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Squamous Non-small-cell Lung CancerPhase 1/2NCT06747585

A Study to Investigate ALE.P02 as a Monotherapy or in Combination With Pembrolizumab in Adult Patients With Selected CLDN1+ Solid Tumors

A Phase 1/2 study testing ALE.P02 and Pembrolizumab in people with Squamous Non-small-cell Lung Cancer and Head and Neck Squamous Cell Carcinoma, run by Alentis Therapeutics AG at 41 sites in 8 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

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic, pharmacodynamic, preliminary anti-tumor activity, and to determine the recommended Phase II dose (RP2D) of the ALE.P02 as a monotherapy or in combination with pembrolizumab in adult patients with selected squamous solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ALE.P02 and Pembrolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
235 participants
Where
41 sitesin 8 countries
Study dates
16 Dec 2024to 15 Aug 2028
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

  • Have disease and treatment history as: histologically or cytologically confirmed advanced locally recurrent and inoperable or metastatic SqNSCLC, HNSCC (nasopharyngeal cancer included), ESCC or CSCC.
  • Phase I Dose Escalation: Have received at least one systemic standard of care regimen and being refractory or intolerant to the treatment.
  • Phase I Monotherapy RDE and Phase II: Have received no more than 2 lines of systemic standard of care regimen and being refractory or intolerant to the treatment.
  • Phase I Combination Therapy RDE: Have received no previous systemic therapy in incurable recurrent or metastatic setting
  • Have provided tissue for CLDN1 analysis in a central laboratory.
  • Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group Performance Scale.
Show all 9Show fewer
  • Demonstrate adequate bone marrow and organ function.
  • Patients must have recovered from all toxicities led by prior treatment.
  • Have measurable disease based on RECIST 1.1 as determined by the site.

Who cannot join

  • Diagnosed with cancers of predominantly non-squamous histology (eg, adenosquamous carcinoma) or adenocarcinoma.
  • Has received antineoplastic therapies prior to study intervention within specified time frame.
  • Has rapidly progressing disease (eg, tumor bleeding, uncontrolled tumor pain).
  • Patients with uncontrolled diabetes.
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
  • Has clinically significant gastrointestinal bleeding and has an active infection requiring systemic treatment and has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the clinical study, interfere with the patient's participation for the full duration of the clinical study, or is not in the best interest of the patient to participate.
  • Concomitant use of drugs that are known to prolong or shorten QT and/or have known risk of Torsades de Pointes.

Trial locations and contacts

41 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

Alentis Clinical Trial Contact contact

+41782304288

patientinfo@alentis.ch

41 sites in 8 countries

Spain9 sites, 9 recruiting
  • NEXT Oncology Barcelona

    Barcelona, 08023

    Recruiting
  • Hospital Universitari Vall D Hebron

    Barcelona, 08035

    Recruiting
  • START Hospital HM Nou Delfos

    Barcelona

    Recruiting
  • Hospital Universitario 12 de Octubre

    Madrid, 28041

    Recruiting
  • Hospital Universitario Virgen De La Victoria

    Málaga, 29010

    Recruiting
  • START Madrid- Centro Integral Oncologico Clara Campal

    PAU de Sanchinarro, Madrid, 28050

    Recruiting
  • Hospital Universitario Quironsalud Madrid

    Pozuelo de Alarcón, Madrid, 28223

    Recruiting
  • Hospital Universitario Virgen De La Macarena

    Seville, 41009

    Recruiting
  • Hospital Universitario Y Politécnico La Fe

    Valencia, 46026

    Recruiting

Other trials in Spain

United States8 sites, 6 recruiting
  • The University of Chicago Medical Center - Oncology

    Chicago, Illinois, 60637

    Recruiting
  • NEXT Oncology Virginia

    Fairfax, Virginia, 22031

    Recruiting
  • Providence Medical Foundation

    Fullerton, California, 92835

    Recruiting
  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

    Recruiting
  • USC Norris Comprehensive Cancer Center

    Los Angeles, California, 90033

    Recruiting
  • Norton Cancer Institue Downtown

    Louisville, Kentucky, 40202

    Withdrawn
  • Yale Comprehensive Cancer Center

    New Haven, Connecticut, 06510

    Withdrawn
  • Mayo Foundation for Medical Education and Research - Mayo Cl

    Scottsdale, Arizona, 85259

    Recruiting

Other trials in United States

Italy7 sites, 7 recruiting
  • Istituto Clinico Humanitas

    Milan, 20089

    Recruiting
  • Ospedale San Raffaele, IRCCS

    Milan, 20132

    Recruiting
  • Istituto Nazionale del Tumori, Fondazione IRCCS

    Milan, 20133

    Recruiting
  • IEO - Istituto Europeo di Oncologia, IRCCS

    Milan, 20141

    Recruiting
  • Ospedale Santa Maria delle Croci di Ravenna Oncologia

    Ravenna, 48121

    Recruiting
  • PU A. Gemelli, Universita Cattolica del Sacro Cuore

    Roma

    Recruiting
  • Centro Ricerche Cliniche Verona

    Verona

    Recruiting

Other trials in Italy

France6 sites, 6 recruiting
  • Institut Bergonie

    Bordeaux, 33000

    Recruiting
  • Centre Georges Francois Leclerc - Oncologie Medicale

    Dijon, 21079

    Recruiting
  • CHRU De Lille- Hôpital Claude Huriez - Medical Oncology

    Lille, 59000

    Recruiting
  • AP-HM Hôpital de La Timone CEPCM

    Marseille, 13005

    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Toulouse - IUCT Oncopole

    Toulouse, 31100

    Recruiting
  • Institut Gustave Roussy

    Villejuif, 94800

    Recruiting

Other trials in France

South Korea4 sites, 4 recruiting
  • National Cancer Center

    Goyang-si, 10408

    Recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Recruiting
  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

    Recruiting
  • Asan Medical Center - Oncology

    Seoul, 5505

    Recruiting

Other trials in South Korea

Taiwan4 sites, 4 recruiting
  • Changhua Christian Medical Foundation Changhua Christian Hospital

    Changhua, 50006

    Recruiting
  • Changhua Christian Medical Foundation Changhua Christian Hospital

    Changhua, 500209

    Recruiting
  • National Taiwan University Hospital

    Taipei, 100225

    Recruiting
  • Buddihist Tzu Chi Medical Foundation - Taipei Tzu Chi Hospital

    Taipei, 231020

    Recruiting

Other trials in Taiwan

Singapore2 sites, 2 recruiting
  • National University Cancer Institue

    Singapore, South West, 11907

    Recruiting
  • National Cancer Centre Singapore

    Singapore, South West, 168583

    Recruiting

Other trials in Singapore

Hong Kong1 site, 1 recruiting
  • Chinese University of Hong Kong - Prince of Wales Hospital

    Shatin, N.T.

    Recruiting

Other trials in Hong Kong

About this study

Official title: A Phase I/II, Open-Label, Multicenter Study of ALE.P02 (Claudin-1 Targeted Antibody-Drug Conjugate) as a Monotherapy or in Combination With Pembrolizumab (Anti-PD-1 Antibody) in Adult Patients With Selected Advanced or Metastatic CLDN1+Squamous Solid Tumors

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic, pharmacodynamic, preliminary anti-tumor activity, and to determine the recommended Phase II dose (RP2D) of the ALE.P02 as a monotherapy or in combination with pembrolizumab in adult patients with selected squamous solid tumors.

Read the detailed description

This Study has a Phase I ALE.P02 monotherapy dose escalation and recommended dose for expansion (RDE) study of ALE.P02 as a monotherapy and combination therapy with pembrolizumab, and a Phase II study of ALE.P02 as a monotherapy at RP2D in adult patients with selected advanced or metastatic Claudin-1 positive (CLDN1+) cancers.

Being tested
ALE.P02, Pembrolizumab
Keywords
Claudin-1 Targeted Antibody-Drug Conjugate, Monotherapy, First-in-Human, Recommended Phase 2 dose, Recommended dose for expansion, Combination therapy, Pembrolizumab, Anti-PD-1
Medical subject headings
Squamous Cell Carcinoma of Head and Neck, Esophageal Squamous Cell Carcinoma

What participants receive

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

  • ALE.P02Drug

    ALE.P02 will be administered by IV infusion according to the assigned arms.

  • PembrolizumabDrug

    Pembrolizumab will be administered per local labeling or institutional guidelines.

Study groups in NCT06747585
Study groupRoleWhat they receive
Phase I Dose Escalation - ALE.P02ExperimentalPatients will receive ALE.P02 as monotherapy via intravenous infusion. The ALE.P02 will be given at an escalated dose until Maximum tolerated dose (MTD) and/or a safe recommended Dose for Expansion (RDE) is determined in Phase I dose escalation part of the study.
Receives: Drug: ALE.P02
Phase I Dose Expansion - ALE.P02ExperimentalPatients will receive ALE.P02 as monotherapy via intravenous infusion. The safe recommended dose of ALE.P02 will be given in Phase I dose expansion part of the study to identify Recommended Phase II Dose (RP2D).
Receives: Drug: ALE.P02
Phase II - ALE.P02ExperimentalPatients will receive ALE.P02 as monotherapy via intravenous infusion at the RP2D, or according to the dosing schedule after the dose expansion phase.
Receives: Drug: ALE.P02
Phase I Dose Escalation - ALE.P02 in combination with pembrolizumabExperimentalPatients will receive ALE.P02 in combination with pembrolizumab via intravenous infusion. The ALE.P02 will be given at an escalated dose until Maximum tolerated dose (MTD) and/or a safe recommended Dose for Expansion (RDE) is determined.
Receives: Drug: ALE.P02; Drug: Pembrolizumab
Phase I Dose Expansion - ALE.P02 in combination with pembrolizumabExperimentalPatients will receive ALE.P02 in combination with pembrolizumab via intravenous infusion. The safe recommended dose of ALE.P02 will be given in Phase I dose expansion part of the study.
Receives: Drug: ALE.P02; Drug: Pembrolizumab

What is being measured

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

  1. Number of Patients with Dose Limiting Toxicities (DLTs)

    DLTs as defined in the protocol will be assessed to evaluate safety and tolerability of ALE.P02 as a monotherapy or in combination with pembrolizumab (Phase I Dose Escalation), and to establish RP2D for ALE.P02 (Phase I RDE).

    Measured: Up to 28 days

  2. Number of Patients with Adverse Events

    Adverse events will be assessed to evaluate safety and tolerability of ALE.P02 as a monotherapy or in combination with pembrolizumab (Phase I Dose Escalation), and to establish RP2D for ALE.P02 (Phase I RDE).

    Measured: Screening (day -28 to day -1) up to Safety follow-up (30 ± 5 days post last dose [Up to 3.5 years])

  3. Overall Response Rate (ORR) (Phase I)

    The ORR is the proportion of patients with a best overall response (BOR) of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1.) This is assessed to establish RP2D for ALE.P02 (Phase I RDE)

    Measured: From ALE.P02 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 3.5 years)

  4. Duration of Response (DoR) (Phase I)

    The DoR is defined for patients achieving a confirmed CR or PR as the time from the initial response of CR or PR per Investigator review according to RECIST 1.1 to disease progression or death of any cause, whichever occurs earlier. This is assessed to establish RP2D for ALE.P02 (Phase I RDE).

    Measured: From ALE.P02 treatment initiation until disease progression or study completion (Up to 3.5 years)

  5. Overall Response Rate (ORR) (Phase II)

    The ORR is assessed to assess evaluate anti-tumor activity of ALE.P02 as a monotherapy (Phase II).

    Measured: From ALE.P02 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 3.5 years)

  6. Duration of Response (DoR) (Phase II)

    The DoR is assessed to evaluate assess anti-tumor activity of ALE.P02 as a monotherapy (Phase II).

    Measured: From ALE.P02 treatment initiation until disease progression or study completion (Up to 3.5 years)

Secondary outcomes (17)
  1. Disease control rate (DCR) (Phase I and II)

    The DCR is defined as the proportion of patients with a confirmed BOR of CR or PR or stable disease (SD) per Investigator review according to RECIST 1.1 at or prior to initiation of the use of new anti-cancer therapy. This is assessed to evaluate preliminary evidence of anti-tumor activity of ALE.P02 (Phase I and II).

    Measured: From ALE.P02 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 3.5 years)

  2. Median Progression-Free Survival (PFS) at 6 and 12 Months (Phase I and II)

    The PFS is defined as time from first study treatment to a documented disease progression according to RECIST 1.1, as determined by the Investigator, or death due to any cause, whichever occurs earlier. This is assessed to evaluate preliminary evidence of anti-tumor activity of ALE.P02 (Phase I and II).

    Measured: At 6 and 12 months after initiation of ALE.P02 treatment

  3. Median Overall Survival (OS) at 6, 12, and 24 Months (Phase I and II)

    The OS is defined as time from first study treatment to death due to any cause. This is assessed to evaluate preliminary evidence of anti-tumor activity of ALE.P02 (Phase I and II).

    Measured: At 6, 12, and 24 months after initiation of ALE.P02 treatment

  4. Blood Concentration of ALE.P02 Antibody-drug Conjugate (ADC)

    Concentrations of ALE.P02 ADC in blood will be measured at each scheduled time point per arms to assess the pharmacokinetic (PK) profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at end of treatment visit (EoT) (Up to 3.5 years)

  5. Blood Concentration of Total Antibody

    Total antibody in blood will be measured at each scheduled time point per arms to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  6. Blood Concentrations of Payload

    Concentrations of payload in blood will be measured at each scheduled time point per arms to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  7. Area under the concentration-time curve over the dosing interval (AUCtau)

    The AUCtau of ALE.P02 will be measured to assess the pharmacokinetic (PK) profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  8. Area under the concentration-time curve from pre-dose (time 0) to the time of the last quantifiable concentration (AUClast)

    The AUClast of ALE.P02 will be measured to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  9. Area under the concentration-time curve from pre-dose (time 0) extrapolated to infinite time (AUCinf)

    The AUCinf of ALE.P02 will be measured to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  10. Maximum Concentration (Cmax)

    The Cmax of ALE.P02 will be measured to assess the PK profile of ALE.P02. It is determined directly from the concentration-time profile.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  11. Minimum concentration (Cmin)

    The Cmin of ALE.P02 will be measured to assess the PK profile of ALE.P02. It is determined directly from the concentration-time profile.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  12. Concentration at the end of a Dosing Interval (Ctrough)

    The Ctrough of ALE.P02 will be measured to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  13. The terminal elimination rate constant (KeL)

    The KeL of ALE.P02 will be measured to assess the PK profile of ALE.P02. It is determined by selection of at least three data points on the terminal phase of the concentration-time curve.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  14. Terminal elimination half-life (t½)

    The t½ of ALE.P02 will be measured to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  15. Time of Maximum Concentration (tmax)

    The tmax of ALE.P02 will be measured to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  16. Average Concentration (Cavg)

    The Cavg of ALE.P02 will be measured to assess the PK profile of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

  17. Number of Patients with Presence of anti-ALE.P02 Antibodies

    Presence of anti-ALE.P02 Antibodies will be assessed to evaluate the immunogenicity of ALE.P02.

    Measured: Phase I and II: Cycle 1 Day 1 until at EoT (Up to 3.5 years)

Timeline

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

  1. First posted24 Dec 2024
  2. Study start16 Dec 2024
  3. Primary completion15 Feb 2028 (estimated)
  4. Study completion15 Aug 2028 (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
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
235 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06747585
Sponsor's protocol ID
ALE.P02.01
Other IDs
2024-515459-39-00
Status last verified
Oct 2026
First submitted
17 Dec 2024
Last updated
28 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing ALE.P02 and Pembrolizumab in people with Squamous Non-small-cell Lung Cancer and Head and Neck Squamous Cell Carcinoma, run by Alentis Therapeutics AG at 41 sites in 8 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 9 inclusion and 7 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 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in Spain, United States, Italy, France, South Korea and 3 more countries. 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?

Contact Alentis Clinical Trial Contact (+41782304288, patientinfo@alentis.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Patients with Dose Limiting Toxicities (DLTs) (time frame: Up to 28 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?
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 Oct 2026.

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