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MetastasisPhase 1/2HAMMERNCT04009681

A Study Evaluating Safety and Therapeutic Activity of THOR-707 in Adult Subjects With Advanced or Metastatic Solid Tumors (THOR-707-101)

A Phase 1/2 study testing THOR-707, Checkpoint inhibitor and anti-EGFR antibody in people with Metastasis, run by Synthorx, Inc, a Sanofi company at 24 sites in 6 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

Primary Objectives: Evaluate the safety and tolerability of THOR-707 as a single agent and as a combination therapy (identify Dose Limiting Toxcitiy (DLTs) in Cohorts A, B, C, D, and G, and adverse events (AEs)/serious adverse event (SAE) profile in Cohorts A, B, C, D, E, F, and G) Define the Maximium Tolerated Dose… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Metastasis
What is being tested?
THOR-707, Checkpoint inhibitor and anti-EGFR antibody
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
175 participants
Where
24 sitesin 6 countries
Study dates
20 Jun 2019to 2 Dec 2025
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Measurable disease per RECIST v1.1. For Cohort G participants must have at least 1 measurable lesion, and for Part 3 (Cohorts E, F and H) participants must have at least 2 measurable lesions to safely perform mandatory pre \& on-treatment biopsy.
  • Life expectancy greater than or equal to 12 weeks.
  • For Part 2 exclusively: While it is highly preferred to enroll subjects who are naïve to PD-1 inhibitors into a Part 2 dose escalation cohort, this is not an enrollment requirement. However, subjects who enroll into a Part 2 safety expansion cohort must be naïve to PD-1 inhibitors. If such subject is unable to meet this requirement but otherwise remains a good candidate for study enrollment, the Investigator should discuss with the Sponsor whether the subject may be enrolled.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Adequate cardiovascular, hematological, liver, and renal function.
  • Histologically or cytologically confirmed diagnosis of advanced and/or metastatic solid tumors with at least one tumor lesion with location accessible to safely biopsy per clinical judgment of the Investigator.
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  • Caution: Cohort D only patients with KRAS mutant colon cancer have not typically benefitted from the addition of cetuximab in earlier lines of therapy.
  • Caution: Cohorts E \& F enrollment will include only patients with tumors for which anti-PD(L)1 as single agent or in combination treatments are approved.
  • Caution: For Cohort H, the participant must have received at least one prior line of therapy for metastatic melanoma and/or does not have any standard of care (SoC) treatment option or participant declines or is intolerant to be treated with SoC treatment.
  • Subjects with advanced or metastatic solid tumors who have refused SoC; or for whom no reasonable SoC exists that would confer clinical benefit; or for whom standard therapy is intolerable, not effective, or not accessible.
  • Prior anti-cancer therapy is allowed as long as any treatment related toxicity is resolved to an appropriate level.
  • Females of childbearing potential and men who are not surgically sterile must agree to use medically-accepted method of birth control during the study and for at least7 days (for Cohorts A, B, G and H), at least 2 months (for Cohort D), or at least 4 months (for Cohorts C, E and F) for females, and for at least 3 days for males [corresponding to the time needed to eliminate study intervention] after the last dose of study intervention.
  • [Females] Negative serum pregnancy test within 7 days prior to initiating study treatment in premenopausal women and women less than 12 months after menopause.
  • [Males] Agreement to refrain from donating or banking sperm during the treatment period and for at least 3 days after last dose of study treatment.
  • In Spain, Chile, and Argentina: Only cohorts G and H will be open to enrollment.

Who cannot join

  • Radiotherapy ≤ 14 days prior to first dose of study drug (palliative radiation or stereotactic radiosurgery within 7 days prior to start of study treatment).
  • Treated with systemic anti-cancer therapy or an investigational agent within 2 weeks prior to start of study drug treatment (within 4 weeks for immunotherapy and tyrosine kinase inhibitor therapy).
  • Subjects who experienced Grade 3 or higher immune-related toxicity from prior immuno-oncology therapy.
  • Major surgery ≤ 30 days prior to first dose of study drug, or has not recovered to at least Grade 1 from adverse effects from such procedure, or anticipation of the need for major surgery during study treatment.
  • Active autoimmune disease requiring systemic treatment within the past 3 months or have a documented history of clinically severe autoimmune disease that requires systemic steroids or immunosuppressive agents.
  • Primary central nervous system (CNS) disease or leptomeningeal disease; known CNS metastases unless treated, are asymptomatic, are without evidence of radiological progression for at least 8 weeks, and have had no requirement for steroids or enzyme inducing anticonvulsants in the last 14 days prior to Screening.
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  • Abnormal pulmonary function within the previous 6 months, including pneumonitis, active pneumonitis, interstitial lung disease requiring the use of steroids, idiopathic pulmonary fibrosis, confirmed pleural effusion, severe dyspnea at rest or requiring supplementary oxygen therapy.
  • Parenteral antibiotics within 14 days of the first dose of study drug.
  • History of allogenic or solid organ transplant.
  • Uncontrolled diabetes mellitus or other uncontrolled immune-related endocrinopathies in the opinion of the Investigator.
  • Known human immunodeficiency virus (HIV) infection or active infection with hepatitis C.
  • For known uncontrolled hepatitis B virus (HBV) infection:
  • Anti-HBV therapy started before initiation of IMP and HBV viral load <2000 IU/mL (104 copies/mL) are eligible. The anti-HBV therapy should continue throughout the treatment period. ii. Positive anti-HBc, positive anti HBs, negative HBsAg, and HBV virus load without HBV therapy are eligible.
  • Received a live-virus vaccination ≤14 days prior to first dose of study drug. Seasonal flu and other inactivated vaccines that do not contain live virus are permitted.
  • Clinically significant bleeding within 2 weeks prior to initial THOR-707 dose (e.g., gastrointestinal bleeding, intracranial hemorrhage).
  • Prior diagnosis of deep vein thrombosis or pulmonary embolism within 3 months.
  • Severe or unstable cardiac condition within 6 months prior to starting study treatment, such as congestive heart failure (New York Heart Association Class III or IV), cardiac bypass surgery or coronary artery stent placement, angioplasty, cardiac ejection fraction below the lower limit of normal, unstable angina, medically uncontrolled hypertension (e.g. ≥160 mm Hg systolic or ≥100 mm Hg diastolic), uncontrolled cardiac arrhythmia requiring medication (≥ grade 2, according to NCI CTCAE v5.0), or myocardial infarction.
  • History of non-pharmacologically induced prolonged corrected QT interval determined using Fridericia's formula (QTcF) > 450 milliseconds (msec) in males or > 470 msec in females.
  • Known hypersensitivity or contraindications to any components of THOR-707, PEG, pegylated drugs, and E. coli derived-protein, checkpoint inhibitor, or anti-EGFR antibody for applicable cohorts.
  • Active second malignancy, or history of previous malignancy that would impact the assessment of any study endpoints. Subjects with non-melanomatous skin cancer or cervical cancer that has been curatively surgically resected are eligible.
  • Any serious medical condition (including pre-existing autoimmune disease or inflammatory disorder), laboratory abnormality, psychiatric condition, or any other significant or unstable concurrent medical illness that in the opinion of the Investigator would preclude protocol therapy or would make the subject inappropriate for the study.
  • Is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the trial, starting with the screening visit through for at least 7 days (for Cohorts A, B, G, and H), at least 2 months (for Cohort D), or at least 4 months (for Cohorts C, E, and F) for females and for at least 3 days for males [corresponding to the time needed to eliminate study intervention] after the last dose of study intervention.
  • Concurrent therapy with any other investigational agent, vaccine, or device. Concomitant participation in observational studies is acceptable after Sponsor approval.
  • For Cohort D only: patients with symptomatic keratitis and/or symptomatic dry eye should be excluded from enrollment. Patients who wear contact lenses should be advised to avoid contact lenses use as it could result in keratitis.
  • Subjects with baseline oxygen saturation <92% are not eligible for enrollment.
  • For participants in Cohort H: Participants with uveal or ocular or desmoplastic metastatic melanoma.
  • The above information is not intended to contain all considerations relevant to the potential participation in a clinical trial.

Trial locations and contacts

24 sites in 6 countries.

24 sites in 6 countries

Spain8 sites
  • Investigational Site Number-5001

    Barcelona

  • Investigational Site Number-5006

    Barcelona

  • Investigational Site Number-5007

    Barcelona

  • Investigational Site Number-5002

    Madrid

  • Investigational Site Number-5003

    Madrid

  • Investigational Site Number-5004

    Madrid

  • Investigational Site Number-5005

    Madrid

  • Investigational Site Number-5105

    Madrid

Other trials in Spain

United States7 sites
  • Investigational Site Number-1007

    Dallas, Texas, 75032

  • Investigational Site Number-1005

    Denver, Colorado, 80218

  • Investigational Site Number-1002

    Houston, Texas, 77030

  • Investigational Site Number-1003

    Nashville, Tennessee, 37203

  • Investigational Site Number-1001

    San Antonio, Texas, 78229

  • Investigational Site Number-1004

    Sarasota, Florida, 34232

  • Investigational Site Number-1008

    Scottsdale, Arizona, 85250

Other trials in United States

Australia4 sites
  • Investigational Site Number-2004

    New South Whales

  • Investigational Site Number-2001

    Perth

  • Investigational Site Number-2002

    Victoria

  • Investigational Site Number-2003

    Victoria

Other trials in Australia

Chile2 sites
  • Investigational Site Number- 6001

    Santiago

  • Investigational Site Number-6002

    Santiago

Other trials in Chile

Singapore2 sites
  • Investigational Site Number-4002

    Singapore

  • Investigational Site-4001

    Singapore

Other trials in Singapore

Argentina1 site
  • Investigational Site Number-7002

    Buenos Aires

Other trials in Argentina

About this study

Official title: An Open-Label, Multicenter Phase 1/2 Dose Escalation and Expansion Study of THOR-707 as a Single Agent and as a Combination Therapy in Adult Subjects With Advanced or Metastatic Solid Tumors

Primary Objectives:

  • Evaluate the safety and tolerability of THOR-707 as a single agent and as a combination therapy (identify Dose Limiting Toxcitiy (DLTs) in Cohorts A, B, C, D, and G, and adverse events (AEs)/serious adverse event (SAE) profile in Cohorts A, B, C, D, E, F, and G)
  • Define the Maximium Tolerated Dose (MTD) and/or the Recommended Phase 2 Dose (RP2D) of THOR-707 as a single agent and as a combination therapy (Cohorts A, B, C, D, and G)
  • Evaluate preliminary anti-tumor activity of THOR-707 as a single agent by determination of the objective response rate (ORR) defined according to the Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (Cohort H only)
Read more

Secondary Objectives:

  • Evaluate preliminary anti-tumor activity of THOR-707 as a single agent and as a combination therapy by determination of the objective response rate (ORR) defined according to the Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (Cohorts A, B, C, D, E, F, and G)
  • Determine time to response (TTR), duration of response (DOR), progression-free survival (PFS), overall survival (OS), disease control rate (DCR), and clinical benefit rate (CBR) of THOR-707 as a single agent and as a combination therapy
  • Evaluate the safety and tolerability of THOR-707 monotherapy QW/Q2W (AE/serious adverse event [SAE] profile) (Cohort H only).
Read the detailed description

The study duration per participant is approximately 24 months (inclusive of follow-up). Cohorts A, B, C, and D have been completed.

Conditions
Metastasis
Being tested
THOR-707, Checkpoint inhibitor, anti-EGFR antibody
Keywords
Synthorx, THOR-707, THOR 707, Interleukin 2, Interleukin-2, IL2, oncology, immuno-oncology, immunotherapy, IL-2, SAR444245, Sanofi
Medical subject headings
Neoplasm Metastasis, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • THOR-707Drug

    Also called SAR444245, Pegenzileukin

    Pharmaceutical form: solution for intravenous (IV) administration; Route of administration: IV administration

  • Checkpoint inhibitorDrug

    Also called pembrolizumab

    Pharmaceutical form: solution for IV administration; Route of administration: IV administration

  • anti-EGFR antibodyDrug

    Also called cetuximab

    Pharmaceutical form: solution for IV administration; Route of administration: IV administration

Study groups in NCT04009681
Study groupRoleWhat they receive
Cohort A-THOR-707 Q2W Monotherapy (Dose Escalation)ExperimentalSubjects with advanced or metastatic solid tumors will receive THOR-707 in sequential ascending doses as a monotherapy via intravenous (IV) administration every 2 weeks (Q2W) until unacceptable toxicity, disease progression, or withdrawal of consent.
Receives: Drug: THOR-707
Cohort B-THOR-707 Q3W Monotherapy (Dose Escalation)ExperimentalSubjects with advanced or metastatic solid tumors will receive THOR-707 in sequential ascending doses as a monotherapy via IV administration every 3 weeks (Q3W) until unacceptable toxicity, disease progression, or withdrawal of consent.
Receives: Drug: THOR-707
Cohort C-THOR-707 Q3W with checkpoint inhibitor (Dose Escalation)ExperimentalSubjects with advanced or metastatic solid tumors will receive THOR-707 Q3W in sequential ascending doses in combination with a checkpoint inhibitor Q3W or every 6 weeks (Q6W) via IV administration until unacceptable toxicity, disease progression, or withdrawal of consent.
Receives: Drug: THOR-707; Drug: Checkpoint inhibitor
Cohort D-THOR-707 Q3W with anti-EGFR antibody (Dose Escalation)ExperimentalSubjects with advanced or metastatic solid tumors will receive THOR-707 Q3W in sequential ascending doses in combination with an anti-EGFR antibody weekly dosing (QW) via IV administration until unacceptable toxicity, disease progression, or withdrawal of consent.
Receives: Drug: THOR-707; Drug: anti-EGFR antibody
Cohort E-THOR-707 Q2W with checkpoint inhibitor (Dose Expansion)ExperimentalSubjects with advanced or metastatic solid tumors will receiveTHOR-707 Q2W at recommended Phase 2 dose (RP2D) with a checkpoint inhibitor via IV administration Q6W; it will consist of one 8-week cycle of THOR-707 monotherapy on Cycle 1 Day 1 followed by THOR-707 Q2W + checkpoint inhibitor Q6W starting at Cycle 1 Day 15. Subsequently treatment will consist of repeated 6-week cycles with combination therapy.
Receives: Drug: THOR-707; Drug: Checkpoint inhibitor
Cohort F-THOR-707 Q3W with checkpoint inhibitor (Dose Expansion)ExperimentalSubjects with advanced or metastatic solid tumors will receive THOR-707 Q3W at recommended Phase 2 dose (RP2D) with a checkpoint inhibitor via IV administration Q6W will consist of one 9-week cycle of THOR monotherapy on Cycle 1 Day 1 followed by THOR-707 Q3W + checkpoint inhibitor at Cycle 1 Day 22. Subsequently treatment will consist of repeated 6-weeks cycles with combination therapy.
Receives: Drug: THOR-707; Drug: Checkpoint inhibitor
Cohort G Monotherapy QW/Q2W (Dose Escalation)ExperimentalSubjects with advanced or metastatic solid tumors will receive THOR707 monotherapy QW for 6 weeks (induction period), and then every Q2W (maintenance period), which is referred as QW/Q2W thereafter, until unacceptable toxicity, disease progression, or withdrawal of consent.
Receives: Drug: THOR-707
Cohort H Monotherapy QW/Q2W (Dose Expansion)ExperimentalSubjects with late-line metastatic melanoma will receive THOR707 monotherapy at RP2D for Cohort G. Cycle 1 will consist of THOR-707 QW for 6 weeks; Cycle 2 and beyond will consist of THOR-707 Q2W.
Receives: Drug: THOR-707

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of Dose-Limiting Toxicities (DLTs)- Cohorts A, B, C, and D

    Based on toxicities observed

    Measured: Study Day 1 up to Day 29

  2. Maximum Tolerated Dose (MTD)- Cohorts A, B, C, and D

    Based on toxicities observed

    Measured: Study Day 1 up to Day 29

  3. Recommended Phase 2 Dose (RP2D)- Cohorts A, B, C, and D

    Based on toxicities observed

    Measured: Study Day 1 up to Day 29

  4. Number of participants with treatment emergent adverse events, serious adverse events, and laboratory abnormalities - Cohorts A, B, C, D, E, F, and G

    Safety will be assessed by monitoring adverse events, clinical laboratory evaluations, vital signs, and ECG parameters.

    Measured: Study Day 1 up to approximately 24 months

  5. Rate of Dose-Limiting Toxicities (DLTs) -Cohort G

    Based on toxicities observed

    Measured: Study Day 1 up to Day 42 (6 week-cycle)

  6. Recommended Phase 2 Dose (RP2D) of THOR-707- Cohort G

    Based on toxicities observed

    Measured: Study Day 1 up to Day 42 (6 week-cycle)

  7. Maximum Tolerated Dose (MTD)- Cohort G

    Based on toxicities observed

    Measured: Study Day 1 up to Day 42 (6 week-cycle)

  8. Objective Response Rate (ORR) according to RECIST version 1.1 -Cohort H

    ORR, defined as the proportion of subjects with confirmed complete response (CR) or partial response (PR); a confirmed response is a response that persists on repeat-imaging ≥4 weeks after initial documentation of response.

    Measured: Study Day 1 up to approximately 24 months

Secondary outcomes (8)
  1. Objective Response Rate (ORR) according to RECIST version 1.1 Cohort A, B, C, D, E, F, and G)

    Defined as the proportion of subjects with confirmed complete response (CR) or partial response (PR); a confirmed response is a response that persists on repeat-imaging ≥4 weeks after initial documentation of response.

    Measured: Study Day 1 up to approximately 24 months

  2. Duration of Response (DOR) according to RECIST version 1.1

    Defined as time from date of first objective response (either CR or PR) to first documentation of radiographic disease progression or death due to any cause, whichever occurs first.

    Measured: Study Day 1 up to approximately 24 months

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

    Defined as the time from first dose of THOR-707 to first documentation of radiographic disease progression or death due to any cause, whichever occurs first.

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

  4. Overall Survival according to RECIST version 1.1

    Defined as the time from first dose of THOR-707 to the date of death due to any cause.

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

  5. Time to Response (TTR) according to RECIST version 1.1

    Defined as the time from first dose of THOR-707 to first documentation of objective response (either CR or PR).

    Measured: Study Day 1 up to approximately 24 months

  6. Disease Control Rate (DCR) according to RECIST version 1.1

    Defined as the proportion of subjects who have achieved confirmed CR, PR, or stable disease (SD) determined by Investigator per RECIST 1.1.

    Measured: Study Day 1 up to approximately 24 months

  7. Clinical Benefit Rate (CBR)

    Defined as the proportion of participants with clinical benefit i.e., confirmed CR or PR as BOR (is defined as the best overall response observed from the date of first IMP until disease progression, death, cut-off date or initiation of subsequent anti-cancer therapy, whichever occurs first), or SD lasting at least 6 months.

    Measured: Study Day 1 up to approximately 24 months

  8. Number of participants with treatment emergent adverse events, serious adverse events, laboratory abnormalities -Cohort H

    Safety will be assessed by monitoring adverse events, clinical laboratory evaluations, vital signs, and ECG parameters.

    Measured: Study Day 1 up to approximately 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jul 2019
  2. Study start20 Jun 2019
  3. Primary completion2 Dec 2025
  4. Study completion2 Dec 2025

Why it stopped: The study was terminated as per Sponsor decision. The decision was not related to any safety concerns.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
175 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04009681
Sponsor's protocol ID
THOR-707-101 (TCD16843)
Other IDs
U1111-1298-7281, 2023-508422-95-00, 2023
Acronym
HAMMER
Status last verified
Dec 2025
First submitted
27 Jun 2019
Last updated
15 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing THOR-707, Checkpoint inhibitor and anti-EGFR antibody in people with Metastasis, run by Synthorx, Inc, a Sanofi company at 24 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 15 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in Spain, United States, Australia, Chile, Singapore and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: The study was terminated as per Sponsor decision. The decision was not related to any safety concerns.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of Dose-Limiting Toxicities (DLTs)- Cohorts A, B, C, and D (time frame: Study Day 1 up to Day 29). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2025.

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