175 Participants Needed

ASP4396 for Solid Tumors

Recruiting at 6 trial locations
AP
Overseen ByAstellas Pharma Inc.
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Astellas Pharma Inc
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new treatment, ASP4396, for solid tumors in individuals with a specific mutation (G12D) in the KRAS gene. Researchers seek to determine the safety of ASP4396, how the body processes it, and the optimal dose. The trial includes two phases: initially, testing various doses to assess tolerance, followed by confirming the best dose. Eligible participants have advanced or metastatic cancer with the specific KRAS mutation and have either tried or declined standard treatments. Participants will receive the treatment through an infusion every 21 days and will be monitored closely. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, if you are expected to require another form of anticancer therapy, you may not be eligible to participate.

Is there any evidence suggesting that ASP4396 is likely to be safe for humans?

Research shows that ASP4396 has not yet been tested in humans. However, lab studies on cells and animals have shown promising results in stopping cancer growth, especially in cases with the KRAS G12D mutation.

As ASP4396 is being given to humans for the first time, researchers are closely monitoring for any health issues. The study aims to find a safe dose and assess how well people tolerate the treatment. While no data exists yet on human reactions, the early phase focuses on evaluating safety. Researchers are just beginning to understand how well people can handle ASP4396.12345

Why do researchers think this study treatment might be promising?

Most treatments for solid tumors focus on traditional methods like surgery, chemotherapy, and radiation, which target the tumor itself or rapidly dividing cells in general. ASP4396 is unique because it potentially introduces a novel mechanism of action specifically designed to target pathways that are not addressed by current therapies. Researchers are excited about ASP4396 because it offers the possibility of a more precise approach, potentially reducing side effects and improving outcomes for patients. By focusing on unique biological markers within solid tumors, ASP4396 could provide a more tailored treatment option, setting it apart from existing therapies.

What evidence suggests that ASP4396 might be an effective treatment for solid tumors with the G12D mutation?

Research shows that ASP4396 targets solid tumors with the KRAS G12D mutation. Lab studies have demonstrated that ASP4396 breaks down the abnormal proteins produced by this mutation, helping to stop tumor growth. This treatment is currently undergoing its first human trial. Participants will receive ASP4396 in either a dose escalation or dose expansion phase, both conducted in 21-day cycles. Early results from lab models have been promising, showing strong anti-tumor effects. Although human data remains limited, its mechanism suggests potential effectiveness for these tumors.25678

Who Is on the Research Team?

CC

Central Contact

Principal Investigator

Astellas Pharma Inc

Are You a Good Fit for This Trial?

Adults with advanced solid tumors that can't be removed by surgery or have spread to other body parts, and who have a specific gene change (KRAS G12D mutation). They should have tried standard treatments or declined them, be able to do daily activities with little help (ECOG status 0-1), and their organs must work well.

Inclusion Criteria

I am fully active or can carry out light work.
Participant has at least 1 measurable lesion per RECIST v1.1
My organs are functioning well.
See 1 more

Exclusion Criteria

I have active hepatitis B or C.
Participant has any condition that makes the participant unsuitable for study participation
My cancer has spread to the lining of my brain and spinal cord.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants receive escalating doses of ASP4396 to determine safety and suitable dose levels

21-day cycles
Multiple visits per cycle, with extra visits during the first 2 cycles

Dose Expansion

Participants receive ASP4396 at doses determined from the Dose Escalation phase to refine dosing accuracy

21-day cycles
Multiple visits per cycle

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 45 weeks
Several visits depending on health status

What Are the Treatments Tested in This Trial?

Interventions

  • ASP4396
Trial Overview ASP4396 is being tested for the first time in humans as a potential treatment for certain solid tumors. The study has two parts: finding a safe dose range (Dose Escalation) and confirming the best doses (Dose Expansion). Participants will receive ASP4396 through an infusion every three weeks until they experience significant side effects, cancer progression, start another treatment, or choose to stop.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: ASP4396 Dose ExpansionExperimental Treatment1 Intervention
Group II: ASP4396 Dose EscalationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Astellas Pharma Inc

Lead Sponsor

Trials
700
Recruited
236,000+
Headquarters
Tokyo, Japan
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Tadaaki Taniguchi profile image

Tadaaki Taniguchi

Astellas Pharma Inc

Chief Medical Officer since 2023

MD, PhD

Naoki Okamura profile image

Naoki Okamura

Astellas Pharma Inc

Chief Executive Officer since 2023

University of Tokyo, Faculty of Pharmacy

Citations

A Study to Find a Suitable Dose of ASP4396 in Adults With ...ASP4396 is being developed as a potential new treatment for solid tumors in people who have the G12D mutation in their KRAS gene. ASP4396 is not currently ...
Non-clinical study of ASP4396, a novel KRAS G12D degrader ...We evaluated degradation of KRAS G12D protein, suppression of downstream signal pathway and inhibition of cell growth by ASP4396 in human cancer ...
A Study to Find a Suitable Dose of ASP4396 in Adults With ...ASP4396 is being developed as a potential new treatment for solid tumors in people who have the G12D mutation in their KRAS gene.
Astellas Pharma's ASP4396 Study: A Potential Game ...' The study aims to determine a suitable dose of ASP4396, a potential new treatment for solid tumors with the KRAS G12D mutation. This study is ...
ASP4396 / AstellasNon-clinical study of ASP4396, a novel KRAS G12D degrader, shows remarkable anti-tumor activity in KRAS G12D mutant cancer models (AACR-NCI-EORTC 2025) - P1 ...
A Study to Find a Suitable Dose of ASP4396 in Adults With ...ASP4396 is being developed as a potential new treatment for solid tumors in people who have the G12D mutation in their KRAS gene. ASP4396 is not currently ...
The complex journey of targeting RAS in oncology - PMCASP-4396 by Astellas pharma for solid tumor: likelihood of approval. https://www.pharmaceutical-technology.com/data-insights/asp-4396 ...
Non-clinical study of ASP4396, a novel KRAS G12D ...Conclusions A series of our non-clinical studies suggested that ASP4396 could be a promising therapeutic agent for patients with tumors ...
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