NCT05653882

Brief Summary

This is a phase I, First-in-Human (FIH), open-label study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, and preliminary efficacy of AB248 as monotherapy OR in combination with pembrolizumab in adult participants with locally advanced or metastatic solid tumors. The study will consist of a dose escalation and a dose expansion stage.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
552

participants targeted

Target at P75+ for phase_1

Timeline
12mo left

Started Jan 2023

Longer than P75 for phase_1

Geographic Reach
1 country

20 active sites

Status
active not recruiting

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

Study Progress78%
Jan 2023May 2027

First Submitted

Initial submission to the registry

November 30, 2022

Completed
16 days until next milestone

First Posted

Study publicly available on registry

December 16, 2022

Completed
19 days until next milestone

Study Start

First participant enrolled

January 4, 2023

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2026

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2027

Last Updated

September 10, 2025

Status Verified

September 1, 2025

Enrollment Period

3.6 years

First QC Date

November 30, 2022

Last Update Submit

September 3, 2025

Conditions

Outcome Measures

Primary Outcomes (5)

  • Frequency of Dose-Limiting Toxicities (DLTs)

    Based on toxicities observed

    From Study Day 1 through up to Day 21, Day 28, or Day 42

  • Frequency of Serious Adverse Events (SAEs)

    Based on toxicities observed

    Signed consent up to 90 days after discontinuing study treatment

  • Frequency of Treatment Emergent Adverse Events (TEAEs)

    Based on toxicities observed

    Study Day 1 up to 90 days after discontinuing study treatment

  • Frequency of Adverse Events of Special Interest (AESIs)

    Based on toxicities observed

    Study Day 1 up to 90 days after discontinuing study treatment

  • Frequency of Adverse Events (AEs) leading to dose interruption or treatment discontinuation and death

    Based on toxicities observed

    Signed consent up to 90 days after discontinuing study treatment

Secondary Outcomes (11)

  • Objective Response Rate (ORR) according to RECIST version 1.1

    Study Day 1 up to approximately 24 months

  • Duration of Response (DOR) according to RECIST version 1.1

    Study Day 1 up to approximately 24 months

  • Disease Control Rate (DCR) according to RECIST version 1.1

    Study Day 1 up to approximately 24 months

  • Progression-Free Survival (PFS) according to RECIST version 1.1

    Study Day 1 until the date of first documented progression or date of death from any cause, assessed up to approximately 24 months

  • Overall Survival (OS) according to RECIST version 1.1

    Study Day 1 up to time of death, assessed up to approximately 24 months

  • +6 more secondary outcomes

Study Arms (4)

etakafusp alfa (AB248) Monotherapy Dose-Escalation

EXPERIMENTAL

etakafusp alfa (AB248) will be administered intravenously as a single agent

Biological: etakafusp alfa (AB248)

etakafusp alfa (AB248) + pembrolizumab Combination Dose-Escalation

EXPERIMENTAL

etakafusp alfa (AB248) and pembrolizumab will be administered intravenously

Biological: etakafusp alfa (AB248)Biological: pembrolizumab

etakafusp alfa (AB248) Monotherapy Indication Expansion

EXPERIMENTAL

etakafusp alfa (AB248) will be administered intravenously as a single agent in disease specific cohorts

Biological: etakafusp alfa (AB248)

etakafusp alfa (AB248) + pembrolizumab Combination Indication Expansion

EXPERIMENTAL

etakafusp alfa (AB248) and pembrolizumab will be administered intravenously in disease specific cohorts

Biological: etakafusp alfa (AB248)Biological: pembrolizumab

Interventions

Intravenous infusion of etakafusp alfa (AB248): CD8+ T cell selective interleukin-2 investigational drug

etakafusp alfa (AB248) + pembrolizumab Combination Dose-Escalationetakafusp alfa (AB248) + pembrolizumab Combination Indication Expansionetakafusp alfa (AB248) Monotherapy Dose-Escalationetakafusp alfa (AB248) Monotherapy Indication Expansion
pembrolizumabBIOLOGICAL

Intravenous infusion of pembrolizumab

Also known as: KEYTRUDA®
etakafusp alfa (AB248) + pembrolizumab Combination Dose-Escalationetakafusp alfa (AB248) + pembrolizumab Combination Indication Expansion

Eligibility Criteria

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

You may qualify if:

  • Age ≥18 years of age at the time consent is signed.
  • Has adequate end organ function per laboratory testing.
  • Pregnancy prevention requirements
  • Has measurable disease per RECIST 1.1 as assessed by the local site Investigator/radiology.
  • Has a performance status of 0 or 1 on Eastern Cooperative Oncology Group scale.
  • Histologic documentation of incurable, locally advanced or metastatic tumor of the type being evaluated in individual cohorts

You may not qualify if:

  • Has a diagnosis of immunodeficiency.
  • Has a history of a previous, additional malignancy, unless potentially curative treatment has been completed, with no evidence of malignancy for 5 years.
  • Has known active CNS metastases and/or carcinomatous meningitis.
  • Has an active autoimmune disease that has required systemic treatment in the past 2 years.
  • Has an active infection requiring systemic therapy.
  • Inability to comply with study and follow-up procedures.
  • Has had a severe hypersensitivity reaction (Grade ≥3) to treatment with pembrolizumab, another monoclonal antibody, or has history of any hypersensitivity to any components of the study treatments or any of their excipients.
  • Has received prior systemic anticancer therapy including investigational agents within 4 weeks (or, if shorter, within 5 half-lives for kinase inhibitors) prior to first dose of study treatment.
  • Has received prior radiotherapy within 2 weeks of start of study treatment or has had a history of radiation pneumonitis.
  • Receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior the first dose of study treatment.
  • Has received previous treatment with another agent targeting the IL-2, IL-7, or IL-15 receptors.
  • Is expected to require any other form of antineoplastic therapy while on study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

City of Hope

Duarte, California, 91010, United States

Location

UCLA

Los Angeles, California, 90095, United States

Location

UCSD

San Diego, California, 92037, United States

Location

UCSF

San Francisco, California, 94143, United States

Location

Yale

New Haven, Connecticut, 06510, United States

Location

University of Miami

Miami, Florida, 33136, United States

Location

Ocala Oncology Center

Ocala, Florida, 34474, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

Rutgers

New Brunswick, New Jersey, 08901, United States

Location

NYU

New York, New York, 10016, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

UNC Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, 27599, United States

Location

Providence Cancer Institute Franz Clinic

Portland, Oregon, 97213, United States

Location

Sarah Cannon Research Institute

Nashville, Tennessee, 37203, United States

Location

Intermountain Health

Murray, Utah, 84107, United States

Location

Virginia Commonwealth

Richmond, Virginia, 23298, United States

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungMelanomaSquamous Cell Carcinoma of Head and NeckCarcinoma, Renal Cell

Interventions

pembrolizumab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsSkin DiseasesSkin and Connective Tissue DiseasesCarcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialHead and Neck NeoplasmsAdenocarcinomaKidney NeoplasmsUrologic NeoplasmsUrogenital NeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesKidney DiseasesUrologic DiseasesMale Urogenital Diseases

Study Officials

  • Medical Monitor

    Asher Biotherapeutics, Inc.

    STUDY DIRECTOR

Study Design

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

Study Record Dates

First Submitted

November 30, 2022

First Posted

December 16, 2022

Study Start

January 4, 2023

Primary Completion (Estimated)

August 1, 2026

Study Completion (Estimated)

May 1, 2027

Last Updated

September 10, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations