A Study of CLSP-1025 in Adult Patients With Solid Tumors That Harbor the p53 R175H Mutation

Clinicaltrials.gov ID: NCT06778863
db-list-check Status RECRUITING
b-loader Phase PHASE1
b-people Age ≥ 18 Years
b-bullseye-arrow Enrollments 90

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 Cancer

Drugs

CLSP-1025

Summary

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

Status

  • RECRUITING

Central Contacts

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])

Time Frame: 28 days after infusion

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

Time Frame: Up to 24 months after infusion

Secondary Outcome Measures

Number of patients with treatment-emergent adverse events, as assessed by CTCAE, v5.0

Time Frame: Up to 24 months after infusion

Number of patients with treatment-related adverse events, as assessed by CTCAE, v5.0

Time Frame: Up to 24 months after infusion

Number of patients with clinically significant changes in QTcF Interval

Time Frame: Up to 24 months after infusion

Maximum plasma concentration (Cmax) of CLSP-1025

Time Frame: Pre-dose and up to 168 hours post-dose

Minimum plasma concentration (Cmin) of CLSP-1025

Time Frame: Pre-dose and up to 168 hours post-dose

Area under the curve at the end of the dosing interval (AUCtau) of CLSP-1025

Time Frame: Pre-dose and up to 168 hours post-dose

Half-life (t1/2) of CLSP-1025

Time Frame: Pre-dose and up to 168 hours post-dose

Assess the immunogenicity of CLSP-1025

Time Frame: Up to 24 months after infusion

Part A: Objective Response Rate (ORR)

Time Frame: Up to 24 months after infusion

Duration of response (DOR)

Time Frame: Up to 24 months after infusion

Time to Response

Time Frame: Up to 24 months after infusion

Disease Control Rate

Time Frame: Up to 24 months after infusion

Progression-free survival (PFS)

Time Frame: Up to 24 months after infusion

Time of Treatment

Time Frame: Up to 24 months after infusion

Overall Survival (OS)

Time Frame: Up to 24 months after infusion

Timeline

  • Last Updated
    March 3, 2025
  • Start Date
    January 16, 2025
  • Today
    May 9, 2025
  • Completion Date ( Estimated )
    June 1, 2028

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