NCT06299163

Brief Summary

This is a first-in-human, open-label, multi-center, Phase 1, dose-escalation study with expansion cohorts to evaluate NM32-2668 for safety and immunogenicity, to determine the maximal tolerated dose and recommended Phase 2 dose, define the pharmacokinetics, to explore the pharmacodynamics, and to obtain preliminary evidence of the clinical activity in adult patients with selected advanced solid tumors.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
11

participants targeted

Target at below P25 for phase_1

Timeline
Completed

Started May 2024

Geographic Reach
1 country

11 active sites

Status
terminated

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 26, 2024

Completed
10 days until next milestone

First Posted

Study publicly available on registry

March 7, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2024

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 18, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 18, 2025

Completed
Last Updated

July 23, 2025

Status Verified

July 1, 2025

Enrollment Period

12 months

First QC Date

February 26, 2024

Last Update Submit

July 18, 2025

Conditions

Outcome Measures

Primary Outcomes (4)

  • Incidence of Dose Limiting Toxicities (DLTs)

    Through 28 days post-infusion

  • Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) as assessed by CTCAE v5.0 / ASTCT (for Cytokine Release Syndrome [CRS])

    Through 50 days post-final dose administration

  • Frequency of dose interruptions/reductions

    Up to 12 treatment cycles or through treatment discontinuation, whichever occurs first

  • Duration of dose interruptions/reductions

    Up to 12 treatment cycles or through treatment discontinuation, whichever occurs first

Secondary Outcomes (22)

  • Assessment of the maximum observed serum concentration (Cmax)

    From date of randomization until end of treatment, assessed for up to 336 days (i.e., 12 treatment cycles) or through treatment discontinuation

  • Assessment of the the minimum observed serum concentration (Cmin)

    From date of randomization until end of treatment, assessed for up to 336 days (i.e., 12 treatment cycles) or through treatment discontinuation

  • Time from dosing at which maximum observed serum concentration is apparent (Tmax)

    From date of randomization until end of treatment, assessed for up to 336 days (i.e., 12 treatment cycles) or through treatment discontinuation

  • Assessment of the terminal phase (apparent elimination) rate constant (λz)

    From date of randomization until end of treatment, assessed for up to 336 days (i.e., 12 treatment cycles) or through treatment discontinuation

  • Assessment of the elimination half-life (t½)

    From date of randomization until end of treatment, assessed for up to 336 days (i.e., 12 treatment cycles) or through treatment discontinuation

  • +17 more secondary outcomes

Study Arms (1)

NM32-2668

EXPERIMENTAL
Biological: NM32-2668

Interventions

NM32-2668BIOLOGICAL

Anti-ROR1/Anti-Cluster of Differentiation 3 (CD3)/Anti-Human Serum Albumin (HSA) Tri-Specific Antibody

NM32-2668

Eligibility Criteria

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

You may qualify if:

  • Patients with histologically confirmed, advanced-stage protocol-specified solid tumors.
  • Confirmed ROR1 tumor expression.
  • Patients who have undergone at least one prior systemic therapy and have radiologically or clinically determined progressive disease during or after most recent line of therapy, and for whom no further standard therapy is available, or who are intolerable or have medical contraindications to standard therapy.

You may not qualify if:

  • Prior treatment with any agent targeting ROR1 or prior treatment with a CD3 T-cell engaging therapy.
  • Prior treatment with chimeric antigen receptor (CAR) cell therapy within 90 days prior to first dose of NM32-2668.
  • Systemic anti-neoplastic therapy within five half-lives or 21 days, whichever is shorter, prior to first dose of NM32-2668.
  • Wide-field radiotherapy (\> 30% of marrow-bearing bones) within 28 days, or focal radiation for analgesic purpose or for lytic lesions at risk of fracture within 14 days prior to first dose of NM32-2668, or no recovery from side effects of such prior interventions.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

USC Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

Location

The University of Chicago Medical Center (UCMC)

Chicago, Illinois, 60637, United States

Location

Duke University

Durham, North Carolina, 27710, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

University of Pittsburgh Medical Center (UPMC) - Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Lifespan Cancer Institute at Rhode Island Hospital

Providence, Rhode Island, 02903, United States

Location

Medical University of South Carolina (MUSC)

Charleston, South Carolina, 29425, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Mary Crowley Cancer Research

Dallas, Texas, 75230, United States

Location

Froedtert Hospital and the Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Ovarian NeoplasmsFallopian Tube NeoplasmsEndometrial NeoplasmsAdenocarcinoma of LungTriple Negative Breast NeoplasmsLiposarcomaLeiomyosarcomaMesothelioma, MalignantMelanomaCarcinoma, Renal Cell

Condition Hierarchy (Ancestors)

Endocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersFallopian Tube DiseasesUterine NeoplasmsUterine DiseasesAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsBreast NeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesNeoplasms, Adipose TissueNeoplasms, Connective and Soft TissueSarcomaNeoplasms, Muscle TissueMesotheliomaAdenomaNeoplasms, MesothelialPleural NeoplasmsLung DiseasesRespiratory Tract DiseasesNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsKidney NeoplasmsUrologic NeoplasmsKidney DiseasesUrologic DiseasesMale Urogenital Diseases

Study Design

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

Study Record Dates

First Submitted

February 26, 2024

First Posted

March 7, 2024

Study Start

May 1, 2024

Primary Completion

April 18, 2025

Study Completion

April 18, 2025

Last Updated

July 23, 2025

Record last verified: 2025-07

Locations