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Dose Escalation and Expansion Study of WTX-124 as Monotherapy and in Combination With Pembrolizumab (Pembro) in Patients With Selected Advanced or Metastatic Solid Tumors

Metastatic Solid Tumor · Advanced Solid Tumor

LO ESENCIAL

De qué trata este estudio

El registro no identifica actualmente este estudio como reclutando. Consulta su estado antes de planificar una evaluación.

Tipo de estudio
De intervención
Fase
Fase 1
Rango de edad
18 años - No especificado
Sexo admitido
Todos los sexos
Voluntarios sanos
No aceptados
Participantes
156 Real

Estos son puntos de partida, no una decisión de elegibilidad. El equipo debe revisar todos los requisitos.

Las explicaciones y la navegación están en español. Los textos proporcionados por el registro, incluidos títulos, resúmenes y criterios, se conservan en su idioma original. Puedes pedir orientación en español a WCR.

Acerca de la investigación

A first-in-human, Phase I, open-label, multicenter study of WTX-124 administered as monotherapy and in combination with pembrolizumab to patients with advanced or metastatic solid tumors.

Leer la descripción completa

This is a first-in-human, Phase I, open-label, multicenter study designed to evaluate the safety, tolerability and preliminary efficacy of WTX-124, a conditionally-activated IL-2 prodrug, when administered as monotherapy and in combination with pembrolizumab, for the treatment of patients with advanced solid tumors. Part 1 of the study is dose escalation of WTX-124, both as monotherapy and in combination with pembrolizumab. Part 2 is dose expansion and is comprised of six arms in which WTX-124 will be administered as monotherapy and in combination with pembrolizumab to patients with advanced or metastatic cutaneous malignant melanoma or advanced or metastatic renal cell carcinoma.

¿Quién podría participar?

La lista siguiente contiene el texto del patrocinador. Puede incluir condiciones, tratamientos previos, resultados de pruebas y otros requisitos. Aparecer en tu búsqueda no significa que califiques.

Inclusion Criteria:

Each patient must meet all the following criteria to participate in the study:

1. Has histological or cytological documentation of a solid tumor indication for which a CPI (e.g. anti-PD-(L)1 is indicated for all parts of the clinical study;
2. Monotherapy Dose Escalation:

Patients with relapsed/refractory locally advanced or metastatic solid tumors for which immunotherapy is approved, who have progressed on or are intolerant to standard therapy, including CPIs, or for whom no standard therapy with proven benefit exists.

Combination Dose Escalation:

Patients with relapsed/refractory locally advanced or metastatic solid tumors for which immunotherapy is approved, who have progressed on or are intolerant to standard therapy or for whom no standard therapy with proven benefit exists.

Monotherapy Dose Expansion:
* Arm A: Patients with relapsed advanced or metastatic RCC who have received no more than 4 prior lines of therapy in the advanced or metastatic setting
* Arm B: Patients with relapsed advanced or metastatic cutaneous malignant melanoma who have received no more than 2 prior lines of therapy for BRAF V600 wild type and no more than 3 prior lines of therapy for BRAF V600 mutant melanoma.
* Arm C: Patients with relapsed advanced or metastatic cSCC who have received no more than 2 prior lines of systemic therapy

Combination Dose Expansion:
1. Arm D: Patients with RCC who have received no more than 3 prior lines of therapy
2. Arm E: Patients with cutaneous melanoma who may be naïve to all prior therapy for advanced or metastatic disease. For BRAF wild type melanoma, patients should have received no more than 2 prior lines of therapy. For BRAF V600 mutant disease, patients should have received no more than 3 prior lines of therapy.
3. Arm F: Patients with PD-L1-positive NSCLC who have received no more than 3 prior lines;
3. ≥18 years of age;
4. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1;
5. Has at least 1 measurable lesion per RECIST 1.1(lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions);
6. Agrees to undergo a pre-treatment and on-treatment biopsy of a primary or metastatic solid tumor lesion;
7. Has adequate organ and bone marrow function;
8. Willingness of men and women of reproductive potential to observe highly effective birth control for the duration of treatment and for 4 months following the last dose of study drug;
9. Additional criteria may apply

Exclusion Criteria:

1. Have a history of another active malignancy (a second cancer) within the previous 2 years except for localized cancers that are not related to the current cancer being treated, are considered cured, and, in the opinion of the Investigator, presents a low risk of recurrence. These exceptions include, but are not limited to, basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, or breast;
2. Has a history of (non-infectious) pneumonitis / interstitial lung disease that required steroids or has current pneumonitis / interstitial lung disease;
3. Have received prior IL-2-directed therapy;
4. Have had an allogeneic tissue/solid organ transplant;
5. Have known symptomatic brain metastases requiring steroids;
6. Have significant cardiovascular disease;
7. Have an active autoimmune disease that required systemic treatment in the past 2 years;
8. Diagnosis of immunodeficiency, is on immunosuppressive therapy, or is receiving chronic systemic or enteric steroid therapy
9. Major surgery (excluding placement of vascular access) within 2 weeks prior to the first dose of study drug;
10. Investigational agent or anticancer therapy within 5 half-lives or 4 weeks (whichever is shorter) prior to the first dose of study drug;
11. Has received prior radiotherapy within 2 weeks of start of study treatment. A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-CNS disease;
12. Any unresolved toxicities from prior therapy greater than NCI CTCAE version 5.0 Grade 1 at the time of starting study drug with the exception of alopecia and Grade 2 prior platinum-therapy related neuropathy;
13. Received a live or live-attenuated vaccine within 30 days of the first dose of study drug; Note: Administration of killed vaccines or other formats are allowed.
14. Active, uncontrolled systemic bacterial, viral, or fungal infection;
15. HIV-infected participants with a history of Kaposi sarcoma and/or Multicentric Castleman Disease;
16. Active infection as determined by hepatitis B surface antigen and hepatitis B core antibody, or hepatitis B virus DNA by quantitative polymerase chain reaction (qPCR) testing;
17. Active infection as determined by hepatitis C virus (HCV) antibody or HCV RNA by qPCR testing;
18. Pregnant or lactating;
19. History of hypersensitivity to any of the study drug components;
20. Additional criteria may apply.

Entiende la evaluación inicial

Tratamiento, grupos y participación

El registro puede describir tratamientos y duración sin incluir un calendario completo. Pide al equipo las visitas, procedimientos, riesgos, costos y alternativas. Mantén tu atención habitual salvo que tu médico te indique un cambio.

Asignación
Sin asignación al azar
Enmascaramiento
Sin enmascaramiento
WTX-124 monotherapy dose escalation

WTX-124 monotherapy dose escalation

Drug: WTX-124

WTX-124 in combination with pembro dose escalation

WTX-124 in combination with pembrolizumab (pembro) dose escalation

Drug: WTX-124 · Drug: pembrolizumab

Arm A: WTX-124 monotherapy dose expansion. Patients with advanced or metastatic RCC.

Arm A: WTX-124 monotherapy dose expansion. Patients with advanced or metastatic RCC.

Drug: WTX-124

Arm B: WTX-124 monotherapy dose expansion. Advanced or metastatic cutaneous malignant melanoma.

Arm B: WTX-124 monotherapy dose expansion. Patients with advanced or metastatic cutaneous malignant melanoma.

Drug: WTX-124

Arm C: WTX-124 monotherapy dose expansion. Patients with advanced or metastatic cSCC.

Arm C: WTX-124 monotherapy dose expansion. Patients with advanced or metastatic cSCC.

Drug: WTX-124

Arm D: WTX-124 in combination with pembro dose expansion. Advanced or metastatic RCC.

Arm D: WTX-124 in combination with pembrolizumab dose expansion. Patients with advanced or metastatic RCC.

Drug: WTX-124 · Drug: pembrolizumab

Arm E: WTX-124 with pembro dose expansion. Advanced or metastatic cutaneous melanoma.

Arm E: WTX-124 in combination with pembrolizumab dose expansion. Patients with advanced or metastatic cutaneous melanoma.

Drug: WTX-124 · Drug: pembrolizumab

Arm F: WTX-124 in combination with pembro dose expansion. Advanced/metastatic PD-L1-positive NSCL

Arm F: WTX-124 in combination with pembrolizumab dose expansion. Patients with advanced or metastatic PD-L1-positive NSCLC lines.

Drug: WTX-124 · Drug: pembrolizumab

WTX-124 DRUG

Investigation Product Monotherapy

pembrolizumab DRUG

Investigation Product in combination with approved therapy

Prepara tus preguntas

Qué evalúan los investigadores

Estas medidas indican qué se estudia. No prueban que un tratamiento funcione.

Medidas principales

Incidence of Dose Limiting Toxicities (DLTs) in monotherapy and combination therapy

Plazo: 4 weeks

No informado en este registro.

Incidence of treatment emergent adverse events in monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Incidence of changes in clinical laboratory abnormalities in monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Dose Expansion - Incidence of Dose Limiting Toxicities (DLTs) in monotherapy and combination therapy

Plazo: 4 weeks

No informado en este registro.

Dose Expansion - Incidence of treatment emergent adverse events in monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Dose Expansion - Incidence of changes in clinical laboratory abnormalities in monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Dose Expansion - Investigator-assessed objective response rate (ORR) per RECIST 1.1 and iORR by iRECIST in monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Medidas secundarias

Plasma concentrations of WTX-124 and free IL-2

Plazo: 24 months

No informado en este registro.

Investigator-assessed objective response rate (ORR) per RECIST 1.1 and iORR by iRECIST in monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Changes in circulating immune cell populations in response to monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Changes in soluble cytokines in response to monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Changes in tumor immune profile in response to monotherapy and combination therapy

Plazo: 24 months

No informado en este registro.

Investigator-assessed objective response rate (ORR) per RECIST 1.1 and iORR by iRECIST in monotherapy and combination therapy (in advanced or metastatic renal cell carcinoma and advanced or metastatic cutaneous malignant melanoma)

Plazo: 24 months

No informado en este registro.

Antidrug antibody (ADA) occurrence

Plazo: 24 months

No informado en este registro.

Duration of response

Plazo: 24 months

No informado en este registro.

Progression free survival

Plazo: 24 months

No informado en este registro.

Overall survival

Plazo: 36 months

No informado en este registro.

To investigate immunological biomarkers in peripheral blood and tumor that may correlate with the treatment outcome of WTX-124 as monotherapy or in combination with pembrolizumab

Plazo: 24 months

No informado en este registro.

To assess tumor biopsies for potential biomarkers of target engagement and immune pathway activation

Plazo: 24 months

No informado en este registro.

El registro no indica resultados publicados.

Revisa las tablas completas y sus limitaciones en el registro oficial.

Abrir resultados oficiales ↗

Centros de investigación (14)

El estado general puede diferir del estado de un centro. Confirma la disponibilidad antes de trasladarte.

14 centros

HonorHealthScottsdale, Arizona, United StatesEstado desconocido
Moffitt Cancer CenterTampa, Florida, United StatesEstado desconocido
Emory Winship Cancer InstituteAtlanta, Georgia, United StatesEstado desconocido
Northwestern UniversityChicago, Illinois, United StatesEstado desconocido
Indiana University Melvin and Bren Simon Comprehensive Cancer CenterIndianapolis, Indiana, United StatesEstado desconocido
Minnesota Oncology Hematology, P.A.Maple Grove, Minnesota, United StatesEstado desconocido
Hackensack University Medical CenterHackensack, New Jersey, United StatesEstado desconocido
Roswell Park Comprehensive Cancer CareBuffalo, New York, United StatesEstado desconocido
Westchester Medical CenterHawthorne, New York, United StatesEstado desconocido
Providence Cancer Institute Franz ClinicPortland, Oregon, United StatesEstado desconocido
Texas Oncology - Austin MidtownAustin, Texas, United StatesEstado desconocido
University of Texas Southwestern Medical CenterDallas, Texas, United StatesEstado desconocido
NEXT OncologyHouston, Texas, United StatesEstado desconocido
NEXT OncologySan Antonio, Texas, United StatesEstado desconocido

Equipo y fechas

Patrocinador principal
Werewolf Therapeutics, Inc.
Inicio del estudio
15 ago 2022 Real
Finalización primaria
22 abr 2026 Real
Finalización del estudio
22 abr 2026 Real
Primera publicación
29 jul 2022 Real
Última actualización
10 nov 2026 Real

Contactos oficiales del estudio

No hay un contacto central indicado. Revisa los centros y el registro oficial.

Título oficial del estudio

A Multicenter Phase I/Ib Dose Escalation and Expansion Study of WTX-124 as Monotherapy and in Combination With Pembrolizumab in Patients With Selected Advanced or Metastatic Solid Tumors

EL PRÓXIMO PASO, CON APOYO HUMANO

Consulta a Wellness Clinical Research

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Enviar una pregunta no te inscribe en un estudio.

Fuente: API v2 de ClinicalTrials.gov. Patrocinadores e investigadores envían la información. La NLM no aprueba la seguridad ni la ciencia de todos los estudios registrados. Aviso del registro.

Consultado: 12 nov 2026 · Última actualización del registro: 10 nov 2026