CClinicalTrials.gg
TerminatedNCT05462873Updated Feb 17, 2026

A Study to Investigate the Safety and Tolerability of Intravenous QEQ278 in Patients With Advanced Solid Tumors

A Phase 1 interventional study of QEQ278 in Carcinoma, Non-Small-Cell Lung, Carcinoma, Renal Cell and Esophageal Squamous Cell Carcinoma, sponsored by Novartis Pharmaceuticals. Terminated at 12 sites in 9 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-02-17.

Sponsored by Novartis Pharmaceuticals · Phase 1, Interventional, and Treatment

Why this study was terminated
Business decision and not related to safety concerns
Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

To characterize safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary anti-tumor activity of QEQ278 in adult patients with advanced/metastatic non-small cell lung cancer, esophageal squamous cell carcinoma, renal cell carcinoma, and human papilloma virus associated head and neck squamous cell carcinoma.

Read the detailed description

This study is an open-label, phase I/Ib, multi-center study of QEQ278 as a single agent, consisting of a dose escalation part followed by a dose expansion part.

In the dose escalation part of the study, patients with non-small cell lung cancer (NSCLC), esophageal squamous cell carcinoma (ESCC), renal cell carcinoma (RCC), or human papilloma virus (HPV)-associated head and neck squamous cell carcinoma (HNSCC) will be treated with QEQ278 single agent until the maximum tolerated dose (MTD) is reached or a lower recommended dose (RD) is established.

The study may enter the dose expansion, after an MTD(s) and/or RD(s) is declared in the dose escalation.

02

Conditions studied

  • Carcinoma, Non-Small-Cell Lung
  • Carcinoma, Renal Cell
  • Esophageal Squamous Cell Carcinoma
  • Squamous Cell Carcinoma of Head and Neck

Keywords

  • NKG2D
  • NKG2D-L
  • immunotherapy
  • ADCC
  • NK cells
  • NSCLC
  • ESCC
  • RCC
  • HPV-associated HNSCC
  • QEQ278
03

In context

Carcinoma, Non-Small-Cell Lung

6,485 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,630 are open to participants now.

This study's enrollment of 30 is below the median of 62 across 5,211 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Signed informed consent must be obtained prior to participation in the study.
  • Adult men and women ≥ 18 years of age.
  • Histologically confirmed and documented advanced malignancies (locally advanced malignancies, non-curable by surgery or radiotherapy and metastatic disease). Disease must be measurable, including presence of at least one measurable lesion, as determined by RECIST v1.1.
  • In the opinion of the treating investigator, patients must have received, but are not benefitting from standard therapies, be intolerant or ineligible to receive such therapy, or have no standard therapy option for the respective disease types (diseases listed below), as well as any other therapies deemed to be standard by local/institutional standard.
  • Non-small cell lung cancer
  • Esophageal squamous cell carcinoma
  • Renal cell carcinoma
  • HPV-associated head and neck squamous cell carcinoma
  • Must have a site of disease amenable to biopsy and be a candidate for tumor biopsy according to the treating institution's guidelines. The patient must be willing to undergo a new tumor biopsy at screening and during treatment.

Exclusion criteria

Exclusion Criteria:

  • Active previously documented or suspected autoimmune disease. Patients with vitiligo, type I diabetes, residual hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur should not be excluded. Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately treated for skin rash or with replacement therapy for endocrinopathies should not be excluded.
  • Patients with a history of or current interstitial lung disease or pneumonitis ≥ Grade 2.
  • Patients who discontinued prior anti-PD-1 therapy due to an anti-PD-1-related toxicity
  • Clinically significant cardiac disease or risk factors at screening
  • Insufficient bone marrow function at screening:
  • Infections:
  • Known history of testing positive for Human Immunodeficiency Virus infection.
  • Active Hepatitis B and / or Hepatitis C.
  • Active, documented COVID-19 infection
  • Known history of tuberculosis
  • Any serious uncontrolled infection (acute or chronic).
  • Systemic chronic steroid therapy (>10 mg/day prednisone or equivalent) or any immunosuppressive therapy, other than replacement-dose steroids in the setting of adrenal insufficiency, within 7 days of the first dose of study treatment. Topical, inhaled, and ophthalmic steroids are allowed.

Other protocol-defined inclusion/exclusion criteria may apply.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Part 1: Dose escalation

    Dose escalation with QEQ278 single agent

    Biological: QEQ278

  • Experimental
    Part 2: Dose expansion

    Dose expansion with QEQ278 single agent

    Biological: QEQ278

Interventions

  • BiologicalQEQ278

    Intravenous dosing of QEQ278

06

What researchers measure

Primary outcomes

  1. Incidence and nature of Dose Limiting Toxicities (DLTs) during the DLT evaluation period for single agent QEQ278

    A DLT is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the DLT evaluation period and meets the criteria defined in the study protocol.

    Time frame: 28 days

  2. Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)

    Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), including changes in laboratory values, vital signs, and electrocardiograms (ECGs) qualifying and reported as AEs.

    Time frame: Up to 31 months

  3. Frequency of dose interruptions, reductions

    Number of dose interruptions of QEQ278 and number of dose reductions of QEQ278

    Time frame: Up to 30 months

  4. Dose intensity

    Dose intensity of QEQ278 is defined as the ratio of actual cumulative dose received and actual duration of exposure.

    Time frame: Up to 30 months

Secondary outcomes

  1. Overall response rate (ORR) per RECIST v1.1

    ORR is defined as the proportion of patients with a confirmed BOR of complete response (CR) or partial response (PR) by local investigator review as per RECIST v1.1.

    Time frame: Up to 30 months

  2. Disease control rate (DCR) per RECIST v1.1

    DCR is defined as the proportion of patients with a confirmed best overall response (BOR) of CR or PR or stable disease (SD) by local investigator review as per RECIST v1.1.

    Time frame: Up to 30 months

  3. Duration of Response (DOR) per RECIST v1.1

    DOR is defined as the time form the date of the first documented response (CR or PR) to the date of the first documented progression by local investigator review as per RECIST v1.1 or death due to underlying cancer.

    Time frame: Up to 30 months

  4. Progression-free survival (PFS) per RECIST v 1.1

    PFS is defined as the time from the date of start of treatment to the date of the first documented progression by local investigator review as per RECIST v1.1, or death due to any cause.

    Time frame: Up to 30 months

  5. Peak serum concentration (Cmax) of QEQ278

    The maximum (peak) serum drug concentration after single dose administration

    Time frame: During first 168 days of treatment

  6. Area under the concentration time curve (AUC) last of QEQ278

    The AUC from time zero to the last measurable concentration sampling time

    Time frame: During first 168 days of treatment

  7. Area under the concentration time curve (AUC) infinity of QEQ278

    The AUC from time zero to infinity

    Time frame: During first 168 days of treatment

  8. Time to reach peak serum concentration (Tmax) of QEQ278

    The time to reach maximum (peak) serum drug concentration after single dose administration

    Time frame: During first 168 days of treatment

  9. Elimination half-life (T1/2) of QEQ278

    The elimination half-life associated with the terminal slope of a semi logarithmic concentration-time curve

    Time frame: During first 168 days of treatment

  10. Total body clearance (CL) of QEQ278

    The total body clearance of drug from the serum

    Time frame: During first 168 days of treatment

  11. Volume of distribution (Vz) of QEQ278

    The apparent volume of distribution during terminal phase

    Time frame: During first 168 days of treatment

  12. Incidence of anti-drug antibody (ADA)

    Immunogenicity of QEQ278

    Time frame: Day 1 and 15

07

Study locations

12 sites
  • University of California LA
    Los Angeles, California 90095, United States
  • Florida Cancer Specialists
    Fort Myers, Florida 33901, United States
  • Massachusetts General Hospital Dept. of Mass General Hospital
    Boston, Massachusetts 02114, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Novartis Investigative Site
    Brussels, 1200, Belgium
  • Novartis Investigative Site
    Paris, 75231, France
  • Novartis Investigative Site
    Essen, 45147, Germany
  • Novartis Investigative Site
    Milan, MI 20133, Italy
  • Novartis Investigative Site
    Kashiwa, Chiba 2778577, Japan
  • Novartis Investigative Site
    Singapore, 168583, Singapore
  • Novartis Investigative Site
    Barcelona, 08035, Spain
  • Novartis Investigative Site
    Taipei, 10002, Taiwan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05462873
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jul 18, 2022
Start date
Apr 4, 2023
Primary completion
Jan 26, 2026
Completion
Jan 26, 2026
Last update
Feb 17, 2026

Oversight

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

Not currently enrolling

This study is terminated, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion