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 volunteersQualifiers
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
Sequential
Treatments tested in this trial
allogeneic WTX-212C
Drugallogeneic WTX-212C is an investigational allogeneic engineered red blood cell-based injectable product administered intravenously.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Dose-Limiting Toxicities (DLTs)
Incidence of Dose-Limiting Toxicities (DLTs)
Incidence and Severity of Treatment-Related Adverse Events (TRAEs)
Incidence of Dose-Limiting Toxicities (DLTs)
Secondary outcomes
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.
Pharmacokinetic Parameters (Cmax)
Plasma pharmacokinetic parameters of allogeneic WTX-212C, including maximum observed concentration (Cmax)will be estimated using non-compartmental analysis methods.
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.
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.
Other outcomes
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.
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.
Sponsors and contacts
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Zhejiang Provincial People's Hospital
Lead sponsor
Westlake Therapeutics
Collaborator
First People's Hospital of Hangzhou
Collaborator