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Brief Title: ALE.P03 as Monotherapy in Adult Patients With Selected Advanced or Metastatic CLDN1+ Solid Tumors

A Phase I/II, Open-label, Multicenter Study of ALE.P03 (Claudin-1 Targeted Antibody-drug Conjugate) as a Monotherapy in Adult Patients With Selected Advanced or Metastatic CLDN1+ Solid Tumors

INTRODUCTION

  • Org Study ID: ALE.P03.01
  • Secondary ID: N/A
  • NCT ID: NCT07169734
  • Sponsor: Alentis Therapeutics AG

BRIEF SUMMARY

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic, pharmacodynamic, preliminary anti-tumor activity, and to determine the recommended Phase II dose (RP2D) of the ALE.P03 monotherapy in adult patients with selected squamous solid tumors.

DETAILED DESCRIPTION

This Study has a Phase I ALE.P03 monotherapy dose escalation and recommended dose for expansion (RDE) study and a Phase II study of ALE.P03 as monotherapy at RP2D in adult patients with selected advanced or metastatic Claudin-1 positive (CLDN1+) cancers.

  • Overall Status
    Recruiting
  • Start Date
    August 26, 2025
  • Phase
    PHASE1, PHASE2
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Number of Patients with Dose Limiting Toxicities (DLTs) (Phase I)

Primary Outcome 1 - Timeframe: Up to 28 days

Primary Outcome 2 - Measure: Number of Patients with Adverse Events (Phase I)

Primary Outcome 2 - Timeframe: From Day 1 up to Safety follow-up (30 ± 5 days post last dose [Up to 4 years])

Primary Outcome 3 - Measure: Overall Response Rate (ORR) (Phase I)

Primary Outcome 3 - Timeframe: From ALE.P03 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 4 years)

Primary Outcome 4 - Measure: Duration of Response (DoR) (Phase I)

Primary Outcome 4 - Timeframe: From ALE.P03 treatment initiation until disease progression or study completion (Up to 4 years)

Primary Outcome 5 - Measure: Overall Response Rate (ORR) (Phase II)

Primary Outcome 5 - Timeframe: From ALE.P03 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 4 years)

Primary Outcome 6 - Measure: Duration of Response (DoR) (Phase II)

Primary Outcome 6 - Timeframe: From ALE.P03 treatment initiation until disease progression or study completion (Up to 4 years)

CONDITION

  • Cervical Squamous Cell Carcinoma
  • Squamous Non-small-cell Lung Cancer
  • Colorectal Cancer
  • Intrahepatic Cholangiocarcinoma
  • Urothelial Carcinoma

ELIGIBILITY

Inclusion Criteria:
* Have histologically and cytologically metastatic confirmed advanced or metastatic colorectal cancer, intrahepatic cholangiocarcinoma, squamous non-small cell lung cancer, urothelial carcinoma, and cervical squamous cell carcinoma.

- * Have documented radiological disease progression at study entry.

- * Have provided tissue for CLDN1 (Claudin-1) analysis in a central laboratory.
Phase I Dose Escalation:
- Received and being refractory/intolerant to available systemic standard of care (SOC) regimens (based on local institutional guidelines) for advanced disease.
Phase I RDE and Phase II:
* Received 1-2 available systemic SOC regimens (based on local institutional guidelines) for advanced disease and being refractory or intolerant to treatment.

- * Patients with actionable oncogenic drivers: received feasible targeted therapy.
Applicable for Phase I Dose Escalation, Phase I RDE and Phase II:
* Measurable disease per RECIST 1.1, as determined by the site.

- * Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Groups Performance Status.

- * Demonstrate adequate bone marrow and organ function as per the protocol.
Exclusion Criteria:
* SqNSCLC and CSCC: diagnosed with a tumor of predominantly non-squamous histology result or adenocarcinoma.

- * Has received antineoplastic therapies prior to study intervention within specified time frame.

- * Has rapidly progressing disease.

- * Has known active central nervous system metastases and/or carcinomatous meningitis.

- * Has a history of (non-infectious) interstitial lung disease/pneumonitis that required steroids or current symptomatic or clinically significant pneumonitis requiring steroids and/or immunosuppressive therapies.

- * Has clinically significant gastrointestinal bleeding.

- * Has an active infection requiring systemic treatment.

- * Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the clinical study.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: N/A

Role: N/A

Affiliation: N/A

Overall Contact

Name: Alentis Clinical Trial Contact

Phone: +41782304288

Email: [email protected]

LOCATION

Facility Status Contact
Facility: Mayo Clinic Comprehensive Cancer Center
Phoenix, Arizona 85054
United States
Status: Recruiting Contact: Contact
Principal Investigator

Facility: USC Norris Comprehensive Cancer Center
Los Angeles, California 90033
United States
Status: Recruiting Contact: Contact
Principal Investigator

Facility: Yale Comprehensive Cancer Center
New Haven, Connecticut 06510
United States
Status: Recruiting Contact: Contact
Principal Investigator

Facility: Norton Cancer Institute - Norton Healthcare Pavilion
Louisville, Kentucky 40202
United States
Status: Recruiting Contact: Contact
Principal Investigator

Facility: John Theurer Cancer Center
Hackensack, New Jersey 07601
United States
Status: Recruiting Contact: Contact
Principal Investigator

Facility: MD Anderson Cancer Center
Houston, Texas 77030
United States
Status: Recruiting Contact: Contact
Principal Investigator

Facility: Next Oncology-Oncology
San Antonio, Texas 78229
United States
Status: Recruiting Contact: Contact
Principal Investigator

Facility: NEXT Oncology Virginia
Fairfax, Virginia 22031
United States
Status: Recruiting Contact: Contact
Principal Investigator