ClinicalTrials.gg
Active, not recruitingNCT04396821Updated Sep 29, 2026

A Trial to Evaluate Safety and Tolerability of TST001 in Advanced or Metastatic Solid Tumors

A Phase 1/2 interventional study of TST001 and Nivolumab Injection [Opdivo] in Advanced Cancer, Gastric Cancer and Gastroesophageal-junction Cancer, sponsored by Transcenta Therapeutics (Hangzhou) Co., Ltd.. Active, not recruiting at 18 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Transcenta Therapeutics (Hangzhou) Co., Ltd. · Phase 1/2, Interventional, and Treatment

Updated Sep 29, 2026Primary completion movedStudy completion moved+1 moreGo to Updates ↓

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Phase
Phase 1/2
Study type
Interventional
Enrollment
150
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 804 studies in Stomach Neoplasms with a site in United States — 157 open to participants now, 239 under way, 12 of them phase 3. Stomach Neoplasms · United States.

Planned enrollment
161st of 686
150 · median 53
Started
2020
with 48 others
Phase 1/2
109 of 804
26 open now
Primary completion
2027-06
later than 99 of 238 live
Registered
524th of 804
by date

Among the 804 studies in Stomach Neoplasms with a site in United States, this one is the 161st largest by planned enrollment of the 686 interventional ones that give a count, is one of 49 that started in 2020, is one of 109 in phase 1/2, reaches primary completion later than 99 of the 238 other live ones, and was the 524th registered.

Stomach Neoplasms

3,401 studies on the registry are indexed under Stomach Neoplasms; 993 are open to participants now.

Browse Stomach Neoplasms studies →

Open to participants now

157 of the 804 studies in Stomach Neoplasms with a site in United States are open now. Recruiting first, the newest first:

152 more — sign in →

All 157 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 704 Stomach Neoplasms studies recruiting now, 376 (53%) set no upper age limit and 194 (28%) stop at 75 or younger; 28 take children under 18; 69 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is an open label Phase I/IIa, First in Human trial of TST001, a recombinant humanized anti-Claudin 18.2 (CLDN18.2) IgG1 monoclonal antibody as monotherapy or in combination with nivolumab or standard of care. It is being tested against advanced and/or metastatic solid tumors including gastric, gastroesophageal junction, pancreatic cancers.

Read the detailed description

Part A of the trial will consist of two cohorts, one dosed every 2 weeks and one dosed every 3 weeks in a standard 3+3 design. Part A is the dose finding portion of the trial.

18 to 36 participants will be enrolled.

Part B consists of 3 cohorts:

Cohort A is for patients with previously untreated, unresectable, locally advanced or metastatic GC/GEJ adenocarcinoma. Patients will receive TST001 at 2mg/kg or 4mg/kg Q2W plus Nivolumab and mFOLFOX6. Alternative allocation of patients between the 2 doses will be performed. The first 6 patients at each dose level as the lead-in phase will not be selected on the basis of their tumor's CLDN18.2 expression. Approximately 12-42 patients will be enrolled in Cohort A.

Cohort B is for patients with GC/GEJ adenocarcinoma who have radiologically progressed following one or two prior systemic therapies. Patient will receive TST001 plus Nivolumab. No selection based on CLDN18.2 expression will be required for the safety run-in (3-6 patients). Patients with CLDN18.2 expression in tumor tissue tested by the central laboratory will be enrolled in the expansion phase. Safety run-in phase will follow 3+3 rule with two dose levels, TST001 3mg/kg and 6mg/kg Q3W combined with nivolumab. Approximately 30 patients will be enrolled in Cohort B including the patients in the safety run-in phase.

Cohort C is for patients with previously untreated, unresectable, locally advanced or metastatic histologically confirmed pancreatic adenocarcinoma; Patients will receive TST001 at 2mg/kg or 4mg/kg Q2W plus gemcitabine and albumin-bound paclitaxel. Alternative allocation of patients between the 2 doses will be performed. The first 6 patients at each dose level as the lead-in phase will not be selected on the basis of their tumor's CLDN18.2 expression. Approximately 12-42 patients will be enrolled in Cohort C.

03

Conditions studied

  • Advanced Cancer
  • Gastric Cancer
  • Gastroesophageal-junction Cancer
  • Pancreatic Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female ≥ 18 years.
  • Patients with or cytologically confirmed, locally advanced or 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 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 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.
  • Performance Status (ECOG PS): 0-1 .
  • Patients with adequate cardiac, liver, renal function, etc.

Exclusion criteria

Exclusion Criteria

  • Symptomatic central nervous system .
  • 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, , myocardial infarction, or unstable angina, class III or IV heart failure or uncontrolled arrhythmia within 6 months of study entry, severe prolongation, concomitant risks for QTc prolongation.
  • Concurrent within 5 years prior to entry except adequately treated certain types of cancer
  • Active and infections, known uncontrolled infections with , , known 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.

.

Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Part A Q2W

    Dosed every 2 weeks IV with TST001, starting dose is 1 mg/kg, multiple dose levels will be tested.

    Drug: TST001

  • Experimental
    Part A Q3W

    Dosed every 3 weeks IV with TST001, starting dose is 3 mg/kg, and multiple dose levels will be tested.

    Drug: TST001

  • Experimental
    Part B Cohort A

    Patients with previously untreated, unresectable, locally advanced or metastatic GC/GEJ adenocarcinoma.

    Drug: TST001 · Drug: Nivolumab Injection [Opdivo] · Drug: mFOLFOX6

  • Experimental
    Part B Cohort B

    Patients with GC/GEJ adenocarcinoma who have radiologically progressed following one or two prior systemic therapies.

    Drug: TST001 · Drug: Nivolumab Injection [Opdivo]

  • Experimental
    Part B Cohort C

    Patients with previously untreated, unresectable, locally advanced or metastatic histologically confirmed pancreatic adenocarcinoma.

    Drug: TST001 · Drug: Gemcitabine · Drug: Albumin-Bound Paclitaxel

Interventions

  • DrugTST001

    TST001 is a humanized IgG1 monoclonal antibody.

  • Nivolumab is one of the PD-1 checkpoint inhibitors, and has proved clinical benefit for multiple late-stage malignancies

  • DrugmFOLFOX6

    mFOLFOX6 is a combination chemotherapy regimen including the drugs leucovorin calcium (folinic acid), fluorouracil, and oxaliplatin.

  • Chemotherapy medication

    Also known as: Gemzar

  • Chemotherapy medication

06

What researchers measure

Primary outcomes

  1. Participant Safety as characterized by frequency and severity of adverse events

    Characterization of TST001 safety profile including frequency and severity of adverse events that are related to treatment.

    Time frame: up to 100 days following last dose

  2. Maximum Tolerated Dose (MTD or Recommended Phase 2 Dose (RP2D)

    As measured by number of participants experiencing dose related toxicity (DLT) in each escalating cohort

    Time frame: up to 100 days following last dose

  3. Participant Safety and Tolerability of TST001 in combination with Nivolumab as characterized by frequency and severity of adverse events

    Characterization of TST001 + Nivolumab safety profile including frequency and severity of adverse events that are related to treatment.

    Time frame: Up to 100 days following last dose

  4. Participant Safety and Tolerability of TST001 in combination with Nivolumab and mFOLFOX6 as characterized by frequency and severity of adverse events

    Characterization of TST001 + Nivolumab + mFOLFOX6 safety profile including frequency and severity of adverse events that are related to treatment.

    Time frame: Up to 100 days following last dose

  5. Participant Safety and Tolerability of TST001 in combination with gemcitabine and albumin-bound paclitaxel as characterized by frequency and severity of adverse events

    Characterization of TST001 + Gemcitabine + albumin-bound paclitaxel safety profile including frequency and severity of adverse events that are related to treatment.

    Time frame: Up to 100 days following last dose

Secondary outcomes

  1. Immunogenicity

    by measurement of Incidence of anti-drug antibodies (ADA)

    Time frame: up to 30 days following last dose

  2. Objective response rate (ORR)

    as measured by RECIST 1.1

    Time frame: up to 24 months, until disease progression or start of another anti-cancer therapy

  3. Duration of Response (DOR)

    duration of response (DOR)

    Time frame: up to 24 months, until disease progression or start of another anti-cancer therapy

  4. Progression free survival (PFS)

    as measured by RECIST v1.1

    Time frame: up to 24 months, until disease progression or start of another anti-cancer therapy

  5. PK parameters

    Maximum serum concentration (Cmax)

    Time frame: Up to 30 days following last dose

  6. PK

    time to reach maximum serum concentration (Tmax)

    Time frame: Up to 30 days following last dose

  7. PK

    Area Under the Curve

    Time frame: Up to 30 days following last dose

07

Study locations

18 sites
08

References and documents

Individual participant data

Plan to share: Yes — As described below. Patient personal data will be kept confidential as per HIPAA.

Supporting information: Study protocol, Clinical study report

Time frame: Clinical Study Report will become available approximately 60 to 90 days after last patient last visit. Each Investigator will receive one to keep. Protocol will be received prior to study start for each investigator.

Access criteria: Be an active investigator in the TST001-1001 trial

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2020 (actual). Primary completion is estimated for Jun 2027, 85 months after the start.

Of 89 industry-sponsored phase 1/2 interventional studies under Stomach Neoplasms, half reached primary completion within 60 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 109. This study's planned 85 months is above that.

Counting every sponsor, half of 156 studies reached it within 60 months; a quarter within 41 and three quarters within 109.

Since we started tracking on Sep 25, 2026, the dates moved once, on Sep 29, 2026: primary completion May 2026 → Jun 2027 and completion Nov 2026 → Sep 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
May 7, 2020
First posted
May 21, 2020
StartActual
May 28, 2020
Primary completionEst.
Jun 30, 2027was May 2026
CompletionEst.
Sep 30, 2027was Nov 2026
Last update
Sep 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
May 30, 2026→Jun 30, 2027
Sep 29, 2026
Study completion
Nov 30, 2026→Sep 30, 2027
Sep 29, 2026
Sponsor
Suzhou Transcenta Therapeutics Co., Ltd.→Transcenta Therapeutics (Hangzhou) Co., Ltd.
Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    Primary completion May 30, 2026→Jun 30, 2027
    Study completion Nov 30, 2026→Sep 30, 2027
    Sponsor Suzhou Transcenta Therapeutics Co., Ltd.→Transcenta Therapeutics (Hangzhou) Co., Ltd.
    + 1 other change: identifiers

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04396821
Lead sponsor
Transcenta Therapeutics (Hangzhou) Co., Ltd.
Responsible party
Sponsor
First posted
May 21, 2020
Start date
May 28, 2020
Primary completion
Jun 30, 2027 (estimated)
Completion
Sep 30, 2027 (estimated)
Last update
Sep 29, 2026

Study contacts

Charlie Qi, MD
study director · Suzhou Transcenta Therapeutics Co.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Osemitamab

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