Phase IIIa Study of Oral HTL0039732 Alone and With Atezolizumab or Other Approved Cancer Therapies for Advanced Solid Tumors
Led by Cancer Research UK · Updated on 2025-06-08
150
Participants Needed
5
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating a new drug called HTL0039732, a novel EP4 receptor antagonist, in people with advanced solid tumors. The trial aims to study HTL0039732 alone and combined with atezolizumab or other approved anti-cancer therapies. This first-in-human Phase 12a trial focuses on finding the best dose and understanding potential side effects of HTL0039732, while exploring its ability to help the immune system fight cancer by blocking a pathway that suppresses immune activity.
Participants will receive HTL0039732 as oral capsules once daily in cycles of 21 days, either alone or combined with a fixed 1200 mg intravenous dose of atezolizumab given every three weeks. The trial is divided into dose escalation phases where doses of HTL0039732 are increased to find the safest and most effective dose, and a dose expansion phase where participants with specific cancer types receive the recommended dose. Additional future parts may study HTL0039732 combined with other therapies.
Throughout the study, participants will be closely monitored with scans, biopsies, blood tests, and safety assessments. Researchers will track side effects, drug levels in the blood, tumor response, immune activity, and survival measures over up to 118 weeks. Safety data will be collected from consent until after treatment ends. Participants may receive up to 36 cycles of treatment if benefiting. The study will provide detailed information on dosing, safety, and anti-cancer effects of HTL0039732 in advanced solid tumors.
CONDITIONS
Brief Title
HTL0039732 in Participants With Advanced Solid Tumours
Research Team
B
Bristi Basu, Dr
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Central nervous system metastases unless treated, stable, asymptomatic, and off steroids for 4 weeks
Women who are pregnant, lactating, or of childbearing potential unless exceptions apply
Men with partners of childbearing potential unless exceptions apply
Major surgery not yet recovered from
High medical risk due to non-cancer diseases or uncontrolled infections
Known active tuberculosis, HIV, or hepatitis B or C infection
Prior treatment with EP4 inhibitors or recent use of selective COX-2 inhibitors
Hypersensitivity to hydroxypropyl methylcellulose or atezolizumab
Use of systemic immunosuppressants within 2 weeks unless excepted
Significant cardiovascular disease
Active peptic ulcer disease or frequent gastritis/GERD symptoms
Current participation in another interventional clinical trial
Limited ability to swallow or absorb oral medications
Live vaccines within 4 weeks before enrollment
Immunodeficiency or active autoimmune disease requiring recent systemic treatment
History or suspicion of interstitial lung disease or pneumonitis
Prior adverse reactions to cancer immunotherapy requiring steroids or discontinuation
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 18 cycles of 21 days each, with possible extension for up to 18 additional cycles
Participants receive HTL0039732 capsules orally once daily in 21-day cycles. Some participants also receive atezolizumab as an intravenous infusion on Day 1 of each cycle. Treatment may continue up to 18 cycles initially and may be extended if participants are benefiting.
Visits every 3 weeks corresponding to each treatment cycle
Follow-up
Duration - Up to 28 days after last HTL0039732 dose and up to 90 days after last atezolizumab dose
Participants are monitored for side effects and overall response after treatment ends to evaluate safety and efficacy.
Approximately 1 to 2 visits post-treatment
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Published Research Related To This Trial
Development and validation of a LC-MS/MS method for the quantification of the E-type prostanoid receptor 4 antagonist HTL0039732 in human plasma, for a Phase I/IIa clinical trial.