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Advanced Solid TumorPhase 1/2NCT05163041

Study BT7480-100 in Patients With Advanced Malignancies Associated With Nectin-4 Expression

A Phase 1/2 study testing BT7480 and Nivolumab in people with Advanced Solid Tumor, run by BicycleTx Limited at 9 sites in 2 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This clinical study is evaluating a drug called BT7480 alone and in combination with nivolumab in participants with advanced solid tumors associated with Nectin-4 expression. The main goals of the study are to: Find the recommended dose of BT7480 that can be given safely to participants alone and in combination with… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumor
What is being tested?
BT7480 and Nivolumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
9 sitesin 2 countries
Study dates
2 Nov 2021to Dec 2026
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Must have locally advanced or metastatic disease that is refractory to standard therapy, or for which no standard therapy is judged to be appropriate or provide clinical benefit, as judged by the Investigator
  • Must have a histologically or cytologically confirmed malignant solid tumor associated with Nectin-4 expression, including, but not limited to, urothelial (transitional cell) carcinoma; head and neck squamous cell carcinoma; non-small cell lung cancer; and ovarian, breast, gastric, or esophageal carcinoma
  • Must have ECOG performance status score 0 or 1 and acceptable organ and hematological function
  • Must have metastatic or locally advanced disease and measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
  • Life expectancy ≥12 weeks
  • Must submit fresh or archival tumor tissue
  • Must provide written informed consent, according to local guidelines, signed and dated by the patient or by a legal guardian prior to the performance of any study-specific procedures, sampling, or analysis

Who cannot join

  • Prior therapy with a cytotoxic, small molecule, or other systemic chemotherapy within 14 days of the first dose of study drug
  • Prior immunotherapy, including monoclonal antibodies, within 28 days or 5 half-lives of the first dose of study drug, whichever is shorter
  • Prior treatment with CD137 targeted therapy
  • Mean resting QTc (eg, QTcF) greater than 470 msec on triplicate electrocardiograms (ECGs) obtained at screening
  • Uncontrolled symptomatic brain metastases
  • Uncontrolled diabetes with glycosylated hemoglobin greater than or equal to 8%
  • Uncontrolled hypertension at screening or prior to initiation of study drug
  • History of autoimmune disease except well-controlled diabetes mellitus, alopecia, well controlled thyroid disease or vitiligo

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

United States7 sites
  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • Virginia Cancer Specialists

    Fairfax, Virginia, 22031

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • State University of Iowa

    Iowa City, Iowa, 52242

  • Columbia University Irving Medical Center

    New York, New York, 10032

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111

  • START Center for Cancer Care

    San Antonio, Texas, 78229

Other trials in United States

United Kingdom2 sites
  • The Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN

  • The Royal Marsden NHS Foundation Trust

    Sutton, Surrey, SM2 5PT

Other trials in United Kingdom

About this study

Official title: Phase 1/2 Study of the Safety, Pharmacokinetics, and Preliminary Clinical Activity of BT7480 in Patients With Nectin-4 Associated Advanced Malignancies

This clinical study is evaluating a drug called BT7480 alone and in combination with nivolumab in participants with advanced solid tumors associated with Nectin-4 expression.

The main goals of the study are to:

  • Find the recommended dose of BT7480 that can be given safely to participants alone and in combination with nivolumab
  • Learn about the side effects and effectiveness of BT7480 alone and in combination with nivolumab
  • Learn about the effect BT7480 has on the body and how BT7480 is cleared by the body
  • Learn about the side effects and effectiveness of BT7480 in patients with reduced kidney function
Read the detailed description

BT7480 is a tumor targeted immune cell agonist consisting of three bicyclic peptides (Bicycle®) conjugated via a linker, one that binds selectively to Nectin-4 and two that bind to CD137.

This study is a Phase 1/2, multicenter, first-in-human, open-label study of BT7480 given as a single agent and in combination with nivolumab once weekly. There are five parts to the trial: 1) Phase 1 dose escalation in patients with select advanced solid tumors primarily to evaluate safety and tolerability of BT7480 as a monotherapy and determine a recommended Phase 2 dose (RP2D); 2) Phase 1 dose escalation in combination with nivolumab, once the monotherapy RP2D has been determined; 3) Phase 2 dose expansion as a monotherapy once the RP2D has been determined; 4) Phase 2 dose expansion in combination with nivolumab; 5) Phase 1 monotherapy dose confirmation in patients with renal insufficiency once the monotherapy RP2D has been determined

Being tested
BT7480, Nivolumab
Keywords
Advanced Solid Tumor

What participants receive

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

  • BT7480Drug

    Participants will receive a 60 minute IV infusion of BT7480 once weekly (i.e., on Days 1,8,15 and 22) during a 28-day cycle

  • NivolumabDrug

    Nivolumab will be given as a 240mg dose every 2 weeks administered as per local labelling as a 30 minute IV infusion

Study groups in NCT05163041
Study groupRoleWhat they receive
BT7480 monotherapy dose escalationExperimentalParticipants will receive increasing doses of BT7480. It is expected that approximately 80 patients will participate in this dose escalation arm.
Receives: Drug: BT7480
BT7480 and nivolumab dose escalationExperimentalParticipants will receive increasing doses of BT7480 and standard dose of nivolumab. It is expected that approximately 12 patients will participate in this dose escalation arm.
Receives: Drug: BT7480; Drug: Nivolumab
BT7480 monotherapy dose expansionExperimentalParticipants will receive a selected dose of BT7480. It is expected that approximately 45 patients will participate in this dose expansion arm in Phase 2.
Receives: Drug: BT7480
BT7480 and nivolumab dose expansionExperimentalParticipants will receive a selected dose of BT7480 and standard dose of nivolumab. It is expected that approximately 45 patients will participate in this dose expansion arm in Phase 2.
Receives: Drug: BT7480; Drug: Nivolumab
BT7480 monotherapy in patients with renal insufficiencyExperimentalParticipants will receive a selected dose of BT7480. It is expected that approximately 12 patients will participate in this dose confirmation arm.
Receives: Drug: BT7480

What is being measured

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

  1. Number of patients with treatment emergent adverse events in dose escalation phase

    Incidence and severity of treatment emergent adverse events to assess safety and tolerability following treatment with BT7480 alone and in patients with renal insufficiency using NCI CTCAE v5.0 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) until 30 (+/-5) days after the last dose of study drug

  2. Number of patients with treatment emergent adverse events in dose escalation phase

    Incidence and severity of treatment emergent adverse events to assess safety and tolerability following treatment with BT7480 and in combination with nivolumab using NCI CTCAE v5.0 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) until 125 (+/-5) days after the last dose of study drug

  3. Confirmed response rate as measured by overall response rate (ORR) to demonstrate clinical activity following treatment with BT7480 in dose expansion phase

    Overall response rate (ORR) following treatment with BT7480 alone and in combination with nivolumab according to RECIST 1.1 criteria nivolumab according to RECIST 1.1 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  4. Confirmed response rate as measured by clinical benefit rate (CBR) to demonstrate clinical activity following treatment with BT7480 in dose expansion phase

    Clinical benefit rate (CBR) following treatment with BT7480 alone and in combination with nivolumab according to RECIST 1.1 criteria nivolumab according to RECIST 1.1 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

Secondary outcomes (12)
  1. Confirmed response rate as measured by overall response rate (ORR) to demonstrate clinical activity following treatment with BT7480 in dose escalation phase

    Overall response rate (ORR) following treatment with BT7480 alone and in combination with nivolumab and in patients with renal insufficiency according to RECIST 1.1 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  2. Confirmed response rate as measured by clinical benefit rate (CBR) to demonstrate clinical activity following treatment with BT7480 in dose escalation phase

    Clinical benefit rate (CBR) following treatment with BT7480 alone and in combination with nivolumab and in patients with renal insufficiency according to RECIST 1.1 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  3. Number of patients with treatment emergent adverse events in dose expansion phase

    Incidence and severity of treatment emergent adverse events to assess safety and tolerability following treatment with BT7480 alone using NCI CTCAE v5.0 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) until 30 (+/-5) days after the last dose of study drug

  4. Number of patients with treatment emergent adverse events in dose expansion phase

    Incidence and severity of treatment emergent adverse events to assess safety and tolerability following treatment with BT7480 alone using NCI CTCAE v5.0 criteria

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) until 125 (+/-5) days after the last dose of study drug

  5. Duration of response to assess clinical activity in dose escalation and dose expansion phase

    Duration of response following treatment with BT7480 alone and in combination with nivolumab and in patients with renal insufficiency

    Measured: From initial response to therapy to subsequent disease progression, an average of 6 months

  6. Progression free survival time in dose escalation and dose expansion phase

    Duration of time from first drug administration to disease progression according to RECIST 1.1 following treatment with BT7480 alone and in combination with nivolumab and in patients with renal insufficiency

    Measured: At 6 months

  7. Maximum plasma concentration (Cmax) of BT7480

    Maximum plasma concentration (Cmax) of BT7480 in all participants receiving BT7480 alone or in combination with nivolumab

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  8. Area under the plasma concentration-time curve (AUC) of BT7480

    Area under the plasma concentration-time curve (AUC) of BT7480 in all participants receiving BT7480 alone or in combination with nivolumab

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  9. Terminal half life (t1/2) of BT7480 in plasma

    Terminal half life (t1/2) of BT7480 in plasma in all participants receiving BT7480 alone or in combination with nivolumab

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  10. Cumulative amount of BT7480 excreted in the urine

    Cumulative amount of BT7480 excreted in the urine in all participants receiving BT7480 alone or in combination with nivolumab

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  11. Number of participants positive for anti-drug antibodies (ADA)

    Incidence of ADAs in patients treated with BT7480 alone or in combination with nivolumab

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

  12. Level of CD137 target engagement in all patients

    Level of CD137 target engagement in peripheral blood in patients treated with BT7480 alone or in combination with nivolumab

    Measured: From Cycle 1 Day 1 (each cycle is 28 days) through study completion, an average of 6 months

Timeline

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

  1. First posted20 Dec 2021
  2. Study start2 Nov 2021
  3. Primary completionAug 2026 (estimated)
  4. Study completionDec 2026 (estimated)

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
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05163041
Sponsor's protocol ID
BT7480-100
Status last verified
Jan 2026
First submitted
19 Nov 2021
Last updated
15 Jan 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BT7480 and Nivolumab in people with Advanced Solid Tumor, run by BicycleTx Limited at 9 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?

The sponsor lists 7 inclusion and 8 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: under way, not looking for participants, as of the sponsor's last update on 15 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States, United Kingdom. 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?

This study is still under way. Results are not available in the source record yet.

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 patients with treatment emergent adverse events in dose escalation phase (time frame: From Cycle 1 Day 1 (each cycle is 28 days) until 30 (+/-5) days after the last dose of study drug). The study lists 4 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 Jan 2026.

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