A Study of Evorpacept (ALX148) in Patients With Advanced Solid Tumors and Lymphoma (ASPEN-01)

NCT ID: NCT03013218

Last Updated: 2025-08-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-03

Study Completion Date

2025-07-08

Brief Summary

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A phase 1, dose escalation study of evorpacept (ALX148) in patients with advanced solid tumors and lymphoma

Detailed Description

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This phase 1 clinical study (AT148001) is an open-label, multi-center, multiple-dose, dose-escalation, safety, PK, and PD study of evorpacept (ALX148). The phase 1 protocol will have 2 parts: a single agent dose escalation phase (Part 1) and a combination therapy phase (Part 2). Part 2 will include an initial dose escalation portion followed by a dose expansion portion. Approximately 184 adult patients are expected to be enrolled in the study.

Conditions

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Metastatic Cancer Solid Tumor Advanced Cancer NonHodgkin Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Evorpacept (ALX148)

The Part 1 Dose Escalation: Evorpacept (ALX148) infusions will be administered weekly or every two weeks.

Group Type EXPERIMENTAL

Evorpacept (ALX148)

Intervention Type DRUG

Evorpacept (ALX148)

Evorpacept (ALX148) + Pembrolizumab

The Part 2 Dose Escalation/Expansion: Evorpacept (ALX148) infusions will be administered weekly or every two weeks in combination with pembrolizumab infusions.

Group Type EXPERIMENTAL

Evorpacept (ALX148)

Intervention Type DRUG

Evorpacept (ALX148)

Pembrolizumab

Intervention Type DRUG

Keytruda

Evorpacept (ALX148) + Trastuzumab

The Part 2 Dose Escalation/Expansion: Evorpacept (ALX148) infusions will be administered weekly or every two weeks in combination with trastuzumab infusions.

Group Type EXPERIMENTAL

Evorpacept (ALX148)

Intervention Type DRUG

Evorpacept (ALX148)

Trastuzumab

Intervention Type DRUG

Herceptin

Evorpacept (ALX148) + Rituximab

The Part 2 Dose Escalation/Expansion: Evorpacept (ALX148) infusions will be administered weekly or every two weeks in combination with rituximab infusions.

Group Type EXPERIMENTAL

Evorpacept (ALX148)

Intervention Type DRUG

Evorpacept (ALX148)

Rituximab

Intervention Type DRUG

Rituxan

Evorpacept (ALX148) + Pembrolizumab + 5FU + Platinum

The Part 2 Dose Escalation: Evorpacept (ALX148) infusions will be administered weekly or every two weeks in combination with pembrolizumab + 5FU + platinum infusions.

Group Type EXPERIMENTAL

Evorpacept (ALX148)

Intervention Type DRUG

Evorpacept (ALX148)

Pembrolizumab

Intervention Type DRUG

Keytruda

5-FU + Cisplatin

Intervention Type DRUG

Standard of care chemotherapy

Evorpacept (ALX148) + Trastuzumab + Ramucirumab + Paclitaxel

The Part 2 Dose Escalation: Evorpacept (ALX148) infusions will be administered weekly or every two weeks in combination with trastuzumab + ramucirumab + paclitaxel infusions.

Group Type EXPERIMENTAL

Evorpacept (ALX148)

Intervention Type DRUG

Evorpacept (ALX148)

Trastuzumab

Intervention Type DRUG

Herceptin

Ramucirumab + Paclitaxel

Intervention Type DRUG

Standard of care chemotherapy

Interventions

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Evorpacept (ALX148)

Evorpacept (ALX148)

Intervention Type DRUG

Pembrolizumab

Keytruda

Intervention Type DRUG

Trastuzumab

Herceptin

Intervention Type DRUG

Rituximab

Rituxan

Intervention Type DRUG

Ramucirumab + Paclitaxel

Standard of care chemotherapy

Intervention Type DRUG

5-FU + Cisplatin

Standard of care chemotherapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological or cytological diagnosis of advanced/metastatic solid tumor malignancy; or relapsed or refractory Non-Hodgkin lymphoma for whom no standard therapy is available..
* Adequate Bone Marrow Function.
* Adequate Renal \& Liver Function.
* Adequate Performance Status

Exclusion Criteria

* Patients with known symptomatic CNS metastases or lepotomeningeal disease requiring steroids.
* Previous high-dose chemotherapy requiring allogenic stem cell rescue.
* Prior treatment with a CD47 or signal regulatory protein (SIRP) alpha targeting agent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ALX Oncology Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Colorado Denver

Denver, Colorado, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

START-Midwest

Grand Rapids, Michigan, United States

Site Status

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Seoul National University Bundang Hospital

Seongnam, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University

Seoul, , South Korea

Site Status

Countries

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United States South Korea

References

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Kim TM, Lakhani NJ, Soumerai J, Kamdar M, Gainor JF, Messersmith W, Fanning P, Guan S, Jin F, Forgie A, Wan HI, Pons J, Randolph SS, Kim WS. Evorpacept plus rituximab for the treatment of relapsed or refractory non-Hodgkin lymphoma: results from the phase I ASPEN-01 study. Haematologica. 2025 Sep 1;110(9):2102-2112. doi: 10.3324/haematol.2024.286208. Epub 2025 Apr 10.

Reference Type DERIVED
PMID: 40207726 (View on PubMed)

Lakhani NJ, Chow LQM, Gainor JF, LoRusso P, Lee KW, Chung HC, Lee J, Bang YJ, Hodi FS, Kim WS, Santana-Davila R, Fanning P, Squifflet P, Jin F, Kuo TC, Wan HI, Pons J, Randolph SS, Messersmith WA. Evorpacept alone and in combination with pembrolizumab or trastuzumab in patients with advanced solid tumours (ASPEN-01): a first-in-human, open-label, multicentre, phase 1 dose-escalation and dose-expansion study. Lancet Oncol. 2021 Dec;22(12):1740-1751. doi: 10.1016/S1470-2045(21)00584-2. Epub 2021 Nov 15.

Reference Type DERIVED
PMID: 34793719 (View on PubMed)

Other Identifiers

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AT148001

Identifier Type: -

Identifier Source: org_study_id

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