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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