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.
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:
- Age 18 years or older, is willing and able to provide informed consent
- Histologically confirmed diagnosis of unresectable or metastatic solid tumor malignancy in selected tumor types
- Life expectancy > 12 weeks
- ECOG performance status of 0-1
Abbreviated Exclusion Criteria:
- History of allergy or hypersensitivity to study treatment components. Patients with a history of severe hypersensitivity reaction to any monoclonal antibody.
- Use of investigational agent within 28 days prior to the first dose of study treatment and throughout the study
- Receiving high-dose systemic steroid therapy or any other form of immunosuppressive therapy
- History of severe autoimmune disease
- 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
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
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.
- Conditions
- Solid Tumor, Adult
- 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 group | Role | What they receive |
|---|---|---|
| Combo 1 | Experimental | TTX-030 plus budigalimab plus mFOLFOX6 Receives: Combination Product: TTX-030, budigalimab and mFOLFOX6 |
| Combo 2 | Experimental | TTX-030 plus budigalimab plus docetaxel Receives: Combination Product: TTX-030, budigalimab and docetaxel |
| Combo 3 | Experimental | TTX-030 plus mFOLFOX6 Receives: Combination Product: TTX-030 and mFOLFOX6 |
| Combo 4 | Experimental | TTX-030 plus pembrolizumab Receives: Combination Product: TTX-030 and pembrolizumab |
| Combo 5 | Experimental | TTX-030 plus budigalimab (selected tumors evaluated in expansion) Receives: Combination Product: TTX-030 and budigalimab |
| Combo 6 | Experimental | TTX-030 plus budigalimab plus nab-paclitaxel + gemcitabine Receives: Combination Product: TTX-030, budigalimab, nab-paclitaxel and gemcitabine |
| Combo 7 | Experimental | TTX-030 plus nab-paclitaxel + gemcitabine Receives: Combination Product: TTX-030, nab-paclitaxel and gemcitabine |
| Combo 8 | Experimental | Budigalimab 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.
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)
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)
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
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
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
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
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
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
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.
- First posted13 Mar 2020
- Study start30 Mar 2020
- Primary completion30 Nov 2022
- Study completion27 Mar 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Solid Tumor, AdultStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Trishula Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- AbbVie
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT04306900
- Acronym / sponsor ID
- TTX-030-002
- Conditions
- Solid Tumor, Adult
- Keywords
- Gastric (gastroesophageal cancer), Advanced Solid Tumor, Colorectal cancer, Cancer, Metastatic Solid Tumor, Combination Therapy, CD39, Adenosine Pathway
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 185 participants (actual)
- Lead sponsor
- Trishula Therapeutics, Inc.Industry (pharma, biotech, devices)
- Collaborators
- AbbVie
- Study start
- 30 Mar 2020 (actual)
- Primary completion
- 30 Nov 2022 (actual)
- Study completion
- 27 Mar 2024 (actual)
- First posted
- 13 Mar 2020 (actual)
- Results
- Posted 29 Jul 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| Combo 1 | Experimental | Combination Product: TTX-030, budigalimab and mFOLFOX6TTX-030 plus budigalimab plus mFOLFOX6 |
| Combo 2 | Experimental | Combination Product: TTX-030, budigalimab and docetaxelTTX-030 plus budigalimab plus docetaxel |
| Combo 3 | Experimental | Combination Product: TTX-030 and mFOLFOX6TTX-030 plus mFOLFOX6 |
| Combo 4 | Experimental | Combination Product: TTX-030 and pembrolizumabTTX-030 plus pembrolizumab |
| Combo 5 | Experimental | Combination Product: TTX-030 and budigalimabTTX-030 plus budigalimab (selected tumors evaluated in expansion) |
| Combo 6 | Experimental | Combination Product: TTX-030, budigalimab, nab-paclitaxel and gemcitabineTTX-030 plus budigalimab plus nab-paclitaxel + gemcitabine |
| Combo 7 | Experimental | Combination Product: TTX-030, nab-paclitaxel and gemcitabineTTX-030 plus nab-paclitaxel + gemcitabine |
| Combo 8 | Experimental | Combination Product: Budigalimab and mFOLFOX6Budigalimab plus mFOLFOX6 |
Who may qualify
- Ages
- 18 to 110 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TTX-030, budigalimab and mFOLFOX6Dose and schedule per protocol | Combination product | Combo 1 |
| TTX-030, budigalimab and docetaxelDose and schedule per protocol | Combination product | Combo 2 |
| TTX-030 and mFOLFOX6Dose and schedule per protocol | Combination product | Combo 3 |
| TTX-030 and budigalimabDose and schedule per protocol | Combination product | Combo 5 |
| TTX-030, budigalimab, nab-paclitaxel and gemcitabineDose and schedule per protocol | Combination product | Combo 6 |
| TTX-030 and pembrolizumabDose and schedule per protocol | Combination product | Combo 4 |
| TTX-030, nab-paclitaxel and gemcitabineDose and schedule per protocol | Combination product | Combo 7 |
| Budigalimab and mFOLFOX6Dose and schedule per protocol | Combination product | Combo 8 |
Primary outcome
Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)
Time frame: 7 day load + 1 cycle (1 cycle is 28 days)
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.
The Incident of Adverse Events
Time frame: Through study completion, an average of 1 year
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.
7 secondary outcomes
Confirmed Objective Response Rate (ORR)
Time frame: Through study completion, an average of 1 year
Best Response (BOR)
Time frame: Through study completion, an average of 1 year
Duration of Response (DOR)
Time frame: Through study completion, an average of 1 year
Disease Control Rate (DCR)
Time frame: Through study completion, an average of 1 year
Progression-free Survival (PFS)
Time frame: Through study completion, an average of 1 year
Overall Survival (OS)
Time frame: Through study completion, an average of 1 year
Pharmacokinetics (PK)
Time frame: Cycles 1-4 (each cycle is 21-28 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jul 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
32 sites in 2 countries: see every site and its status.
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.