First in Human Study of T3P-Y058-739 (T3P)

Last updated: April 24, 2025
Sponsor: T3 Pharmaceuticals AG
Overall Status: Active - Recruiting

Phase

1/2

Condition

N/A

Treatment

T3P-Y058-739 (IV)

Pembrolizumab+T3P-Y058-739

T3P-Y058-739 (IT)

Clinical Study ID

NCT05120596
T3P1001
  • Ages 18-74
  • All Genders

Study Summary

This is a first in human, phase I/II open-label, dose-finding, safety, and proof-of-concept clinical trial of T3P-Y058-739, a genetically-modified, live attenuated strain of the bacterium Yersinia enterocolitica, in patients with advanced solid tumors.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Histologically- or cytologically-proven advanced, unresectable solid tumour forwhich there is no curative therapy and no alternative therapy is felt to beappropriate.

  2. At least one measurable lesion

  3. Male or female, 18 years of age or older at the time of signing informed consent.

  4. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.

  5. Estimated life expectancy of ≥12 weeks.

  6. Resolution of all acute reversible toxic effects of prior therapy or surgicalprocedure to baseline or Grade ≤1 (except alopecia).

  7. Adequate iron stores without significant iron overload

  8. Adequate organ function

  9. Capable of giving signed informed consent which includes compliance with therequirements and restrictions listed in the informed consent form (ICF).

  10. At least one lesion that is measurable according to iRECIST/RECIST 1.1 and amenableto direct IT injection, i.e., a lesion that is visible, palpable, or detectable byultrasound, and accessible for direct IT injection (injection via an endoscope isnot allowed for Part A at least; ultrasound and/or radiological guidance isallowed).

Exclusion

Exclusion Criteria:

  1. Current or prior malignancy that could affect compliance with the protocol orinterpretation of results. Patients curatively treated more than 2 years prior toenrolment, and patients with adequately treated basal cell or squamous cell skincancer, or carcinoma in situ, are generally eligible.

  2. Known central nervous system (CNS) metastases.

  3. Patients who have previously received an allogeneic bone marrow or stem celltransplant or with congenital or acquired immunodeficiency or receivingimmunosuppressive therapy (including any dose of systemic corticosteroids). Patientsshould have recovered immunologically from any prior immunomodulatory therapies suchas CD20-targeted antibodies. Patients receiving inhaled corticosteroids for asthmaor chronic obstructive pulmonary disease, and patients on steroid replacementtherapy (e.g. due to prior adrenalectomy or hypophysectomy) are eligible at theinvestigator's discretion. Patients likely to require immunosuppressive treatmentwith systemic steroids or other agent (e.g., patients with frequent exacerbations ofasthma) should not enter the study.

  4. Patients with active uncontrolled infection or known to be serologically positivefor human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection.Patients with recent major infection (such as pneumonia in the previous 4 weeks)should have recovered to preillness levels with resolution of reversibleinfection-related symptoms for at least one week prior to starting T3P.

  5. Patients with a documented Yersinia infection in the 12 weeks prior to treatment orwith detectable Y. enterocolitica in a baseline stool sample (based on routineculture at site).

  6. Patients who have recently received antibiotics that could affect the viability ofT3P (at least 5 half-lives should have elapsed since the last dose).

  7. Patients with known cardiac valvular disease or arterial aneurysms, artificial heartvalves and other implanted prostheses (such as joint replacements) that cannot beeasily removed or replaced. Patients with central venous access devices are allowedin the study but T3P should be administered by peripheral vein, whenever possible.Patients with a history of bacterial endocarditis, regardless of the organism, areexcluded from the study.

  8. Patients with a history of clinically significant autoimmune conditions, majorcardiac arrhythmia or ischaemia, requiring any form of regular or "as needed"medication to control symptoms, New York Heart Association class II, III or IVcardiac failure or coronary angioplasty in the previous 6 months.

  9. Patients who are allergic to chloramphenicol or to all of the following antibiotics:co-trimoxazole, doxycycline, ceftriaxone and cefotaxime.

  10. History of hypersensitivity to desferrioxamine

  11. Other severe acute or chronic medical or psychiatric condition or laboratoryabnormality that may increase the risk associated with study participation or T3Padministration or may interfere with the interpretation of study results and, in thejudgment of the Investigator, would make the subject inappropriate for entry intothis study. This includes patients on treatment with anticoagulants within 6 monthsprior to study entry for thromboembolic events.

  12. Patients with a bleeding diathesis or receiving therapeutic doses of anticoagulantsunless the lesion(s) to be injected are superficial and at low risk of bleeding.Patients receiving lower doses of anticoagulants, aspirin or clopidogrel may beeligible at the investigator's discretion, depending on the site of lesions to beinjected and perceived risk of bleeding.

  13. Previous severe hypersensitivity reaction to treatment with Check Point Inhibitor (CPI) or other monoclonal antibody.

  14. History of severe immune-related adverse effects (irAEs) for greater than 12 weeks.CPI-related AEs (including irAEs) must have resolved back to Grade 0-1 and patientsreceived no corticosteroids for irAEs for at least two weeks prior to first dose ofpembrolizumab in the study.

  15. History of interstitial lung disease or prior pneumonitis requiring systemiccorticosteroid therapy. In case of uncertainty, a high-resolution computedtomography (HRCT) should be performed at baseline.

  16. Patients at high risk of bowel perforation, history of acute diverticulitis,intra-abdominal abscess or abdominal carcinomatosis).

Study Design

Total Participants: 100
Treatment Group(s): 3
Primary Treatment: T3P-Y058-739 (IV)
Phase: 1/2
Study Start date:
April 26, 2022
Estimated Completion Date:
October 15, 2027

Study Description

The study, which has a modular design with up to 6 parts, anticipates enrolling approximately 100 participants. Part A will open first. Part B and subsequent parts will open later. The study will evaluate T3P-Y058-739 monotherapy given by intratumoural (IT) injection (Part A) and by intravenous (IV) infusion (Part B). In addition, either IT or IV T3P-Y058-739 (route of administration to be chosen based on emerging data) will be evaluated in combination with pembrolizumab. All patients will receive low doses of desferrioxamine (which provides iron in a form that can be used by the bacteria) to support bacterial survival and growth. All patients will receive antibiotics on completion of therapy to eradicate any residual T3P-Y058-739.

Connect with a study center

  • Hospital Universitario La Paz

    Madrid, 28046
    Spain

    Active - Recruiting

    0.86 miles

  • Hospital Universitario 12 De Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

    0.86 miles

  • Hospital Universitari Vall D Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

    313.31 miles

  • Vall d'Hebron Institute of Oncology

    Barcelona, 08035
    Spain

    Active - Recruiting

    313.31 miles

  • Centre Hospitalier Universitaire Vaudois Lausanne (CHUV)

    Lausanne, 1011
    Switzerland

    Active - Recruiting

    666.43 miles

  • University Hospital Bern (Inselspital)

    Bern, 3010
    Switzerland

    Active - Recruiting

    714.99 miles

  • University Hospital Southampton NHS Foundation Trust

    Southampton, SO16 6YD
    United Kingdom

    Active - Recruiting

    732.47 miles

  • Royal Marsden NHS Foundation Trust

    London, SW3 6JJ
    United Kingdom

    Active - Recruiting

    784.6 miles

  • Leeds Clinical Research Facility

    Leeds, LS9 7TF
    United Kingdom

    Active - Recruiting

    929.77 miles

  • Cancer Research UK Clinical trials; Unit Partner in CaCTUS- Cancer clinical trials Unit Scotland; Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN
    United Kingdom

    Active - Recruiting

    1,067.12 miles

  • Institut Catala D'oncologia

    L'Hospitalet De Llobregat, 08908
    Spain

    Active - Recruiting

  • University Hospital of Zürich (Universitätsspital Zürich)

    Zürich, 8091
    Switzerland

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.