Advanced Solid TumorsPhase 1NCT06840886
A Study of PHST001 in Advanced Solid Tumors
A Phase 1 study testing PHST001, Paclitaxel and Topotecan in people with Advanced Solid Tumors and Ovarian Cancer, run by Pheast Therapeutics at 20 sites in United States.
Trial summary
This is a multi-center, first-in-human (FIH), open-label, Phase 1a/1b dose escalation and dose expansion study to assess the safety, PK, pharmacodynamics, and antitumor activity of PHST001 monotherapy (Phase 1a) or in combination with anticancer therapies (Phase 1b) in adult participants with advanced relapsed and/or… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Tumors, Ovarian Cancer, Endometrial Cancer
- What is being tested?
- PHST001, Paclitaxel and Topotecan
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 426 participants
- Where
- 20 sitesUnited States
- Study dates
- 31 Mar 2025to Apr 2031
- 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
- Histologically or cytologically confirmed advanced solid tumor which has relapsed from or been refractory to all locally available standard therapies.
- Adequate organ function per laboratory testing
- Pregnancy prevention requirements
- Measurable disease per RECIST v1.1 (or RANO) as assessed by the local site Investigator/radiology
- Performance status of 0 or 1 on Eastern Cooperative Oncology Group (ECOG) scale
Who cannot join
- Diagnosis of immunodeficiency
- History of a previous additional malignancy, unless potentially curative treatment has been completed, with no evidence of malignancy for 2 years. Participants with basal cell carcinoma of the skin, Stage I melanoma, melanoma in situ, squamous cell carcinoma of the skin, early-stage prostate cancer, low grade neoplasms, or carcinoma in situ, excluding carcinoma in situ of the bladder, who have undergone potentially curative therapy are not excluded and can be enrolled regardless of disease-free period following completion of potentially curative therapy. Participants with early-stage breast cancer who have undergone curative intent treatment and with no disease recurrence for 2 years after treatment are not excluded.
- Active known CNS metastases and/or carcinomatous meningitis from a systemic (non-CNS) primary malignancy. Participants with previously treated CNS metastases are eligible, provided they are radiologically and clinically stable (i.e., no evidence of progression for at least 2 weeks by repeat imaging performed during screening) and are not requiring systemic corticosteroids above the physiologic replacement for at least 7 days prior to the first dose of study treatment.
- Received prior systemic anticancer therapy including investigational agents within 21 days or, if shorter, within 5 half-lives prior to the first dose of study treatment. Participants must have recovered from all AEs due to previous therapies to Grade ≤1 or baseline. Participants with Grade ≤2 neuropathy may be eligible. Participants with endocrine-related AEs Grade ≤2 requiring treatment or hormone replacement may be eligible.
- Prior autologous or allogeneic hematopoietic stem cell transplant or solid organ transplant.
- Received previous treatment with another agent targeting CD24.
Trial locations and contacts
20 sites in 1 country. Contact the study team or a site near you to ask about taking part.
20 sites in 1 country
United States20 sites, 20 recruiting
- Recruiting
University of Michigan Rogel Cancer Center
Ann Arbor, Michigan, 48109
University of Michigan Health Cancer AnswerLine, 1-800-865-1125, canceranswerline@med.umich.edu
Ulka Vaishampayan, MD
- Recruiting
Precision NextGen Oncology & Research Center
Beverly Hills, California, 90212
Jing Liu, 424-777-0708, JingL@nextgenonc.com, research@nextgenonc.com
Kamlesh Kumar Sankhala, MD
- Recruiting
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
DFCI CCTI Referrals, dfcicctiexternalreferral@dfci.harvard.edu
Michael Dennis, MD
- Recruiting
University of Chicago Medical Center
Chicago, Illinois, 60637
- Recruiting
Sarah Cannon Research Institute (SCRI) Oncology Partners - Denver Health One
Denver, Colorado, 80218
Sarah Cannon Research Institute at HCA HealthONE, 720-754-2610, CANN.DDUDenverGeneral@SarahCannon.com
- Recruiting
Duke Cancer Institute
Durham, North Carolina, 27710
Phase 1 and Immunotherapy Team, 919-684-6342, Phase1andImmunotherapyreferrals@duke.edu
Niharika Mettu, MD, PhD
- Recruiting
NEXT Oncology - Virginia
Fairfax, Virginia, 22031
Carrie Friedman, adelgado@nextoncology.com
Allison Delgado, carrie.friedman@usoncology.com
- Recruiting
START Center for Cancer Research - Texas
Fort Worth, Texas, 76104
START HOPE Team, hopeteam@startresearch.com
Henry Xiong, MD, PhD
- Recruiting
START Center for Cancer Research - Midwest
Grand Rapids, Michigan, 49546
START HOPE Team, hopeteam@startresearch.com
Sreenivasa Chandana, MD, PhD
- Recruiting
MD Anderson Cancer Center
Houston, Texas, 77030
MD Anderson Cancer Center, 713-563-1930, ICTNPCS@mdanderson.org
Stéphane Champiat, MD, PhD
- Recruiting
NEXT Oncology - Dallas
Irving, Texas, 75039
NEXT Referrals-Dallas, fax: 210-568-4577, nxt_txreferrals@nextoncology.com
Michael Song, MD, PhD, PharmD
- Recruiting
START Center for Cancer Research - Long Island New York
Lake Success, New York, 11042
Sadia Morium, 363-207-5166, sadia.morium@startresearch.com
Geraldine O'Sullivan Coyne, MD
- Recruiting
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Lorraine Martinez, Lorraine.Martinez@med.usc.edu
Stephanie Kim, Stephanie.Kim2@med.usc.edu
- Recruiting
Sarah Cannon Research Institute (SCRI) Oncology Partners
Nashville, Tennessee, 37203
SCRI Oncology Partners - Nashville, 1-877-MY-1-SCRI (691-7274), ASKSARAH@scresearch.net
Deepak Bhamidipati, MD
- Recruiting
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37203
Clinical Trials Office (CTO), 1-800-811-8480, cip@vumc.org
Elizabeth Davis, MD, PhD
- Recruiting
Yale Cancer Center
New Haven, Connecticut, 06520
Priscilla Stéve, 203-464-5564, Priscilla.steve@yale.edu
Michael Cecchini, MD
- Recruiting
Mount Sinai
New York, New York, 10029
Jordan Cuevas, 212-824-7945, jordan.cuevas@mssm.edu
Thomas Marron, MD, PhD
- Recruiting
Stanford University School of Medicine
Palo Alto, California, 94304
Kayla McDaniel, 650-498-7293, mcda59@stanford.edu
Oliver Dorigo, MD, PhD
- Recruiting
START Center for Cancer Research - San Antonio
San Antonio, Texas, 78229
START HOPE Team, 210-593-5250, hopeteam@startresearch.com
Kyriakos Papadopoulos, MD
- Recruiting
University of Texas (UT) Health
San Antonio, Texas, 78229
Mays Cancer Center Research Team, mccresearch@uthscsa.edu
Daruka Mahadevan, MD, PhD
About this study
Official title: An Open-label, Phase 1a/1b, Dose Escalation and Dose Expansion Study Investigating the Safety, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of PHST001 in Adult Patients With Advanced Relapsed and/or Refractory Solid Tumors
This is a multi-center, first-in-human (FIH), open-label, Phase 1a/1b dose escalation and dose expansion study to assess the safety, PK, pharmacodynamics, and antitumor activity of PHST001 monotherapy (Phase 1a) or in combination with anticancer therapies (Phase 1b) in adult participants with advanced relapsed and/or refractory solid tumors (including but not limited to CNS tumors in Phase 1a only). Phase 1b will include the following cohorts 1) tumor-specific cohorts for participants with advanced relapsed and/or refractory ovarian cancer, endometrial cancer, and cholangiocarcinoma, 2) a randomized cohort for participants with ovarian cancer who will receive PHST001 in combination with mirvetuximab soravtansine, 3) a cohort for participants with advanced/metastatic breast cancer who will receive PHST001 in combination with trastuzumab deruxtecan and 4) a cohort of patients who consent to additional biomarker studies.
The study's primary objectives are to evaluate the safety and tolerability of PHST001 and determine the RP2D (Recommended Phase 2 dose) of PHST001 as monotherapy and in combination with anticancer therapies, as well as to assess the anti-tumor activity of PHST001 in combination with anticancer therapies in Phase 1b.
- Conditions
- Advanced Solid Tumors, Ovarian Cancer, Endometrial Cancer, Cholangiocarcinoma, CNS Tumor, Breast Cancer
- Being tested
- PHST001, Paclitaxel, Topotecan, Doxorubicin, FOLFIRI
- Medical subject headings
- Ovarian Neoplasms, Endometrial Neoplasms, Cholangiocarcinoma, Central Nervous System Neoplasms, Breast Neoplasms, Fallopian Tube Neoplasms, Carcinosarcoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PHST001Biological
PHST001 is an anti-CD24 macrophage checkpoint inhibitor, administered as IV infusions every 3-weeks (Q3W) dosing intervals.
PaclitaxelDrug
Also called Taxol
Paclitaxel used as per standard of care.
TopotecanDrug
Also called Hycamtin
Topotecan used as per standard of care.
DoxorubicinDrug
Also called Adriamycin
Doxorubicin used as per standard of care.
FOLFIRIDrug
Also called folinic acid (leucovorin), fluorouracil (5-FU), and irinotecan combination
FOLFIRI used as per standard of care.
FOLFOXDrug
Also called folinic acid (leucovorin), fluorouracil (5-FU), and oxaliplatin combination
FOLFOX used as per standard of care.
GemcitabineDrug
Also called Gemzar
Gemcitabine used as per standard of care.
Mirvetuximab SoravtansineBiological
Also called MIRV, Elahere
Mirvetuximab soravtansine used as per standard of care.
Trastuzumab DeruxtecanBiological
Also called T-DXd, Enhertu
Trastuzumab deruxtecan used as per standard of care.
| Study group | Role | What they receive |
|---|---|---|
| PHST001 Monotherapy | Experimental | Participants will receive PHST001 monotherapy administered once every 3 weeks (Q3W). In Phase 1a, PHST001 will be evaluated in sequential dose-escalation cohorts at planned dose levels of 0.1, 0.3, 1.0, 2.0, 4.0, 6.0, 9.0, 18.0, and 36.0 mg/kg. Dose levels may be modified or additional dose levels evaluated based on emerging safety, pharmacokinetic, pharmacodynamic, and antitumor activity data. Participants in the Phase 1b biomarker cohort may also receive PHST001 monotherapy. Receives: Biological: PHST001 |
| PHST001 + Paclitaxel | Experimental | Participants will receive PHST001 in combination with paclitaxel. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in tumor-specific expansion cohorts, including participants with ovarian carcinoma, endometrial carcinoma, or cholangiocarcinoma, and/or in the biomarker cohort. Receives: Biological: PHST001; Drug: Paclitaxel |
| PHST001 + Topotecan | Experimental | Participants will receive PHST001 in combination with topotecan. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the ovarian carcinoma expansion cohort and/or biomarker cohort. Receives: Biological: PHST001; Drug: Topotecan |
| PHST001 + Doxorubicin | Experimental | Participants will receive PHST001 in combination with doxorubicin. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in ovarian carcinoma or endometrial carcinoma expansion cohorts and/or the biomarker cohort. Receives: Biological: PHST001; Drug: Doxorubicin |
| PHST001 + FOLFIRI | Experimental | Participants will receive PHST001 in combination with FOLFIRI (5-fluorouracil, folinic acid, and irinotecan). The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the cholangiocarcinoma expansion cohort and/or biomarker cohort. Receives: Biological: PHST001; Drug: FOLFIRI |
| PHST001 + FOLFOX | Experimental | Participants will receive PHST001 in combination with FOLFOX (5-fluorouracil, folinic acid, and oxaliplatin). The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the cholangiocarcinoma expansion cohort and/or biomarker cohort. Receives: Biological: PHST001; Drug: FOLFOX |
| PHST001 + Gemcitabine | Experimental | Participants will receive PHST001 in combination with gemcitabine. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in ovarian carcinoma or cholangiocarcinoma expansion cohorts and/or the biomarker cohort. Receives: Biological: PHST001; Drug: Gemcitabine |
| PHST001 + Mirvetuximab Soravtansine | Experimental | Participants will receive PHST001 in combination with mirvetuximab soravtansine. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the ovarian carcinoma expansion cohort and/or in the biomarker cohort. Half of the participants in the randomized ovarian carcinoma cohort may be randomly assigned to receive PHST001 in combination with mirvetuximab soravtansine. Receives: Biological: PHST001; Biological: Mirvetuximab Soravtansine |
| PHST001 + Trastuzumab Deruxtecan | Experimental | Participants will receive PHST001 in combination with trastuzumab deruxtecan. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in participants with advanced or metastatic breast cancer and/or in the biomarker cohort. Receives: Biological: PHST001; Biological: Trastuzumab Deruxtecan |
| Mirvetuximab Soravtansine Monotherapy | Active comparator | Participants with ovarian carcinoma enrolled in the randomized Phase 1b expansion cohort will be randomized 1:1 to receive mirvetuximab soravtansine monotherapy or mirvetuximab soravtansine in combination with PHST001. Participants assigned to this arm will receive mirvetuximab soravtansine monotherapy. Receives: Biological: Mirvetuximab Soravtansine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency of Dose-Limiting Toxicities (DLTs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Based on toxicities observed
Measured: From first dose of PHST001 through 21 days after the first dose of PHST001
Frequency of Serious Adverse Events (SAEs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Based on toxicities observed
Measured: From signed consent up to 90 days after the last dose of PHST001
Frequency of Treatment Emergent Adverse Events (TEAEs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Based on toxicities observed
Measured: From first dose up to 90 days after the last dose of PHST001
Frequency of Treatment Related Adverse Events (TRAEs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Based on toxicities observed
Measured: From first dose up to 90 days after the last dose of PHST001
Frequency of Adverse Events of Special Interest (AESIs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Based on toxicities observed
Measured: From first dose up to 90 days after the last dose of PHST001
Frequency of AEs Leading to Dose Interruption or Treatment Discontinuation and AEs Leading to Death to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Based on toxicities observed
Measured: From first dose up to 90 days after the last dose of PHST001
Overall Response Rate (ORR) based on RECIST v1.1 to assess the preliminary antitumor activity of PHST001 in combination with anticancer therapy (Phase 1b non-randomized cohorts only)
Defined as the proportion of subjects with confirmed complete response (CR) or partial response (PR); a confirmed response is a response that persists on repeat-imaging ≥ 4 weeks after initial documentation of response.
Measured: From screening and during treatment up to 2 years
Progression-Free Survival (PFS) based on RECIST v1.1 to assess the preliminary antitumor activity of PHST001 in combination with anticancer therapy (Phase 1b randomized cohort only)
Defined as the time from first dose of PHST001 to first documentation of radiographic disease progression or death, whichever occurs first.
Measured: From screening and during treatment up to 2 years
Secondary outcomes (12)
Overall Response Rate (ORR) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b - randomized cohort only)
Defined as the proportion of subjects with confirmed complete response (CR) or partial response (PR); a confirmed response is a response that persists on repeat-imaging ≥ 4 weeks after initial documentation of response.
Measured: From screening and during treatment up to 2 years
Duration of Response (DOR) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b)
Defined as time from date of first objective response (either CR or PR) to first documentation of radiographic disease progression.
Measured: From screening and during treatment up to 2 years
Best Overall Response (BOR) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b)
Defined as the best response recorded for a participant across all time-point assessments from the start of treatment until disease progression or end of treatment.
Measured: From screening and during treatment up to 2 years
Progression-Free Survival (PFS) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b - non-randomized cohorts only) .
Defined as the time from first dose of PHST001 to first documentation of radiographic disease progression or death, whichever occurs first.
Measured: From screening and during treatment up to 2 years
Overall Survival (OS) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b).
Defined as the time from first dose of PHST001 to the date of death.
Measured: From screening and during treatment up to 2 years
Maximum Observed Concentration (Cmax) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b).
Defined as the maximum blood concentration of a dose of PHST001
Measured: From treatment until 90 days after last dose of PHST001
Time to Maximum Concentration (tmax) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Defined as the time required for a dose of PHST001 to reach its maximum blood concentration (Cmax) after administration.
Measured: From treatment until 90 days after last dose of PHST001
Concentration at the End of a Dosing Interval (Ctrough) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Defined as the blood concentration of a dose of PHST001 at the end of the dosing interval (just prior to next drug administration).
Measured: From treatment until 90 days after last dose of PHST001
Area Under the Concentration-time Curve (AUC) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Defined as the total PHST001 exposure over time, calculated as the integral of the plasma concentration-time profile.
Measured: From treatment until 90 days after last dose of PHST001
Volume of Distribution at Steady-state (Vss) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Defined as how widely PHST001 spreads throughout the body once things have stabilized after a dose has been administered.
Measured: From treatment until 90 days after last dose of PHST001
Clearance (CL) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Defined as the rate at which the body "cleans out" a dose of PHST001 from the bloodstream.
Measured: From treatment until 90 days after last dose of PHST001
Terminal Elimination Half-life (t½) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Defined as the time it takes for the amount of PHST001 in the body to drop by half during the final phase of elimination.
Measured: From treatment until 90 days after last dose of PHST001
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Feb 2025
- Study start31 Mar 2025
- Primary completionApr 2029 (estimated)
- Study completionApr 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Solid TumorsStudies 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
- Randomised
- Intervention model
- Sequential
- Model description
- Dose levels are 0.1 mg/kg, 0.3 mg/kg, 1.0 mg/kg, 2.0 mg/kg, 4.0 mg/kg, 6.0 mg/kg, 9.0 mg/kg, 18.0 mg/kg, 36.0 mg/kg alone or in combination with anticancer therapies. In the randomized PHST001 + mirvetuximab soravtansine cohort, after a dose level has been established, patients will be randomized with a 50% chance of receiving mirvetuximab soravtansine alone as an active comparator or in combination with PHST001.
- Masking
- None (open label)
- Enrolment
- 426 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Pheast Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06840886
- Sponsor's protocol ID
- PHST001-101
- Status last verified
- Sep 2026
- First submitted
- 10 Feb 2025
- Last updated
- 5 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Phase 1a/1b, Dose Escalation and Dose Expansion Study Investigating the Safety, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of PHST001 in Adult Patients With Advanced Relapsed and/or Refractory Solid Tumors
- ClinicalTrials.gov ID
- NCT06840886
- Acronym / sponsor ID
- PHST001-101
- Conditions
- Advanced Solid Tumors, Ovarian Cancer, Endometrial Cancer, Cholangiocarcinoma, CNS Tumor, Breast Cancer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 426 participants (estimated)
- Lead sponsor
- Pheast TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 31 Mar 2025 (actual)
- Primary completion
- Apr 2029 (estimated)
- Study completion
- Apr 2031 (estimated)
- First posted
- 21 Feb 2025 (actual)
- Results
- Not posted in the source record
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 multi-center, first-in-human (FIH), open-label, Phase 1a/1b dose escalation and dose expansion study to assess the safety, PK, pharmacodynamics, and antitumor activity of PHST001 monotherapy (Phase 1a) or in combination with anticancer therapies (Phase 1b) in adult participants with advanced relapsed and/or refractory solid tumors (including but not limited to CNS tumors in Phase 1a only). Phase 1b will include the following cohorts 1) tumor-specific cohorts for participants with advanced relapsed and/or refractory ovarian cancer, endometrial cancer, and cholangiocarcinoma, 2) a randomized cohort for participants with ovarian cancer who will receive PHST001 in combination with mirvetuximab soravtansine, 3) a cohort for participants with advanced/metastatic breast cancer who will receive PHST001 in combination with trastuzumab deruxtecan and 4) a cohort of patients who consent to additional biomarker studies.
The study's primary objectives are to evaluate the safety and tolerability of PHST001 and determine the RP2D (Recommended Phase 2 dose) of PHST001 as monotherapy and in combination with anticancer therapies, as well as to assess the anti-tumor activity of PHST001 in combination with anticancer therapies in Phase 1b.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 10
- Model description
- Dose levels are 0.1 mg/kg, 0.3 mg/kg, 1.0 mg/kg, 2.0 mg/kg, 4.0 mg/kg, 6.0 mg/kg, 9.0 mg/kg, 18.0 mg/kg, 36.0 mg/kg alone or in combination with anticancer therapies. In the randomized PHST001 + mirvetuximab soravtansine cohort, after a dose level has been established, patients will be randomized with a 50% chance of receiving mirvetuximab soravtansine alone as an active comparator or in combination with PHST001.
| Arm | Type | Receives |
|---|---|---|
| PHST001 Monotherapy | Experimental | Biological: PHST001Participants will receive PHST001 monotherapy administered once every 3 weeks (Q3W). In Phase 1a, PHST001 will be evaluated in sequential dose-escalation cohorts at planned dose levels of 0.1, 0.3, 1.0, 2.0, 4.0, 6.0, 9.0, 18.0, and 36.0 mg/kg. Dose levels may be modified or additional dose levels evaluated based on emerging safety, pharmacokinetic, pharmacodynamic, and antitumor activity data. Participants in the Phase 1b biomarker cohort may also receive PHST001 monotherapy. |
| PHST001 + Paclitaxel | Experimental | Biological: PHST001, Drug: PaclitaxelParticipants will receive PHST001 in combination with paclitaxel. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in tumor-specific expansion cohorts, including participants with ovarian carcinoma, endometrial carcinoma, or cholangiocarcinoma, and/or in the biomarker cohort. |
| PHST001 + Topotecan | Experimental | Biological: PHST001, Drug: TopotecanParticipants will receive PHST001 in combination with topotecan. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the ovarian carcinoma expansion cohort and/or biomarker cohort. |
| PHST001 + Doxorubicin | Experimental | Biological: PHST001, Drug: DoxorubicinParticipants will receive PHST001 in combination with doxorubicin. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in ovarian carcinoma or endometrial carcinoma expansion cohorts and/or the biomarker cohort. |
| PHST001 + FOLFIRI | Experimental | Biological: PHST001, Drug: FOLFIRIParticipants will receive PHST001 in combination with FOLFIRI (5-fluorouracil, folinic acid, and irinotecan). The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the cholangiocarcinoma expansion cohort and/or biomarker cohort. |
| PHST001 + FOLFOX | Experimental | Biological: PHST001, Drug: FOLFOXParticipants will receive PHST001 in combination with FOLFOX (5-fluorouracil, folinic acid, and oxaliplatin). The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the cholangiocarcinoma expansion cohort and/or biomarker cohort. |
| PHST001 + Gemcitabine | Experimental | Biological: PHST001, Drug: GemcitabineParticipants will receive PHST001 in combination with gemcitabine. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in ovarian carcinoma or cholangiocarcinoma expansion cohorts and/or the biomarker cohort. |
| PHST001 + Mirvetuximab Soravtansine | Experimental | Biological: PHST001, Biological: Mirvetuximab SoravtansineParticipants will receive PHST001 in combination with mirvetuximab soravtansine. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in the ovarian carcinoma expansion cohort and/or in the biomarker cohort. Half of the participants in the randomized ovarian carcinoma cohort may be randomly assigned to receive PHST001 in combination with mirvetuximab soravtansine. |
| PHST001 + Trastuzumab Deruxtecan | Experimental | Biological: PHST001, Biological: Trastuzumab DeruxtecanParticipants will receive PHST001 in combination with trastuzumab deruxtecan. The combination will initially be evaluated in a Phase 1b safety run-in group. Following safety clearance, the combination may be evaluated in participants with advanced or metastatic breast cancer and/or in the biomarker cohort. |
| Mirvetuximab Soravtansine Monotherapy | Active comparator | Biological: Mirvetuximab SoravtansineParticipants with ovarian carcinoma enrolled in the randomized Phase 1b expansion cohort will be randomized 1:1 to receive mirvetuximab soravtansine monotherapy or mirvetuximab soravtansine in combination with PHST001. Participants assigned to this arm will receive mirvetuximab soravtansine monotherapy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically or cytologically confirmed advanced solid tumor which has relapsed from or been refractory to all locally available standard therapies.
- Adequate organ function per laboratory testing
- Pregnancy prevention requirements
- Measurable disease per RECIST v1.1 (or RANO) as assessed by the local site Investigator/radiology
- Performance status of 0 or 1 on Eastern Cooperative Oncology Group (ECOG) scale
Key exclusion criteria (6 listed)
- Diagnosis of immunodeficiency
- History of a previous additional malignancy, unless potentially curative treatment has been completed, with no evidence of malignancy for 2 years. Participants with basal cell carcinoma of the skin, Stage I melanoma, melanoma in situ, squamous cell carcinoma of the skin, early-stage prostate cancer, low grade neoplasms, or carcinoma in situ, excluding carcinoma in situ of the bladder, who have undergone potentially curative therapy are not excluded and can be enrolled regardless of disease-free period following completion of potentially curative therapy. Participants with early-stage breast cancer who have undergone curative intent treatment and with no disease recurrence for 2 years after treatment are not excluded.
- Active known CNS metastases and/or carcinomatous meningitis from a systemic (non-CNS) primary malignancy. Participants with previously treated CNS metastases are eligible, provided they are radiologically and clinically stable (i.e., no evidence of progression for at least 2 weeks by repeat imaging performed during screening) and are not requiring systemic corticosteroids above the physiologic replacement for at least 7 days prior to the first dose of study treatment.
- Received prior systemic anticancer therapy including investigational agents within 21 days or, if shorter, within 5 half-lives prior to the first dose of study treatment. Participants must have recovered from all AEs due to previous therapies to Grade ≤1 or baseline. Participants with Grade ≤2 neuropathy may be eligible. Participants with endocrine-related AEs Grade ≤2 requiring treatment or hormone replacement may be eligible.
- Prior autologous or allogeneic hematopoietic stem cell transplant or solid organ transplant.
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 |
|---|---|---|
| PHST001PHST001 is an anti-CD24 macrophage checkpoint inhibitor, administered as IV infusions every 3-weeks (Q3W) dosing intervals. | Biological | PHST001 + Doxorubicin, PHST001 + FOLFIRI, PHST001 + FOLFOX, PHST001 + Gemcitabine, PHST001 + Mirvetuximab Soravtansine, PHST001 + Paclitaxel, PHST001 + Topotecan, PHST001 + Trastuzumab Deruxtecan, PHST001 Monotherapy |
| PaclitaxelAlso: TaxolPaclitaxel used as per standard of care. | Drug | PHST001 + Paclitaxel |
| TopotecanAlso: HycamtinTopotecan used as per standard of care. | Drug | PHST001 + Topotecan |
| DoxorubicinAlso: AdriamycinDoxorubicin used as per standard of care. | Drug | PHST001 + Doxorubicin |
| FOLFIRIAlso: folinic acid (leucovorin), fluorouracil (5-FU), and irinotecan combinationFOLFIRI used as per standard of care. | Drug | PHST001 + FOLFIRI |
| FOLFOXAlso: folinic acid (leucovorin), fluorouracil (5-FU), and oxaliplatin combinationFOLFOX used as per standard of care. | Drug | PHST001 + FOLFOX |
| GemcitabineAlso: GemzarGemcitabine used as per standard of care. | Drug | PHST001 + Gemcitabine |
| Mirvetuximab SoravtansineAlso: MIRV, ElahereMirvetuximab soravtansine used as per standard of care. | Biological | Mirvetuximab Soravtansine Monotherapy, PHST001 + Mirvetuximab Soravtansine |
| Trastuzumab DeruxtecanAlso: T-DXd, EnhertuTrastuzumab deruxtecan used as per standard of care. | Biological | PHST001 + Trastuzumab Deruxtecan |
Primary outcome
Frequency of Dose-Limiting Toxicities (DLTs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From first dose of PHST001 through 21 days after the first dose of PHST001
Based on toxicities observed
Frequency of Serious Adverse Events (SAEs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From signed consent up to 90 days after the last dose of PHST001
Based on toxicities observed
Frequency of Treatment Emergent Adverse Events (TEAEs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From first dose up to 90 days after the last dose of PHST001
Based on toxicities observed
Frequency of Treatment Related Adverse Events (TRAEs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From first dose up to 90 days after the last dose of PHST001
Based on toxicities observed
Frequency of Adverse Events of Special Interest (AESIs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From first dose up to 90 days after the last dose of PHST001
Based on toxicities observed
Frequency of AEs Leading to Dose Interruption or Treatment Discontinuation and AEs Leading to Death to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From first dose up to 90 days after the last dose of PHST001
Based on toxicities observed
Overall Response Rate (ORR) based on RECIST v1.1 to assess the preliminary antitumor activity of PHST001 in combination with anticancer therapy (Phase 1b non-randomized cohorts only)
Time frame: From screening and during treatment up to 2 years
Defined as the proportion of subjects with confirmed complete response (CR) or partial response (PR); a confirmed response is a response that persists on repeat-imaging ≥ 4 weeks after initial documentation of response.
Progression-Free Survival (PFS) based on RECIST v1.1 to assess the preliminary antitumor activity of PHST001 in combination with anticancer therapy (Phase 1b randomized cohort only)
Time frame: From screening and during treatment up to 2 years
Defined as the time from first dose of PHST001 to first documentation of radiographic disease progression or death, whichever occurs first.
12 secondary outcomes
Overall Response Rate (ORR) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b - randomized cohort only)
Time frame: From screening and during treatment up to 2 years
Duration of Response (DOR) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b)
Time frame: From screening and during treatment up to 2 years
Best Overall Response (BOR) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b)
Time frame: From screening and during treatment up to 2 years
Progression-Free Survival (PFS) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b - non-randomized cohorts only) .
Time frame: From screening and during treatment up to 2 years
Overall Survival (OS) based on RECIST v1.1 (or RANO for primary CNS Tumors) to assess the preliminary antitumor activity of PHST001 as monotherapy (Phase 1a) and in combination with anticancer therapy (Phase 1b).
Time frame: From screening and during treatment up to 2 years
Maximum Observed Concentration (Cmax) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b).
Time frame: From treatment until 90 days after last dose of PHST001
Time to Maximum Concentration (tmax) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From treatment until 90 days after last dose of PHST001
Concentration at the End of a Dosing Interval (Ctrough) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From treatment until 90 days after last dose of PHST001
Area Under the Concentration-time Curve (AUC) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From treatment until 90 days after last dose of PHST001
Volume of Distribution at Steady-state (Vss) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From treatment until 90 days after last dose of PHST001
Clearance (CL) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From treatment until 90 days after last dose of PHST001
Terminal Elimination Half-life (t½) to characterize the serum PK of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b)
Time frame: From treatment until 90 days after last dose of PHST001
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Oct 2026.
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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.
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing PHST001, Paclitaxel and Topotecan in people with Advanced Solid Tumors and Ovarian Cancer, run by Pheast Therapeutics at 20 sites in United States.
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 5 inclusion and 6 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 5 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 20 sites in 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 Raphaël Rousseau, Chief Medical Officer, PhD, MD (650-260-8443, medical@pheast.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency of Dose-Limiting Toxicities (DLTs) to assess the safety and tolerability of PHST001 as monotherapy (Phase 1a) or in combination with anticancer therapy (Phase 1b) (time frame: From first dose of PHST001 through 21 days after the first dose of PHST001). The study lists 8 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 5 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.