New antibody TST001 takes on stomach and pancreatic cancers
NCT ID NCT04396821
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial tests an experimental drug called TST001, an antibody that targets a protein (Claudin 18.2) found on some cancer cells. It is being studied alone or combined with other treatments like nivolumab or chemotherapy in 150 people with advanced stomach, gastroesophageal junction, or pancreatic cancers. The main goals are to check safety, find the best dose, and see how the body handles the drug.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TST001 (an experimental antibody targeting Claudin 18.2 on cancer cells)
- What this could lead to
- If successful, this could lead to a new treatment option for advanced stomach, pancreatic, and other solid tumors that have stopped responding to standard therapies.
- What could go wrong
- This is an early-phase trial focused on safety and dosing, so it is not yet known if TST001 will shrink tumors or improve survival. Side effects from the drug or combinations are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2020
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female ≥ 18 years. * Patients with histologically or cytologically confirmed, locally advanced or metastatic solid tumors. Part A only: \* Patients must be: a) progressed after standard therapies, b) intolerant of standard therapies, or c) with a tumor type without standard therapy. Part B only: * Cohort A: Patients with previously untreated, unresectable, locally advanced or metastatic GC/GEJ adenocarcinoma; prior adjuvant or neoadjuvant therapy are allowed only if disease progressed or recurred at least 6 months after completion of these treatments. Patients may have received one infusion of mFOLFOX6 plus nivolumab during the screening period. * Cohort B: Patients with GC/GEJ adenocarcinoma who have radiologically progressed following one or two prior systemic therapies; adjuvant or neoadjuvant therapy could be regarded as one line of therapy only if disease progressed or recurred during these treatments or within 6 months or less after completion of these treatments. * Cohort C: Patients with previously untreated, unresectable, locally advanced or metastatic histologically confirmed pancreatic adenocarcinoma; prior adjuvant or neoadjuvant therapy are allowed only if disease progressed or recurred at least 6 months after completion of these treatments. Patients may have received up to 2 infusions of Gemcitabine + albumin-bound paclitaxel (with one week between each infusion) during the screening period. * Eastern Cooperative Oncology Group Performance Status (ECOG PS): 0-1 . * Patients with adequate cardiac, liver, renal function, etc. Exclusion Criteria * Symptomatic central nervous system metastases. * Prior treatment with any CLDN18.2 target agents * Allergy or sensitivity to TST001 or known allergies to comparable drugs * Documented history of multiple other allergies requiring interventions * Severe cardiovascular disease, including CVA, TIA, myocardial infarction, or unstable angina, NYHA class III or IV heart failure or uncontrolled arrhythmia within 6 months of study entry, severe QTc prolongation, concomitant risks for QTc prolongation. * Concurrent malignancy within 5 years prior to entry except adequately treated certain types of cancer * Active and clinically significant infections, known uncontrolled infections with hepatitis B, hepatitis C, known human immunodeficiency virus with acquired immunodeficiency syndrome related illness * Any condition that the investigator or primary physician believes may not be appropriate for participating in the study. Other protocol-defined Inclusion/Exclusion Criteria could apply. .
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Allegheny Hospital
Pittsburgh, Pennsylvania, 15212, United States
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Banner MD Anderson
Gilbert, Arizona, 85234, United States
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Emory University
Atlanta, Georgia, 30033, United States
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Florida Cancer Specialists
Sarasota, Florida, 34232, United States
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Gabrail Cancer Research
Canton, Ohio, 44718, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Memorial Sloan Kettering
New York, New York, 10065, United States
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NEXT Oncology
Austin, Texas, 78704, United States
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Pennsylvania Cancer Specialist Research Institute
Gettysburg, Pennsylvania, 17325, United States
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Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
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Stony Brook Cancer Center
Stony Brook, New York, 11794, United States
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Swedish Cancer Institute
Seattle, Washington, 98104, United States
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University of Arizona
Tucson, Arizona, 85724, United States
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University of Kansas, School of Medicine
Kansas City, Kansas, 66160, United States
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Vanderbilt University
Nashville, Tennessee, 37232, United States
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Wake Forest Baptist Comprehensive Cancer Center
Winston-Salem, North Carolina, 27157, United States
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Washington University
St Louis, Missouri, 63110, United States
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Yale University
New Haven, Connecticut, 06519, United States
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