A Phase I Open-Label, Dose Escalation Study of the Safety and Tolerability of Tolododekin Alfa (ANK-101) in Advanced Solid Tumors

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Trial Details

Sponsor: Ankyra Therapeutics, Inc (industry)

Phase: 1

Start date: Jan. 19, 2024

Planned enrollment: 107

Trial ID: NCT06171750
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More trial details at ClinicalTrials.gov More info

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Goal: Evaluate safety, tolerability, pharmacokinetics/pharmacodynamics, and preliminary anti-tumor activity of intratumoral tolododekin alfa (ANK-101) in advanced solid tumors; determine a recommended dose for expansion (RDE); and assess safety of ANK-101 combined with cemiplimab in high-risk CSCC.

Patients: Adults (≥18 years) with histologically/cytologically confirmed advanced solid tumors with injectable lesions and measurable disease by RECIST v1.1, ECOG 0–1, and adequate organ function, who have progressed on, are refractory to, intolerant of, or ineligible for standard therapies. Part 1 enrolls patients with superficial cutaneous/subcutaneous/nodal lesions; Part 2 enrolls patients with visceral lesions accessible to image-guided or endoscopic injection and includes an expansion cohort of NSCLC; Part 3 enrolls high-risk locally advanced or metastatic CSCC not amenable to surgery for combination therapy. Key exclusions include tumors impinging on major vessels/airways, prior IL-12, active immunodeficiency/autoimmunity requiring immunosuppression, active hepatitis B/C or uncontrolled HIV-related conditions, active CNS metastases, significant cardiac disease, and for Part 3, prior severe PD-1/PD-L1 immune-related toxicity or cemiplimab hypersensitivity.

Design: Multicenter, open-label, nonrandomized, first-in-human Phase 1 study with sequential dose escalation and expansion. Three parts: Part 1 dose escalation in superficial lesions followed by expansion at the RDE; Part 2 dose escalation in visceral lesions initiated after safety gating from Part 1 with an NSCLC expansion at the RDE; Part 3 combination cohort in CSCC at the RDE with a 5-patient safety run-in and a 21-day pause before enrolling the remaining 10 participants.

Treatments: Tolododekin alfa (ANK-101) is an anchored interleukin-12 (IL-12) drug conjugate designed for intratumoral delivery. IL-12 is covalently linked to aluminum hydroxide to retain biologic activity within the tumor microenvironment for weeks while minimizing systemic exposure, aiming to activate innate and adaptive immunity by recruiting CD8+ T cells, NK cells, and M1 macrophages. Early Phase 1 experience has shown evidence of immune activation in tumor biopsies, disease control with occasional partial responses across multiple tumor types, and favorable tolerability without dose-limiting toxicities at tested concentrations, though these data are preliminary and from a small cohort. Part 1: ANK-101 intratumorally every three weeks into superficial lesions. Part 2: ANK-101 intratumorally every three weeks into visceral lesions. Part 3: ANK-101 at the RDE every three weeks combined with cemiplimab in high-risk CSCC with superficial injectable disease; cemiplimab is an anti–PD-1 antibody approved for CSCC that restores antitumor T-cell activity.

Outcomes: Primary endpoints include incidence and characteristics of dose-limiting toxicities and treatment-emergent adverse events to define the safety profile and establish the recommended dose for expansion; in Part 3, characterization of TEAEs with ANK-101 plus cemiplimab. Secondary endpoints include progression-free survival; pharmacokinetics of IL-12-ABP (Cmax, AUC, half-life, clearance, volume of distribution); anti-drug antibodies; and preliminary efficacy by RECIST v1.1 including objective response rate, disease control rate, and duration of response.

Burden on patient: High. As a first-in-human, dose-escalation study with intratumoral injections every three weeks, patients can expect frequent safety assessments, intensive PK sampling, mandated pre- and post-treatment tumor biopsies when feasible, and serial imaging for RECIST assessments. Procedures may require image-guided or endoscopic injections for visceral lesions and multiple site visits, especially during the DLT window. Travel and time commitments are greater than standard care, and combination therapy in Part 3 adds routine checkpoint inhibitor monitoring for immune-related adverse events.

Last updated: Oct 2025

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Sites (5)

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Princess Margaret Cancer Centre

Toronto, Ontario, M5G 2M9, Canada

[email protected] / (416) 946-4575

Status: Recruiting

National Cancer Institute

Bethesda, Maryland, 20892, United States

[email protected] / 240-781-3253

Status: Recruiting

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

[email protected] / 617-724-4000

Status: Recruiting

Providence Cancer Institute

Portland, Oregon, 97213, United States

[email protected] / No phone

Status: Recruiting

Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

[email protected] / 412-623-1191

Status: Recruiting

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