CTCAE V6.0
Time Frame: Up to 20 weeks
Up to 20 weeks
Phase 2: Change in body weight from baseline to Week 12
Time Frame: Baseline, Week 12
Baseline, Week 12

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Maximum Observed Plasma Concentration (Cmax)
Time Frame: From the first dose to week 12
From the first dose to week 12
Incidence of anti-drug antibodies (ADA) and neutralizing antibodies (NAb, if applicable)
Time Frame: From the first dose to week 12
From the first dose to week 12
Serum concentrations of total GDF-15
Time Frame: Baseline, week 12
Baseline, week 12
Changes in lumbar skeletal muscle index (LSMI) measured by CT from baseline
Time Frame: Baseline, week 12
Baseline, week 12
Functional Assessment of Anorexia/Cachexia Therapy (FAACT) total score and subscale scores from baseline
Time Frame: Baseline, week 12

The total score is derived from the Functional Assessment of Cancer Therapy-General (FACT-G) plus the Anorexia/Cachexia Subscale (ACS). The FAACT total score ranges from 0 to 180, with higher scores indicating better quality of life and less severe anorexia/cachexia symptoms.

Baseline, week 12
Changes in Patient Global Impression of Severity (PGI-S) from baseline
Time Frame: Baseline, week 12

The PGI-S is a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). Higher scores indicate greater disease severity.

Baseline, week 12
Changes in Patient Global Impression of Change (PGI-C) from baseline
Time Frame: Baseline, week 12

The PGI-C is a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Lower scores indicate improvement, and higher scores indicate worsening of condition.

Baseline, week 12
Changes in appetite visual analogue scale (VAS) score from baseline
Time Frame: Baseline, week 12

The VAS scale ranges from 0 to 100 mm, where 0 indicates no appetite and 100 indicates the best possible appetite. Higher scores indicate better appetite.

Baseline, week 12

Collaborators and Investigators

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

Sponsor

Investigators

  • Principal Investigator: Paul De Souza, Cancer Care Northern Beache
  • Principal Investigator: Vinod Ganju, Peninsula and Southeast Oncology (PASO)
  • Principal Investigator: Tam Bui Kim, Concord Cancer Centre Medical Oncology Clinical Trials Unit
  • Principal Investigator: Mahmood Alam, Southside Cancer Care Centre

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 (Estimated)

November 30, 2026

Primary Completion (Estimated)

June 16, 2028

Study Completion (Estimated)

August 15, 2028

Study Registration Dates

First Submitted

November 2, 2026

First Submitted That Met QC Criteria

November 2, 2026

First Posted (Actual)

November 6, 2026

Study Record Updates

Last Update Posted (Actual)

November 6, 2026

Last Update Submitted That Met QC Criteria

November 2, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • DS010-02-1101

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

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.