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1m
TranStar102: A Trial to Evaluate Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of TST001 in Advanced or Metastatic Solid Tumors (clinicaltrials.gov)
P1/2, N=320, Recruiting, Suzhou Transcenta Therapeutics Co., Ltd. | Trial completion date: Apr 2024 --> Nov 2024 | Trial primary completion date: Dec 2023 --> Aug 2024
Trial completion date • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • CLDN18 (Claudin 18)
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HER-2 negative
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Opdivo (nivolumab) • cisplatin • gemcitabine • paclitaxel • capecitabine • oxaliplatin • osemitamab (TST001)
1m
Transcenta Announces Collaboration with Agilent to Develop a Claudin18.2 Companion Diagnostic to Support Osemitamab (TST001) Global Phase III Trial (PRNewswire)
"Transcenta Holding Limited...and Agilent Technologies, announce a collaboration to develop a Claudin18.2 (CLDN18.2) companion diagnostic to support TranStar301 global Phase III pivotal trial of Osemitamab (TST001) in combination with Nivolumab and chemotherapy as first-line treatment in patients with CLDN18.2 expressing locally advanced or metastatic gastric or gastroesophageal (G/GEJ) adenocarcinoma."
Licensing / partnership
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osemitamab (TST001)
5ms
[Lu]Lu-labeled anti-claudin-18.2 antibody demonstrated radioimmunotherapy potential in gastric cancer mouse xenograft models. (PubMed, Eur J Nucl Med Mol Imaging)
In preclinical studies, [Lu]Lu-TST001 demonstrated significant antitumor efficacy with acceptable toxicity. It exhibits strong potential for clinical translation, providing a new promising treatment option for CLDN18.2-overexpressing tumors, including GC.
Preclinical • Journal
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CLDN18 (Claudin 18)
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CLDN18.2 expression • CLDN18.2 positive • CLDN18.2 overexpression • CLDN1 overexpression
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osemitamab (TST001)
7ms
New P3 trial • Metastases
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression
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Opdivo (nivolumab) • 5-fluorouracil • capecitabine • oxaliplatin • leucovorin calcium • osemitamab (TST001)
10ms
TST001 in Patients With CLDN18.2 Positive Previously Treated Advanced Biliary Tract Cancer (clinicaltrials.gov)
P2, N=8, Completed, Shanghai Zhongshan Hospital | Recruiting --> Completed | N=40 --> 8 | Trial completion date: Jul 2024 --> May 2023
Trial completion • Enrollment change • Trial completion date • Metastases
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CLDN18 (Claudin 18)
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CLDN18.2 expression
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osemitamab (TST001)
10ms
First-line TST001 plus capecitabine and oxaliplatin (CAPOX) for advanced G/GEJ cancer with CLDN18.2 positive overall survival data from study transtar102-Cohort C (ESMO 2023)
Encouraging anti-tumor activities have been observed regardless of the CLDN18.2 expression levels, including expression as low as ≥10% tumor cells staining ≥1+, <40% tumor cells staining <2+ or 3+. Overall survival data will be presented.
Clinical • Metastases
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CLDN18 (Claudin 18)
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CLDN18.2 expression • CLDN18.2 positive • CLDN18.2 overexpression • CLDN1 positive
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capecitabine • oxaliplatin • osemitamab (TST001)
10ms
Pharmacokinetics, pharmacodynamics and exposure response analyses of osemitamab in patients with locally advanced or metastatic solid tumors (ESMO 2023)
Anti-tumor activity data from 58 patients with 1L G/GEJ adenocarcinoma treated with osemitamab and capecitabine and oxaliplatin (CAPOX) showed patients with average concentration in 56 days above 24 μg/mL tended to have a better ORR. Grade 2+ nausea/vomiting are found to be associated with osemitamab exposure; however, simulations demonstrated the proportion of patients that developed Grade 2+ nausea or vomiting by 6 months were just slightly higher (< 10% in difference) following 6 mg/kg Q3W than 3 mg/kg Q3W. Conclusions Osemitamab at 6mg/kg Q3W or 4mg/kg Q2W are predicted to have favorable PK/PD/safety profiles and might be associated with better ORR in combination with SOC compared to the lower doses.
Clinical • PK/PD data • Metastases
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CLDN18 (Claudin 18)
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capecitabine • oxaliplatin • osemitamab (TST001)
1year
Development of a CLDN18.2-targeting immuno-PET probe for non-invasive imaging in gastrointestinal tumors. (PubMed, J Pharm Anal)
A dosimetry estimation study showed that the effective dose of &lsqb;Zr]Zr-DFO-TST001 was 0.0705 mSv/MBq, which is within the range of acceptable doses for nuclear medicine research. Taken together, these results suggest that Good Manufacturing Practices produced by this immuno-positron emission tomography probe can detect CLDN18.2-overexpressing tumors.
Journal
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CLDN18 (Claudin 18)
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CLDN18.2 expression • CLDN18.2 positive • CLDN18.2 overexpression
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osemitamab (TST001)
1year
Osemitamab plus capecitabine and oxaliplatin (CAPOX) as the first-line treatment of advanced G/GEJ cancer – updated efficacy data per claudin 18.2 expression level from study TranStar102/TST001-1002-cohort C (ESMO-GI 2023)
Funding: Suzhou Transcenta Therapeutics Co., Ltd.Background: Claudin18.2 antibody plus chemotherapy is a clinically validated approach for patients with high CLDN18.2 expressing tumors, which has been proven by zolbetuximab. Osemitamab plus CAPOX as first-line treatment for patients with G/GEJ cancer demonstrated good safety and tolerability. Encouraging anti-tumor activities have been observed regardless of the CLDN18.2 expression levels above 10%, 1+ per central LDT assay.
Clinical • Metastases
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CLDN18 (Claudin 18)
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CLDN18.2 expression • CLDN18.2 overexpression
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capecitabine • oxaliplatin • Vyloy (zolbetuximab) • osemitamab (TST001)
1year
TST001-1002: A Trial to Evaluate Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of TST001 in Advanced or Metastatic Solid Tumors (clinicaltrials.gov)
P1/2, N=320, Recruiting, Suzhou Transcenta Therapeutics Co., Ltd. | Phase classification: P1 --> P1/2 | N=210 --> 320 | Trial completion date: Jan 2023 --> Apr 2024 | Trial primary completion date: Aug 2022 --> Dec 2023
Phase classification • Enrollment change • Trial completion date • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • CLDN18 (Claudin 18)
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HER-2 negative
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Opdivo (nivolumab) • cisplatin • gemcitabine • paclitaxel • capecitabine • oxaliplatin • osemitamab (TST001)
over1year
Clinical • P1/2 data • Combination therapy • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • CLDN18 (Claudin 18) • CLDN8 (Claudin 8)
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HER-2 negative • CLDN18.2 positive
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Opdivo (nivolumab) • capecitabine • oxaliplatin • osemitamab (TST001)
over1year
New P1/2 trial • IO biomarker
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PD-L1 IHC 22C3 pharmDx
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Focus V (anlotinib) • capecitabine • oxaliplatin • benmelstobart (APL-502) • osemitamab (TST001) • fidasimtamab (IBI315)
over1year
A Trial to Evaluate Safety and Tolerability of TST001 in Advanced or Metastatic Solid Tumors (clinicaltrials.gov)
P1/2, N=124, Recruiting, Suzhou Transcenta Therapeutics Co., Ltd. | Phase classification: P1 --> P1/2
Phase classification • Combination therapy • Metastases
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CLDN18 (Claudin 18)
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CLDN18.2 expression
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Opdivo (nivolumab) • osemitamab (TST001)
almost2years
Updated report of a phase I study of TST001, a humanized anti-CLDN18.2 monoclonal antibody, in combination with capecitabine and oxaliplatin (CAPOX) as a first-line treatment of advanced G/GEJ cancer (ESMO 2022)
Conclusions TST001 in combination with CAPOX in first-line G/GEJ cancer patients is safe and encouraging anti-tumor activities have been observed. Additional data from the dose expansion cohort will be updated at the meeting.
Clinical • P1 data • Combination therapy
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CLDN18 (Claudin 18)
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capecitabine • oxaliplatin • osemitamab (TST001)
almost2years
TST001 in Patients With CLDN18.2 Positive Previously Treated Advanced Biliary Tract Cancer (clinicaltrials.gov)
P2, N=40, Recruiting, Shanghai Zhongshan Hospital | Not yet recruiting --> Recruiting
Enrollment open
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CLDN18 (Claudin 18)
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CLDN18.2 expression
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osemitamab (TST001)
2years
A phase I study of TST001, a high affinity humanized anti-CLDN18.2 monoclonal antibody, in combination with capecitabine and oxaliplatin (CAPOX) as a first-line treatment of advanced G/GEJ cancer. (ASCO 2022)
TST001 in combination with CAPOX in first line gastric cancer patients is safe and encouraging anti-tumor activities have been observed. Additional data from the 6 mg/kg dose expansion cohort will be updated at the meeting.
Clinical • P1 data • Combination therapy
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CLDN18 (Claudin 18) • CLDN8 (Claudin 8)
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CLDN18.2 expression • CLDN18.2 overexpression
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capecitabine • oxaliplatin • osemitamab (TST001)
over2years
Clinical • New P2 trial
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CLDN18 (Claudin 18)
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CLDN18.2 expression
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osemitamab (TST001)
over3years
Clinical • Enrollment open
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HER-2 (Human epidermal growth factor receptor 2) • CLDN18 (Claudin 18)
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HER-2 negative
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osemitamab (TST001)
almost4years
Clinical • New P1 trial
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HER-2 (Human epidermal growth factor receptor 2) • CLDN18 (Claudin 18)
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HER-2 negative
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osemitamab (TST001)