Clinical trial • Phase I • Oncology

TLN-372 for KRAS-mutant advanced or metastatic solid tumors

Phase I trial of TLN-372 for KRAS-mutant advanced or metastatic solid tumors. open-label, adaptive. 220 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
KRAS-mutant advanced or metastatic solid tumors
Trial Stage
Phase I
Drug Modality
Small molecule|Monoclonal antibody

Key dates

Initial CTIS Submission Date
30-09-2025
First CTIS Authorization Date
07-01-2026

Trial design

open-label, adaptive Phase I trial in Spain.

Open Label
Yes
Adaptive
True, Part 1 is a dose escalation to estimate the maximum tolerated dose (dose-escalation and expansion design); specific escalation rules not provided in available data.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
220

Eligibility

Recruits 220 adults.

Pregnancy Exclusion
6. Pregnant or lactating

Inclusion criteria

  • {"criterion_text":"- 1. At least 18 years of age at the time of signing the informed consent form (ICF)."}
  • {"criterion_text":"- 2. Patients must have locally advanced or metastatic KRAS mutant solid tumors"}
  • {"criterion_text":"- 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1"}
  • {"criterion_text":"- 4. Adequate organ function"}

Exclusion criteria

  • {"criterion_text":"- 1. Patients must not have active brain metastases"}
  • {"criterion_text":"- 2. Patients must not have current or past history of central nervous system (CNS) disease"}
  • {"criterion_text":"- 3.\tPatients must not have major surgery or severe trauma within 4 weeks prior to the first dose of the study drug"}
  • {"criterion_text":"- 4.\tPatients must not have any condition, including significant acute or chronic medical illness, active or uncontrolled infection, or the presence of laboratory abnormalities, that places patients at unacceptable risk of participating in this study"}
  • {"criterion_text":"- 5.\tPatients must not have clinically significant cardiovascular disease."}
  • {"criterion_text":"- 6.\tPregnant or lactating"}
  • {"criterion_text":"- 7.\tConditions that could affect drug absorption"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Number of patients experiencing adverse events (AEs) that meet protocol-defined dose-limiting toxicity (DLT) criteria following administration of TLN-372","definition_or_measurement_approach":"Per protocol-defined dose-limiting toxicity (DLT) criteria; count of patients experiencing AEs that meet protocol DLT criteria after TLN-372 administration."}
  • {"endpoint_text":"- Incidence and severity of Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related Adverse Events (TRAEs) leading to dose modification and discontinuation.","definition_or_measurement_approach":"Assessment of incidence and severity of TEAEs and TRAEs, including those that lead to dose modification or discontinuation (as reported in safety assessments)."}
  • {"endpoint_text":"- Anti-tumor activity of TLN-372 by evaluating the objective response rate (ORR) according to the RESIST v1.1","definition_or_measurement_approach":"Objective response rate (ORR) assessed according to RECIST v1.1 criteria."}

Secondary endpoints

  • {"endpoint_text":"- Maximum observed plasma concentration (Cmax), time to peak drug concentration (Tmax), Minimum observed plasma concentration (Cmin), and Area Under the Plasma Concentration-Time Curve (AUC) of TLN-372","definition_or_measurement_approach":"Pharmacokinetic measures: Cmax, Tmax, Cmin, and AUC derived from plasma concentration-time data for TLN-372."}
  • {"endpoint_text":"- Anti-tumor activity of TLN-372 by evaluating the duration of response (DOR) as assessed by the time from the date of first objective response to the date of disease progression","definition_or_measurement_approach":"Duration of response (DOR) measured from date of first documented objective response to date of disease progression."}
  • {"endpoint_text":"- Frequency of dose interruptions, reductions and dose intensity","definition_or_measurement_approach":"Recording frequency and instances of dose interruptions, dose reductions and calculation of dose intensity."}
  • {"endpoint_text":"- Clinically significant ECG QT interval from baseline assessed as per NCI CTCAE v5.0","definition_or_measurement_approach":"Assessment of clinically significant changes in ECG QT interval from baseline per NCI CTCAE v5.0."}
  • {"endpoint_text":"- Clinically significant laboratory abnormalities from baseline in safety laboratory test results, assessed as per NCI CTCAE v5.0","definition_or_measurement_approach":"Assessment of clinically significant laboratory abnormalities from baseline in safety labs using NCI CTCAE v5.0 criteria."}

Recruitment

Planned Sample Size
220
Recruitment Window Months
74
Consent Approach
Informed consent is obtained via subject information and informed consent forms (ICF). Inclusion criterion requires participants to be at least 18 years of age, so consent provided by the participant. ICF documents include a main ICF and a Spanish (ES) ICF version as indicated by document titles.

Geography

Total Number Of Sites
2
Total Number Of Participants
220

Spain

Earliest CTIS Part Ii Submission Date
06-11-2025
Latest Decision Or Authorization Date
07-01-2026
Processing Time Days
62
Number Of Sites
2
Number Of Participants
20

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
Oncology
Contact Person Name
Elena Garralda
Contact Person Email
egarralda@vhio.net
Site Name
Hospital Universitario Hm Sanchinarro
Department Name
CIOCC
Contact Person Name
Emiliano Calvo
Contact Person Email
emiliano.calvo@startmadrid.com

Sponsor

Primary sponsor

Full Name
Treeline Biosciences Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Medidata Solutions Inc.
Responsibilities
Central Imaging portal
Name
Almac Clinical Services LLC
Responsibilities
Clinical supply and other services (codes listed: 14, 3)
Name
Precision for Medicine
Responsibilities
Central lab kitting, specimen storage and shipment; lab and sample handling services
Name
Alturas Analytics Inc.
Responsibilities
PK specimen analysis

Third parties

  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Central Imaging portal; sponsor duties include code 7 (unspecified)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Almac Clinical Services LLC","duties_or_roles":"Sponsor duties include codes 14 and 3 (roles not expanded in available data)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Precision for Medicine","duties_or_roles":"Central lab kitting, specimen storage and shipment; other duties (codes 1,10,12,2,5,6,7,8) listed","organisation_type":"Health care"}
  • {"country":"United States","full_name":"Alturas Analytics Inc.","duties_or_roles":"PK specimen analysis","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
TLN-372
Active Substance
TLN-372
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Not authorised (investigational)
Investigational Product Name
KEYTRUDA 25 mg/mL concentrate for solution for infusion.
Active Substance
Pembrolizumab
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Investigational Product Name
Itraconazol – 1 A Pharma® 100 mg Hartkapseln
Active Substance
Itraconazole
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised
Investigational Product Name
Erbitux 5 mg/mL solution for infusion
Active Substance
Cetuximab
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Combination Treatment
Yes

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