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AN4005

Phase 1

Advanced Solid Tumor | Small molecule | Oncology |Adlai Nortye Ltd. American Depositary Shares|Last Updated: Nov 18, 2025

Target and mechanism

ModalitySmall molecule

Also known as AN4005-dose level 0

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment31

FDA Designations

No designations recorded

Clinical trial landscape

AN4005 · 1 trial · 2 indications

Phase 1 1
NCT04999384First in Human, Dose Escalation Study of AN4005Advanced Solid Tumor
RECRUITING31 Analytics
PHASE1RECRUITING
First in Human, Dose Escalation Study of AN4005
Advanced Solid TumorUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants with any adverse events (AEs), serious adverse events (SAEs), withdrawal due to AEs, dose interruptions and reductions
Up to approximately 1 year

All AEs, SAEs and dose modifications will be collected

Number of participants with dose limiting toxicities (DLTs)
Up to 28 days

An event is considered to be a DLT if the event occurs within the first 28 days of treatment and meets the dose-limiting toxicity criteria, unless it can be clearly established that the event is unrelated to treatment

Number of participants with clinically significant changes in laboratory parameters, vital signs, physical examination and organ-specific parameters
Up to approximately 1 year

Blood and urine samples will be collected for analysis of lab parameters. Vital signs, physical examinations and organ-specific parameters will be collected at specified time points

Secondary Endpoints

Maximum observed plasma concentration (Cmax) of AN4005
Baseline and up to approximately 1 year
Area under the plasma concentration-time curve (AUC) extrapolated from time zero to infinity (AUC[0-inf]) of AN4005
Up to approximately 1 year
AUC from time zero to the last quantifiable concentration after dosing (AUC[0-t]) of AN4005
Up to approximately 1 year
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AN4005 dose level 0ACTIVE_COMPARATOROne sentinel patient will be orally dosed at 50 mg AN4005 BID. If this dose for one cycle is deemed to be tolerable upon review of safety data and PK data, the dose of AN4005 will be escalated to next level: dose level 1.
AN4005 dose level 1ACTIVE_COMPARATORThree patients will be orally dosed at 100 mg AN4005 BID. Based on the number of DLT events during the first cycle, dosing decisions will be made, including add 3 patients at the same dose level (1 DLT), escalation to dose level 3 (\<1/6 DLT), de-escalate to lower dose or stop (\>1/6 DLT).
AN4005 dose level 2ACTIVE_COMPARATORThree patients will be orally dosed at 200 mg AN4005 BID. Based on the number of DLT events during the first cycle, dosing decisions will be made, including add 3 patients at the same dose level (1 DLT), escalation to dose level 3 (\<1/6 DLT), de-escalate to lower dose or stop (\>1/6 DLT).
AN4005 dose level 3ACTIVE_COMPARATORThree patients will be orally dosed at 400 mg AN4005 BID. Based on the number of DLT events during the first cycle, dosing decisions will be made, including add 3 patients at the same dose level (1 DLT), escalation to dose level 4 (\<1/6 DLT), de-escalate to lower dose or stop (\>1/6 DLT).
AN4005 dose level 4ACTIVE_COMPARATORThree patients will be orally dosed at 600 mg AN4005 BID. Based on the number of DLT events during the first cycle, dosing decisions will be made, including add 3 patients at the same dose level (1 DLT), de-escalate to lower dose or stop (\>1/6 DLT).
AN4005 food effectACTIVE_COMPARATORThe effect of a high-fat meal on the PK of AN4005 will be evaluated in a separate cohort of approximately 6 patients after a safe and clinically relevant dose is identified during the dose finding part of the study.

Interventions

NameTypeDescription
AN4005-dose level 0DRUG50mg BID
AN4005-dose level 1DRUG100mg BID
AN4005-dose level 2DRUG200mg BID
AN4005-dose level 3DRUG400mg BID
AN4005-dose level 4DRUG600mg BID
AN4005-food effectDRUGDose to be determined upon the MTD determination
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * 1\. Age ≥ 18 years at the time of informed consent and have provided signed informed consent for the trial. 2\. Willing and able to comply with all aspects of the protocol. 3\. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. 4\. Life expectancy...

Countries:United StatesChina
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Competitive Landscape -Other Solid Tumors 9 trials (matched to "Advanced Solid Tumor")

Recent Changes (Last 90 Days)

LOWMay 26, 2026NCT04999384primaryCompletionDate: changed
LOWMay 24, 2026NCT04999384studyFirstPostDate: changed

Frequently asked questions about AN4005

What is AN4005 used for?

AN4005 is an investigational small molecule being studied for the treatment of advanced solid tumors and advanced lymphoma. It is currently in Phase 1 clinical development and has not been approved by regulatory authorities.

Who is developing AN4005?

AN4005 is being developed by Adlai Nortye Ltd., whose American Depositary Shares trade under the ticker ANL. The company is conducting a first-in-human dose escalation study of the drug.

What phase is AN4005 in?

AN4005 is in Phase 1 clinical development. It is currently being evaluated in a first-in-human dose escalation study that is recruiting participants. The drug is investigational and has not been approved for any use.

What clinical trials is AN4005 in?

AN4005 is being studied in a Phase 1 clinical trial with the identifier NCT04999384. This first-in-human dose escalation study is recruiting 31 participants with advanced solid tumors or advanced lymphoma at sites in the United States and China.

Is AN4005 the same as AN4005-dose level 0?

Yes, AN4005 is also known as AN4005-dose level 0. This alternative name refers to the initial dose level being evaluated in the Phase 1 clinical trial of the drug.