NCT04306900

Brief Summary

This is a phase 1/1b study of TTX-030 in combination therapy, an antibody that inhibits CD39 enzymatic activity, leading to accumulation of pro-inflammatory adenosine triphosphate (ATP) and reduction of immunosuppressive adenosine, which may change the tumor microenvironment and promote anti-tumor immune response. This trial will study the safety, tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of TTX-030 in combination with immunotherapy and/or standard chemotherapies.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
185

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Mar 2020

Longer than P75 for phase_1

Geographic Reach
2 countries

32 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 4, 2020

Completed
9 days until next milestone

First Posted

Study publicly available on registry

March 13, 2020

Completed
17 days until next milestone

Study Start

First participant enrolled

March 30, 2020

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2022

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 27, 2024

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

July 29, 2025

Completed
Last Updated

July 29, 2025

Status Verified

July 1, 2025

Enrollment Period

2.7 years

First QC Date

March 4, 2020

Results QC Date

June 20, 2025

Last Update Submit

July 9, 2025

Conditions

Keywords

Gastric (gastroesophageal cancer)Advanced Solid TumorColorectal cancerCancerMetastatic Solid TumorCombination TherapyCD39Adenosine PathwayImmunotherapy Immuno-oncologyPD-1 Checkpoint InhibitorDocetaxelBudigalimabABBV-181TTX-030Non-small cell lung cancerUrothelial cell cancerPancreatic cancerPembrolizumabKeytrudaBladder cancerGemcitabineNab-paclitaxel

Outcome Measures

Primary Outcomes (2)

  • Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)

    A DLT was defined as the occurrence of any of the following toxicities within the DLT Evaluation Period if judged by the Investigator and Sponsor to be possibly, probably, or definitely related to TTX-030 or budigalimab.

    7 day load + 1 cycle (1 cycle is 28 days)

  • The Incident of Adverse Events

    Number of study subjects experiencing adverse events (AEs) and serious adverse events (SAEs). Safety profile will be assessed through laboratory evaluations, vital signs, and physical examinations.

    Through study completion, an average of 1 year

Secondary Outcomes (7)

  • Confirmed Objective Response Rate (ORR)

    Through study completion, an average of 1 year

  • Best Response (BOR)

    Through study completion, an average of 1 year

  • Duration of Response (DOR)

    Through study completion, an average of 1 year

  • Disease Control Rate (DCR)

    Through study completion, an average of 1 year

  • Progression-free Survival (PFS)

    Through study completion, an average of 1 year

  • +2 more secondary outcomes

Study Arms (8)

Combo 1

EXPERIMENTAL

TTX-030 plus budigalimab plus mFOLFOX6

Combination Product: TTX-030, budigalimab and mFOLFOX6

Combo 2

EXPERIMENTAL

TTX-030 plus budigalimab plus docetaxel

Combination Product: TTX-030, budigalimab and docetaxel

Combo 3

EXPERIMENTAL

TTX-030 plus mFOLFOX6

Combination Product: TTX-030 and mFOLFOX6

Combo 4

EXPERIMENTAL

TTX-030 plus pembrolizumab

Combination Product: TTX-030 and pembrolizumab

Combo 5

EXPERIMENTAL

TTX-030 plus budigalimab (selected tumors evaluated in expansion)

Combination Product: TTX-030 and budigalimab

Combo 6

EXPERIMENTAL

TTX-030 plus budigalimab plus nab-paclitaxel + gemcitabine

Combination Product: TTX-030, budigalimab, nab-paclitaxel and gemcitabine

Combo 7

EXPERIMENTAL

TTX-030 plus nab-paclitaxel + gemcitabine

Combination Product: TTX-030, nab-paclitaxel and gemcitabine

Combo 8

EXPERIMENTAL

Budigalimab plus mFOLFOX6

Combination Product: Budigalimab and mFOLFOX6

Interventions

Dose and schedule per protocol

Combo 1

Dose and schedule per protocol

Combo 2
TTX-030 and mFOLFOX6COMBINATION_PRODUCT

Dose and schedule per protocol

Combo 3
TTX-030 and budigalimabCOMBINATION_PRODUCT

Dose and schedule per protocol

Combo 5

Dose and schedule per protocol

Combo 6
TTX-030 and pembrolizumabCOMBINATION_PRODUCT

Dose and schedule per protocol

Combo 4

Dose and schedule per protocol

Combo 7
Budigalimab and mFOLFOX6COMBINATION_PRODUCT

Dose and schedule per protocol

Combo 8

Eligibility Criteria

Age18 Years - 110 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 years or older, is willing and able to provide informed consent
  • Histologically confirmed diagnosis of unresectable or metastatic solid tumor malignancy in selected tumor types
  • Life expectancy \> 12 weeks
  • ECOG performance status of 0-1

You may not qualify if:

  • History of allergy or hypersensitivity to study treatment components. Patients with a history of severe hypersensitivity reaction to any monoclonal antibody.
  • Use of investigational agent within 28 days prior to the first dose of study treatment and throughout the study
  • Receiving high-dose systemic steroid therapy or any other form of immunosuppressive therapy
  • History of severe autoimmune disease
  • Uncontrolled intercurrent illness or other active malignancy requiring ongoing treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

HonorHealth Research Institute

Scottsdale, Arizona, 85258, United States

Location

City of Hope Medical Center Clinical Trials Office

Duarte, California, 91010, United States

Location

University of Southern California

Los Angeles, California, 90007, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

UCLA Hematology/Oncology

Los Angeles, California, 90404, United States

Location

Chao Family Comprehensive CC, UCI

Orange, California, 92868, United States

Location

UC Davis Comprehensive Cancer Center

Sacramento, California, 95817, United States

Location

Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine

Miami, Florida, 33136, United States

Location

Ocala Oncology Center PL

Ocala, Florida, 34474, United States

Location

Orlando Health UF Health Cancer Center

Orlando, Florida, 32835, United States

Location

IACT Health - John B. Amos Cancer Center

Columbus, Georgia, 31904, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Norton Cancer Institute

Louisville, Kentucky, 40202, United States

Location

Ochsner Medical Center

New Orleans, Louisiana, 70121, United States

Location

Nebraska Cancer Center Oncology Hematology West P.C.

Omaha, Nebraska, 68130, United States

Location

Montefiore Medical Center

The Bronx, New York, 10461, United States

Location

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44122, United States

Location

University of Toledo

Toledo, Ohio, 43614, United States

Location

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Prisma-Health Cancer Institute

Greenville, South Carolina, 29605, United States

Location

West Cancer Center and Research Institute

Germantown, Tennessee, 38138, United States

Location

Sarah Cannon Research Institute

Nashville, Tennessee, 37203, United States

Location

NEXT Oncology

San Antonio, Texas, 78229, United States

Location

Hunstman Cancer Intitute

Salt Lake City, Utah, 84112, United States

Location

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

Location

Froedtert Hospital & Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

National Cancer Center

Seogu, Busan, 49201, South Korea

Location

National Cancer Center

Ilsandong-gu, Goyang-si, Gyeonggi-do, 10408, South Korea

Location

Seoul National University

Seongnam-si Bundan-gu, Gyeonggi-do, 13620, South Korea

Location

Samsung Medical Center

Gangnam-gu, Seoul, 06351, South Korea

Location

Severance Hospital Yonsei University

Seodaemun-gu, Seoul, 03722, South Korea

Location

Asan Medical Center

Songpa-gu, Seoul, 05505, South Korea

Location

MeSH Terms

Conditions

Colorectal NeoplasmsNeoplasmsNeoplasm MetastasisCarcinoma, Non-Small-Cell LungPancreatic NeoplasmsUrinary Bladder Neoplasms

Interventions

budigalimabDocetaxel130-nm albumin-bound paclitaxelGemcitabinepembrolizumab

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and SymptomsCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesEndocrine Gland NeoplasmsPancreatic DiseasesEndocrine System DiseasesUrologic NeoplasmsUrogenital NeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesHeterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Results Point of Contact

Title
Executive Director
Organization
Trishula Therapeutics, Inc.

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 4, 2020

First Posted

March 13, 2020

Study Start

March 30, 2020

Primary Completion

November 30, 2022

Study Completion

March 27, 2024

Last Updated

July 29, 2025

Results First Posted

July 29, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations