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Advanced Malignant Solid NeoplasmPhase 1NCT07189195

TR-002 for the Treatment of Advanced Unresectable Metastatic Solid Tumors Unresectable or Metastatic, Refractory Pancreatic Adenocarcinoma

A Phase 1 study testing TR-002 in people with Advanced Malignant Solid Neoplasm and Metastatic Malignant Solid Neoplasm, run by University of California, Davis at 1 site in United States.

Recruiting

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

Sites and contacts
Official record
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Trial summary

This phase I trial tests the safety, side effects and best dose of TR-002 for the treatment of solid tumors that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced), that cannot be removed by surgery (unresectable), that has spread from where it first… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TR-002
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
52 participants
Where
1 siteUnited States
Study dates
7 Nov 2025to 7 Feb 2030
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

  • Aged 18 or over at the time of consent
  • Pathology or histology-confirmed metastatic or unresectable solid tumor for which standard systemic treatments are no longer effective or not tolerated
  • For the expansion cohort, participants must have pathology or histology-confirmed metastatic or unresectable pancreatic adenocarcinoma that is refractory and/or intolerant to all standard-of-care systemic treatments (including gemcitabine, nab-paclitaxel, fluoropyrimidine, oxaliplatin, and irinotecan)
  • Participants in dose escalation may have measurable and/or non-measurable disease. Imaging for disease assessment of measurable and non-measurable disease must be completed within 28 days prior to registration. Participants in dose expansion must have measurable disease per Response Evaluation Criteira in Solid Tumors (RECIST) 1.1
  • Adequate cardiac function, assessed by multiple-gated acquisition (MUGA) scan or echocardiography (left ventricular ejection fraction of > 50%)
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
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  • Absolute neutrophil count ≥ 1,000/mcL
  • Platelets ≥ 75,000/mcL
  • Hemoglobin ≥ 8g/dL
  • Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (< 3 x ULN in patients with known Gilberts)
  • Aspartate aminotransferase (AST)(serum glutamic oxaloacetic transaminase [SGOT])/ alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase [SGPT]) ≤ 3 × institutional ULN (< 5 x ULN in patients with known liver metastases)
  • Creatinine ≤ 1.5 x institutional ULN OR glomerular filtration rate (GFR) ≥ 60 mL/min/1.73 m^2
  • For people of reproductive potential: use of highly effective contraception for at least 1 month prior to enrollment and agreement to use such a method through 3 months following the last dose of study treatment
  • Provision of signed and dated informed consent form
  • Stated willingness to comply with all study procedures and availability for the duration of the study

Who cannot join

  • Lactating or pregnant patients or patients of reproductive potential not willing to use effective methods of contraception
  • Clinically significant toxicities from most recent therapy or intervention prior to study enrollment that have not resolved to baseline or grade 1 (exceptions include alopecia and grade 2 sensory neuropathy)
  • Participant with a history of the following significant cardiovascular disease will be excluded:
  • Participant has a history of myocardial infarction or unstable angina within 6 months prior to day 1.
  • Participant has New York Heart Association (NYHA) Class II or greater congetive heart failure (CHF).
  • History of cerebrovascular accident (CVA) or transient ischemic attack (TIA) within 6 months prior to study treatment.
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  • Participant has cardiac arrhythmia, complete left bundle branch block, obligate use of a cardiac pacemaker, long QT syndrome or right bundle branch block with left anterior hemiblock (bifascicular block).
  • History of congenital long QT syndrome or prolonged corrected QT interval (QTc) > 470 msec for females and males using Fridericia's formula (unless a pacemaker is in place or additional clinically non-significant condition such as bundle-branch block necessitating use of an alternate formula per cardiologist calculation) or uncorrectable abnormalities in serum electrolytes (i.e., sodium, potassium, calcium, magnesium, phosphorus). An average of triplicate readings for assessing QTc interval may be used
  • Active bacterial, fungal, and viral infection, as documented by positive culture, radiological imaging techniques, septic fever, or septic shock symptoms
  • Known hypersensitivity to 4-aminoquinolone compounds
  • Retinal or visual field changes of any etiology
  • History of psoriasis
  • History of porphyria
  • Known glucose-6-phosphate dehydrogenase (G6PD) deficiency
  • History of seizure disorder
  • Any other condition that could compromise the subject's safety or put the study outcomes at undue risk

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Office of Clinical Research contact

916-382-6970

OCRReferral@health.ucdavis.edu

United States1 site, 1 recruiting
  • University of California Davis Comprehensive Cancer Center

    Sacramento, California, 95817

    Office of Clinical Research, 916-382-6970, OCRReferral@health.ucdavis.edu

    Edward J. Kim, MD, PhD

    Recruiting

Other trials in United States

About this study

Official title: A Phase 1 Study of Bisaminoquinoline Derivative (TR-002) for Injection for Advanced Treatment-Refractory Solid Tumors

This phase I trial tests the safety, side effects and best dose of TR-002 for the treatment of solid tumors that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced), that cannot be removed by surgery (unresectable), that has spread from where it first started (primary site) to other places in the body (metastatic) and unresectable or metastatic pancreatic adenocarcinoma that does not respond to treatment (refractory). Chemotherapy drugs, such as TR-002, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. TR-002 may be safe and tolerable in treating patients with advanced, unresectable or metastatic solid tumors and unresectable or metastatic, refractory pancreatic adenocarcinoma.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To determine the maximum tolerated dose (MTD), which will also be the recommended phase 2 dose (RP2D) of Nadofaragene Firadenovec (TR-002) for the treatment of advanced treatment-refractory solid tumors.

II. To evaluate the toxicities of TR-002 administered intravenous weekly.

SECONDARY OBJECTIVES:

  1. To obtain preliminary assessment of anti-tumor activity of TR-002 administered intravenous weekly at the RP2D.

II. To evaluate the pharmacokinetics of TR-002 administered intravenous weekly.

EXPLORATORY OBJECTIVE:

  1. To assess the effects of TR-002 on pharmacodynamic biomarkers relating to the mechanism of action.

OUTLINE: This is a dose-escalation study of TR-002 followed by a dose-expansion study.

Patients receive TR-002 intravenously (IV), over 1 hour, on days 1, 8, 15 and 22 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo echocardiography or multigated acquisition (MUGA) scan during screening and undergo computed tomography (CT) scan, magnetic resonance imaging (MRI), tumor biopsy and blood sample collection throughout the study.

After completion of study treatment, patients are followed up at 30 days and every 60 days for 1 year.

Being tested
TR-002
Medical subject headings
Neoplasm Metastasis, Pancreatic Neoplasms

What participants receive

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

  • TR-002Drug

    Also called Bisaminoquinoline Derivative

    Weekly intravenous infusion

Study groups in NCT07189195
Study groupRoleWhat they receive
Treatment (TR-002)ExperimentalPatients receive TR-002 IV, over 1 hour, on days 1, 8, 15 and 22 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo echocardiography or MUGA scan during screening and undergo CT scan, MRI, tumor biopsy and blood sample collection throughout the study.
Receives: Drug: TR-002

What is being measured

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

  1. Incidence of dose limiting toxicity (DLTs)

    The proportion of DLTs at each dose level will be reported with exact binomial 95% confidence intervals.

    Measured: From first dose of TR-002 to day 28

  2. Number of participants experiencing treatment-related adverse events

    Classified by severity, and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0.

    Measured: From first dose of TR-002 to 90 days following the last dose

Secondary outcomes (9)
  1. Objective response rate (ORR)

    Defined as the proportion of eligible subjects who have a complete response or partial response using Response Evaluation Criteria in Solid Tumors version 1.1 criteria. Estimate for ORR will be provided, along with exact 2-sided 95% confidence interval.

    Measured: From the first dose of TR-002 up to 1 year post last dose

  2. Progression free survival

    Will estimate median survival times together with their 95% confidence intervals with the Kaplan-Meier method, and report number of events.

    Measured: From the date of enrollment until the first occurrence of disease progression, or death from any cause, whichever occurs earlier, up to 1 year post last dose

  3. Overall survival

    Will estimate median survival times together with their 95% confidence intervals with the Kaplan-Meier method, and report number of events.

    Measured: From the date of enrollment until death from any cause, up to 1 year post last dose

  4. Steady state through concentrations in serum

    Steady state through concentrations will be calculated using non-compartmental or compartmental PK methods, and will be compared across dose levels using non-parametric statistical testing techniques.

    Measured: Within 15 minutes prior to Cycle 1 Day 1 infusion, end of Cycle 1 Day 15 infusion, and 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 24 hours post-Cycle 1 Day 15 infusion

  5. Peak Plasma Concentration (Cmax)

    Peak Plasma Concentration (Cmax) will be calculated using non-compartmental or compartmental PK methods, and will be compared across dose levels using non-parametric statistical testing techniques.

    Measured: Within 15 minutes prior to Cycle 1 Day 1 infusion, end of Cycle 1 Day 15 infusion, and 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 24 hours post-Cycle 1 Day 15 infusion

  6. Area under the serum concentration

    Area under the plasma concentration versus time curve (AUC) will be calculated using non-compartmental or compartmental PK methods, and will be compared across dose levels using non-parametric statistical testing techniques.

    Measured: Within 15 minutes prior to Cycle 1 Day 1 infusion, end of Cycle 1 Day 15 infusion, and 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 24 hours post-Cycle 1 Day 15 infusion

  7. Half-life

    Half-life will be calculated using non-compartmental or compartmental PK methods, and will be compared across dose levels using non-parametric statistical testing techniques.

    Measured: Within 15 minutes prior to Cycle 1 Day 1 infusion, end of Cycle 1 Day 15 infusion, and 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 24 hours post-Cycle 1 Day 15 infusion

  8. Apparent clearance/bioavailability

    Apparent clearance/bioavailability will be calculated using non-compartmental or compartmental PK methods, and will be compared across dose levels using non-parametric statistical testing techniques.

    Measured: Within 15 minutes prior to Cycle 1 Day 1 infusion, end of Cycle 1 Day 15 infusion, and 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 24 hours post-Cycle 1 Day 15 infusion

  9. Apparent volume of distribution

    Apparent volume of distribution will be calculated using non-compartmental or compartmental PK methods, and will be compared across dose levels using non-parametric statistical testing techniques

    Measured: Within 15 minutes prior to Cycle 1 Day 1 infusion, end of Cycle 1 Day 15 infusion, and 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 24 hours post-Cycle 1 Day 15 infusion

Timeline

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

  1. First posted23 Sep 2025
  2. Study start7 Nov 2025
  3. Primary completion7 Nov 2029 (estimated)
  4. Study completion7 Feb 2030 (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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
52 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07189195
Sponsor's protocol ID
UCDCC305
Other IDs
NCI-2025-06181, UCDCC305, P30CA093373
Status last verified
Jun 2026
First submitted
9 Sep 2025
Last updated
16 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Mahri S, Tang M, Zong Q, Kim EJ, Lin TY, Li Y. Towards the clinical translation of a novel autophagy inhibitor: Bisaminoquinoline derivative nanoparticles. Biomaterials. 2026 Dec;335:124361. doi: 10.1016/j.biomaterials.2026.124361. Epub 2026 Jun 2.

    PubMed 42247927

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TR-002 in people with Advanced Malignant Solid Neoplasm and Metastatic Malignant Solid Neoplasm, run by University of California, Davis at 1 site 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 15 inclusion and 16 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 16 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 1 site 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 Office of Clinical Research (916-382-6970, OCRReferral@health.ucdavis.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of dose limiting toxicity (DLTs) (time frame: From first dose of TR-002 to day 28). The study lists 2 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 NCT07189195, 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 16 Jul 2026.

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