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Solid Tumor, AdultPhase 1NCT04306900

TTX-030 in Combination With Immunotherapy and/or Chemotherapy in Subjects With Advanced Cancers

A Phase 1 study testing TTX-030, budigalimab and mFOLFOX6, TTX-030, budigalimab and docetaxel and TTX-030 and mFOLFOX6 in people with Solid Tumor, Adult, run by Trishula Therapeutics, Inc. at 32 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a phase 1/1b study of TTX-030 in combination therapy, an antibody that inhibits CD39 enzymatic activity, leading to accumulation of pro-inflammatory adenosine triphosphate (ATP) and reduction of immunosuppressive adenosine, which may change the tumor microenvironment and promote anti-tumor immune response. Read more about this study

Who is it for?
Ages 18 to 110 years
Conditions the study is for
Solid Tumor, Adult
What is being tested?
TTX-030, budigalimab and mFOLFOX6, TTX-030, budigalimab and docetaxel and TTX-030 and mFOLFOX6
Could I receive a placebo?
No, everyone receives an active treatment
How many people
185 participants
Where
32 sitesin 2 countries
Study dates
30 Mar 2020to 27 Mar 2024
Phase
Phase 1
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 to 110 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Abbreviated Inclusion Criteria:

  1. Age 18 years or older, is willing and able to provide informed consent
  2. Histologically confirmed diagnosis of unresectable or metastatic solid tumor malignancy in selected tumor types
  3. Life expectancy > 12 weeks
  4. ECOG performance status of 0-1

Abbreviated Exclusion Criteria:

  1. History of allergy or hypersensitivity to study treatment components. Patients with a history of severe hypersensitivity reaction to any monoclonal antibody.
  2. Use of investigational agent within 28 days prior to the first dose of study treatment and throughout the study
  3. Receiving high-dose systemic steroid therapy or any other form of immunosuppressive therapy
  4. History of severe autoimmune disease
  5. Uncontrolled intercurrent illness or other active malignancy requiring ongoing treatment

Trial locations and contacts

32 sites in 2 countries.

32 sites in 2 countries

United States26 sites
  • University of Chicago Medical Center

    Chicago, Illinois, 60637

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44122

  • IACT Health - John B. Amos Cancer Center

    Columbus, Georgia, 31904

  • City of Hope Medical Center Clinical Trials Office

    Duarte, California, 91010

  • Virginia Cancer Specialists

    Fairfax, Virginia, 22031

  • West Cancer Center and Research Institute

    Germantown, Tennessee, 38138

  • Prisma-Health Cancer Institute

    Greenville, South Carolina, 29605

  • University of Southern California

    Los Angeles, California, 90007

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • UCLA Hematology/Oncology

    Los Angeles, California, 90404

  • Norton Cancer Institute

    Louisville, Kentucky, 40202

  • Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine

    Miami, Florida, 33136

  • Froedtert Hospital & Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Ochsner Medical Center

    New Orleans, Louisiana, 70121

  • Ocala Oncology Center PL

    Ocala, Florida, 34474

  • Nebraska Cancer Center Oncology Hematology West P.C.

    Omaha, Nebraska, 68130

  • Chao Family Comprehensive CC, UCI

    Orange, California, 92868

  • Orlando Health UF Health Cancer Center

    Orlando, Florida, 32835

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • UC Davis Comprehensive Cancer Center

    Sacramento, California, 95817

  • Hunstman Cancer Intitute

    Salt Lake City, Utah, 84112

  • NEXT Oncology

    San Antonio, Texas, 78229

  • HonorHealth Research Institute

    Scottsdale, Arizona, 85258

  • Montefiore Medical Center

    The Bronx, New York, 10461

  • University of Toledo

    Toledo, Ohio, 43614

Other trials in United States

South Korea6 sites
  • Samsung Medical Center

    Gangnam-gu, Seoul, 06351

  • National Cancer Center

    Ilsandong-gu, Goyang-si, Gyeonggi-do, 10408

  • Severance Hospital Yonsei University

    Seodaemun-gu, Seoul, 03722

  • National Cancer Center

    Seogu, Busan, 49201

  • Seoul National University

    Seongnam-si Bundan-gu, Gyeonggi-do, 13620

  • Asan Medical Center

    Songpa-gu, Seoul, 05505

Other trials in South Korea

About this study

Official title: Phase 1/1b Study to Evaluate the Safety and Activity of TTX-030 (Anti-CD39) in Combination With Pembrolizumab or Budigalimab and/or Chemotherapy in Subjects With Advanced Solid Tumors

This is a phase 1/1b study of TTX-030 in combination therapy, an antibody that inhibits CD39 enzymatic activity, leading to accumulation of pro-inflammatory adenosine triphosphate (ATP) and reduction of immunosuppressive adenosine, which may change the tumor microenvironment and promote anti-tumor immune response.

This trial will study the safety, tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of TTX-030 in combination with immunotherapy and/or standard chemotherapies.

Being tested
TTX-030, budigalimab and mFOLFOX6, TTX-030, budigalimab and docetaxel, TTX-030 and mFOLFOX6, TTX-030 and budigalimab, TTX-030, budigalimab, nab-paclitaxel and gemcitabine
Keywords
Gastric (gastroesophageal cancer), Advanced Solid Tumor, Colorectal cancer, Cancer, Metastatic Solid Tumor, Combination Therapy, CD39, Adenosine Pathway, Immunotherapy Immuno-oncology, PD-1 Checkpoint Inhibitor, Docetaxel, Budigalimab, ABBV-181, TTX-030, Non-small cell lung cancer, Urothelial cell cancer, Pancreatic cancer, Pembrolizumab, Keytruda, Bladder cancer
Medical subject headings
Colorectal Neoplasms, Neoplasms, Neoplasm Metastasis, Carcinoma, Non-Small-Cell Lung, Pancreatic Neoplasms, Urinary Bladder Neoplasms

What participants receive

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

  • TTX-030, budigalimab and mFOLFOX6Combination product

    Dose and schedule per protocol

  • TTX-030, budigalimab and docetaxelCombination product

    Dose and schedule per protocol

  • TTX-030 and mFOLFOX6Combination product

    Dose and schedule per protocol

  • TTX-030 and budigalimabCombination product

    Dose and schedule per protocol

  • TTX-030, budigalimab, nab-paclitaxel and gemcitabineCombination product

    Dose and schedule per protocol

  • TTX-030 and pembrolizumabCombination product

    Dose and schedule per protocol

  • TTX-030, nab-paclitaxel and gemcitabineCombination product

    Dose and schedule per protocol

  • Budigalimab and mFOLFOX6Combination product

    Dose and schedule per protocol

Study groups in NCT04306900
Study groupRoleWhat they receive
Combo 1ExperimentalTTX-030 plus budigalimab plus mFOLFOX6
Receives: Combination Product: TTX-030, budigalimab and mFOLFOX6
Combo 2ExperimentalTTX-030 plus budigalimab plus docetaxel
Receives: Combination Product: TTX-030, budigalimab and docetaxel
Combo 3ExperimentalTTX-030 plus mFOLFOX6
Receives: Combination Product: TTX-030 and mFOLFOX6
Combo 4ExperimentalTTX-030 plus pembrolizumab
Receives: Combination Product: TTX-030 and pembrolizumab
Combo 5ExperimentalTTX-030 plus budigalimab (selected tumors evaluated in expansion)
Receives: Combination Product: TTX-030 and budigalimab
Combo 6ExperimentalTTX-030 plus budigalimab plus nab-paclitaxel + gemcitabine
Receives: Combination Product: TTX-030, budigalimab, nab-paclitaxel and gemcitabine
Combo 7ExperimentalTTX-030 plus nab-paclitaxel + gemcitabine
Receives: Combination Product: TTX-030, nab-paclitaxel and gemcitabine
Combo 8ExperimentalBudigalimab plus mFOLFOX6
Receives: Combination Product: Budigalimab and mFOLFOX6

What is being measured

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

  1. Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)

    A DLT was defined as the occurrence of any of the following toxicities within the DLT Evaluation Period if judged by the Investigator and Sponsor to be possibly, probably, or definitely related to TTX-030 or budigalimab.

    Measured: 7 day load + 1 cycle (1 cycle is 28 days)

  2. The Incident of Adverse Events

    Number of study subjects experiencing adverse events (AEs) and serious adverse events (SAEs). Safety profile will be assessed through laboratory evaluations, vital signs, and physical examinations.

    Measured: Through study completion, an average of 1 year

Secondary outcomes (7)
  1. Confirmed Objective Response Rate (ORR)

    ORR is defined as the proportion of subjects with CR or PR.

    Measured: Through study completion, an average of 1 year

  2. Best Response (BOR)

    The BOR was defined as the best response (in the order of CR, PR, stable disease, and PD) by RECIST 1.1 documented from first dose until the end of study, first disease progression, death, or start of new anticancer therapy, whichever was earliest.

    Measured: Through study completion, an average of 1 year

  3. Duration of Response (DOR)

    DoR will be defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first.

    Measured: Through study completion, an average of 1 year

  4. Disease Control Rate (DCR)

    DCR is defined as the proportion of subjects with CR, PR, or SD per RECIST 1.1

    Measured: Through study completion, an average of 1 year

  5. Progression-free Survival (PFS)

    PFS is measured from documentation of progression or death from any cause, whichever occurs first

    Measured: Through study completion, an average of 1 year

  6. Overall Survival (OS)

    OS was defined as the time interval from the first dose of study treatment to death from any cause. Participants who were lost to follow-up or survived until the end of the study were censored at the last date that they were known to be alive. Medians, Q1, and Q3 of OS and the proportion of participants who were alive at 3, 6, 9, and 12 months from Study Day 1 were derived using KM methods.

    Measured: Through study completion, an average of 1 year

  7. Pharmacokinetics (PK)

    Serum concentrations of TTX-030 will be tabulated

    Measured: Cycles 1-4 (each cycle is 21-28 days)

Timeline

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

  1. First posted13 Mar 2020
  2. Study start30 Mar 2020
  3. Primary completion30 Nov 2022
  4. Study completion27 Mar 2024

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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
185 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04306900
Sponsor's protocol ID
TTX-030-002
Status last verified
Jul 2025
First submitted
4 Mar 2020
Last updated
29 Jul 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TTX-030, budigalimab and mFOLFOX6, TTX-030, budigalimab and docetaxel and TTX-030 and mFOLFOX6 in people with Solid Tumor, Adult, run by Trishula Therapeutics, Inc. at 32 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: finished, as of the sponsor's last update on 29 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States, South Korea. 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 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.

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 29 Jul 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?

Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs) (time frame: 7 day load + 1 cycle (1 cycle is 28 days)). The study lists 2 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 29 Jul 2025.

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