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LBL-007

Phase 2

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

Target and mechanism

Molecular targetLAG-3
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment118

FDA Designations

No designations recorded

Clinical trial landscape

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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Competitive Landscape -Esophageal Cancer 107 trials

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Recent Changes (Last 90 Days)

MEDIUMJun 28, 2026NCT06010303TRIAL_REMOVED: changed
MEDIUMJun 28, 2026NCT06010303TRIAL_REMOVED: changed
MEDIUMJun 28, 2026NCT06010303TRIAL_REMOVED: changed
MEDIUMJun 28, 2026NCT06010303TRIAL_REMOVED: changed

Frequently asked questions about LBL-007

What is LBL-007 used for?

LBL-007 is an investigational small molecule being studied for the treatment of esophageal cancer, specifically unresectable locally advanced or metastatic esophageal squamous cell carcinoma, and for unresectable or metastatic microsatellite stable/mismatch repair proficient colorectal cancer. It is currently in Phase 2 clinical development for these oncology indications.

What does LBL-007 target?

LBL-007 targets LAG-3, a protein involved in immune regulation. By targeting LAG-3, LBL-007 is designed to modulate the immune response in cancer. It is being studied in combination with other therapies, such as tislelizumab and chemotherapy, for the treatment of esophageal and colorectal cancers.

Who is developing LBL-007?

LBL-007 is being developed by BeOne Medicines Ltd., a biopharmaceutical company listed on the stock exchange under the ticker ONC. The company is conducting clinical trials to evaluate the safety and efficacy of LBL-007 in patients with esophageal cancer and colorectal cancer.

What phase is LBL-007 in?

LBL-007 is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The drug is being studied in active clinical trials for the treatment of unresectable or metastatic microsatellite stable/mismatch repair proficient colorectal cancer and esophageal squamous cell carcinoma.

What clinical trials is LBL-007 in?

LBL-007 is being studied in two clinical trials. NCT05609370 is a Phase 1 trial evaluating LBL-007 plus tislelizumab in combination with bevacizumab plus fluoropyrimidine in participants with unresectable or metastatic colorectal cancer. NCT06010303 is a Phase 2 trial evaluating LBL-007 in combination with tislelizumab plus chemotherapy in participants with esophageal squamous cell carcinoma.

Is LBL-007 the same as tislelizumab?

No, LBL-007 is not the same as tislelizumab. LBL-007 is a small molecule that targets LAG-3, while tislelizumab is a different drug that is being studied in combination with LBL-007 in clinical trials. The two drugs have different mechanisms of action and are used together in investigational treatment regimens.