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RecruitingLast updated: 19 December 2025

LM299-01-102: A targeted immunotherapy called LM-299 in people with advanced solid cancers who have failed prior treatment or for whom standard treatment is not availableA Phase I/II, Open-label, Dose Escalation and Dose Expansion Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of LM-299 Injection as Monotherapy or in Combination With Other Anti-tumor Therapies in Patients With Advanced Solid Tumors

Trial purpose

Medical clipboardCancer treatment

Tumor type

Multi-Cancer Multi-Cancer

Age

People18 - 80

Trial acronym

LM299-01-102

Clinical summary

Summary

This is a trial of the drug LM-299, a type of immunotherapy called a bispecific antibody that targets VEGF-A and PD-1 proteins on cancer cells. It is administered every 2-3 weeks through an intravenous (IV) drip.

This study has two stages.

Phase I Dose Escalation Stage
This stage will assess how safe and tolerable the drug LM-299 is in people with advanced solid cancers. Different dose levels of LM-299 will be tested to determine the maximum tolerated dose or optimal biological dose, and explore the recommended dose for expansion. 

Phase II Dose Expansion Stage
This stage will assess the anti-cancer effect of LM-299 in people with various advanced solid tumours.

Conditions

This trial is treating people with advanced solid cancers who have failed standard treatment, are intolerant to standard treatment, or for whom standard treatment is not available

Eligibility

Inclusion

  1. Subjects who are willing to participate in the study and sign the informed consent form (ICF) prior to any procedure.
  2. Participant must be 18- 18 years or the legal age of consent at the time of signing the ICF.
  3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  4. Life expectancy ≥ 3 months.
  5. Patients with advanced solid tumors confirmed by histopathological diagnosis who have failed standard treatment, are intolerant to standard treatment, or for whom standard treatment is currently unsuitable.
  6. Pre-treatment archived tumour tissue (within 5 years) or fresh samples could be provided for biomarker analysis.
  7. Must have at least one measurable lesion according to RECIST v1.1.
  8. Adequate organ and bone marrow function as defined by protocol.
  9. Female subjects of childbearing potential or male subjects with partners of childbearing potential agree to use highly effective contraception.
  10. Subjects who are able to communicate well with investigators and understand and adhere to the requirements of this study.

Exclusion

  1. Participate in any other clinical trial within 28 days prior to 1st dosing of LM-299.
  2. Subjects who have received the anti-tumor treatments within the specified time periods prior to the first dosing of LM-299.
  3. Any adverse event from prior anti-tumour therapy has not yet recovered to ≤ grade 1 of CTCAE v5.0.
  4. Subjects with uncontrolled tumour-related pain.
  5. Subjects with known central nervous system (CNS) or meningeal metastasis.
  6. Qualitative urine protein results ≥ 3+.
  7. Clinically significant hemoptysis or tumor bleeding within 2 weeks prior to 1st dosing of LM-299.
  8. Any life-threatening bleeding event that occurred within 3 months prior to 1st dosing of LM-299.
  9. Subjects with esophageal or gastric varices requiring immediate intervention or a history of variceal bleeding .
  10. Hepatic encephalopathy, hepatorenal syndrome, or Child-Pugh class B or more severe liver cirrhosis.
  11. Subjects who have clinically uncontrollable third-space fluid accumulatio.
  12. Radiographic evidence of tumor invading surrounding vital organs or the risk of esophagotracheal fistula or esophagopleural fistula, tumor surrounding or invading the major blood vessels, or presence of intratumoral cavity formation.
  13. History of gastrointestinal perforation and/or fistula within 6 months prior to the first dose of the study drug.
  14. Patients with complete or incomplete intestinal obstruction within 3 months prior to the first dose of the study drug or patientswho are currently at the risk of intestinal perforation.
  15. Subjects who are known to be allergic to antibody treatment.
  16. Subjects who take systemic corticosteroids (≥ 10 mg/day of prednisone or equivalent) for more than 7 days within 2 weeks prior to the first dose of LM-299.
  17. Subjects with the known history of autoimmune disease.
  18. Patients with a history of active or previously confirmed inflammatory bowel disease.
  19. Patients with a history of or currently having interstitial pneumonia requiring systemic corticosteroid treatment.
  20. Received live vaccines or attenuated live vaccines within 28 days prior to the first dose of the study drug.
  21. Currently using anticoagulants such as therapeutic doses of heparin or vitamin K antagonists.
  22. Subjects who received major surgery or interventional treatment within 28 days prior to 1st dosing of LM-299 (excluding tumour biopsy, puncture, etc.).
  23. Subjects who have severe cardiovascular and and cerebrovascular diseases.
  24. Patients with severe infections within 4 weeks prior to the first dose.
  25. Patients with a history of immunodeficiency.
  26. Individuals with HIV infection, active HBV or HCV infection .
  27. Patients with known active tuberculosis (TB). Suspected active TB should be ruled out through clinical examination.
  28. Patients who have had other malignancies within 5 years prior to the first dose of the study drug.
  29. Women of childbearing age who test positive for pregnancy within 7 days prior to the first dose of the study drug or are breastfeeding.
  30. Individuals with known psychiatric disorders or illnesses that may affect adherence to the trial.
  31. Patients with local or systemic diseases caused by non-malignant tumors.
  32. Subject who is judged as not eligible to participate in this study by the investigator.

Inclusion

  • You have had treatment, but your cancer has come back (relapsed or recurrent).
  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • Your cancer has not spread to other parts of the body, but it is not possible to perform surgery to remove it (unresectable).
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.

Exclusion

  • You are currently being treated on a clinical trial.
  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

Recruiting hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

LaNova Medicines Limited

Scientific Title

A Phase I/II, Open-label, Dose Escalation and Dose Expansion Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of LM-299 Injection as Monotherapy or in Combination With Other Anti-tumor Therapies in Patients With Advanced Solid Tumors

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