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Advanced or Metastatic Solid TumorsPhase 1NCT05678998

WTX-330 in Patients With Advanced or Metastatic Solid Tumors or Non-Hodgkin Lymphoma

A Phase 1 study testing WTX-330 in people with Advanced or Metastatic Solid Tumors and Non-Hodgkin Lymphoma, run by Werewolf Therapeutics, Inc. at 9 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A first-in-human, Phase 1, open-label, multicenter study of WTX-330 administered as a monotherapy to patients with advanced or metastatic solid tumors or non-Hodgkin lymphoma. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
WTX-330
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
9 sitesUnited States
Study dates
6 Dec 2022to 5 Feb 2025
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years.
  • Dose Escalation: A diagnosis of a relapsed/refractory advanced or metastatic solid tumor for which the patient has progressed on or is intolerant of standard therapy, or for whom no standard therapy with proven benefit exists.
  • Dose Expansion: A diagnosis of a relapsed/refractory advanced or metastatic malignancy for which the patient has progressed on or is intolerant of standard therapy, or for whom no standard therapy with proven benefit exists. For Arm A, patients must have a tumor type for which a CPI is indicated/approved and demonstrate primary or secondary resistance to a standard of care anti-PD(L)1-based treatment regimen. For Arm B, patients must have a solid tumor type for which a CPI is not indicated/approved or non-Hodgkin lymphoma.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • At least one measurable lesion per RECIST 1.1 or an evaluable lesion per Lugano classification (for lymphoma).
  • Agrees to undergo a pre-treatment and on-treatment biopsy of a primary or metastatic solid tumor or lymphoma lesion.
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  • HIV-infected patients must be on antiretroviral therapy and have well-controlled disease.
  • Adequate organ and bone marrow function.
  • Willingness of men and women of reproductive potential to use highly effective birth control for the duration of treatment and for 4 months following the last dose of study drug.
  • Additional criteria may apply.

Who cannot join

  • A history of another active malignancy (i.e., a second cancer) within the previous 2 years, except for localized cancers that are not related to the current cancer being treated, are considered cured, and, in the opinion of the Investigator, present a low risk of recurrence. These exceptions include but are not limited to basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, or breast.
  • Received prior treatment with IL-12, including by intratumoral injection.
  • Patients with primary CNS malignancies.
  • Presence of CNS metastases that are symptomatic and/or require local CNS directed therapy (such as XRT or surgery) or increasing doses of corticosteroids within 2 weeks prior to the first dose of study drug. Patients with treated brain metastases should be neurologically stable and receiving ≤ 10 mg per day of prednisone or equivalent prior to study entry.
  • Significant cardiovascular disease.
  • Significant electrocardiogram (ECG) abnormalities
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  • Active autoimmune disease requiring systemic treatment in the past 2 years.
  • Diagnosis of immunodeficiency, on immunosuppressive therapy, or receiving chronic systemic or enteric steroid therapy (dose > 10 mg/day of prednisone or equivalent).
  • Prior receipt of an allogeneic stem cell transplant or allogeneic CAR-T cell therapy.
  • Major surgery (excluding placement of vascular access) within 2 weeks prior to the first dose of study drug.
  • Investigational agent or anticancer therapy (including chemotherapy, biologic therapy, immunotherapy, anticancer Chinese medicine, or anticancer herbal remedy) within 5 half-lives or 4 weeks (whichever is shorter) prior to the first dose of study drug.
  • Radiotherapy within 2 weeks of the start of study treatment. A 1-week washout is permitted for palliative radiation (≤ 2 weeks of radiotherapy) to non-CNS disease.
  • Any unresolved toxicities from prior therapy greater than NCI-CTCAE version 5.0 Grade 1 at the time of starting study drug with the exception of alopecia and Grade 2 platinum therapy-related neuropathy.
  • Use of sensitive substrates of major CYP450 isozymes.
  • Any illness, medical condition, organ system dysfunction, or social situation (including mental illness or substance abuse), that may interfere with a patient's ability to sign the ICF, adversely affect the patient's ability to cooperate and participate in the study, or compromise interpretation of study results.
  • Received a live vaccine within 30 days of the first dose of study drug.
  • Active, uncontrolled systemic bacterial, viral, or fungal infection.
  • HIV-infected participants with a history of Kaposi sarcoma and/or Multicentric Castleman Disease.
  • Active infection with hepatitis B as determined by hepatitis B surface antigen and hepatitis B core antibody, or hepatitis B virus deoxyribonucleic acid (DNA) by quantitative polymerase chain reaction (qPCR) testing.
  • Active infection with hepatitis C as determined by hepatitis C virus (HCV) antibody or HCV RNA by qPCR testing.
  • Pregnant or lactating.
  • History of hypersensitivity to any of the study drug components.
  • Additional criteria may apply

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • Emory Winship Cancer Institute of Emory University

    Atlanta, Georgia, 30322

  • Mass General Hospital

    Boston, Massachusetts, 02114

  • Facility Name: Roswell Park Comprehensive Cancer Care

    Buffalo, New York, 14203

  • Northwestern University

    Chicago, Illinois, 60611

  • Indiana University

    Indianapolis, Indiana, 46202

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15232

  • Providence Cancer Institute Franz Clinic

    Portland, Oregon, 97213

  • NEXT Oncology

    San Antonio, Texas, 78229

  • HonorHealth

    Scottsdale, Arizona, 85258

Other trials in United States

About this study

Official title: A Phase 1 (First-In-Human [FIH]), Multi-Site, Dose Escalation and Expansion Study of WTX-330 in Adult Patients With Advanced or Metastatic Solid Tumors or Lymphoma

A first-in-human, Phase 1, open-label, multicenter study of WTX-330 administered as a monotherapy to patients with advanced or metastatic solid tumors or non-Hodgkin lymphoma.

Read the detailed description

This is a first-in-human, Phase 1, open-label, multicenter study to evaluate the safety, tolerability and preliminary efficacy of WTX-330, a conditionally-activated IL-12 prodrug, when administered as a monotherapy to patients with advanced or metastatic solid tumors or non-Hodgkin lymphoma. Dose escalation will be conducted in patients with advanced and/or metastatic solid tumors who are refractory to all standard of care therapies. Dose expansion will be conducted in two arms: Arm A will enroll patients with indications for which a checkpoint inhibitor (CPI) is indicated/approved who demonstrate primary or secondary resistance to an anti-PD(L)1 treatment regimen, and Arm B will enroll patients with tumor types for which CPI therapy is not indicated/approved.

Being tested
WTX-330
Keywords
WTX-330, Cancer, Immunotherapy, Interleukin-12, IL-12, Checkpoint inhibitor resistance
Medical subject headings
Lymphoma, Non-Hodgkin, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • WTX-330Drug

    Investigation Product

Study groups in NCT05678998
Study groupRoleWhat they receive
WTX-330 dose escalationExperimentalPatients with relapsed/refractory advanced or metastatic solid tumors
Receives: Drug: WTX-330
WTX-330 dose expansion in patients for whom CPI therapy is indicated (Arm A)ExperimentalWTX-330 dose expansion in patients with tumor types for which a CPI is indicated/approved who demonstrate primary or secondary resistance to an anti-PD(L)1-based regimen
Receives: Drug: WTX-330
WTX-330 dose expansion in patients for whom CPI therapy is not indicated (Arm B)ExperimentalWTX-330 dose expansion in patients with tumor types for which a CPI is not indicated/ approved
Receives: Drug: WTX-330

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Dose Limiting Toxicities (DLTs)

    A DLT is defined as an AE or abnormal laboratory value assessed as unrelated to disease, disease progression, intercurrent illness, or concomitant medications that occurs within the first cycle of treatment with WTX-330 and meets any of the criteria included in the protocol

    Measured: 4 weeks

  2. Incidence of Treatment Emergent Adverse Events

    AEs were graded and documented in accordance with NCI-CTCAE version 5.0

    Measured: 24 months

  3. Incidence of Changes in Clinical Laboratory Abnormalities

    Change from baseline is provided as baseline grade or "normal/low/high" and worst post-baseline grade.

    Measured: 24 months

  4. Investigator-assessed Objective Response Rate (ORR) by RECIST 1.1 and Immune ORR by iRECIST (for Solid Tumors) or Response by Lugano Criteria (for Lymphomas)

    RECIST = Response Evaluation Criteria in Solid Tumors

    Measured: 24 months

Secondary outcomes (17)
  1. Plasma Concentrations of WTX-330 Cycle 1 - C Max

    PK described by maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

  2. Plasma Concentrations of WTX-330 Cycle 1 - Time of Maximum Concentration Observation

    PK described by time to maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

  3. Plasma Concentrations of WTX-330 Cycle 1 - Half Life

    PK described by Half-Life Lambda z. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

  4. Plasma Concentrations of WTX-330 Cycle 1 - AUC

    PK described by Area Under Curve (0-14 day). Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose.

    Measured: 14 days

  5. Plasma Concentrations of WTX-330 Cycle 2 - C Max

    PK described by maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

  6. Plasma Concentrations of WTX-330 Cycle 2 - Time of Maximum Concentration Observation

    PK described by time to maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

  7. Plasma Concentrations of WTX-330 Cycle 2 - Half Life

    PK described by Half-Life Lambda z. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

  8. Plasma Concentrations of WTX-330 Cycle 2 - AUC

    PK described by Area Under Curve (0-14 day). Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose.

    Measured: 14 days

  9. Plasma Concentrations of IL-12 Cycle 1 - C Max

    PK described by maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

  10. Plasma Concentrations of IL-12 Cycle 1 - Time of Maximum Concentration Observation

    PK described by time to maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

  11. Plasma Concentrations of IL-12 Cycle 1 - Half Life

    PK described by Half-Life Lambda z. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 1

  12. Plasma Concentrations of IL-12 Cycle 1 - AUC

    PK described by Area Under Curve (0-14 day). Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose.

    Measured: 14 days

  13. Plasma Concentrations of IL-12 Cycle 2 - C Max

    PK described by maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

  14. Plasma Concentrations of IL-12 Cycle 2 - Time of Maximum Concentration Observation

    PK described by time to maximum concentration. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

  15. Plasma Concentrations of IL-12 Cycle 2 - Half Life

    PK described by Half-Life Lambda z. Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

    Measured: 0, 4, 8, 24, 48, and 168 hours post-dose on Day 1 of Cycle 2

  16. Plasma Concentrations of IL-12 Cycle 2 - AUC

    PK described by Area Under Curve (0-14 day). Sample collection timepoints: 0, 4, 8, 24, 48, and 168 hours post-dose.

    Measured: 14 days

  17. Antidrug Antibody (ADA) Occurrence

    ADA were measured at Baseline and Post Baseline. "Positive" post baseline applies if at least one post-baseline value was positive.

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jan 2023
  2. Study start6 Dec 2022
  3. Primary completion23 Dec 2024
  4. Study completion5 Feb 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05678998
Sponsor's protocol ID
WTX-330x2101
Status last verified
Dec 2025
First submitted
9 Dec 2022
Last updated
6 Jan 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing WTX-330 in people with Advanced or Metastatic Solid Tumors and Non-Hodgkin Lymphoma, run by Werewolf Therapeutics, Inc. at 9 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jan 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Dose Limiting Toxicities (DLTs) (time frame: 4 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2026.

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