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Brief Title: CLSP-1025 in Adult Patients With Solid Tumors That Harbor the p53 R175H Mutation

GUARDIAN-101: A Phase 1 Dose Escalation and Expansion Study of CLSP-1025 in Adult Patients With Solid Tumors That Harbor the p53 R175H Mutation

INTRODUCTION

  • Org Study ID: CLSP-1025-101
  • Secondary ID: N/A
  • NCT ID: NCT06778863
  • Sponsor: Clasp Therapeutics, Inc.

BRIEF 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).

  • Overall Status
    Recruiting
  • Start Date
    February 28, 2025
  • Phase
    Phase 1
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Part A: Determine the maximum tolerated dose (MTD) and/or the recommended dose(s) for expansion (RDE[s])

Primary Outcome 1 - Timeframe: 28 days after infusion

Primary Outcome 2 - Measure: 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

Primary Outcome 2 - Timeframe: Up to 24 months after infusion

CONDITION

  • 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

ELIGIBILITY

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

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: Lauren Harshman, MD

Phone: +1-617-812-1431

Email: [email protected]

LOCATION

Facility Status Contact
Facility: Sarah Cannon Research Institute
Nashville, Tennessee 37203
United States
Status: Recruiting Contact: N/A