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LBL-007

Phase 3

Esophageal Cancer | Small molecule | Oncology |BeOne Medicines Ltd.|Trials Updated: May 28, 2026

LBL-007 development status

Highest phase Phase 3 (NCT04164199)
Phase scored for ONCPhase 2
Registered trials 7 across 2 sponsors since Nov 2018

LBL-007 target and mechanism

Molecular targetLAG-3
Target classProtein
ModalitySmall molecule

Also known as Alcestobart

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment231

FDA Designations

No designations recorded

LBL-007 clinical trials

LBL-007 · 2 trials · 4 indications

Phase 2 1Phase 1 1
NCT06010303A Study to Evaluate LBL-007 in Combination With Tislelizumab Plus Chemotherapy in Participants With Unresectable Locally Advanced or Metastatic Esophageal Squamous Cell CarcinomaEsophageal Cancer
COMPLETED118 Analytics
PHASE2COMPLETED
A Study to Evaluate LBL-007 in Combination With Tislelizumab Plus Chemotherapy in Participants With Unresectable Locally Advanced or Metastatic Esophageal Squamous Cell Carcinoma
Esophageal CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Response Rate (ORR)
Approximately 10 months

Percentage of participants whose best overall response (BOR) is complete response (CR) or partial response (PR) as assessed by the investigator per Response Evaluation Criteria for Solid Tumors (RECIST) v1.1.

Phase 1b: Number of participants with Adverse Events (AEs) and Serious AEs (SAEs)
From the first dose of study drug(s) to 30 days after last dose, initiation of new anticancer therapy, death, withdrawal of consent, or loss to follow-up, whichever occurs first (up to approximately 28 months)

Number of participants with AEs and SAEs characterized by type, frequency, severity (as graded by National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 \[NCI-CTCAE v5.0\]).

Phase 2: Progression Free Survival (PFS) as Assessed by The Investigator in PD-L1 Positive Arms A and C
Approximately 28 months

PFS, as assessed by the investigator per RECIST v1.1 is defined as the time from the date of randomization to the date of first documentation of disease progression or death, whichever occurs first.

Secondary Endpoints

Progression Free Survival (PFS)
Approximately 18 months
Duration of Response (DOR)
Approximately 18 months
Disease Control Rate (DCR)
Approximately 18 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LBL-007EXPERIMENTALLBL-007 in combination with tislelizumab plus chemotherapy doublet.
Tislelizumab and ChemotherapyACTIVE_COMPARATORTislelizumab plus chemotherapy doublet.
Phase 1b: Cohort -1: LBL-007 + Tislelizumab + Bevacizumab + CapecitabineEXPERIMENTALLBL-007 (low dose) + tislelizumab (low dose once every 3 weeks) + bevacizumab (7.5 mg/kg once every 3 weeks) + capecitabine
Phase 1b: Cohort 1a: LBL-007 + Tislelizumab + Bevacizumab + CapecitabineEXPERIMENTALLBL-007 (medium dose) + tislelizumab (low dose once every 3 weeks) + bevacizumab (7.5 mg/kg once every 3 weeks) + capecitabine
Phase 1b: Cohort 1b: LBL-007 + Tislelizumab + Bevacizumab + 5-Fluorouracil (5-FU)EXPERIMENTALLBL-007 (medium dose) + tislelizumab (high dose once every 4 weeks) + bevacizumab (5 mg/kg once every 2 weeks) + 5-FU
Phase 1b: Cohort 2: LBL-007 + Tislelizumab + Bevacizumab + FluoropyrimidineEXPERIMENTALLBL-007 (high dose) + tislelizumab (low dose every 3 weeks or high dose every 4 weeks) + bevacizumab (7.5 mg/kg once every 3 weeks or 5 mg/kg once every 2 weeks) + fluoropyrimidine (5-FU or capecitabine)
Phase 2: Arm A and Arm D: LBL-007 + Tislelizumab + Bevacizumab + FluoropyrimidineEXPERIMENTALLBL-007 (high dose) + tislelizumab (low dose every 3 weeks or high dose every 4 weeks) + bevacizumab (7.5 mg/kg once every 3 weeks or 5 mg/kg once every 2 weeks) + fluoropyrimidine (5-FU or capecitabine)
Phase 2: Arm B: LBL-007 + Bevacizumab + FluoropyrimidineEXPERIMENTALLBL-007 (high dose) + bevacizumab (7.5 mg/kg once every 3 weeks or 5 mg/kg once every 2 weeks) + fluoropyrimidine (5-FU or capecitabine)
Phase 2: Arm C and Arm E: Bevacizumab + FluoropyrimidineACTIVE_COMPARATORBevacizumab (7.5 mg/kg once every 3 weeks or 5 mg/kg once every 2 weeks) + fluoropyrimidine (5-FU or capecitabine)

Interventions

NameTypeDescription
LBL-007DRUGLBL-007 will be administered at a standard dose intravenously.
TislelizumabDRUGTislelizumab will be administered at a standard dose intravenously.
Chemotherapy DoubletDRUGDoublet 1: cisplatin + 5-fluorouracil Doublet 2: cisplatin + paclitaxel Choice of chemotherapy doublet will be determined by the investigator and will be administered at standard doses intravenously.
Bevacizumab or Bevacizumab biosimilarDRUGAdministered intravenously
CapecitabineDRUGAdministered in accordance with relevant local guidelines and/or prescribing information
5-FluorouracilDRUGAdministered in accordance with relevant local guidelines and/or prescribing information
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: * Able to provide written informed consent and can agree to comply with the study requirements. * Participants with metastatic ESCC or unresectable, locally advanced ESCC. * Histologically confirmed diagnosis of ESCC. * Can provide a tumor sample. * At least 1 measurable lesion ...

Countries:ChinaSouth KoreaTaiwanThailandUnited StatesAustraliaPuerto Rico
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Frequently asked questions about LBL-007

What is LBL-007?

LBL-007 is an investigational small molecule developed by BeOne Medicines Ltd. (ticker ONC). It is being studied in oncology as a LAG-3 targeted agent, both in esophageal cancer and in unresectable or metastatic microsatellite stable/mismatch repair proficient colorectal cancer. It is currently in Phase 2 clinical development.

What is LBL-007 used for?

LBL-007 is being evaluated for the treatment of esophageal cancer, including esophageal squamous cell carcinoma, and for unresectable or metastatic microsatellite stable/mismatch repair proficient colorectal cancer. It is an investigational therapy and is not approved for any indication.

What does LBL-007 target?

LBL-007 targets LAG-3, a protein immune checkpoint receptor. By binding LAG-3, the drug is designed to modulate an inhibitory pathway that suppresses T cell activity. In clinical studies it is given in combination with tislelizumab, an anti-PD-1 antibody, with or without chemotherapy or bevacizumab plus fluoropyrimidine.

Who makes LBL-007?

LBL-007 is developed by BeOne Medicines Ltd., which trades under the ticker ONC. The company is running the clinical program for the asset across sites in China, South Korea, Taiwan, Thailand, the United States, Australia, and Puerto Rico.

What phase is LBL-007 in?

LBL-007 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory authority. The Phase 2 study in esophageal squamous cell carcinoma has completed, while a Phase 1 colorectal cancer study remains active but is no longer recruiting.

What clinical trials is LBL-007 in?

LBL-007 has been studied in two registered trials. NCT06010303 is a completed Phase 2 study of LBL-007 plus tislelizumab and chemotherapy in unresectable locally advanced or metastatic esophageal squamous cell carcinoma, enrolling 118 participants. NCT05609370 is an active Phase 1 study in unresectable or metastatic microsatellite stable/mismatch repair proficient colorectal cancer, enrolling 113 participants.