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Cervical Squamous Cell CarcinomaPhase 1/2NCT07169734

A Study to Investigate ALE.P03 as Monotherapy in Adult Patients With Selected Advanced or Metastatic CLDN1+ Solid Tumors

A Phase 1/2 study testing ALE.P03 in people with Cervical Squamous Cell Carcinoma and Squamous Non-small-cell Lung Cancer, run by Alentis Therapeutics AG at 41 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic, pharmacodynamic, preliminary anti-tumor activity, and to determine the recommended Phase II dose (RP2D) of the ALE.P03 monotherapy in adult patients with selected squamous solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ALE.P03
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
41 sitesin 8 countries
Study dates
26 Aug 2025to 4 Oct 2029
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Have histologically and cytologically metastatic confirmed advanced or metastatic colorectal cancer, intrahepatic cholangiocarcinoma, squamous non-small cell lung cancer, urothelial carcinoma, and cervical squamous cell carcinoma.
  • Have documented radiological disease progression at study entry.
  • Have provided tissue for CLDN1 (Claudin-1) analysis in a central laboratory.
  • Phase I Dose Escalation:
  • Received and being refractory/intolerant to available systemic standard of care (SOC) regimens (based on local institutional guidelines) for advanced disease.
  • Phase I RDE and Phase II:
Show all 12Show fewer
  • Received 1-2 available systemic SOC regimens (based on local institutional guidelines) for advanced disease and being refractory or intolerant to treatment.
  • Patients with actionable oncogenic drivers: received feasible targeted therapy.
  • Applicable for Phase I Dose Escalation, Phase I RDE and Phase II:
  • Measurable disease per RECIST 1.1, as determined by the site.
  • Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Groups Performance Status.
  • Demonstrate adequate bone marrow and organ function as per the protocol.

Who cannot join

  • SqNSCLC and CSCC: diagnosed with a tumor of predominantly non-squamous histology result or adenocarcinoma.
  • Has received antineoplastic therapies prior to study intervention within specified time frame.
  • Has rapidly progressing disease.
  • Has known active central nervous system metastases and/or carcinomatous meningitis.
  • Has a history of (non-infectious) interstitial lung disease/pneumonitis that required steroids or current symptomatic or clinically significant pneumonitis requiring steroids and/or immunosuppressive therapies.
  • Has clinically significant gastrointestinal bleeding.
  • Has an active infection requiring systemic treatment.
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the clinical study.

Trial locations and contacts

41 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

Alentis Clinical Trial Contact contact

+41782304288

patientinfo@alentis.ch

41 sites in 8 countries

Spain12 sites, 12 recruiting
  • Hospital HM Nou Delfos

    Barcelona, 08023

    Principal Investigator

    Recruiting
  • Vall d'Hebron University Hospital

    Barcelona, 08035

    Principal Investigator

    Recruiting
  • See outside Hospital Universitario Reina Sofia

    Córdoba, 14004

    Principal Investigator

    Recruiting
  • Virgen of Arrixaca University Clinical Hospital

    El Palmar, 30120

    Principal Investigator

    Recruiting
  • Ramón y Cajal Hospital

    Madrid, 28034

    Principal Investigator

    Recruiting
  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040

    Principal Investigator

    Recruiting
  • HM Sanchinarro University Hospital

    Madrid, 28050

    Principal Investigator

    Recruiting
  • University Hospital Quironsalud Madrid

    Madrid, 28223

    Principal Investigator

    Recruiting
  • Hospital universitario virgen macarena

    Seville, 41009

    Principal Investigator

    Recruiting
  • San Juan de Reus University Hospital

    Tarragona, 43204

    Principal Investigator

    Recruiting
  • Hospital Clinico Universitario de Valencia

    Valencia, 46010

    Principal Investigator

    Recruiting
  • La Fe University and Polytechnic Hospital

    Valencia, 46026

    Principal Investigator

    Recruiting

Other trials in Spain

United States9 sites, 9 recruiting
  • The University of Chicago Medical Center - Oncology

    Chicago, Illinois, 60637

    Principal Investigator

    Principal Investigator

    Recruiting
  • NEXT Oncology Virginia

    Fairfax, Virginia, 22031

    Principal Investigator

    Recruiting
  • John Theurer Cancer Center

    Hackensack, New Jersey, 07601

    Principal Investigator

    Recruiting
  • MD Anderson Cancer Center

    Houston, Texas, 77030

    Principal Investigator

    Recruiting
  • USC Norris Comprehensive Cancer Center

    Los Angeles, California, 90033

    Principal Investigator

    Recruiting
  • Norton Cancer Institute - Norton Healthcare Pavilion

    Louisville, Kentucky, 40202

    Principal Investigator

    Recruiting
  • Yale Comprehensive Cancer Center

    New Haven, Connecticut, 06510

    Principal Investigator

    Recruiting
  • Mayo Clinic Comprehensive Cancer Center

    Phoenix, Arizona, 85054

    Principal Investigator

    Recruiting
  • Next Oncology-Oncology

    San Antonio, Texas, 78229

    Principal Investigator

    Recruiting

Other trials in United States

Italy7 sites, 7 recruiting
  • Oncologo presso Ospedale ASST Grande Ospedale Metropolitano Niguarda

    Milan, 20162

    Principal Investigator

    Principal Investigator

    Recruiting
  • Ospedale San Raffaele, IRCCS - Oncologia Medica

    Milan, 20132

    Principal Investigator

    Recruiting
  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milan, 20133

    Principal Investigator

    Recruiting
  • IEO - Istituto Europeo di Oncologia, IRCCS

    Milan, 20141

    Principal Investigator

    Recruiting
  • Ravenna - Ospedale S. Maria delle Croci

    Ravenna, 48121

    Principal Investigator

    Principal Investigator

    Recruiting
  • IRCCS Istituto Clinico Humanitas di Rozzano

    Rossano, 20089

    Principal Investigator

    Principal Investigator

    Recruiting
  • Policlinico Santa Maria alle Scotte, Azienda Ospedaliero Universitaria Senese - Immunoterapia Oncologica

    Siena, 53100

    Principal Investigator

    Principal Investigator

    Recruiting

Other trials in Italy

France4 sites, 4 recruiting
  • Centre Georges Francois Leclerc - Oncologie Medicale

    Dijon, 21000

    Principal Investigator

    Principal Investigator

    Recruiting
  • CHU La Timone

    Marseille, 13005

    Principal Investigator

    Principal Investigator

    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Toulouse - Institut Universitaire du Cancer de Toulouse-Oncopole (IUCT-Oncopole)

    Toulouse, 31100

    Principal Investigator

    Principal Investigator

    Recruiting
  • Institut Gustave Roussy (IGR)

    Villejuif, 94800

    Principal Investigator

    Recruiting

Other trials in France

Netherlands3 sites, 3 recruiting
  • The Netherlands Cancer Institute (NKI)

    Amsterdam, 1066

    Principal Investigator

    Principal Investigator

    Recruiting
  • Radboudumc - Centrum voor Oncologie

    Nijmegen, 6525

    Principal Investigator

    Recruiting
  • Erasmus University Medical Center

    Rotterdam, 3015

    Principal Investigator

    Principal Investigator

    Recruiting

Other trials in Netherlands

Taiwan3 sites, 3 recruiting
  • National Cheng Kung University Hospital

    Tainan, 100225

    Principal Investigator

    Principal Investigator

    Recruiting
  • National Taiwan University Hospital

    Taipei, 100225

    Principal Investigator

    Principal Investigator

    Recruiting
  • Chang Gung Medical Foundation - LinKou Chang Gung Memorial Hospital - Oncology

    Taoyuan, 33305

    Principal Investigator

    Principal Investigator

    Recruiting

Other trials in Taiwan

Singapore2 sites, 2 recruiting
  • National University Hospital (NUH) - Medical Oncology

    Singapore, 119074

    Principal Investigator

    Recruiting
  • National Cancer Centre Singapore (NCCS)

    Singapore, 168583

    Principal Investigator

    Recruiting

Other trials in Singapore

Hong Kong1 site, 1 recruiting
  • Prince of Wales Hospital (PWH) - The Chinese University of Hong Kong (CUHK)

    Hong Kong, Hong-Kong

    Principal Investigator

    Recruiting

Other trials in Hong Kong

About this study

Official title: A Phase I/II, Open-label, Multicenter Study of ALE.P03 (Claudin-1 Targeted Antibody-drug Conjugate) as a Monotherapy in Adult Patients With Selected Advanced or Metastatic CLDN1+ Solid Tumors

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic, pharmacodynamic, preliminary anti-tumor activity, and to determine the recommended Phase II dose (RP2D) of the ALE.P03 monotherapy in adult patients with selected squamous solid tumors.

Read the detailed description

This Study has a Phase I ALE.P03 monotherapy dose escalation and recommended dose for expansion (RDE) study and a Phase II study of ALE.P03 as monotherapy at RP2D in adult patients with selected advanced or metastatic Claudin-1 positive (CLDN1+) cancers.

Being tested
ALE.P03
Keywords
Claudin-1 Targeted Antibody-Drug Conjugate, Monotherapy, First-in-Human, Recommended Phase 2 dose, Recommended dose for expansion
Medical subject headings
Colorectal Neoplasms, Cholangiocarcinoma, Carcinoma, Transitional Cell

What participants receive

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

  • ALE.P03Drug

    ALE.P03, will be administered by IV infusion according to the assigned arms.

  • ALE.P03Drug

    ALE.P03, will be administered by IV infusion according to the assigned arms.

  • ALE.P03Drug

    ALE.P03, will be administered by IV infusion according to the assigned arms.

Study groups in NCT07169734
Study groupRoleWhat they receive
Phase I Dose Escalation- ALE.P03ExperimentalPatients will receive ALE.P03 as monotherapy via intravenous infusion. The ALE.P03 will be given at an escalated dose until Maximum tolerated dose (MTD) and/or a safe recommended dose for expansion (RDE) is determined in Phase I dose escalation part of the study.
Receives: Drug: ALE.P03
Phase I Dose Expansion- ALE.P03ExperimentalPatients will receive ALE.P03 as monotherapy via intravenous infusion. The safe recommended doses of ALE.P03 will be given in Phase I dose expansion part of the study to identify recommended Phase II dose (RP2D) for Phase II.
Receives: Drug: ALE.P03
Phase II- ALE.P03ExperimentalPatients will receive ALE.P03 as monotherapy via intravenous infusion at the RP2D, or according to the dosing schedule after the dose expansion phase.
Receives: Drug: ALE.P03

What is being measured

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

  1. Number of Patients with Dose Limiting Toxicities (DLTs) (Phase I)

    DLTs as defined in the protocol will be assessed to evaluate safety and tolerability of ALE.P03 (Phase I Dose Escalation), and to establish RP2D for ALE.P03 (Phase I RDE).

    Measured: Up to 28 days

  2. Number of Patients with Adverse Events (Phase I)

    Adverse events will be assessed to evaluate safety and tolerability of ALE.P03 (Phase I Dose Escalation), and to establish RP2D for ALE.P03 (Phase I RDE).

    Measured: From Day 1 up to Safety follow-up (30 ± 5 days post last dose [Up to 4 years])

  3. Overall Response Rate (ORR) (Phase I)

    The ORR is the proportion of patients with a best overall response (BOR) of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1.) This is assessed to establish RP2D for ALE.P03 (Phase I RDE)

    Measured: From ALE.P03 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 4 years)

  4. Duration of Response (DoR) (Phase I)

    The DoR is defined for patients achieving a CR or PR as per Investigator review according to RECIST 1.1 to disease progression before new anti-cancer therapy or death of any cause, whichever occurs earlier. This is assessed to establish RP2D for ALE.P03 (Phase I RDE).

    Measured: From ALE.P03 treatment initiation until disease progression or study completion (Up to 4 years)

  5. Overall Response Rate (ORR) (Phase II)

    The ORR is assessed to assess anti-tumor activity of ALE.P03 (Phase II).

    Measured: From ALE.P03 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 4 years)

  6. Duration of Response (DoR) (Phase II)

    The DoR is defined for patients achieving a confirmed CR or PR as the time from the initial response of CR or PR to disease progression before new anti-cancer therapy or death of any cause, whichever occurs earlier. This is assessed to assess anti-tumor activity of ALE.P03 (Phase II).

    Measured: From ALE.P03 treatment initiation until disease progression or study completion (Up to 4 years)

Secondary outcomes (19)
  1. Number of Patients with Adverse Events (Phase I RDE and Phase II)

    Adverse events will be assessed to evaluate safety and tolerability of ALE.P03 (Phase I RDE and Phase II)

    Measured: From Day 1 up to Safety follow-up (30 ± 5 days post last dose [Up to 4 years]

  2. Disease control rate (DCR) (Phase I and II)

    The DCR is defined as the proportion of patients with a BOR of CR or PR or stable disease (SD) per Investigator review according to RECIST 1.1 at or prior to initiation of the use of new anti-cancer therapy. This is assessed to evaluate preliminary evidence of anti-tumor activity of ALE.P03 (Phase I and II).

    Measured: From ALE.P03 treatment initiation until at or prior to initiation of the use of new anti-cancer therapy (Up to 4 years)

  3. Median Progression-Free Survival (PFS) rate at 6 and 12 Months (Phase I and II)

    The PFS is defined as time from first study treatment to a documented disease progression according to RECIST 1.1, as determined by the Investigator, or death due to any cause, whichever occurs earlier. This is assessed to evaluate preliminary evidence of anti-tumor activity of ALE.P03 (Phase I and II).

    Measured: At 6 and 12 months after initiation of ALE.P03 treatment

  4. Median Overall Survival (OS) rate at 6, 12, and 24 Months (Phase I and II)

    The OS is defined as time from first study treatment to death due to any cause. This is assessed to evaluate preliminary evidence of anti-tumor activity of ALE.P03 (Phase I and II).

    Measured: At 6, 12, and 24 months after initiation of ALE.P03 treatment

  5. Blood Concentration of ALE.P03 Antibody-drug Conjugate (ADC) (Phase I and II)

    Concentrations of ALE.P03 ADC in blood will be measured at each scheduled time point per arms.

    Measured: Phase I and II: From Day 1 until at end of treatment visit (EoT) (Up to 4 years)

  6. Blood Concentrations of Total Antibody (Phase I and II)

    Concentrations of total antibody in blood will be measured at each scheduled time point per arms.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  7. Blood Concentrations of Payload (Phase I and II)

    Concentrations of payload in blood will be measured at each scheduled time point per arms.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  8. Area under the concentration-time curve over the dosing interval (AUCtau) (Phase I and II)

    The AUCtau of ALE.P03 will be measured to assess the pharmacokinetic (PK) profile of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  9. Area under the concentration-time curve from pre-dose (time 0) to the time of the last quantifiable concentration (AUClast) (Phase I and II)

    The AUClast of ALE.P03 will be measured to assess the PK profile of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  10. Area under the concentration-time curve from pre-dose (time 0) extrapolated to infinite time (AUCinf) (Phase I and II)

    The AUCinf of ALE.P03 will be measured to assess the PK profile of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  11. Maximum Concentration (Cmax) (Phase I and II)

    The Cmax of ALE.P03 will be measured to assess the PK profile of ALE.P03. It is determined directly from the concentration-time profile.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  12. Minimum concentration (Cmin) (Phase I and II)

    The Cmin of ALE.P03 will be measured to assess the PK profile of ALE.P03. It is determined directly from the concentration-time profile.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  13. Concentration at the end of a dosing interval (Ctrough) (Phase I and II)

    The Ctrough of ALE.P03 will be measured to assess the PK profile of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  14. The terminal elimination rate constant (KeL) (Phase I and II)

    The KeL of ALE.P03 will be measured to assess the PK profile of ALE.P03. It is determined by selection of at least three data points on the terminal phase of the concentration-time curve.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  15. Terminal elimination half-life (t½) (Phase I and II)

    The t½ of ALE.P03 will be measured to assess the PK profile of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  16. Time of Maximum Concentration (tmax) (Phase I and II)

    The tmax of ALE.P03 will be measured to assess the PK profile of ALE.P03. It is determined directly from the concentration-time profile.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  17. Average Concentration (Cavg) (Phase I and II)

    The Cavg of ALE.P03 will be measured to assess the PK profile of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  18. Number of Patients with Presence of anti-ALE.P03 Antibodies (Phase I and II)

    Presence of anti-ALE.P03 Antibodies will be assessed to evaluate the immunogenicity of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

  19. Number of Patients with Positive anti-ALE.P03 Antibodies (Phase I and II)

    Presence of anti-ALE.P03 Antibodies (positive/negative) will be assessed to evaluate the immunogenicity of ALE.P03.

    Measured: Phase I and II: From Day 1 until at EoT (Up to 4 years)

Timeline

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

  1. First posted12 Sep 2025
  2. Study start26 Aug 2025
  3. Primary completion5 Apr 2029 (estimated)
  4. Study completion4 Oct 2029 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
For Phase I recommended dose for expansion (RDE) part of the study, patients will be randomized in 1:1 ratio to identify the recommended Phase II dose (RP2D) for Phase II.
Masking
None (open label)
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07169734
Sponsor's protocol ID
ALE.P03.01
Other IDs
2025-521441-24-00, 2025
Status last verified
Sep 2025
First submitted
10 Sep 2025
Last updated
2 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing ALE.P03 in people with Cervical Squamous Cell Carcinoma and Squamous Non-small-cell Lung Cancer, run by Alentis Therapeutics AG at 41 sites in 8 countries.

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 12 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 2 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in Spain, United States, Italy, France, Netherlands and 3 more countries. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Alentis Clinical Trial Contact (+41782304288, patientinfo@alentis.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Patients with Dose Limiting Toxicities (DLTs) (Phase I) (time frame: Up to 28 days). The study lists 6 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 2 Jul 2026.

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