A Study of HST-1011 Given as Monotherapy and in Combination With an Anti-PD1 Antibody

Sponsor: HotSpot Therapeutics, Inc

Sponsor score: 0

ClinicalTrials ID:NCT05662397

This Phase 1/2 study evaluates HST-1011, a CBL-B inhibitor, for advanced solid tumors. Phase 1 involves dose escalation of HST-1011 alone and with cemiplimab. Phase 2 assesses antitumor activity. Eligible patients are adults with specific relapsed/refractory tumors, measurable lesions, and ECOG status 0-1. Interventions include oral HST-1011 and IV cemiplimab.

Patient Parameters

Program Overview

This is a Phase 1/2 study of HST-1011, a CBL-B inhibitor, being developed for the treatment of patients with advanced solid tumors, who relapsed while on or are refractory to approved anti-PD(L)1 therapies or other standard of care.

Description

This is a Phase 1/2 study of HST-1011, a CBL-B inhibitor, being developed for the treatment of patients with advanced solid tumors, who relapsed while on or are refractory to approved anti-PD(L)1 therapies or other standard of care.

In Phase 1 patients will receive HST-1011 as either monotherapy (Parts A1 and A2) or in combination with the anti-PD1 antibody, cemiplimab (Part B).

Part A1 is a monotherapy dose escalation in which cohorts of patients will receive increasing doses of HST-1011. Upon completion of Part A1, an HST-1011 monotherapy dose optimization will commence (Part A2).

Part B is a dose escalation of HST-1011 given in combination with the standard dose/regimen of cemiplimab. Dosing in Part B may commence prior to the completion of Part A1.

Phase 2 will evaluate the preliminary antitumor activity of HST-1011 in combination with anti-PD(L)1 antibody or other standard of care therapies.

Eligibility Criteria

Inclusion Criteria

  • Patient is at least 18 years of age.
  • Patient is capable of understanding and complying with protocol requirements.
  • Patient has signed and dated ICF.
  • Patient has a histologically confirmed, advanced solid tumor (metastatic, recurrent, and/or unresectable) in one of the following categories: 1) anti-PD-(L)1 relapsed/refractory; 2) platinum-resistant ovarian cancer; 4) anal cancer; 5) rectal cancer; or 6) castration-resistant prostate cancer
  • Patient has failed prior standard of care therapies appropriate for their metastatic disease.
  • Patient has at least 1 measurable non-central nervous system (CNS) lesions per RECIST 1.1.
  • Patient has provided consent for pre- and on-treatment biopsies.
  • Eastern Cooperative Performance Status of 0 or 1.

Key

Exclusion Criteria

  • Patient has active autoimmune disease or other medical conditions requiring chronic systemic steroid therapy at the time of screening.
  • Patient has an unacceptable intolerance to anti-PD(L)1 monoclonal antibody (Part B Only).
  • Patient has previously participated in a clinical study evaluating a CBL-B inhibitor.
  • Patients has untreated and/or symptomatic metastatic CNS disease.
  • Patient is currently taking any concomitant medications at Screening that have the potential to cause a clinically relevant drug-drug interaction with HST-1011.
  • Patients with a history of gastrointestinal disease that may affect absorption of the study drug, or patients who are not able to take oral medications.
  • Patient has an active infection requiring systemic therapy.
  • Patient has known or suspected infection with SARS-CoV-2 virus.

Locations

FACILITYZIPCITYSTATE
Florida Cancer Specialists34232SarasotaFlorida
Comprehensive Cancer Centers of Nevada89169Las VegasNevada
Montefiore Einstein Comprehensive Cancer Center10467BronxNew York
Memorial Sloan Kettering Cancer Center10087New YorkNew York
Providence Cancer Institute of Oregon97213PortlandOregon
Abramson Cancer Center19104PhiladelphiaPennsylvania
University of Pittsburgh (UPMC), Hillman Cancer Center15232PittsburghPennsylvania
The University of Texas MD Anderson Cancer Center77030HoustonTexas

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