A Study of CLSP-1025 in Adult Patients With Solid Tumors That Harbor the p53 R175H Mutation
Conditions
Advanced Solid Tumor, Unresectable Solid Tumor, Metastatic Solid Tumor, Colorectal Adenocarcinoma, Pancreatic Adenocarcinoma, Lung Cancer, Ovarian Cancer, Breast Cancer, Head and Neck Squamous Cell Carcinoma, Prostate Cancer, Bladder CancerDrugs
CLSP-1025Summary
Phase 1 dose escalation and expansion study of CLSP-1025, a first-in-class HLA-A*02:01 specific T cell engager (TCE) targeting solid tumors that harbor the p53 R175H mutation.
Detailed Description
This Phase 1, open-label, multicenter study is designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary clinical activity of CLSP-1025 when administered to HLA-A*02:01-positive adult patients with advanced solid tumors that harbor the p53 R175H mutation. The study will be conducted in 2 parts: Part A Monotherapy Dose Escalation to determine the recommended dose(s) for expansion (RDE[s]) and Part B Monotherapy Expansion to explore the preliminary antitumor activity as well as further characterize the safety, tolerability, PK, and PD of CLSP-1025 at the RDE(s).
Locations
1 location Found with status Recruiting
Eligibility Criteria
Key Inclusion Criteria:
* Patients must be at least 18 years of age at the time of signing the informed consent.
* Patients must be willing and able to provide written informed consent
* Patients must have locally advanced or metastatic solid tumors that have progressed after standard of care therapy or for which no standard therapy exists
* Tumors must harbor a TP53 R175H variant mutation confirmed by an accredited laboratory-based test
* Patients must be HLA-A*02:01 positive by central assay
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at the time of enrollment
* Adequate hematological, renal and hepatic function
* Per Investigator judgement, patient is willing and able to complete study visits and/or procedures per the protocol and comply with study requirements for study participation
Key Exclusion Criteria:
* Patients with Li-Fraumeni syndrome or other known germline p53 R175H mutation
* Patients who have received other p53 R175H-directed therapies
* Patients who have not fully recovered from adverse events due to previous anticancer therapies
* Patients with active infection requiring systemic antimicrobial therapy
* Any other primary malignancy within the 2 years prior to enrollment (except for non- melanoma skin cancer, carcinoma in situ (eg, cervix, bladder, breast) or prostate cancer in remission.
* Known active central nervous system metastases and/or carcinomatous meningitis
Outcome Measures
Primary Outcome Measures
Part A: Determine the maximum tolerated dose (MTD) and/or the recommended dose(s) for expansion (RDE[s])
Part B: Evaluate the Objective response rate (ORR) of CLSP-1025 as a monotherapy in HLA-selected patients with advanced solid tumors that express the p53 R175H mutation
Secondary Outcome Measures
Number of patients with treatment-emergent adverse events, as assessed by CTCAE, v5.0
Number of patients with treatment-related adverse events, as assessed by CTCAE, v5.0
Number of patients with clinically significant changes in QTcF Interval
Maximum plasma concentration (Cmax) of CLSP-1025
Minimum plasma concentration (Cmin) of CLSP-1025
Area under the curve at the end of the dosing interval (AUCtau) of CLSP-1025
Half-life (t1/2) of CLSP-1025
Assess the immunogenicity of CLSP-1025
Part A: Objective Response Rate (ORR)
Duration of response (DOR)
Time to Response
Disease Control Rate
Progression-free survival (PFS)
Time of Treatment
Overall Survival (OS)
Timeline
Last Updated
March 3, 2025Start Date
January 16, 2025Today
May 9, 2025Completion Date ( Estimated )
June 1, 2028
Sponsors of this trial
Lead Sponsor
Clasp Therapeutics, Inc.