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Brief Title: EVOLVE104 in Participants With Advanced Urothelial and Squamous Cell Carcinomas

A Phase 1 Dose-Escalation and Expansion Study Evaluating the Safety, Efficacy, and Pharmacokinetics of EVOLVE104 in Subjects With Advanced Urothelial and Squamous Cell Carcinomas

INTRODUCTION

  • Org Study ID: EIU-104101
  • Secondary ID: N/A
  • NCT ID: NCT07217171
  • Sponsor: EvolveImmune United, Inc

BRIEF SUMMARY

The goal of this study is to evaluate the safety and effectiveness of EVOLVE104 in participants with advanced urothelial and squamous cell carcinomas who have previously taken standard treatment options, have declined or have been ineligible for treatment with these medications. Participants with advanced or metastatic cancer who meet all eligibility criteria may be eligible to participate in the study.

DETAILED DESCRIPTION

This is a dose-escalation and expansion First in Human phase 1a/1b study evaluating safety, tolerability, and pharmacokinetics (PK) of EVOLVE104 in participants with advanced, relapsed or refractory solid tumors, including bladder, lung, esophageal, tongue, cutaneous and anogenital squamous cell carcinomas. This study consists of Phase 1a dose-escalation stage followed by a Phase 1b dose expansion stage featuring 2 expansion cohorts that may be opened, at the Sponsor's discretion, depending on the safety, efficacy, and other observations from Phase 1a.

This study is anticipated to enroll approximately 160 participants: up to 80 participants in Phase 1a, and up to 80 participants in Phase 1b.

Participants will be treated until they meet treatment discontinuation criteria, including disease progression, adverse events (AEs), subject decision, investigator decision, withdrawal of consent, death. The expected duration of treatment in this study is approximately 10 months based on the anticipated progression rates for the represented malignancies.

  • Overall Status
    Recruiting
  • Start Date
    November 13, 2025
  • Phase
    Phase 1
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Incidence and Severity of Treatment Emergent Adverse Events (TEAEs)

Primary Outcome 1 - Timeframe: Baseline

Primary Outcome 2 - Measure: Number of patients with Dose Limiting Toxicities (DLTs)

Primary Outcome 2 - Timeframe: through study completion

Primary Outcome 3 - Measure: To determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) for EVOLVE104

Primary Outcome 3 - Timeframe: an average of 10 months.

Primary Outcome 4 - Measure: To determine the recommended phase 2 dose (RP2D) of EVOLVE104

Primary Outcome 4 - Timeframe: Baseline

CONDITION

  • Bladder Cancer
  • Squamous Cell Carcinoma of the Lung
  • Esophageal Squamous Cell Carcinoma
  • Tongue Squamous Cell Carcinoma
  • Cutaneous Squamous Cell Cancer
  • Penile Squamous Cell Carcinoma
  • Anal Squamous Cell Carcinoma
  • Vulvar Squamous Cell Carcinoma
  • Cervical Squamous Cell Carcinoma
  • Vaginal Squamous Cell Carcinoma
  • Urethral Squamous Cell Carcinoma

ELIGIBILITY

Key Inclusion Criteria:
Participants must have locally advanced or metastatic cancer with one of the following tumor types: bladder cancer, squamous cell carcinoma of the lung, esophagus, skin, or an anogenital squamous cell carcinoma.
1. Participant must have documented disease progression during or post treatment with standard of care, dependent upon tumor type.

- 2. The cancer must be measurable by CT scan or MRI.

- 3. Eastern Cooperative Oncology Group (ECOG) performance status score ≤1.

- 4. Anticipated life expectancy of at least 3 months.

- 5. Adequate organ function, as indicated by standard blood tests.

- 6. Able to provide a fresh or archival tumor biopsy.

- 7. Male and female participants must agree to use contraception during the study and for 120 days after the last dose of study drug, except for women who are post-menopausal or surgically sterile.
Key Exclusion Criteria:
1. The participant is a candidate for treatment with a targeted agent known to provide a benefit.

- 2. Persistent significant toxicities from prior anticancer therapy.

- 3. Brain metastases unless previously treated and stable.

- 4. Prior severe or life-threatening immunologic reactions to previous therapies.

- 5. Significant medical conditions, including but not limited to:
* History of clinically significant cardiac disease

- * Severe esophageal disease such as esophageal rupture or severe erosive esophagitis.

- * Active inflammatory corneal or conjunctival inflammation, erosion, or ulcerations.

- * History of cirrhosis or significant portal hypertension.

- * Uncontrolled or significant infection.

- * History of certain other cancers in the past 3 years.

- * History of arterial thrombosis, stroke and transient ischemic attack within 6 months.

- * Active or uncontrolled HIV, HBV or HCV infection.

- * Autoimmune or other condition requiring chronic systemic immunosuppression.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: EvolveImmune Study Team

Role: Study Director

Affiliation: EvolveImmune United, Inc

Overall Contact

Name: Evolve Study Team

Phone: 12032086584

Email: [email protected]

LOCATION

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

[email protected]

Facility: Yale University Cancer Center
New Haven, Connecticut 06511
United States
Status: Recruiting Contact: Contact

[email protected]

Facility: The Winship Cancer Institute Emory University
Atlanta, Georgia 30322
United States
Status: Recruiting Contact: Contact

[email protected]

Facility: START Midwest
Grand Rapids, Michigan 49546
United States
Status: Recruiting Contact: Contact

[email protected]

Facility: Columbia University Irving Medical Center
New York, New York 10032
United States
Status: Recruiting Contact: Contact

[email protected]

Facility: Memorial Sloan Kettering Cancer Center
New York, New York 10065
United States
Status: Recruiting Contact: Contact

[email protected]

Facility: Thomas Jefferson University, Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania 19107
United States
Status: Recruiting Contact: Contact

[email protected]

Facility: SCRI
Nashville, Tennessee 37203
United States
Status: Recruiting Contact: Contact

[email protected]

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

[email protected]

Facility: Virginia Cancer Specialists
Fairfax, Virginia 22031
United States
Status: Recruiting Contact: Contact

[email protected]