Clinical trial • Phase I/II • Oncology
RPTR-1-201 for Advanced solid tumor
Phase I/II trial of RPTR-1-201 for Advanced solid tumor. adaptive. 52 participants.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Advanced solid tumor
- Trial Stage
- Phase I/II
- Drug Modality
- Bispecific antibody|Monoclonal antibody
Key dates
- Initial CTIS Submission Date
- 07-01-2026
- First CTIS Authorization Date
- 17-03-2026
Trial design
adaptive Phase I/II trial in Spain.
- Adaptive
- True, Dose-escalation elements: evaluation of dose-limiting toxicities to assess safety and determine dose escalation/tolerability
- Biomarker Stratified
- True, biomarker: HLA (HLA testing as confirmed by central review); strata: not specified
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 52
- Trial Duration For Participant
- 974
Eligibility
Recruits 52 adults.
Inclusion criteria
- {"criterion_text":"- 1. ≥ 18 years old on day of signing informed consent\n- 2. HLA testing as confirmed by central review\n- 3. Histologically or cytologically confirmed locally advanced or metastatic solid tumors that is not amenable to curative treatment\n- 4. Participants must have documented radiographic or symptomatic disease progression following receipt of prior standard-of-care therapy for advanced/metastatic disease, and must have no available treatment options that, in the judgment of the Investigator, would be expected to confer clinical benefit or survival advantage.\n- 5. Participants must have received limited prior lines of systemic therapy for advanced or metastatic disease. Prior therapies must have included standard -of-care regimens if the participant was eligible to receive them, based on tumor type, molecular status, and clinical practice guidelines at the time of treatment.\n- 6. At least one measurable lesion per RECIST v1.1 as assessed by the investigator.\n- 7. Adequate organ function as defined in the trial protocol\n- 8. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1\n- 9. Willing and able to comply with contraceptive guidelines"}
Exclusion criteria
- {"criterion_text":"- 1. Active leptomeningeal disease or uncontrolled, untreated brain metastasis.\n- 2. Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (recurrence ≤ 14 days after intervention).\n- 3. Participant received systemic anti-cancer therapy or radiotherapy within 2 weeks prior to start of investigational product\n- 4. Participant with a known additional malignancy that is progressing or has required active treatment in the last three years.\n- 5. Participants with toxicities (as a result of prior anticancer therapy) which have not recovered to baseline or stabilized.\n- 6. Administered a live vaccine ≤ 28 days before first dose of investigational product\n- 7. Concurrent participation in another therapeutic clinical trial\n- 8. Any medical condition, including alcohol or drug abuse or dependence that would, in the Investigator’s or Sponsor’s assessment, prevent the participant’s participation due to safety concerns, compliance with trial procedure or interpretation of results."}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1. Phase 1: Number of participants with dose-limiting toxicities and treatment-emergent adverse events.","definition_or_measurement_approach":"Count of participants with dose-limiting toxicities (DLTs) and treatment-emergent adverse events (TEAEs) during Phase 1"}
- {"endpoint_text":"- 2. Phase 2: Objective Response Rate (ORR) per RECIST v1.1","definition_or_measurement_approach":"Objective Response Rate measured per RECIST v1.1"}
Secondary endpoints
- {"endpoint_text":"- 1. All Phases: Incidence and severity of adverse events, including immune-related adverse events, and abnormal safety assessments (clinical laboratory tests, ECGs, vital signs)","definition_or_measurement_approach":"Incidence and severity grading of adverse events and abnormal safety assessments (laboratory tests, ECGs, vital signs)"}
- {"endpoint_text":"- 2. Phase1: Characterization of the pharmacokinetic profile of RPTR-1-201 (for example, maximum observed concentration and exposure over time), initial pharmacodynamics, and incidence of anti-drug antibodies","definition_or_measurement_approach":"PK parameters (e.g., Cmax, exposure over time), PD measurements, and incidence of anti-drug antibodies"}
- {"endpoint_text":"- 3. Phase1: ORR and best overall response (BOR: CR, PR, stable disease [SD], or progressive disease [PD]) by RECIST v1.1 and iRECIST","definition_or_measurement_approach":"ORR and BOR classification per RECIST v1.1 and iRECIST"}
- {"endpoint_text":"- 4. Phase 1: Duration of response (DOR) by RECIST v1.1 and iRECIST","definition_or_measurement_approach":"Duration from first documented response to progression or death per RECIST v1.1 and iRECIST"}
- {"endpoint_text":"- 5. Phase 1: Disease control rate (CR+PR+SD)","definition_or_measurement_approach":"Proportion of participants achieving CR, PR, or SD"}
- {"endpoint_text":"- 6. Phase 1 and 2: PFS and TTR by RECIST v1.1 and iRECIST","definition_or_measurement_approach":"Progression-free survival and time to response assessed per RECIST v1.1 and iRECIST"}
- {"endpoint_text":"- 7. Phase 2: Overall survival (OS)","definition_or_measurement_approach":"Time from randomization/enrollment (as defined in protocol) to death from any cause"}
Recruitment
- Planned Sample Size
- 52
- Recruitment Window Months
- 31
- Consent Approach
- Participants aged ≥18 provide informed consent. Subject information and informed consent form documents are listed (Spanish versions present: e.g. L1_SIS and ICF_Main Phase 1_ES_redacted, L1_SIS and ICF_Pre-Screening_ES_redacted). Specific assent or multilingual details not provided in the available data.
Geography
- Total Number Of Sites
- 8
- Total Number Of Participants
- 52
Spain
- Earliest CTIS Part Ii Submission Date
- 26-01-2026
- Latest Decision Or Authorization Date
- 17-03-2026
- Processing Time Days
- 50
- Number Of Sites
- 8
- Number Of Participants
- 52
Sites
- Site Name
- Hospital Universitario Hm Sanchinarro
- Department Name
- CIOCC Phase I trials
- Principal Investigator Name
- Emiliano Calvo Aller
- Principal Investigator Email
- emiliano.calvo@startmadrid.com
- Contact Person Name
- Emiliano Calvo Aller
- Contact Person Email
- emiliano.calvo@startmadrid.com
- Site Name
- Fundacion Rioja Salud
- Department Name
- Centro de Investigación Biomédica de La Rioja
- Principal Investigator Name
- Maria de Miguel
- Principal Investigator Email
- maria.demiguel@startrioja.com
- Contact Person Name
- Maria de Miguel
- Contact Person Email
- maria.demiguel@startrioja.com
- Site Name
- Clinica Universidad De Navarra
- Department Name
- Medical Oncology
- Principal Investigator Name
- Ana Landa Magdalena
- Principal Investigator Email
- alandam@unav.es
- Contact Person Name
- Ana Landa Magdalena
- Contact Person Email
- alandam@unav.es
- Site Name
- Clinica Universidad De Navarra
- Department Name
- Medical Oncology
- Principal Investigator Name
- Ana Landa Magdalena
- Principal Investigator Email
- alandam@unav.es
- Contact Person Name
- Ana Landa Magdalena
- Contact Person Email
- alandam@unav.es
- Site Name
- Hospital Clinico Universitario De Valencia
- Department Name
- Medical Oncology
- Principal Investigator Name
- Desamparados Roda Perez
- Principal Investigator Email
- droda@incliva.es
- Contact Person Name
- Desamparados Roda Perez
- Contact Person Email
- droda@incliva.es
- Site Name
- Hospital Hm Nou Delfos
- Department Name
- Oncology
- Principal Investigator Name
- Tatiana Hernandez Guerrero
- Principal Investigator Email
- Tatiana.hernandez@start-barcelona.com
- Contact Person Name
- Tatiana Hernandez Guerrero
- Contact Person Email
- Tatiana.hernandez@start-barcelona.com
- Site Name
- Hospital Universitario Fundacion Jimenez Diaz
- Department Name
- Oncology
- Principal Investigator Name
- Victor Moreno Garcia
- Principal Investigator Email
- victor.moreno@startmadrid.com
- Contact Person Name
- Victor Moreno Garcia
- Contact Person Email
- victor.moreno@startmadrid.com
- Site Name
- Clinica Universidad De Navarra
- Department Name
- Medical Oncology
- Principal Investigator Name
- Ana Landa Magdalena
- Principal Investigator Email
- alandam@unav.es
- Contact Person Name
- Ana Landa Magdalena
- Contact Person Email
- alandam@unav.es
Sponsor
Primary sponsor
- Full Name
- Repertoire Immune Medicines Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Precision for Medicine (HU) Kft.
- Responsibilities
- Feasibility, Site Contract, Study Start-Up, Clinical Operations, Consulting services for Medical; Remote monitoring, e-TMF; regulatory support
- Name
- Precision For Medicine Inc.
- Responsibilities
- Sample storage, Sample Isolation/Processing, Kit Production, Sample Testing, repository services
- Name
- Almac Clinical Services Limited
- Responsibilities
- Drug warehouse, labeling (if required) and supply to all countries
Third parties
- {"country":"United States","full_name":"Immunologix","duties_or_roles":"sponsorDuties codes: [4]; contact email: asullivan@immunologixlabs.com","organisation_type":"Health care"}
- {"country":"United States","full_name":"Guardant Health Inc.","duties_or_roles":"sponsorDuties codes: [4]; contact email: Treeves@guardanthealth.com","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United Kingdom","full_name":"DLRC Limited","duties_or_roles":"sponsorDuties codes: [12]; contact email: abhay.patil@dlrcgroup.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Transperfect Translations International Inc.","duties_or_roles":"sponsorDuties codes: [15]; value: Translation Services; contact email: cerdman@transperfect.com","organisation_type":"Pharmaceutical company"}
- {"country":"Hungary","full_name":"Precision for Medicine (HU) Kft.","duties_or_roles":"sponsorDuties codes: [1,10,11,12,15,15,2,5,6,7,8]; values include: Feasibility, Site Contract, Study Start-Up, Clinical Operations, Consulting services for Medical; Remote monitoring, e-TMF; contact email: RegulatoryEU@precisionformedicine.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Precision For Medicine Inc.","duties_or_roles":"sponsorDuties codes: [15]; value: Sample Storage Sample Isolation/Processing Kit Production Sample Testing; contact email: repositoryservices.mailbox@precisionformedicine.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Neogenomics Laboratories Inc.","duties_or_roles":"sponsorDuties codes: [15]; value: Tissue Testing; contact email: Halit.kolenovic@neogenomics.com","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Precision For Medicine Inc. (Houston repository)","duties_or_roles":"sponsorDuties codes: [15]; value: sample storage, sample testing, Sample Isolation/Processing; contact email: Repository.Houston@precisionformedicine.com","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labconnect LLC","duties_or_roles":"sponsorDuties codes: [4]; contact email: jcarter@labconnect.com","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Spain","full_name":"Atrys Health S.A.","duties_or_roles":"sponsorDuties codes: [4]; contact email: P4m@atyrshealth.com","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"Certara USA Inc.","duties_or_roles":"sponsorDuties codes: [15]; value: PK/PD modeling; contact email: Stacy.carbaugh@certara.com","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Precision for Medicine GmbH","duties_or_roles":"sponsorDuties codes: [15]; value: Sample Storage, Sample Isolation/Processing, Kit Production, Sample Testing; contact email: repository.berlin@precisionformedicine.com","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties codes: [7]; contact email: Vanessa.BATISTA@3ds.com","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Versiti Wisconsin Inc.","duties_or_roles":"sponsorDuties codes: [4]; contact email: Manderson@versiti.org","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Germany","full_name":"Labor Dr. Wisplinghoff GbR","duties_or_roles":"sponsorDuties codes: [4]; contact email: Dr.D.Hoffmann@gmx.net","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United Kingdom","full_name":"Greens Ltd","duties_or_roles":"sponsorDuties codes: [15]; value: Site binder; contact email: adam.branaghan@greensdigital.com","organisation_type":"Industry"}
- {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Clinical Services Limited","duties_or_roles":"sponsorDuties codes: [15]; value: Drug warehouse, labeling (if required) and supply to all countries; contact email: laketta.boldin@almacgroup.com","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- RPTR-1-201
- Active Substance
- RPTR-1-201
- Modality
- Bispecific antibody
- Routes Of Administration
- Intravenous (solution for infusion)
- Route
- Intravenous
- Authorisation Status
- Investigational (sponsor product RPTR-1-201; MIA number FIMEA/2025/002388)
- Investigational Product Name
- KEYTRUDA 25 mg/mL concentrate for solution for infusion.
- Active Substance
- Pembrolizumab
- Modality
- Monoclonal antibody
- Routes Of Administration
- Intravenous (concentrate for solution for infusion)
- Route
- Intravenous
- Authorisation Status
- Authorised (marketing authorisation EU/1/15/1024/002)
- Combination Treatment
- Yes
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