Overview

Study of SRF114 in Patients With Advanced Solid Tumors

Status:
Not yet recruiting
Trial end date:
2026-02-01
Target enrollment:
0
Participant gender:
All
Summary
This is a Phase 1/2, open-label, first-in-human, dose-escalation and expansion study of SRF114, a monoclonal antibody that targets CCR8, as a monotherapy in patients with solid tumors.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
Accepts Healthy Volunteers
Details
Lead Sponsor:
Surface Oncology
Criteria
Key Inclusion Criteria - Parts A and B

- Patients must be ≥ 18 years of age.

- For Part A only, locally advanced or metastatic (Stage IV) solid tumor that has
progressed during or after standard therapy and for whom no available therapies are
appropriate (based on the judgment of the Investigator).

- At least 1 measurable lesion per RECIST 1.1.

- Lesions previously treated with radiation or other forms of locoregional therapy must
show radiographic evidence of disease progression to be used as a target lesion.

- Washout period from the last dose of previous anticancer therapy (chemotherapy,
biologic, or other investigational agent) to the initiation of study drug must be > 5
times the half-life of the agent or > 21 days (whichever is shorter).

- Resolution of non-immune-related AEs secondary to prior anticancer therapy (excluding
alopecia and peripheral neuropathy) to ≤ Grade 1 per NCI-CTCAE version 5.0 or higher,
and complete resolution of immune-related AEs secondary to prior checkpoint inhibitor
therapy.

- Serum creatinine clearance ≥ 30 mL/min per Cockcroft-Gault formula.

- Total bilirubin ≤ 1.5 × ULN (≤ 3 × ULN if elevated because of Gilbert's syndrome and ≤
2 × ULN for patients with hepatocellular carcinoma [HCC] or patients with known liver
metastases).

- Aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT) and
alanine aminotransferase/serum glutamic pyruvic transaminase (ALT/SGPT) < 2.5 × ULN or
< 5 × ULN for patients with known liver metastases.

- Adequate hematologic function, defined as absolute neutrophil count ≥ 1.0 × 109/L,
hemoglobin ≥ 9.0 g/dL, and platelet count ≥ 75 × 109/L.

- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

- Ejection fraction ≥ 50%, as measured by echocardiogram, multigated acquisition scan,
nuclear stress test, or equivalent modality.

- Willingness of male and female patients who are not surgically sterile or
postmenopausal to use medically acceptable methods of birth control for the duration
of the study treatment period, including 30 days after the last dose of SRF114; male
patients must refrain from donating sperm during this period. Sexually active men, and
women using oral contraceptive pills, should also use barrier contraception.
Azoospermic male patients and WCBP who are continuously not heterosexually active are
exempt from contraceptive requirements.

Additional Inclusion Criteria - Part B Only

- Histologically or cytologically confirmed advanced or metastatic HNSCC that has
progressed during or after a platinum-based chemotherapy and/or a programmed cell
death receptor (PD)-1 or PD ligand 1 (PD-L1) targeting agent (separately or in
combination therapy).

- Metastatic or locoregionally recurrent HNSCC malignancy that is incurable by surgery
or radiotherapy.

- Part B patients who agree to provide optional tumor biopsies must have tumor tissue
that is accessible for pretreatment and on-treatment tumor biopsy in the opinion of
the Investigator and be willing and consent to undergo pretreatment and on-treatment
biopsies per protocol.

Key Exclusion Criteria - Parts A and B

- Previously received an anti-CCR8 antibody or anti-CCR8 targeted therapy.

- History of Grade 4 allergic or anaphylactic reaction to any monoclonal antibody
therapy or any excipient in the study drugs.

- Major surgery within 4 weeks prior to Screening.

- Unstable or severe uncontrolled medical condition (eg, unstable cardiac function,
unstable pulmonary condition including pneumonitis and/or interstitial lung disease,
uncontrolled diabetes, symptomatic fistula) or any important medical illness or
abnormal laboratory finding that would, in the Investigator's judgment, increase the
risk to the patient associated with his or her participation in the study.

Additional Exclusion Criteria - Part B Only

- Received > 4 prior systemic regimens for advanced/metastatic disease.

- Nasopharyngeal carcinoma or nasal cavity malignancies other than HNSCC (eg,
adenocarcinoma and variants, neuroendocrine tumors, mucosal melanoma).

- Receiving chronic anti-coagulation therapy (eg, warfarin, enoxaparin) that cannot be
safely discontinued temporarily for the required biopsies (only for patients who
provide tumor biopsies).