NCT05259696

Brief Summary

This is a Phase 1/2, first-in-human, open-label, dose escalation and dose-expansion study of E-602, administered alone and in combination with cemiplimab.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
69

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Feb 2022

Typical duration for phase_1

Geographic Reach
1 country

13 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

February 11, 2022

Completed
Same day until next milestone

Study Start

First participant enrolled

February 11, 2022

Completed
17 days until next milestone

First Posted

Study publicly available on registry

February 28, 2022

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 24, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 24, 2024

Completed
10 months until next milestone

Results Posted

Study results publicly available

August 20, 2025

Completed
Last Updated

August 20, 2025

Status Verified

August 1, 2025

Enrollment Period

2.7 years

First QC Date

February 11, 2022

Results QC Date

July 7, 2025

Last Update Submit

August 3, 2025

Conditions

Keywords

CancerBi-SialidaseAnti-TumorE-602Cemiplimab

Outcome Measures

Primary Outcomes (1)

  • Number of Participants Who Experienced AEs or SAEs

    Number of participants who experienced an adverse events (AEs) or a serious adverse event (SAE)

    15 Months

Study Arms (4)

Dose Escalation - Monotherapy

EXPERIMENTAL

Subjects will receive E-602 as monotherapy. Planned monotherapy dose levels: 1 mg/kg, 3 mg/kg, 10 mg/kg, 20 mg/kg, and 30 mg/kg.

Biological: E-602

Dose Escalation - Combination

EXPERIMENTAL

Subjects will receive E-602 in combination with cemiplimab. E-602 dose(s): Will be initiated at dose level(s) that have previously completed dosing and DLT assessments as monotherapy. Cemiplimab dose: 350 mg.

Biological: E-602Biological: Cemiplimab

Expansion - Monotherapy

EXPERIMENTAL

Subjects will receive E-602 as monotherapy at the recommended Phase 2 dose determined in Phase 1.

Biological: E-602

Expansion - Combination

EXPERIMENTAL

Subjects will receive E-602 in combination with cemiplimab. E-602 dose: Subjects will receive E-602 at the recommended Phase 2 dose determined in Phase 1 in combination with cemiplimab. Cemiplimab dose: 350 mg.

Biological: E-602Biological: Cemiplimab

Interventions

E-602BIOLOGICAL

Subjects will receive E-602 (administered weekly, via IV infusion).

Dose Escalation - CombinationDose Escalation - MonotherapyExpansion - CombinationExpansion - Monotherapy
CemiplimabBIOLOGICAL

Subjects will receive cemiplimab (administered once every 3 weeks, via IV infusion).

Also known as: Libtayo, REGN2810
Dose Escalation - CombinationExpansion - Combination

Eligibility Criteria

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

You may qualify if:

  • Subjects with advanced or relapsed/refractory melanoma, ovarian cancer, NSCLC, colorectal cancer, pancreatic cancer, breast cancer, gastric/esophagogastric junction (EGJ) cancer, head and neck cancer, or urothelial cancer who have failed prior therapies.
  • a. Subjects with melanoma, NSCLC, head and neck cancer, urothelial cancer, or mMSI-H or dMMR colorectal cancer must have had prior anti-PD-(L)1 pathway therapy and been deemed resistant (had progression on therapy or within 3 months of discontinuation of therapy).
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Subject has disease that is measurable by Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1.
  • Adequate bone marrow, coagulation, renal function, and liver function as determined by laboratory tests

You may not qualify if:

  • For cohorts receiving E-602 and cemiplimab combination therapy:
  • Prior moderate or severe hypersensitivity to cemiplimab or its formulation
  • History of severe (≥ Grade 3) autoimmune complications or discontinuation due to toxicity following treatment with an anti-PD-(L)1 pathway therapy as a monotherapy, with the exception of asymptomatic Grade 3 elevations in lipase and/or amylase not associated with clinical manifestations of pancreatitis.
  • Previously received idelalisib.
  • History of age-related macular degeneration (AMD).
  • Recent surgery, treatment with another investigational agent, active infection, non-healing wound or uncontrolled bleeding/bleeding diathesis.
  • Received a vaccine or prior radiotherapy within 14 days prior to Cycle 1 Day 1.
  • Prior history of interstitial lung disease that required steroids or ≥ Grade 2 immune-related pneumonitis or has current non-infectious pneumonitis or interstitial lung disease. Subject has a history of ≥Grade 3 radiation pneumonitis, or Grade 2 radiation pneumonitis that has been active within the last 6 months.
  • Untreated brain metastases.
  • A known primary malignancy that is progressing or has required active treatment within the past 3 years.
  • Subject is taking the equivalent of \>10 mg/day oral prednisone or on systemic immunosuppressive therapy.
  • Subject has had an allogeneic tissue or organ transplantation.
  • History of thromboembolic event unless the event occurred \> 6 months from Cycle 1 Day 1 and the subject is on anti-coagulation treatment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

UC San Diego Moores Cancer Center

La Jolla, California, 92093, United States

Location

University of Southern California

Los Angeles, California, 90033, United States

Location

Stanford Health Care

Stanford, California, 94305, United States

Location

Yale University Cancer Center

New Haven, Connecticut, 06520, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

START Midwest

Grand Rapids, Michigan, 49546, United States

Location

Roswell Park Comprehensive Cancer Center

Buffalo, New York, 14263, United States

Location

Columbia University

New York, New York, 10032, United States

Location

Providence Cancer Institute

Portland, Oregon, 97213, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Sarah Cannon Research Institute

Nashville, Tennessee, 37203, United States

Location

NEXT Oncology

San Antonio, Texas, 78229, United States

Location

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

Location

MeSH Terms

Conditions

NeoplasmsMelanomaOvarian NeoplasmsCarcinoma, Non-Small-Cell LungColorectal NeoplasmsPancreatic NeoplasmsColonic NeoplasmsBreast NeoplasmsStomach NeoplasmsHead and Neck NeoplasmsUrinary Bladder Neoplasms

Interventions

cemiplimab

Condition Hierarchy (Ancestors)

Neuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesPancreatic DiseasesBreast DiseasesStomach DiseasesUrologic NeoplasmsUrinary Bladder DiseasesUrologic DiseasesMale Urogenital Diseases

Results Point of Contact

Title
Palleon Clinical Development
Organization
Palleon Pharmaceuticals

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: Phase 1: The study uses a modified 3+3 design with 5 planned dose levels of E-602 as monotherapy and 2 planned dose levels of E-602 in combination with cemiplimab. Phase 2: Consists of dose-expansion and will use the recommended Phase 2 dose level for E-602 as monotherapy and in combination with cemiplimab.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2022

First Posted

February 28, 2022

Study Start

February 11, 2022

Primary Completion

October 24, 2024

Study Completion

October 24, 2024

Last Updated

August 20, 2025

Results First Posted

August 20, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

Locations