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RecruitingLast updated: 17 April 2026

CS2009: A dose escalation and dose expansion study evaluating a new immunotherapy drug (called CS2009) in people with advanced solid cancersA Phase I, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of CS2009, a Tri-specific Antibody Targeting PD-1/VEGFA/CTLA-4, in Participants With Advanced Solid Tumors

Trial purpose

Medical clipboardCancer treatment

Tumor type

Multi-Cancer Multi-Cancer

Age

People18+

Trial acronym

CS2009

Clinical summary

Summary

This is a first-in-human study designed to evaluate how safe and tolerable a new targeted immunotherapy called CS2009 is, as well as how it interacts within the body and what anti-cancer effects it has.

The study is recruiting people with advanced or unresectable solid cancers that are unable to be removed with surgery, including but not limited to:

  • non-small cell lung cancer
  • small cell lung cancer
  • kidney cancer (renal cell carcinoma)
  • liver cancer (hepatocellular carcinoma)
  • stomach (gastric) cancer
  • ovarian cancer, and
  • cervical cancer.

The study is comprised of a Phase 1a dose escalation part, where participants will receive escalating doses of CS2009, and a Phase 1b dose expansion part, where participants will receive the recommended dose(s) of CS2009 as determined by the dose escalation part. In both parts, CS2009 will be given as an intravenous (IV) infusion every 3 weeks.

Conditions

This trial is treating people with unresectable, advanced solid cancers

Eligibility

Inclusion

  • Evidence of a personally signed and dated informed consent document.
  • Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Age ≥ 18 years on the day of signing informed consent.

Phase I:

  • Pathologically or cytologically confirmed, unresectable advanced solid tumors, including but not limited to non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), renal cell carcinoma (RCC), hepatocellular carcinoma (HCC), gastric cancer (GC), ovarian cancer (OC), cervical cancer (CC), etc.
  • Failure of established standard of care for advanced disease, or no available standard of care.

Phase II:

  • Pathologically or cytologically confirmed unresectable advanced solid tumors, including non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), etc.
  • Participants with at least one measurable lesion as defined per RECIST v1.1 solid tumor.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Adequate organ function.
  • Fertile male participants and female participants of childbearing potential must be willing to use an effective method of birth control from providing signed consent and for 180 days after the last investigational product administration.
  • Female participants of childbearing potential must have a negative pregnancy test ≤ 7 days prior to the first dose of the investigational product.

Exclusion

  • History of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
  • Known primary central nervous system (CNS) tumor or solid tumor CNS metastasis that is either symptomatic, untreated, or requires therapy.
  • Presence of uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage within 4 weeks prior to the first dose of investigational product.
  • Receipt of systemic corticosteroid treatment or any other form of immune suppressing treatment within 7 days prior to the first dose of investigational product.
  • Active or prior history of definite inflammatory bowel disease.
  • History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, or presence of active or suspected ILD/pneumonitis.
  • Active infections requiring systemic therapy within 2 weeks prior to the first dose of investigational product.
  • Positive for human immunodeficiency virus (HIV) or presence of acquired immune deficiency syndrome (AIDS).
  • Active Hepatitis B or C infection.
  • Active pulmonary tuberculosis (TB).
  • Major surgery, chemotherapy, definitive radiotherapy, target therapy, immunotherapy, or other anti-cancer therapy within 21 days prior to the first dose of investigational product.
  • Palliative radiotherapy within 14 days prior to the first dose of investigational product, or receipt of radioactive drug within 56 days prior to the first dose of investigational product.
  • Administration of live vaccine within 28 days prior to the first dose of investigational product.
  • History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.
  • Receipt of antitumor Chinese herbal preparations or Chinese patent medicine within 7 days prior to the first dose of investigational product.
  • Receipt of any other investigational drugs within 21 days prior to the first dose in this trial.
  • History of hypersensitivity or idiosyncrasy to the excipients of the study drug or any monoclonal antibody.
  • Any toxic effects of prior therapy or surgical procedures unresolved to baseline severity or NCI-CTCAE Version 5.0 Grade ≤ 1.
  • Active alcohol or drug abuse.
  • Female participants who are pregnant or breastfeeding.
  • Other acute or chronic medical or psychiatric conditions that may increase the risk associated with study participation or investigational product administration.

Inclusion

  • 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 have been diagnosed with a prior or secondary type of cancer.
  • 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

CStone Pharmaceuticals

Scientific Title

A Phase I, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of CS2009, a Tri-specific Antibody Targeting PD-1/VEGFA/CTLA-4, in Participants With Advanced Solid Tumors

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