CClinicalTrials.gg
RecruitingNCT05828459Updated Mar 20, 2025

First-in-human Study of OT-A201 in Patients With Selected Hematological Malignancies and Solid Tumors

A Phase 1 interventional study of OT-A201 and IMids in Hematological Malignancy and Solid Tumor, sponsored by Onward Therapeutics. Recruiting at 4 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-20.

Sponsored by Onward Therapeutics · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2023; still recruiting 3 years 2 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
150
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This phase 1 study is aimed at establishing the safety basis of OT-A201 in the treatment of hematological malignancies and solid tumors. In the dose of escalation part it is to characterize the overall safety and tolerability profile and determine the recommended dose(s) of OT-A201 as monotherapy, and in various combination regimens. Preliminary information about anti-cancer activity will be further explored in the expansion part of the study.

02

Conditions studied

  • Hematological Malignancy
  • Solid Tumor
03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's planned enrollment of 150 is above the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

This is the only study on the registry with Onward Therapeutics as lead sponsor.

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

04

Who can participate

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

Eligibility criteria

Main Inclusion Criteria:

  • Histologically or cytologically confirmed relapsed/refractory hematological malignancy or advanced/metastatic solid cancer
  • Measurable disease
  • Have had all available therapeutic standards for their disease
  • Willingness to undergo baseline biopsy/bone marrow aspiration in case biopsy was not collected after completion of the most recent prior therapy
  • ECOG performance status ≤ 1
  • Life expectancy > 3 months as assessed by the investigator
  • Acceptable clinical lab results

Main Exclusion Criteria:

  • Systemic steroids at a daily dose of > 10 mg of prednisone or equivalent within 28 days before study treatment. Transient use of steroids for other medical condition may be allowed
  • Ongoing immune-related adverse events irAEs and or AEs ≥ grade 2 from previous therapies not resolved except vitiligo, stable neuropathy up to grade 2, hair loss, and stable endocrinopathies with substitutive hormone therapy
  • Within 4 weeks of major surgery
  • Documented history of active autoimmune disorder requiring systemic immunosuppressive therapy within the last 12 months
  • Prior solid organ transplant
  • Primary or secondary immune deficiency
  • Active and uncontrolled infection requiring intravenous antibiotic or antiviral treatment
  • Seropositive (except after vaccination or confirmed cure for hepatitis) for human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV)
  • Clinically significant disease
05

Study design

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

Study arms

  • Experimental
    OT-A201 monotherapy

    OT-A201 administered by IV infusion on a weekly (qw) basis. An alternative dosing schedule of every 2 weeks (q2w) may be implemented based on the clinical safety and laboratory data.

    Drug: OT-A201

  • Experimental
    OT-A201 in combination with iMiD

    OT-A201 in combination with lenalidomide or pomalidomide at the approved dose

    Drug: OT-A201 · Drug: IMids

  • Experimental
    OT-A201 in combination with a specific agent

    OT-A201 in combination with late stage approved treatment (combination to be defined by a protocol amendment)

    Drug: OT-A201 · Drug: TBD Compound

  • Experimental
    OT-A201 in combination with bevacizumab

    OT-A201 in combination with bevacizumab at the approved dose

    Drug: OT-A201 · Drug: Bevacizumab

  • Experimental
    OT-A201 in combination with paclitaxel

    OT-A201 in combination with paclitaxel at the approved dose

    Drug: OT-A201 · Drug: Paclitaxel

Interventions

  • DrugOT-A201

    OT-A201 IV infusion qw or q2w

  • DrugIMids

    Combination regimen for hematological malignancy Lenalidomide: 25 mg on Days 1 to 21 of each 28-day cycle; or Pomalidomide: 4 mg on Days 1 to 21 of each 28-day cycle

    Also known as: lenalidomide, pomalidomide

  • DrugBevacizumab

    Combination regimen for solid tumor Bevacizumab: 10 mg/m² q2w

  • DrugPaclitaxel

    Combination regimen for solid tumor Paclitaxel: 175 mg/m² q3w

  • DrugTBD Compound

    Combination regimen for hematological malignancy

06

What researchers measure

Primary outcomes

  1. Maximum tolerated dose(s) (MTD) and recommended dose(s) of OT-A201

    Evaluate dose-limiting toxicity (DLT) during the DLT observation period

    Time frame: 28 days

  2. Safety profile of OT-A201

    Incidence, severity, and relationship of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), TEAEs leading to discontinuation of study treatment; and clinically significant findings on clinical laboratory tests, vital signs, ECGs, and physical examinations

    Time frame: 6 months

07

Study locations

4 of 4 sites recruiting
  • ICM - Montpellier
    Montpellier, France
    Recruiting
  • Saint-Eloi Hospital - Montpellier (CHU)
    Montpellier, France
    • Cécile Popko · Contact · c-popko@chu-montpellier.fr · +33 (0)4 67 33 24 13
    • Guillaume Cartron, MD, PhD · Principal investigator
    Recruiting
  • Saint-Joseph Hospital - Paris
    Paris, France
    • Sandrine Rullé · Contact · srulle@ghpsj.fr · +33 (0)1 44 12 32 41
    • Eric Raymond, MD, PhD · Principal investigator
    Recruiting
  • Centre Eugène Marquis
    Rennes, France
    Recruiting
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 Mar 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05828459
Lead sponsor
Onward Therapeutics
Responsible party
Sponsor
First posted
Apr 25, 2023
Start date
Jul 10, 2023
Primary completion
Jan 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Mar 20, 2025

Study contacts

Bruno Piccolella
Contact
bruno.piccolella@onward-therapeutics.com
+33 6 12 97 73 68
Erica Wang
Contact
erica.wang@onward-therapeutics.com
+886 921 865 855
Eric Raymond, MD, PhD
principal investigator · Saint-Joseph Hospital - Paris

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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