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)
View Full Details on ClinicalTrials.gov
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NCT06921837
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