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

Purpose

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.

Conditions

  • 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

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

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

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

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Part A: Monotherapy Dose Escalation of CLSP-1025
Dose escalation of CLSP-1025 in HLA-A*02:01-positive adult patients with advanced solid tumors that harbor the p53 R175H mutation
  • Drug: CLSP-1025
    CLSP-1025 will be administered by IV infusion
Experimental
Part B: Monotherapy Dose Expansion of CLSP-1025
Dose expansion of CLSP-1025 in HLA-A*02:01-positive adult patients with advanced solid tumors that harbor the p53 R175H mutation
  • Drug: CLSP-1025
    CLSP-1025 will be administered by IV infusion

Recruiting Locations

HonorHealth Research Institute
Scottsdale 5313457, Arizona 5551752 85258
Contact:
833-354-6667

The University of Arizona Cancer Center
Tucson 5318313, Arizona 5551752 85719

USC - Norris Comprehensive Cancer Center
Los Angeles 5368361, California 5332921 90033
Contact:
323-865-0451
clinical.trials@med.usc.edu

University of California Davis Comprehensive Cancer Center
Sacramento 5389489, California 5332921 95817
Contact:
916-703-5558

University of California San Francisco
San Francisco 5391959, California 5332921 94143

University of Miami - Sylvester Comprehensive Cancer Center
Miami 4164138, Florida 4155751 33136
Contact:
407-765-9589

The University of Chicago Comprehensive Cancer Center
Chicago 4887398, Illinois 4896861 60637
Contact:
855-403-0533

University of Kentucky Markey Cancer Center
Lexington 4297983, Kentucky 6254925 40536
Contact:
859-257-4488

Johns Hopkins - Sidney Kimmel Comprehensive Cancer Center
Baltimore 4347778, Maryland 4361885 21287
Contact:
410-955-8964

Hackensack University Medical Center
Hackensack 5098706, New Jersey 5101760 07601
Contact:
Oncology Clinical Research Referral Office
551-996-1777
OncologyResearchReferral@hmhn.org

NYU Langone Health
New York 5128581, New York 5128638 10016
Contact:
212-263-4432

Memorial Sloan Kettering Cancer Center
New York 5128581, New York 5128638 10065
Contact:
646-608-4042

Duke Cancer Institute
Durham 4464368, North Carolina 4482348 27701
Contact:
866-385-3123

Thomas Jefferson University, Sidney Kimmel Cancer Center
Philadelphia 4560349, Pennsylvania 6254927 19107
Contact:
Aliya Rogers
axr028@jefferson.edu

Fox Chase Cancer Center
Philadelphia 4560349, Pennsylvania 6254927 19111
Contact:
215-214-1515

Sarah Cannon Research Institute (SCRI) Oncology Partners
Nashville 4644585, Tennessee 4662168 37203
Contact:
615-329-7640

Mary Crowley Cancer Research
Dallas 4684888, Texas 4736286 75230
Contact:
972-566-3000

Baylor University Medical Center
Dallas 4684888, Texas 4736286 75246
Contact:
888-507-3732

MD Anderson Cancer Center
Houston 4699066, Texas 4736286 77030
Contact:
888-989-5374

Fred Hutchinson Cancer Center
Seattle 5809844, Washington 5815135 98109
Contact:
855-557-0555

More Details

NCT ID
NCT06778863
Status
Recruiting
Sponsor
Clasp Therapeutics, Inc.

Study Contact

Lauren Harshman, MD
+1-617-812-1431
LHarshman@clasptx.com

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).