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CancerPhase 1/2NCT04106492

Phase 1/2a Study of SQ3370 in Patients With Advanced Solid Tumors

A Phase 1/2 study testing SQ3370 in people with Cancer, run by Shasqi, Inc. at 10 sites in 2 countries.

Terminated

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

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, and preliminary activity of SQ3370 in patients with advanced solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cancer
What is being tested?
SQ3370
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
10 sitesin 2 countries
Study dates
1 Aug 2020to 7 Sep 2023
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Phase 1: Inclusion Criteria:

  1. Diagnosis of advanced soft tissue sarcoma or other solid tumors
  2. Adequate hematologic, hepatic, renal, and coagulation function
  3. ECOG performance status score 0-1
  4. Tumor is the type where published clinical data would suggest that anthracyclines have cytotoxic activity
  5. Injectable tumor present

Phase 1: Exclusion Criteria:

  1. Prior exposure to 300 mg/m^2 of Dox HCl or DOXIL / CAELYX ® or 600 mg/m^2 of Epirubicin HCl
  2. Congestive heart failure (CHF), severe myocardial insufficiency, or cardiac arrhythmia
  3. Any of the following within 28 days prior to Cycle 1 Day 1:
  • Major surgery, as defined by the Investigator
  • Radiotherapy
  • Chemotherapy, immunotherapy and/or anticancer therapy (except for small molecule kinase inhibitors, which are 6 elimination half-lives)
  1. Trastuzumab or trastuzumab emtansine dosed within 7 months prior to Cycle 1 Day 1.
  2. Any transfusion within 14 days prior to Cycle 1 Day 1.
  3. Pregnant or breast-feeding women.
  4. Known active CNS metastases and/or carcinomatous meningitis or symptomatic brain metastasis. Participants with previously treated brain metastases may participate provided they are radiologically stable
  5. History of allergic reactions attributed to Dox or other anthracyclines, NaHA, hyaluronic acid, or gram-positive bacterial proteins
  6. History or evidence of clinically unstable/uncontrolled disorder, condition, or disease

Phase 2a Expansion Group 1 (Extremity STS): Inclusion

  1. Patients with unresectable soft tissue sarcomas of the extremity AJCC Stage III OR select IV (=>5 cm injectable tumors) locally advanced and or metastatic, not amendable to primary surgical intervention according to the consensus of a multidisciplinary treatment team, determined prior to screening.
  2. High grade STS, Grade 2/3, with an assessable/injectable lesion of at least diameter ≥5 cm by RECIST 1.1 criteria
  3. No prior chemotherapy for STS, or radiation to affected limb

Phase 2a Expansion Group 1 (Extremity STS): Exclusion

  1. Uncontrolled pain related to tumor
  2. Open wounds or tissue necrosis related to tumor mass
  3. Compartment syndrome or impending compartment syndrome

Phase 2a Expansion Group 2 (Unresectable STS): Inclusion

  1. Locally advanced or metastatic, unresectable, soft-tissue sarcoma of intermediate or high grade with measurable disease.
  2. Life expectancy >12 weeks (about 3 month)

Phase 2a Expansion Group 2 (Unresectable STS): Exclusion

  1. Prior exposure to anthracyclines
  2. Treatment naive extremity tumors

Phase 2a Expansion Group 3a (Head and Neck): Inclusion

  1. Patients with histologically or cytologically confirmed squamous-cell carcinoma of the head and neck (HNSCC) who meet any of the following a) confirmed relapsed HNSCC or b) metastatic at initial presentation HNSCC
  2. Patients who may have received two or less systemic regimens (therapies include chemotherapy and/or immunotherapy)

Phase 2a Expansion Group 3a (Head and Neck): Exclusion

  1. Airway obstruction by tumor mass that requires clinical intervention
  2. Prior treatment with anthracyclines

Trial locations and contacts

10 sites in 2 countries.

10 sites in 2 countries

United States7 sites
  • City of Hope

    Duarte, California, 91010

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • Stanford Cancer Center

    Palo Alto, California, 94304

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Sarcoma Oncology Center

    Santa Monica, California, 90403

  • University of Washington

    Seattle, Washington, 98195

  • Washington University in St. Louis

    St Louis, Missouri, 63110

Other trials in United States

Australia3 sites
  • Cancer Research Institute

    Adelaide, South Australia, 5000

  • Chris O'Brien Lifehouse

    Camperdown, New South Wales, 2050

  • Royal North Shore Hospital

    Sydney, New South Wales, 2065

Other trials in Australia

About this study

Official title: A Multicenter Phase 1/2a, Open-Label Study of SQ3370 in Patients With Advanced Solid Tumors

The purpose of this study is to evaluate the safety, tolerability, and preliminary activity of SQ3370 in patients with advanced solid tumors.

Conditions
Cancer
Being tested
SQ3370
Keywords
Sarcoma, Cancer, Tumor, Soft Tissue Sarcoma, Solid Tumor, Doxorubicin, Intratumoral, Anthracycline, Phase 1, Ovarian Cancer, Precision Oncology, Precision Chemotherapy, Local Cancer Therapy, Targeted Cancer Therapy, Uterine Cancer, Head and Neck Cancer, Lung Cancer
Medical subject headings
Neoplasms, Sarcoma, Ovarian Neoplasms, Uterine Neoplasms, Head and Neck Neoplasms, Lung Neoplasms

What participants receive

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

  • SQ3370Drug

    SQ3370 consists of 2 components: SQL70, a protodrug-activating biopolymer, and SQP33, a protodrug of Doxorubicin

Study groups in NCT04106492
Study groupRoleWhat they receive
Dose Escalation Cohort 1 (10 mL SQL70 and 8 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 8 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Dose Escalation Cohort 2 (10 mL SQL70 and 16 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 16 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors.
Receives: Drug: SQ3370
Dose Escalation Cohort 3 (10 mL SQL70 and 32 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 32 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors.
Receives: Drug: SQ3370
Dose Escalation Cohort 4 (10 mL SQL70 and 58 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 58 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors.
Receives: Drug: SQ3370
Dose Escalation Cohort 5 (10 mL SQL70 and 85 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 85 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Dose Escalation Cohort 6 (10 mL SQL70 and 125 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 125 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Dose Escalation Cohort 7 (10 mL SQL70 and 185 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 185 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Dose Escalation Cohort 8 (10 mL SQL70 and 250 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 250 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Dose Escalation Cohort 9 (10 mL SQL70 and 315 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 315 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Dose Escalation Cohort (20 mL SQL70 and 85 mg/m^2 of SQP33)Experimental20 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 85 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Dose Escalation Cohort (20 mL SQL70 and 125 mg/m^2 of SQP33)Experimental20 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 125 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
Cohort A (10 mL SQL70 and 185 mg/m^2 of SQP33)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 185 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced or metastatic solid tumors
Receives: Drug: SQ3370
P2a Group 1 (Extremity STS) (20 mL SQL70 and 250 mg/m^2/Day of SQP33)Experimental20 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 250 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with soft tissue sarcomas of the extremity
Receives: Drug: SQ3370
P2a Group 2 (10 mL SQL70 and 500 mg/m^2/ of SQP33 for 2 days and and 250 mg/m^2/ of SQP33 for 1 day)Experimental10 mL of SQL70 injected intratumorally on Day 1 of each 21-day cycle into a single lesion with 500 mg/m^2 of SQP33 infused on Day 1 and 2 with 250 mg/m^2 of SQP33 infused on each Day 3 in subjects with locally advanced, unresectable or metastatic soft tissue sarcomas who are anthracycline naïve
Receives: Drug: SQ3370
P2a Group 2 (10 mL SQL70 and 250 mg/m^2/day of SQP33 for five days)Experimental10 mL of SQL70 injected intratumorally on Day with 250 mg/m^2 of SQP33 infused each day on Day 1 through Day 5 in subjects with locally advanced, unresectable or metastatic soft tissue sarcomas who are anthracycline naïve
Receives: Drug: SQ3370

What is being measured

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

  1. Phase 1 Cohorts

    To determine the Recommended Phase 2 Dose of SQ3370

    Measured: From start of treatment to approximately 12 weeks

Secondary outcomes (1)
  1. Phase 2a: Objective Response Rate (ORR)

    Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Measured: Up to 1 year

Timeline

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

  1. First posted27 Sep 2019
  2. Study start1 Aug 2020
  3. Primary completion7 Sep 2023
  4. Study completion7 Sep 2023

Why it stopped: Sponsor's decision

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
Parallel groups
Model description
Phase 1 dose escalation part of the study was done sequentially. The Phase 2 part of the study will be done in parallel between the four groups.
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04106492
Sponsor's protocol ID
SQ3370-001
Other IDs
2020-0185
Status last verified
Oct 2025
First submitted
25 Sep 2019
Last updated
14 Nov 2025
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Srinivasan S, Yee NA, Aleckovic M, Zakharian M, Mahmoodi A, Wagner S, Nguyen TH, Chawla SP, Guminski AD, Mejia Oneto JM. Development of a First-in-Class Click Chemistry-Based Cancer Therapeutic, from Preclinical Evaluation to a First-in-Human Dose Escalation Clinical Trial. Clin Cancer Res. 2025 Sep 2;31(17):3662-3677. doi: 10.1158/1078-0432.CCR-24-2539.

    PubMed 40522144
  • Srinivasan S, Yee NA, Zakharian M, Aleckovic M, Mahmoodi A, Nguyen TH, Mejia Oneto JM. SQ3370, the first clinical click chemistry-activated cancer therapeutic, shows safety in humans and translatability across species. bioRxiv [Preprint]. 2023 Mar 29:2023.03.28.534654. doi: 10.1101/2023.03.28.534654.

    PubMed 37034617

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing SQ3370 in people with Cancer, run by Shasqi, Inc. at 10 sites in 2 countries.

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

Who may be eligible to take part?

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 14 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States, Australia. 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?

Yes. Results are posted in the registry (first posted 14 Nov 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Phase 1 Cohorts (time frame: From start of treatment to approximately 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04106492, which also lists 2 linked publications.

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 14 Nov 2025.

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