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, Arizona 85258
Contact:
833-354-6667

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

University of California San Francisco
San Francisco, California 94143

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

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

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

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

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

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

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).