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
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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