A Phase 1 in Patients With HLA-A*0201+ and WT1+ Recurrent/Metastatic Cancers

Last updated: January 20, 2026
Sponsor: Cue Biopharma
Overall Status: Completed

Phase

1

Condition

Neoplasm Metastasis

Stomach Cancer

Pancreatitis

Treatment

CUE-102

Clinical Study ID

NCT05360680
CUE-102-01
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1, open-label, 2-part, multi-center study evaluating the safety, tolerability, PK, pharmacodynamics (PD), immunogenicity, and antitumor activity of CUE-102 intravenous (IV) monotherapy in HLA-A*0201 positive patients with WT1 positive recurrent/metastatic solid tumors who have failed conventional therapies.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Ability to provide informed consent and documentation of informed consent prior toinitiation of any study-related tests or procedures that are not part of standard ofcare for the patient's disease.

  2. Age ≥18 years old

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

  4. Life expectancy ≥12 weeks

  5. Measurable disease as per RECIST 1.1 and documented by CT and/or MRI.

  6. All tumors must have histologically or cytologically confirmed cancer diagnosis

  7. Patients must have any of the following cancers to be eligible: A. Colorectal cancer

  8. Histologically or cytologically documented adenocarcinoma of colon or rectum atthe time of initial presentation

  9. Metastatic or locally advanced/unresectable disease

  10. Documented disease progression after the last administration of standardtherapies or intolerance to at least 2 prior systemic treatment regimens (CUE-102 will be 3rd line therapy or greater). B. Gastric cancer (including gastroesophageal junction)

  11. Histologically or cytologically documented gastric cancer at the time ofinitial presentation

  12. Metastatic or locally advanced/unresectable disease

  13. Documented disease progression after last administration of standard therapiesor intolerance to standard therapies. (CUE-102 will be 2nd line therapy orgreater). C. Pancreatic cancer

  14. Histologically or cytologically documented pancreatic adenocarcinoma at thetime of initial presentation

  15. Patients with metastatic or locally advanced/unresectable disease.

  16. Prior systemic treatment must include either a fluoropyrimidine-based orgemcitabine-based regimen in either the (neo)adjuvant or relapsed setting. (CUE-102 will be 2nd line therapy or greater). D. Ovarian cancer

  17. Histologically or cytologically documented ovarian cancer at the time ofinitial presentation

  18. Metastatic or locally advanced/unresectable disease, with documented diseaseprogression after last administration of standard therapies or intolerance tostandard therapies.

  19. Prior systemic treatment must include a platinum-based regimen. (CUE-102 willbe 2nd line therapy or greater).

  20. For patients determined to have platinum-sensitive disease, treatment with asecond platinum-based combination regimen +/- bevacizumab should be consideredprior to treatment with CUE-102 (CUE-102 will be 3rd line therapy or greater).

  21. Patient must have HLA-A*0201 genotype as determined by genomic testing.

  22. Patient must have histologically and/or cytologically proven tumor(s) that is WT1positive.

  23. Acceptable laboratory parameters.

  24. Female patients of childbearing potential must agree to use acceptable contraceptivemeasures from the time of main study consent through 90 days after discontinuationof study drug administration.

  25. Non-vasectomized male patients with partners of childbearing potential must usebarrier contraception from the time of main study consent through 90 days afterdiscontinuation of study drug.

  26. Patients who have previously received an immune CPI (e.g., anti-programmed celldeath ligand 1 (anti PD-L1), anti-programmed cell death 1 (anti-PD-1),anti-cytotoxic T lymphocyte-associated antigen 4 [CTLA-4]) prior to enrollment musthave toxicities related to the CPI resolved to CTCAE ≤ Grade 1 or baseline (levelprior to the CPI) to be eligible for enrollment. Patients who have experiencedCPI-related endocrinopathies (e.g., diabetes, adrenal insufficiency) may participateif endocrinopathies are controlled (CTCAE ≤ Grade 1) with endocrinology support andappropriate repletion. Note: Patients who experienced previous hypothyroidismtoxicity on a CPI are eligible to enter study regardless of CTCAE grade resolutionas long as the patient is well controlled on thyroid replacement hormone.

Exclusion

Exclusion Criteria:

  1. Female patients who are pregnant or plan to become pregnant during the course of thetrial

  2. Female patients who are breastfeeding

  3. Patients with symptomatic central nervous system (CNS) metastases must have beentreated, be asymptomatic, and not have any of the following at the time ofenrollment:

  4. Need for concurrent treatment for the CNS disease (e.g., surgery, radiation,corticosteroids >10 mg prednisone/day or equivalent)

  5. Progression of CNS metastases on CT or MRI for at least 28 days after last dayof prior therapy for the CNS metastases

  6. Concurrent leptomeningeal disease or cord compression.

  7. Has an active autoimmune disease that has required systemic treatment in past 2years (i.e., with use of disease modifying agents, corticosteroids, orimmunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, orphysiologic corticosteroid replacement therapy for adrenal or pituitaryinsufficiency) is not considered a form of systemic treatment and is permitted.

  8. History of prior allogeneic bone marrow, stem-cell, or solid organ transplantation

  9. Treatment with any systemic anti-neoplastic therapy, or investigational therapywithin the 14 days (or 28 days, for antibody drugs), before the first dose ofCUE-102.

  10. Treatment with radiation therapy within 14 days before the first dose of CUE-102

  11. Treatment with corticosteroids (> 10 mg per day prednisone or equivalent) or otherimmune suppressive drugs within 14 days before the first dose of CUE-102. Steroidsfor topical, ophthalmic, inhaled, or nasal administration are permitted.Physiological replacement with up to a maximum dose of 5 mg equivalence ofprednisone per day is permitted.

  12. History of clinically significant cardiovascular disease

  13. Clinically significant pulmonary compromise (e.g., requirement for supplementaloxygen)

  14. Clinically significant gastrointestinal (GI) disorders

  15. Patients who experienced the following immune CPI-related AEs are ineligible even ifthe AE resolved to ≤ Grade 1 or baseline:

  16. ≥ Grade 3 ocular AE

  17. Changes in liver function tests that met the criteria for Hy's Law (> 3× ULN ofeither ALT/AST with concurrent > 2× ULN of total bilirubin (total and direct)and without alternate etiology)

  18. ≥ Grade 3 neurologic toxicity

  19. ≥ Grade 3 colitis

  20. ≥ Grade 3 renal toxicity

  21. Evidence of active viral, bacterial, or systemic fungal infection requiringparenteral treatment within 7 days before the first dose of CUE-102.

  22. No known history of infection or positive test for HIV, Hepatitis B or Hepatitis C,testing prior to enrollment is not required unless mandated by local authority

  23. Second primary invasive malignancy that has not been in remission for > 2 years.

  24. History of trauma or major surgery within 28 days before the first dose of CUE-102

  25. Any serious underlying medical or psychiatric condition that would impair theability of the patient to receive or tolerate the planned treatment at theinvestigational site

  26. Known hypersensitivity to recombinant proteins, polysorbate 80 or any excipientcontained in the drug formulation for CUE-102

  27. Vaccination with any live virus vaccine within 28 days before the first dose ofCUE-102. Inactivated annual influenza vaccination is allowed.

  28. Dementia or altered mental status that would preclude understanding and rendering ofinformed consent

  29. Active or history of significant alcohol or other substance abuse within 1 yearbefore the first dose of CUE-102

Study Design

Total Participants: 42
Treatment Group(s): 1
Primary Treatment: CUE-102
Phase: 1
Study Start date:
June 14, 2022
Estimated Completion Date:
March 12, 2025

Study Description

CUE-102 is a novel fusion protein developed for the treatment of patients with WT1-positive malignancies by selective engagement and expansion of tumor antigen-specific T cells that should allow for increased potential for anti-cancer efficacy and reduced toxicity relative to non-targeted forms of immunotherapy that result in systemic activation of the immune system.

The goal of Part A is to characterize the safety, tolerability, and biological effects of CUE-102.

The goal of Part B is to expand the safety and immune activity data at the RP2D identified in Part A, and to evaluate antitumor activity at this dose.

Connect with a study center

  • Mayo Clinic

    Phoenix, Arizona 85054
    United States

    Site Not Available

  • Mayo Clinic

    Phoenix 5308655, Arizona 5551752 85054
    United States

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • Stanford Advanced Medicine Cancer Center

    Palo Alto, California 94304
    United States

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles 5368361, California 5332921 90048
    United States

    Site Not Available

  • Stanford Advanced Medicine Cancer Center

    Palo Alto 5380748, California 5332921 94304
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa 4174757, Florida 4155751 33612
    United States

    Site Not Available

  • Winship Cancer Institute

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Winship Cancer Institute

    Atlanta 4180439, Georgia 4197000 30322
    United States

    Site Not Available

  • Johns Hopkins University

    Baltimore, Maryland 21231
    United States

    Site Not Available

  • Johns Hopkins University

    Baltimore 4347778, Maryland 4361885 21231
    United States

    Site Not Available

  • Mayo Clinic - Rochester

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Mayo Clinic - Rochester

    Rochester 5043473, Minnesota 5037779 55905
    United States

    Site Not Available

  • Carol G. Simon Cancer Center - Morristown Medical Center

    Morristown, New Jersey 07960
    United States

    Site Not Available

  • Carol G. Simon Cancer Center - Morristown Medical Center

    Morristown 5101427, New Jersey 5101760 07960
    United States

    Site Not Available

  • Montefiore Medical Center

    Bronx, New York 10461
    United States

    Site Not Available

  • Montefiore Medical Center

    The Bronx 5110266, New York 5128638 10461
    United States

    Site Not Available

  • Carolina BioOncology Institute

    Huntersville, North Carolina 28078
    United States

    Site Not Available

  • Carolina BioOncology Institute

    Huntersville 4472370, North Carolina 4482348 28078
    United States

    Site Not Available

  • Gabrail Cancer Center

    Canton, Ohio 44718
    United States

    Site Not Available

  • Cleveland Medical Center (University Hospitals)

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Gabrail Cancer Center

    Canton 5149222, Ohio 5165418 44718
    United States

    Site Not Available

  • Cleveland Medical Center (University Hospitals)

    Cleveland 5150529, Ohio 5165418 44106
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

  • Northwest Medical Specialties, PLLC

    Tacoma, Washington 98405
    United States

    Site Not Available

  • Northwest Medical Specialties, PLLC

    Tacoma 5812944, Washington 5815135 98405
    United States

    Site Not Available

  • Carbone Cancer Center

    Madison, Wisconsin 53792
    United States

    Site Not Available

  • Carbone Cancer Center

    Madison 5261457, Wisconsin 5279468 53792
    United States

    Site Not Available

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