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A Study of PHST001 in Advanced Solid Tumors

RecruitingPhase 1

An Open-label, Phase 1a/1b, Dose Escalation and Dose Expansion Study Investigating the Safety, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of PHST001 in Adult Patients With Advanced Relapsed and/or Refractory Solid Tumors

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Key Inclusion Criteria:

* Histologically or cytologically confirmed advanced solid tumor which has relapsed from or been refractory to all locally available standard therapies.
* Adequate organ function per laboratory testing
* Pregnancy prevention requirements
* Measurable disease per RECIST v1.1 (or RANO) as assessed by the local site Investigator/radiology
* Performance status of 0 or 1 on Eastern Cooperative Oncology Group (ECOG) scale

Key Exclusion Criteria:

* Diagnosis of immunodeficiency
* History of a previous additional malignancy, unless potentially curative treatment has been completed, with no evidence of malignancy for 2 years. Participants with basal cell carcinoma of the skin, Stage I melanoma, melanoma in situ, squamous cell carcinoma of the skin, early-stage prostate cancer, low grade neoplasms, or carcinoma in situ, excluding carcinoma in situ of the bladder, who have undergone potentially curative therapy are not excluded and can be enrolled regardless of disease-free period following completion of potentially curative therapy. Participants with early-stage breast cancer who have undergone curative intent treatment and with no disease recurrence for 2 years after treatment are not excluded.
* Active known CNS metastases and/or carcinomatous meningitis from a systemic (non-CNS) primary malignancy. Participants with previously treated CNS metastases are eligible, provided they are radiologically and clinically stable (i.e., no evidence of progression for at least 2 weeks by repeat imaging performed during screening) and are not requiring systemic corticosteroids above the physiologic replacement for at least 7 days prior to the first dose of study treatment.
* Received prior systemic anticancer therapy including investigational agents within 21 days or, if shorter, within 5 half-lives prior to the first dose of study treatment. Participants must have recovered from all AEs due to previous therapies to Grade ≤1 or baseline. Participants with Grade ≤2 neuropathy may be eligible. Participants with endocrine-related AEs Grade ≤2 requiring treatment or hormone replacement may be eligible.
* Prior autologous or allogeneic hematopoietic stem cell transplant or solid organ transplant.
* Received previous treatment with another agent targeting CD24.

About the study

This is a multi-center, first-in-human (FIH), open-label, Phase 1a/1b dose escalation and dose expansion study to assess the safety, PK, pharmacodynamics, and antitumor activity of PHST001 monotherapy (Phase 1a) or in combination with anticancer therapies (Phase 1b) in adult participants with advanced relapsed and/or refractory solid tumors (including but not limited to CNS tumors in Phase 1a only). Phase 1b will include the following cohorts 1) tumor-specific cohorts for participants with advanced relapsed and/or refractory ovarian cancer, endometrial cancer, and cholangiocarcinoma, 2) a randomized cohort for participants with ovarian cancer who will receive PHST001 in combination with mirvetuximab soravtansine, 3) a cohort for participants with advanced/metastatic breast cancer who will receive PHST001 in combination with trastuzumab deruxtecan and 4) a cohort of patients who consent to additional biomarker studies.

The study's primary objectives are to evaluate the safety and tolerability of PHST001 and determine the RP2D (Recommended Phase 2 dose) of PHST001 as monotherapy and in combination with anticancer therapies, as well as to assess the anti-tumor activity of PHST001 in combination with anticancer therapies in Phase 1b.

What is being tested

Sponsor: Pheast Therapeutics · Participants: 426 · Started: Mar 31, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06840886

Locations in the U.S.

CaliforniaPrecision NextGen Oncology & Research Center, Beverly Hills
USC Norris Comprehensive Cancer Center, Los Angeles
Stanford University School of Medicine, Palo Alto
ColoradoSarah Cannon Research Institute (SCRI) Oncology Partners - Denver Health One, Denver
ConnecticutYale Cancer Center, New Haven
IllinoisUniversity of Chicago Medical Center, Chicago
MassachusettsDana Farber Cancer Institute, Boston
MichiganUniversity of Michigan Rogel Cancer Center, Ann Arbor
START Center for Cancer Research - Midwest, Grand Rapids
New YorkSTART Center for Cancer Research - Long Island New York, Lake Success
Mount Sinai, New York
North CarolinaDuke Cancer Institute, Durham
TennesseeSarah Cannon Research Institute (SCRI) Oncology Partners, Nashville
Vanderbilt-Ingram Cancer Center, Nashville
TexasSTART Center for Cancer Research - Texas, Fort Worth
MD Anderson Cancer Center, Houston
NEXT Oncology - Dallas, Irving
START Center for Cancer Research - San Antonio, San Antonio
University of Texas (UT) Health, San Antonio
VirginiaNEXT Oncology - Virginia, Fairfax

Conditions

From ClinicalTrials.gov, data retrieved Nov 15, 2026. Each study sets its own eligibility; the study team decides who can join.