Advanced Solid TumorsPhase 1NCT06959706
Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of TGW101 in Participants With Advanced Solid Tumors
A Phase 1 study testing TGW101 in people with Advanced Solid Tumors, run by Tagworks Pharmaceuticals BV at 7 sites in United States.
Trial summary
The primary objectives of this study are to evaluate the safety and tolerability of TGW101 and determine the recommended dosing regimen(s) for further study. The secondary objectives are to assess pharmacokinetics and preliminary antitumor activity. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Tumors
- What is being tested?
- TGW101
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 7 sitesUnited States
- Study dates
- 7 May 2025to Dec 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
- Written informed consent prior to any study procedures.
- Males or females 18 years or older.
- Histologically or cytologically confirmed diagnosis of a solid tumor malignancy listed below and have evidence of disease progression on or after (within 3 months of discontinuation) the most recent treatment regimen:
- Endometrial cancer.
- Esophageal, adenocarcinoma only.
- Gastric/gastroesophageal junction (GEJ).
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- Non-small cell lung cancer, adenocarcinoma only.
- Ovarian.
- Refractory disease, intolerance to, or documented refusal of available standard therapy(ies) known to provide clinical benefit for the participant's solid tumor malignancy per Investigator judgment.
- At least 1 measurable lesion per RECIST v1.1 except for participants with bone-only metastatic disease.
- Biopsy pretreatment; if not possible, archival tissue block (preferred) or unstained formalin-fixed paraffin-embedded slides required.
- Eastern Cooperative Oncology Group Performance Status 0-1.
- Life expectancy of > 3 months in the opinion of the Investigator.
- Adequate hepatic, hematologic, and renal function.
Who cannot join
- Active second malignancy or history of another malignancy within the last 2 years, with the exception of: treated non-melanoma skin cancers; treated carcinoma in situ (e.g., breast and cervix); controlled superficial carcinoma of the urinary bladder; T1a or b carcinoma of the prostate; papillary thyroid carcinoma Stage I treated surgically for cure.
- Known symptomatic brain metastases.
- Significant cardiovascular disease within 6 months prior to starting study drug.
- Evidence of an active systemic bacterial, fungal, or viral infection requiring treatment.
- Grade ≥ 2 peripheral neuropathy.
- Major surgery within 4 weeks prior to starting study drug.
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- Prior solid organ or bone marrow progenitor cell transplantation.
- Prior high-dose chemotherapy requiring stem cell rescue.
- Anticancer therapy within 28 days or within 5 half-lives (whichever is shorter) prior to starting study drug.
- Palliative radiation therapy within 14 days prior to starting study drug.
- Live vaccine within 28 days prior to starting study drug.
- Pregnant or a breastfeeding postpartum female.
Trial locations and contacts
7 sites in 1 country. Contact the study team or a site near you to ask about taking part.
7 sites in 1 country
United States7 sites, 7 recruiting
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
- Recruiting
NEXT Virginia
Fairfax, Virginia, 22031
- Recruiting
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
- Recruiting
NEXT Dallas
Irving, Texas, 75039
- Recruiting
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
- Recruiting
NEXT San Antonio
San Antonio, Texas, 78229
- Recruiting
Honor Health
Scottsdale, Arizona, 85258
About this study
Official title: Phase 1, First-in-Human, Open-Label Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of TGW101 in Patients With Advanced Solid Tumors
The primary objectives of this study are to evaluate the safety and tolerability of TGW101 and determine the recommended dosing regimen(s) for further study. The secondary objectives are to assess pharmacokinetics and preliminary antitumor activity.
- Conditions
- Advanced Solid Tumors
- Being tested
- TGW101
- Keywords
- Antibody-drug conjugates, Carcinoma, TGW101, TGW101-ADC, TRG001, TAG-72, Cancer
- Medical subject headings
- Carcinoma, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TGW101Drug
TGW101 is a combination product comprising a chemically cleavable diabody drug conjugate (TGW101-ADC) and a corresponding small molecule chemical trigger (TRG001) administered separately.
| Study group | Role | What they receive |
|---|---|---|
| TGW101: Dose Escalation Cohorts | Experimental | Escalating doses of TGW101-anti-drug conjugate (ADC) will be administered via intravenous (IV) infusion followed by administration of TRG001. The treatment period continues until a reason for permanent discontinuation of treatment occurs. Receives: Drug: TGW101 |
| TGW101: Enrichment Cohorts | Experimental | During Dose Escalation, additional participants may be enrolled to permit further evaluation of TGW101 to support selection of the optimal recommended dosing regimen(s) for expansion (RDE[s]). At the discretion of the Safety Oversight Committee (SOC), enrollment in enrichment cohorts may be limited to specific tumor type(s) based on assessment of clinical activity by the Sponsor in the dose escalation portion, and other nonclinical, translational, and clinical data. Receives: Drug: TGW101 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants Experiencing Adverse Events (AEs)
Measured: Up to approximately 10 months
Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
Measured: Up to Day 28
Number of Participants Experiencing Cycle Delay
Measured: Up to approximately 10 months
Number of Participants Experiencing Dose Reduction
Measured: Up to approximately 10 months
RDE of TGW101
Measured: Up to approximately 10 months
Secondary outcomes (15)
Area Under the Concentration-time Curve From Time Zero to the Last Quantifiable Concentration (AUClast) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Area Under the Concentration-time Curve From Time Zero to the end of the Dosing Interval (AUCtau) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Maximum Concentration (Cmax) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Trough Concentration (Ctrough) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Time to Maximum Concentration (Tmax) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Apparent Terminal Elimination Half-life (t1/2) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Steady-state Volume of Distribution (Vss) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Clearance (CL) of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Accumulation Index of TGW101-ADC and TRG001
Measured: Up to approximately 10 months
Overall Response Rate (ORR)
Measured: Up to approximately 10 months
Duration of Response (DOR)
Measured: Up to approximately 10 months
Progression-free Survival (PFS)
Measured: Up to approximately 10 months
Overall Survival (OS)
Measured: Up to approximately 10 months
Number of Participants Experiencing Antidrug Antibodies (ADAs) Against TGW101-ADC
Measured: Up to approximately 10 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2025
- Study start7 May 2025
- Primary completionOct 2027 (estimated)
- Study completionDec 2027 (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
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 90 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Tagworks Pharmaceuticals BV
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06959706
- Sponsor's protocol ID
- TGW101-101
- Status last verified
- Oct 2026
- First submitted
- 28 Apr 2025
- Last updated
- 2 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 1, First-in-Human, Open-Label Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of TGW101 in Patients With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT06959706
- Acronym / sponsor ID
- TGW101-101
- Conditions
- Advanced Solid Tumors
- Keywords
- Antibody-drug conjugates, Carcinoma, TGW101, TGW101-ADC, TRG001, TAG-72, Cancer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 90 participants (estimated)
- Lead sponsor
- Tagworks Pharmaceuticals BVIndustry (pharma, biotech, devices)
- Study start
- 7 May 2025 (actual)
- Primary completion
- Oct 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 6 May 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.
The primary objectives of this study are to evaluate the safety and tolerability of TGW101 and determine the recommended dosing regimen(s) for further study. The secondary objectives are to assess pharmacokinetics and preliminary antitumor activity.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| TGW101: Dose Escalation Cohorts | Experimental | Drug: TGW101Escalating doses of TGW101-anti-drug conjugate (ADC) will be administered via intravenous (IV) infusion followed by administration of TRG001. The treatment period continues until a reason for permanent discontinuation of treatment occurs. |
| TGW101: Enrichment Cohorts | Experimental | Drug: TGW101During Dose Escalation, additional participants may be enrolled to permit further evaluation of TGW101 to support selection of the optimal recommended dosing regimen(s) for expansion (RDE[s]). At the discretion of the Safety Oversight Committee (SOC), enrollment in enrichment cohorts may be limited to specific tumor type(s) based on assessment of clinical activity by the Sponsor in the dose escalation portion, and other nonclinical, translational, and clinical data. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Written informed consent prior to any study procedures.
- Males or females 18 years or older.
- Histologically or cytologically confirmed diagnosis of a solid tumor malignancy listed below and have evidence of disease progression on or after (within 3 months of discontinuation) the most recent treatment regimen:
- Refractory disease, intolerance to, or documented refusal of available standard therapy(ies) known to provide clinical benefit for the participant's solid tumor malignancy per Investigator judgment.
- At least 1 measurable lesion per RECIST v1.1 except for participants with bone-only metastatic disease.
Key exclusion criteria (12 listed)
- Active second malignancy or history of another malignancy within the last 2 years, with the exception of: treated non-melanoma skin cancers; treated carcinoma in situ (e.g., breast and cervix); controlled superficial carcinoma of the urinary bladder; T1a or b carcinoma of the prostate; papillary thyroid carcinoma Stage I treated surgically for cure.
- Known symptomatic brain metastases.
- Significant cardiovascular disease within 6 months prior to starting study drug.
- Evidence of an active systemic bacterial, fungal, or viral infection requiring treatment.
- Grade ≥ 2 peripheral neuropathy.
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 |
|---|---|---|
| TGW101TGW101 is a combination product comprising a chemically cleavable diabody drug conjugate (TGW101-ADC) and a corresponding small molecule chemical trigger (TRG001) administered separately. | Drug | TGW101: Dose Escalation Cohorts, TGW101: Enrichment Cohorts |
Primary outcome
Number of Participants Experiencing Adverse Events (AEs)
Time frame: Up to approximately 10 months
Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
Time frame: Up to Day 28
Number of Participants Experiencing Cycle Delay
Time frame: Up to approximately 10 months
Number of Participants Experiencing Dose Reduction
Time frame: Up to approximately 10 months
RDE of TGW101
Time frame: Up to approximately 10 months
15 secondary outcomes
Area Under the Concentration-time Curve From Time Zero to the Last Quantifiable Concentration (AUClast) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Area Under the Concentration-time Curve From Time Zero to the end of the Dosing Interval (AUCtau) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Maximum Concentration (Cmax) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Trough Concentration (Ctrough) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Time to Maximum Concentration (Tmax) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Apparent Terminal Elimination Half-life (t1/2) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Steady-state Volume of Distribution (Vss) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Clearance (CL) of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Accumulation Index of TGW101-ADC and TRG001
Time frame: Up to approximately 10 months
Overall Response Rate (ORR)
Time frame: Up to approximately 10 months
Duration of Response (DOR)
Time frame: Up to approximately 10 months
Progression-free Survival (PFS)
Time frame: Up to approximately 10 months
Overall Survival (OS)
Time frame: Up to approximately 10 months
Number of Participants Experiencing Antidrug Antibodies (ADAs) Against TGW101-ADC
Time frame: Up to approximately 10 months
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 2 Nov 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
7 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 TGW101 in people with Advanced Solid Tumors, run by Tagworks Pharmaceuticals BV at 7 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 14 inclusion and 12 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 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 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 Tagworks Pharmaceuticals (Please email, clinicaltrials@tagworkspharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants Experiencing Adverse Events (AEs) (time frame: Up to approximately 10 months). The study lists 5 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 2 Nov 2026.