Allogeneic WTX-212C in Advanced Solid Tumors

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorZhejiang Provincial People's Hospital

About this trial

This is a multicenter, open-label, single-arm Phase I study to evaluate the safety, tolerability, pharmacokinetics (PK), immunogenicity, and preliminary antitumor activity of allogeneic WTX-212C, an investigational allogeneic engineered red blood cell (RBC)-based product, in patients with advanced solid tumors who have failed standard therapies or have no available standard treatment options.

The study consists of a dose-escalation phase using a 3+3 design followed by a dose-expansion phase. Participants will receive allogeneic WTX-212C via intravenous infusion. Tumor assessments will be performed every 6 weeks according to RECIST 1.1.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18-75 years

Histologically or cytologically confirmed advanced solid tumors

At least one measurable lesion per RECIST 1.1

ECOG performance status ≤1

Disqualifiers

Uncontrolled serious medical conditions

Active or uncontrolled infections

Symptomatic or unstable CNS metastases

History of severe hypersensitivity to biologic agents

Trial design

Design model

Sequential

Treatments tested in this trial

  • allogeneic WTX-212C

    Drug

    allogeneic WTX-212C is an investigational allogeneic engineered red blood cell-based injectable product administered intravenously.

Treatment groups

24 Participants
are divided into 1 treatment group
Group A: Experimental: Allogeneic WTX-212CExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of Dose-Limiting Toxicities (DLTs)

Incidence of Dose-Limiting Toxicities (DLTs)

Time frame
Within 21 days after the first dose
2

Incidence and Severity of Treatment-Related Adverse Events (TRAEs)

Incidence of Dose-Limiting Toxicities (DLTs)

Time frame
Up to 12 months

Secondary outcomes

1

Maximum Tolerated Dose (MTD)

MTD is defined as the highest dose level at which no more than 1 out of 6 participants experiences a dose-limiting toxicity (DLT) during the first treatment cycle, based on a standard 3+3 dose-escalation design.

Time frame
Within 21 days after the first dose
2

Pharmacokinetic Parameters (Cmax)

Plasma pharmacokinetic parameters of allogeneic WTX-212C, including maximum observed concentration (Cmax)will be estimated using non-compartmental analysis methods.

Time frame
From first dose up to 12 months
3

Objective Response Rate (ORR)

ORR is defined as the proportion of participants achieving a confirmed complete response (CR) or partial response (PR) according to RECIST version 1.1 criteria, based on investigator assessment.

Time frame
Up to 12 months
4

Disease Control Rate (DCR)

DCR is defined as the proportion of participants achieving complete response (CR), partial response (PR), or stable disease (SD) according to RECIST version 1.1 criteria.

Time frame
Up to 12 months

Other outcomes

1

Changes in Immune Cell Subsets in Peripheral Blood

Quantitative and phenotypic analysis of peripheral blood immune cell subsets (e.g., T cells, B cells, NK cells) will be performed using flow cytometry to assess immunological changes following treatment.

Time frame
From baseline up to 12 months
2

Exposure-Response Relationship

The relationship between pharmacokinetic exposure parameters (e.g., Cmax, AUC) and clinical outcomes (safety and efficacy endpoints) will be explored using descriptive and model-based analyses.

Time frame
Up to 12 months

Sponsors and contacts

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Zhejiang Provincial People's Hospital

Lead sponsor

Westlake Therapeutics

Collaborator

First People's Hospital of Hangzhou

Collaborator