ClinicalTrials.gg
RecruitingNCT06480552Updated Jun 4, 2026

An Open-label Dose Escalation/Expansion Trial to Evaluate the Safety and Anti-tumor Activity of TEV-56278 Alone or in Combination With Pembrolizumab in Participants With Advanced or Metastatic Solid Tumors

A Phase 1 interventional study of TEV-56278 and Pembrolizumab in Advanced Solid Tumors, sponsored by Teva Branded Pharmaceutical Products R&D LLC. Recruiting at 12 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Teva Branded Pharmaceutical Products R&D LLC (part of Teva Pharmaceutical Industries, Ltd.) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 3 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
240
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objectives of this trial are to:

  • Characterize the safety and tolerability of TEV-56278
  • Determine the Recommended Phase 2 Dose (RP2D)
  • Evaluate antitumor activity of TEV-56278 (Part 2 only)
  • Determine the safety and tolerability of TEV-56278 in combination with pembrolizumab
  • Determine a RP2D of TEV-56278 in combination with pembrolizumab

The secondary objectives of this trial are to:

  • Characterize the serum pharmacokinetics of TEV-56278
  • Evaluate the antitumor activity of TEV-56278
  • Determine the safety and tolerability of TEV-56278
  • Evaluate other measures of antitumor activity of TEV-56278
  • Evaluate anti-tumor activity

Participants will be treated up to 12 months with a follow-up period of up to 12 months after last infusion. The total duration of the trial will be up to 25 months for individual participants.

Participants who exhibit a favorable benefit risk profile at the end of the 12 month trial treatment period may be offered an opportunity for an extended treatment period in which they can be treated for a maximum of 12 additional months (up to 26 additional cycles of TEV-56278).

02

Conditions studied

  • Advanced Solid Tumors
03

In context

Lead sponsor

Teva Branded Pharmaceutical Products R&D LLC is the lead sponsor of 24 studies on the registry; 7 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 8 (73%) have results posted.

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

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

  • Have an established histological diagnosis of selected solid tumor and must have received and progressed on established standard therapies or have been intolerant to such therapy or have been considered by the Investigator as ineligible for approved standard therapy
  • Have a ≥12 weeks at the time of the screening
  • Women of must agree to use highly effective methods of for the course of the trial through 120 days after the last dose of trial medication
  • Males who are sexually active with women of childbearing potential must agree to use condoms and refrain from donating sperm for the course of the trial through 120 days after the last dose of trial medication

NOTE- Additional criteria apply, please contact the investigator for more information

Exclusion criteria

Exclusion Criteria:

  • Has a history of systemic treatment therapy for cancer (including chemotherapy, immunotherapy, radiotherapy, or other drug) or surgery within 4 weeks prior to baseline
  • Is currently receiving or has received hematopoietic colony-stimulating growth factors within 2 weeks before screening or transfusion support 4 weeks prior to screening
  • Has a diagnosis of immunodeficiency
  • Has active known disease.
  • Has a history of or known active and/or carcinomatous meningitis and/or
  • Has active or uncontrolled serious infections requiring systemic therapy within 14 days prior to baseline
  • Has a history of cardiovascular or cerebrovascular disease in previous 6 months prior to screening
  • Has evidence of clinically significant interstitial lung disease or active, noninfectious pneumonitis
  • Has a seizure disorder requiring therapy (such as or antiepileptics)

NOTE- Additional criteria apply, please contact the investigator for more information

Terms in these criteria, in plain language(9)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

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

Study arms

  • Experimental
    Part 1: TEV-56278 Monotherapy Dose Escalation

    Part 1 will be initiated first and will evaluate dose escalation of TEV-56278 as a monotherapy in selected solid tumors

    Drug: TEV-56278

  • Experimental
    Part 2: Cohort A -TEV-56278 Monotherapy Dose Expansion in Malignant Melanoma Primary Resistance

    Part 2 Cohort A will consist of TEV-56278 monotherapy dose expansion in malignant melanoma (primary and secondary resistance to anti-PD-(L)1) and in non-small cell lung carcinoma (NSCLC) (primary and secondary resistant to anti-PD-(L)1). EU participants will only be included in Part 2.

    Drug: TEV-56278

  • Experimental
    Part 2: Cohort B- TEV-56278 Monotherapy Dose Expansion in Malignant Melanoma Secondary Resistance

    Part 2 Cohort B will consist of TEV-56278 monotherapy dose expansion in malignant melanoma (primary and secondary resistance to anti-PD-(L)1) and in NSCLC (primary and secondary resistant to anti-PD-(L)1) Only Cohort B will be randomized

    Drug: TEV-56278

  • Experimental
    Part 2: Cohort C - TEV-56278 Monotherapy Dose Expansion in NSCLC Primary Resistance

    Part 2 Cohort C will consist of TEV-56278 monotherapy dose expansion in malignant melanoma (primary and secondary resistance to anti-PD-(L)1) and in NSCLC (primary and secondary resistant to anti-PD-(L)1)

    Drug: TEV-56278

  • Experimental
    Part 2: Cohort D - TEV-56278 Monotherapy Dose Expansion in NSCLC Secondary Resistance

    Part 2 Cohort D will consist of TEV-56278 monotherapy dose expansion in malignant melanoma (primary and secondary resistance to anti-PD-(L)1) and in NSCLC (primary and secondary resistant to anti-PD-(L)1)

    Drug: TEV-56278

  • Experimental
    Part 3: TEV-56278 and Pembrolizumab Combination Dose Escalation

    Part 3 will be initiated at the discretion of the Sponsor, after some or all of the dose levels in Part 1 have been explored. Part 3 will evaluate escalating doses of TEV-56278 in combination with a fixed dose of pembrolizumab (400 mg Q6W) and include dose escalation in selected solid tumors (same indications as in Part 1)

    Drug: Pembrolizumab

Interventions

  • DrugTEV-56278

    Administered intravenously

  • Administered intravenously

    Also known as: KEYTRUDA®

06

What researchers measure

Primary outcomes

  1. Incidence of AEs with CTCAE Grade≥3 in the escalation phase

    CTCAE: Common Terminology Criteria for Adverse Events

    Time frame: Up to 15 months after 1st infusion in the escalation phase

  2. Incidence of SAEs in the escalation phase

    Time frame: Up to 15 months after 1st infusion in the escalation phase

  3. Incidence of AEs meeting protocol-defined DLT criteria in the escalation phase

    DLT: dose-limiting toxicity

    Time frame: Up to 28 days after 1st infusion in the escalation phase

  4. Incidence of dose modifications due to AEs in the escalation phase

    Time frame: Up to 12 months after 1st infusion in the escalation phase

  5. Incidence of AEs leading to discontinuation in the escalation phase

    Time frame: Up to 12 months after 1st infusion in the escalation phase

  6. Recommended Phase 2 dose as monotherapy

    Time frame: Up to 24 months after 1st infusion

  7. Objective Response Rate (ORR) based on RECIST (v 1.1) criteria in the expansion phase

    RECIST: Response Evaluation Criteria in Solid Tumors.

    Time frame: Up to 24 months after the 1st dose in the expansion phase

  8. Duration of Response (DOR) in the expansion phase

    Time frame: Up to 24 months after the 1st dose in the expansion phase

  9. Recommended Phase 2 dose in combination with Pembrolizumab

    Time frame: Up to 24 months after 1st dose

  10. Incidence of AEs with CTCAE Grade≥3 in the combination phase

    Time frame: Up to 15 months after 1st infusion in the combination phase

  11. Incidence of SAEs in the combination phase

    Time frame: Up to 15 months after 1st infusion in the combination phase

  12. Incidence of AEs meeting protocol-defined DLT criteria in the combination phase

    Time frame: Up to 28 days after 1st infusion in the combination phase

  13. Incidence of dose modifications due to AEs in the combination phase

    Time frame: Up to 12 months after 1st infusion in the combination phase

  14. Incidence of AEs leading to discontinuation in the combination phase

    Time frame: Up to 12 months after 1st infusion in the combination phase

Secondary outcomes

  1. AUC0-last

    Area under the serum concentration-time curve from time 0 to last measurable drug concentration

    Time frame: Predose up to Day 8

  2. Cmax

    Maximum observed concentration

    Time frame: Predose up to Day 8

  3. tmax

    Time to maximum observed drug concentration

    Time frame: Predose up to Day 8

  4. Objective Response Rate (ORR) based on RECIST (v1.1) criteria in the escalation phase

    Time frame: Up to 24 months after 1st infusion in the escalation phase

  5. Incidence of AEs with CTCAE (v5.0) Grade≥3 in the expansion phase

    Time frame: Up to 24 months after 1st infusion in the expansion phase

  6. Incidence of SAEs in the expansion phase

    Time frame: Up to 15 months after 1st infusion in the expansion phase

  7. Incidence of dose modifications due to AEs in the expansion phase

    Time frame: Up to 12 months after 1st infusion in the expansion phase

  8. Incidence of AEs leading to discontinuation in the expansion phase

    Time frame: Up to 12 months after 1st infusion in the expansion phase

  9. Disease Control Rate (DCR) according to RECIST (v1.1) criteria

    Time frame: Up to 24 months after 1st infusion

  10. Time to Respond (TTR) according to RECIST (v1.1) criteria

    Time frame: Up to 24 months after 1st infusion

  11. Objective Response Rate (ORR) based on RECIST criteria in the combination phase

    Time frame: Up to 24 months after 1st infusion in the combination phase

07

Study locations

11 of 12 sites recruiting
  • Teva Investigational Site 12017
    Los Angeles, California 90025, United States
    Recruiting
  • Teva Investigational Site 12021
    Lake Mary, Florida 32746, United States
    Completed

    Not enrolling at this site.

  • Teva Investigational Site 12016
    Chicago, Illinois 60611, United States
    Recruiting
  • Teva Investigational Site 12015
    Detroit, Michigan 48201, United States
    Recruiting
  • Teva Investigational Site 12014
    Huntersville, North Carolina 28078, United States
    Recruiting
  • Teva Investigational Site 12023
    Cincinnati, Ohio 45219, United States
    Recruiting
  • Teva Investigational Site 12058
    Pittsburgh, Pennsylvania 15232, United States
    Recruiting
  • Teva Investigational Site 12019
    Nashville, Tennessee 37203, United States
    Recruiting
  • Teva Investigational Site 12024
    Nashville, Tennessee 37232, United States
    Recruiting
  • Teva Investigational Site 12018
    Fairfax, Virginia 22031, United States
    Recruiting
  • Teva Investigational Site 12025
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • Teva Investigational Site 11282
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the study protocol and the statistical analysis plan. Requests will be assessed for scientific merit, product approval status, and conflicts of interest. If the request is approved, patient level data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Please email USMedInfo@tevapharm.com to make your request.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2024 (actual). Primary completion is estimated for May 2029, 58 months after the start.

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

Registered
Jun 10, 2024
First posted
Jun 28, 2024
StartActual
Jul 22, 2024
Primary completionEst.
May 26, 2029
CompletionEst.
Feb 25, 2031
Last update
Jun 4, 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.
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06480552
Responsible party
Sponsor
First posted
Jun 28, 2024
Start date
Jul 22, 2024
Primary completion
May 26, 2029 (estimated)
Completion
Feb 25, 2031 (estimated)
Last update
Jun 4, 2026

Study contacts

Teva U.S. Medical Information
Contact
USMedInfo@tevapharm.com
1-888-483-8279
Teva Medical Expert, MD
study director · Teva Branded Pharmaceutical Products R&D LLC

Oversight

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

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