RecruitingPhase 1NCT07085091

A First in Human Study of ALX2004 With Advanced or Metastatic Selected Solid Tumors

A Phase 1, First in Human, Open-Label Multicenter Study to Evaluate ALX2004, an Antibody Drug Conjugate Targeting EGFR in Participants With Advanced or Metastatic Select Solid Tumors


Sponsor

ALX Oncology Inc.

Enrollment

170 participants

Start Date

Aug 18, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

A Phase 1, First in Human, Open-Label Multicenter Study to Evaluate ALX2004, an Antibody Drug Conjugate Targeting EGFR in Participants with Advanced or Metastatic Select Solid Tumors


Eligibility

Min Age: 18 Years

Inclusion Criteria10

  • Participants with locally advanced, recurrent or metastatic histologically confirmed HNSCC, NSCLC, ESCC, CRC (left sided); locally advanced or recurrent disease must not be amenable to resection with curative intent
  • Dose Escalation: Participants who have relapsed or progressed following prior anticancer therapy in the advanced/metastatic setting and for whom no approved or standard therapy is available.
  • Dose Exploration and Dose Expansion: The following tumor-specific criteria also apply. These cohorts will include all or a subset of these tumors.
  • HNSCC - Received no more than 3 prior lines of therapy in the advanced or metastatic setting
  • NSCLC - For participants with a targetable molecular alteration: received appropriate standard targeted therapy and no more than 2 prior lines of systemic chemotherapy in the advanced/metastatic setting. For participants without a targetable molecular alteration: received platinum-based chemotherapy and CPI (in combination or separately), and have received no more than 2 prior lines of systemic chemotherapy in the advanced/metastatic setting
  • ESCC - Received no more than 3 prior lines of therapy in the advanced/metastatic setting
  • CRC (left-sided) - For participants with a targetable molecular alteration (including dMMR or MSI-H): Received appropriate standard therapy for the alteration, at least 2 prior lines of systemic chemotherapy, and no more than 4 prior lines of therapy in the advanced/metastatic setting. For participants without a targetable molecule alteration: Received at least 2 prior lines of systemic chemotherapy (including an oxaliplatin-based chemotherapy), vascular endothelial growth factor (VEGF)-based therapy, and no more than 4 prior lines of therapy in the advanced/metastatic setting.
  • Adequate Bone Marrow Function
  • Adequate Renal \& Liver Function
  • Adequate Performance Status

Exclusion Criteria3

  • Participants with disease suitable for local therapy with curative intent.
  • Has a life expectancy of less than 3 months and/or has rapidly progressing disease (e.g., tumor bleeding, uncontrolled tumor pain) in the opinion of the treating investigator
  • Prior treatment with any ADCs that have an active TOP1 inhibitor-based component

Interventions

DRUGALX2004

ALX2004 is a novel ADC targeting EGFR. Drug: ALX2004 IV Infusion

DRUGALX2004

ALX2004 is a novel ADC targeting EGFR. Drug: ALX2004 IV infusion

DRUGALX2004

ALX2004 is a novel ADC targeting EGFR. Drug: ALX2004 IV infusion


Locations(7)

ALX Center 7

Tampa, Florida, United States

ALX Center 3

Grand Rapids, Michigan, United States

ALX Center 6

Portland, Oregon, United States

ALX Center 5

Houston, Texas, United States

ALX Center 4

West Valley City, Utah, United States

ALX Center 2

Fairfax, Virginia, United States

ALX Center 1

Spokane, Washington, United States

View Full Details on ClinicalTrials.gov

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NCT07085091


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