RecruitingPhase 1Phase 2NCT06921837

A First-in-Human Study Using BDC-4182 as a Single Agent in Advanced Gastric and Gastroesophageal Cancer

A Phase 1/2, First-in-Human, Dose Escalation and Expansion Study of BDC-4182 as a Single Agent in Patients With Advanced Gastric and Gastroesophageal Cancer


Sponsor

Bolt Biotherapeutics, Inc.

Enrollment

122 participants

Start Date

May 26, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

A first-in-human study using BDC-4182 as a single agent in gastric and gastroesophageal cancers


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Has disease that is measurable by Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1.
  • Subjects must have histologically/cytologically confirmed gastric or gastroesophageal cancer that is metastatic (Stage 4) or unresectable (Stage 3).
  • Subjects must have received at least 1-2 prior lines of locally available standard therapies or must be intolerant of standard therapies.
  • For subjects in escalation: If prior Claudin 18 IHC expression is known, the subject must have some degree of Claudin 18 expression as defined as Positive or have expression ≥ 1% of tumor cells IHC ≥ 2+. Consult with Medical Monitor as needed.
  • Adequate organ function
  • Agree to have a biopsy prior to enrollment, at acceptable risk in the judgement of the Investigator. If a biopsy is not safely accessible or clinically feasible, an adequate archival tumor sample must be submitted.

Exclusion Criteria6

  • Known central nervous system (CNS) metastases except for disease that is asymptomatic, clinically stable, and has not required steroids for at least 14 days before starting study treatment.
  • Cardiac disease, pulmonary disease, or hepatic disease
  • Active infection
  • History of inflammatory eye disease
  • Residual toxicity from a previous treatment
  • Any investigational agent or standard anti-cancer therapies within 28 days before starting study treatment or within 5 estimated elimination half-lives, whichever is shorter.

Interventions

DRUGBDC-4182

Immune stimulating antibody conjugate (ISAC), consisting of an anti-claudin 18.2 monoclonal antibody conjugated to a TLR 7/8 dual agonist


Locations(16)

AUS Site 2

Darlinghurst, New South Wales, Australia

AUS Site 5

Westmead, New South Wales, Australia

AUS Site 1

Birtinya, Queensland, Australia

AUS Site 4

Clayton, Victoria, Australia

AUS Site 3

Heidelberg, Victoria, Australia

SK Site 2003

Seongnam-si, South Korea

SK Site 2001

Seoul, South Korea

SK Site 2002

Seoul, South Korea

SK Site 2004

Seoul, South Korea

SK Site 2005

Seoul, South Korea

TWN Site 9004

Kaohsiung City, Taiwan

TWN Site 9005

Kaohsiung City, Taiwan

TWN Site 9001

Taichung, Taiwan

TWN Site 9003

Taipei, Taiwan

TWN Site 9006

Taipei, Taiwan

TWN Site 9002

Taoyuan District, Taiwan

View Full Details on ClinicalTrials.gov

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NCT06921837


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