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

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorClasp Therapeutics, Inc.

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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

Trial design

Design model

Sequential

Treatments tested in this trial

  • CLSP-1025

    Drug

    CLSP-1025 will be administered by IV infusion

Treatment groups

90 Participants
are divided into 2 treatment groups
Group A: Part A: Monotherapy Dose Escalation of CLSP-1025Experimental treatment 1 intervention
Group B: Part B: Monotherapy Dose Expansion of CLSP-1025Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Part A: Determine the maximum tolerated dose (MTD) and/or the recommended dose(s) for expansion (RDE[s])

Rate of dose-limiting toxicities (DLTs) after infusion of CLSP-1025

Time frame
28 days after infusion
2

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

Objective response rate (ORR) per RECIST V1.1 determined by Investigator assessment

Time frame
Up to 24 months after infusion

Secondary outcomes

1

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

Incidence and severity of treatment-emergent adverse events (TEAEs)

Time frame
Up to 24 months after infusion
2

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

Incidence and severity of treatment-related adverse events (TRAEs)

Time frame
Up to 24 months after infusion
3

Number of patients with clinically significant changes in QTcF Interval

Incidence of clinically significant changes in QTcF Interval

Time frame
Up to 24 months after infusion
4

Maximum plasma concentration (Cmax) of CLSP-1025

To determine the maximum plasma concentration (Cmax) of CLSP-1025

Time frame
Pre-dose and up to 168 hours post-dose

Other outcomes

Sponsors and contacts

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