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Solid TumorPhase 1NCT05907980

A Phase I Study of ROSE12 Alone and in Combination With Other Anti-tumor Agents in Patients With Solid Tumors

A Phase 1 study testing ROSE12, Atezolizumab and Pembrolizumab in people with Solid Tumor, run by Chugai Pharmaceutical at 14 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a Phase Ia/Ib open-label, dose-escalation study to evaluate the safety and pharmacokinetics of ROSE12 as a single agent and in combination with other anti-tumor agents in patients with locally advanced or metastatic solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor
What is being tested?
ROSE12, Atezolizumab and Pembrolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
209 participants
Where
14 sitesin 2 countries
Study dates
24 May 2023to 31 Oct 2027
Phase
Phase 1
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

None listed.

Who cannot join

  • Clinically significant cardiovascular or liver disease
  • Treatment with investigational therapy and anti-cancer therapy within 28 days prior to initiation of study drug
  • Any history of an immune-mediated Grade 4 adverse event attributed to prior cancer immunotherapy (other than asymptomatic elevation of serum amylase or lipase).
  • All imAEs from prior cancer immunotherapy (other than endocrinopathy managed with replacement therapy, stable vitiligo or stable alopecia) that have not resolved completely to baseline.
  • Adverse events from prior anti-cancer therapy that have not resolved to Grade ≤ 1 except for alopecia, vitiligo, or endocrinopathy managed with replacement therapy
  • Primary central nervous system (CNS) malignancy, untreated CNS metastases requiring any anti-tumor treatment, or active CNS metastases
Show all 13Show fewer
  • Uncontrolled tumor-related pain
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures
  • Active or history of clinically significant autoimmune disease
  • History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins.
  • [Expansion Part]
  • Prior treatment with investigational product which has MoA of Treg depletion
  • Malignancies other than disease under study within 5 years prior to Cycle 1 Day 1

Trial locations and contacts

14 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Clinical trials information contact

only use Email

clinical-trials@chugai-pharm.co.jp

14 sites in 2 countries

Japan9 sites, 9 recruiting
  • National Cancer Center Hospital

    Chuo-ku, Tokyo, 104-0045

    Recruiting
  • Kansai Medical University Hospital

    Hirakata-shi, Osaka, 573-1191

    Recruiting
  • National Cancer Center Hospital East

    Kashiwa-shi, Chiba, 277-8577

    Recruiting
  • The Cancer Institute Hospital of JFCR

    Koto-Ku, Tokyo, 135-8550

    Recruiting
  • Shizuoka Cancer Center

    Nagaizumi-chō, Shizuoka, 411-8777

    Recruiting
  • Aichi Cancer Center

    Nagoya, Aichi-ken, 464-8681

    Recruiting
  • Osaka International Cancer Institute

    Osaka, Osaka, 541-8567

    Recruiting
  • Kindai University Hospital

    Sakai-shi, Osaka, 590-0197

    Recruiting
  • Kanagawa Cancer Center

    Yokohama, Kanagawa, 241-8515

    Recruiting

Other trials in Japan

United States5 sites, 5 recruiting
  • NEXT Oncology

    Fairfax, Virginia, 22031

    Recruiting
  • MD Anderson Cancer Center

    Houston, Texas, 77030

    Recruiting
  • SCRI Oncology Partners

    Nashville, Tennessee, 37203

    Recruiting
  • University of Pennsylvania Perelman Center for Advanced Medicine

    Philadelphia, Pennsylvania, 19104

    Recruiting
  • Rhode Island Hospital

    Providence, Rhode Island, 02903

    Recruiting

Other trials in United States

About this study

Official title: A Phase Ia/Ib Open-label, Dose-escalation Study to Evaluate the Safety and Pharmacokinetics of ROSE12 as a Single Agent and in Combination With Other Anti-tumor Agents in Patients With Locally Advanced or Metastatic Solid Tumors

This is a Phase Ia/Ib open-label, dose-escalation study to evaluate the safety and pharmacokinetics of ROSE12 as a single agent and in combination with other anti-tumor agents in patients with locally advanced or metastatic solid tumors. The study will consist of three parts: a dose-escalation part, a biopsy part (the part to evaluate biomarkers), and an expansion part.

Conditions
Solid Tumor
Being tested
ROSE12, Atezolizumab, Pembrolizumab

What participants receive

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

  • ROSE12Drug

    ROSE12 as a IV infusion

  • AtezolizumabDrug

    Atezolizumab as a IV infusion

  • PembrolizumabDrug

    Pembrolizumab as a IV infusion

Study groups in NCT05907980
Study groupRoleWhat they receive
Part A: Dose-escalation part of Phase IaExperimentalPatients will receive ROSE12 as a IV infusion at escalated doses.
Receives: Drug: ROSE12
Part B: Biopsy part of Phase IaExperimentalSerial biopsy will be conducted with patients who will receive ROSE12 as a IV infusion at escalated doses.
Receives: Drug: ROSE12
Part C: Dose-escalation part of Phase IbExperimentalPatients will receive ROSE12 and atezolizumab as a IV infusion at escalated doses.
Receives: Drug: ROSE12; Drug: Atezolizumab
Part D: Biopsy part of Phase IbExperimentalSerial biopsy will be conducted with patients who will receive ROSE12 and atezolizumab as a IV infusion at escalated doses.
Receives: Drug: ROSE12; Drug: Atezolizumab
Part E: Expansion part of Phase Ib in patients with selected solid tumorsExperimentalPatients will receive ROSE12 and atezolizumab as a IV infusion at the recommended dose.
Receives: Drug: ROSE12; Drug: Atezolizumab
Part F: Expansion part of Phase Ib in patients with selected solid tumorsExperimentalPatients will receive ROSE12 and pembrolizumab as a IV infusion at the recommended dose.
Receives: Drug: ROSE12; Drug: Pembrolizumab

What is being measured

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

  1. The maximum tolerated dose (MTD) and the recommended dose (RD) of ROSE12 when administered as a single agent and in combination with atezolizumab (Part A and C)

    Incidence and nature of dose-limiting toxicities (DLTs)

    Measured: From Cycle 1 Day 1 until Cycle 1 Day 21 (Cycle 1 is 21 days)

  2. Safety (All Parts) and tolerability (Part A, B, C and D) of ROSE12 when administered as a single agent and in combination with atezolizumab or pembrolizumab (Adverse Events)

    Incidence, nature, and severity of adverse events graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0

    Measured: From screening until study completion, treatment discontinuation or post-treatment follow up, assessed up to the end of the study (approximate 43 months)

  3. The maximum serum concentration (Cmax) of ROSE12 for PK profile when administered as a single agent and in combination with atezolizumab or pembrolizumab (All Parts)

    The maximum serum concentration (Cmax) of ROSE12

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  4. The minimum serum concentration (Cmin) of ROSE12 for PK profile when administered as a single agent and in combination with atezolizumab or pembrolizumab (All Parts)

    The minimum serum concentration (Cmin) of ROSE12

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  5. The area under the concentration time-curve (AUC) of ROSE12 for PK profile when administered as a single agent and in combination with atezolizumab or pembrolizumab (All Parts)

    The area under the concentration time-curve (AUC) of ROSE12

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  6. Preliminary anti-tumor activity of ROSE12 when administered in combination with atezolizumab or pembrolizumab (Part E and F)

    Objective response rate (ORR), defined as the proportion of patients with an objective response (complete response [CR] or partial response [PR]) on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to the Response Evaluation Criteria in Solid Tumors version 1.1

    Measured: From screening until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

Secondary outcomes (13)
  1. Preliminary anti-tumor activity of ROSE12 when administered as a single agent and in combination with atezolizumab (Part A, B, C and D)

    ORR, defined as the proportion of patients with an objective response on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to RECIST v1.1.

    Measured: From screening until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  2. Preliminary anti-tumor activity of ROSE12 when administered as a single agent and in combination with atezolizumab or pembrolizumab (All Parts)

    Disease control rate (DCR), defined as the proportion of patients who had an objective response or stable disease (SD) which is confirmed no less than 6 weeks after the start of treatment as the minimum duration, as determined by the investigator with use of RECIST v1.1.

    Measured: From screening until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  3. Preliminary anti-tumor activity of ROSE12 when administered as a single agent and in combination with atezolizumab or pembrolizumab (All Parts)

    Duration of objective response (DoR), defined as the time from the first occurrence of a documented objective response to disease progression or death from any cause (whichever occurs first), as determined by the investigator according to RECIST v1.1.

    Measured: From screening until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  4. Preliminary anti-tumor activity of ROSE12 when administered as a single agent and in combination with atezolizumab or pembrolizumab (All Parts)

    Progression-free survival (PFS), defined as the time from administration of first study treatment to the first occurrence of disease progression or death from any cause, as determined by the investigator according to RECIST v1.1.

    Measured: From screening until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  5. The maximum serum concentration (Cmax) of atezolizumab for PK profile when administered in combination with ROSE12 (Part C, D and E)

    The maximum serum concentration (Cmax) of atezolizumab

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  6. The minimum serum concentration (Cmin) of atezolizumab for PK profile when administered in combination with ROSE12 (Part C, D and E)

    The minimum serum concentration (Cmin) of atezolizumab

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  7. The area under the concentration-time curve (AUC) of atezolizumab for PK profile when administered in combination with ROSE12 (Part C, D and E)

    The area under the concentration-time curve (AUC) of atezolizumab

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  8. The maximum serum concentration (Cmax) of pembrolizumab for PK profile when administered in combination with ROSE12 (Part F)

    The maximum serum concentration (Cmax) of pembrolizumab

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 24 months)

  9. The minimum serum concentration (Cmin) of pembrolizumab for PK profile when administered in combination with ROSE12 (Part F)

    The minimum serum concentration (Cmin) of pembrolizumab

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 24 months)

  10. The area under the concentration-time curve (AUC) of pembrolizumab for PK profile when administered in combination with ROSE12 (Part F)

    The area under the concentration-time curve (AUC) of pembrolizumab

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 24 months)

  11. The immunogenicity of ROSE12 when administered as a single agent and in combination with atezolizumab or pembrolizumab (All Parts)

    Prevalence and incidence of anti-drug antibodies (ADAs) to ROSE12 and potential correlation with PK parameters and safety

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  12. The immunogenicity of atezolizumab when administered in combination with ROSE12 (Part C, D and E)

    Prevalence and incidence of ADAs to atezolizumab and potential correlation with PK parameters and safety

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

  13. The immunogenicity of pembrolizumab when administered in combination with ROSE12 (Part F)

    Prevalence and incidence of ADAs to pembrolizumab and potential correlation with PK parameters and safety

    Measured: From Cycle 1 Day 1 (Cycle 1 is 21 days) until study completion or treatment discontinuation, assessed up to the end of the study (approximate 43 months)

Timeline

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

  1. First posted18 Jun 2023
  2. Study start24 May 2023
  3. Primary completion31 Oct 2027 (estimated)
  4. Study completion31 Oct 2027 (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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
209 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05907980
Sponsor's protocol ID
RSE101CT
Status last verified
Jul 2026
First submitted
20 Apr 2023
Last updated
28 Jul 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Hayashi H, Tatsumi K, Katada H, Matsuda Y, Tsunenari T, Honda M, Nemoto T, Shimizu S, Miura-Okuda M, Ikuta Y, Ito A, Ogami C, Kato C, Kamimura M, Kibayashi T, Kubo C, Komatsu S, Komori Y, Shinozuka J, Susumu H, Tanno H, Tomii Y, Nakagawa K, Nagano H, Nanami M, Nishito Y, Fujisawa N, Matsushita T, Michisaka S, Yamazaki M, Yoshimoto M, Wakatsuki H, Wakabayashi T, Wada NA, Ueda O, Konishi H, Kashima K, Tanaka H, Endo M, Kitazawa T, Sakaguchi S, Kamata-Sakurai M, Igawa T. ROSE12, a novel anti-CTLA-4 FcgammaRs binding-enhanced antibody activated by extracellular adenosine triphosphate, shows tumor-selective regulatory T-cell depletion and antitumor efficacy without systemic immune activation. J Immunother Cancer. 2026 Jan 9;14(1):e013397. doi: 10.1136/jitc-2025-013397.

    PubMed 41513409

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ROSE12, Atezolizumab and Pembrolizumab in people with Solid Tumor, run by Chugai Pharmaceutical at 14 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 0 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 28 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Japan, United States. 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?

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?

Contact Clinical trials information (only use Email, clinical-trials@chugai-pharm.co.jp), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The maximum tolerated dose (MTD) and the recommended dose (RD) of ROSE12 when administered as a single agent and in combination with atezolizumab (Part A and C) (time frame: From Cycle 1 Day 1 until Cycle 1 Day 21 (Cycle 1 is 21 days)). The study lists 6 primary outcomes in all. 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 NCT05907980, which also lists 1 linked publication.

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 28 Jul 2026.

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