ClinicalTrials.gg
RecruitingNCT07094204Updated Oct 29, 2026

A Study to Find a Suitable Dose of ASP5834 in Adults With Solid Tumors

A Phase 1 interventional study of ASP5834 and panitumumab in Solid Tumor, Non-Small-Cell Lung Cancer and Pancreatic Ductal Adenocarcinoma, sponsored by Astellas Pharma Inc. Recruiting at 22 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Astellas Pharma Inc · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2025; still recruiting 1 year 3 months later.
Updated Oct 29, 2026First site in South KoreaEnrollment updated+2 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
404
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Genes contain genetic code which tell the body which proteins to make. Many types of cancer are caused by changes, or mutations, in a gene called KRAS. Researchers are looking for ways to stop the actions of abnormal proteins made from the mutated KRAS gene.

ASP5834 is being studied in people with solid tumors who have certain KRAS gene mutations. Some people with solid tumors of the colon or rectum (colorectal cancer), will be given ASP5834 with panitumumab. Panitumumab is a treatment for colorectal cancer. In this study, the researchers will learn how ASP5834 is processed by and acts upon the body. This information will help find a suitable dose of ASP5834 and check for any potential medical problems from the treatment.

The main aims of this study are to check the safety of ASP5834 given by itself or given with panitumumab, and how well it is tolerated; and to find a suitable dose of ASP5834 given by itself or given with panitumumab.

People in this study will be adults with locally advanced, unresectable, or metastatic solid tumors with certain KRAS gene mutations. Locally advanced means the cancer has spread to nearby tissue. Unresectable means the cancer cannot be removed by surgery. Metastatic means the cancer has spread to other parts of the body. They either haven't responded to standard treatment or couldn't be given standard treatment. The key reasons people cannot take part are if they have specific uncontrollable cancers such as symptomatic or untreated cancers in nervous system, have specific heart conditions, swelling and irritation of lung tissues (pneumonitis or interstitial lung disease, also called ILD), infections, or have recently had a stroke or a bleed on the brain.

In this study, ASP5834 is being given to humans for the first time. This is an open-label study. This means that people in this study and clinic staff will know that they will receive ASP5834 by itself or ASP5834 with panitumumab.

This study will be in 2 parts:

Part 1 is called Dose Escalation. Different small groups of people will receive lower to higher doses of either: ASP5834 by itself or ASP5834 with panitumumab. Only people who have colorectal cancer will receive ASP5834 with panitumumab. People with any type of solid tumor will receive ASP5834 by itself. For each dose, all medical problems will be recorded. A medical expert panel will check the results and decide if the next group can receive a higher dose of ASP5834. The panel will do this until the planned maximum number of people are treated or until suitable doses have been selected for Part 2.

Part 2 is called Dose Expansion. Other different small groups of people will receive ASP5834 or ASP5834 with panitumumab. They will receive the most suitable doses worked out from Part 1.

In both parts of the study, the study treatments ASP5834 and panitumumab will be given through a vein. This is called an infusion. Each study treatment cycle is either 21 days or 28 days long. People will continue study treatment until: they have medical problems from the study treatment they can't tolerate; their cancer gets worse; they start other cancer treatment; or they ask to stop study treatment.

People will visit the clinic on certain days during their study treatment, with extra visits during the first 2 cycles of study treatment. The study doctors will check for any medical problems from ASP5834. Also, people in the study will have a health check. On some visits they will also have scans to check for any changes in their cancer. Tumor samples will be taken at certain visits during study treatment with the option of a tumor sample being taken if people's cancer gets worse or the cancer comes back.

People will visit the clinic shortly after stopping treatment for a health check. After this, people will have health checks every couple of months to check the condition of their cancer. The number of visits and checks done will depend on the health of each person and whether they completed their study treatment or not. It is expected that people will be in this study for about 1 year.

02

Conditions studied

  • Solid Tumor
  • Non-Small-Cell Lung Cancer
  • Pancreatic Ductal Adenocarcinoma
  • Colorectal Cancer

Keywords

  • Solid Tumor
  • Cancer
  • Malignancy
  • Metastasis
  • Pharmacokinetics
  • ASP5834
  • KRAS G12V
  • KRAS G12D
  • KRAS G12C
  • KRAS G12R
  • KRAS G12A
  • KRAS G13D
  • CRC
  • NSCLC
  • PDAC
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 404 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Astellas Pharma Inc is the lead sponsor of 525 studies on the registry; 4 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 19 (68%) have results posted.

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

04

Who can participate

The criteria were revised on the registry on Oct 13, 2026. See what changed

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

  • Participant has confirmed locally advanced (unresectable) or solid tumor with a documented Kirsten rat sarcoma viral oncogene homolog (KRAS) G12V, G12D, G12C, G12R, G12A or G13D mutation or KRAS amplification (copy number >/= 4) determined by local testing.

    • For a participant with a documented KRAS amplification, only those with no other co-occurring KRAS mutation or those with a co-occurring KRAS G12V, G12D, G12C, G12R, G12A or G13D mutation are eligible.
    • Unique to Europe (EU): Only participants who have pre-existing local results can be enrolled.
  • For the ASP5834 monotherapy dose escalation part, participant with any histologically confirmed locally advanced (unresectable) or metastatic solid tumor malignancy is eligible. Participant must have received prior standard therapy in the advanced setting, and the investigator does not see any further clinical benefit from continuing such therapy or the participant is ineligible to receive standard approved therapies.
  • For the ASP5834 monotherapy dose expansion part, the following criteria apply:

    • [pancreatic ductal adenocarcinoma (PDAC) Expansion Cohort(s)] Participant has histologically confirmed locally advanced (unresectable) or metastatic PDAC.
    • [PDAC Expansion Cohort(s)] Participant has a documented KRAS G12V, G12D, G12C, G12R, G12A or G13D mutation determined by local testing.
    • [PDAC Expansion Cohort(s)] Participant must have received standard therapy in the advanced setting, including prior therapy with a gemcitabine-based or fluoropyrimidine-based regimen or is ineligible for these therapies.
    • [PDAC Expansion Cohort(s)] No more than 2 are allowed in the advanced setting (note: maintenance therapy does not count as a separate line of therapy).
    • [PDAC Expansion Cohort(s)] For a participant who received prior or adjuvant chemotherapy and had recurrence on or within 6 months of completion of therapy, the neoadjuvant or adjuvant chemotherapy should be counted as a regimen in the advanced setting.
    • [non-small cell lung cancer (NSCLC) Expansion Cohort(s)] Participant has histologically confirmed locally advanced (unresectable) or metastatic NSCLC.
    • [NSCLC Expansion Cohort(s)] Participant has a documented KRAS G12V, G12D, G12R, G12A or G13D mutation determined by local testing.
    • [NSCLC Expansion Cohort(s)] Participant must have received standard therapy in the advanced setting, including prior platinum-based chemotherapy and therapy or is ineligible for these therapies. Participants with known actionable genomic alterations (AGA) must have received prior therapy with an approved targeted therapy in accordance with local requirements.
    • [NSCLC Expansion Cohort(s)] For a participant who has received prior neoadjuvant or adjuvant therapy and had recurrence during or within 6 months of completion of therapy, the neoadjuvant or adjuvant therapy should be counted as a regimen in the advanced setting (for those who received perioperative therapy, the entire course should be counted as therapy in the advanced setting).
    • [NSCLC Expansion Cohort(s)] For a participant with a history of unresectable Stage III disease who received prior multi-modal therapy and had recurrence on or within 6 months of completion of therapy, the multi-modal therapy should be counted as a therapy in the advanced setting. If chemoradiation was followed by treatment with checkpoint inhibitor therapy without documented progression between chemoradiation and checkpoint inhibitor therapy, the entire treatment course should be counted as therapy in the advanced setting.
    • [Other Solid Tumor Expansion Cohort] Participant has a histologically confirmed locally advanced (unresectable) or metastatic solid tumor type other than PDAC, colorectal cancer (CRC) or NSCLC.
    • [Other Solid Tumor Expansion Cohort] Participant has a documented KRAS G12V, G12D, G12C, G12R, G12A or G13D mutation or KRAS amplification (copy number >/=4) determined by local testing.
    • [Other Solid Tumor Expansion Cohort] Participant must have received prior standard therapy in the advanced setting, and the investigator does not see any further clinical benefit from continuing such therapy or is ineligible to receive standard approved therapies.
  • For ASP5834 combination therapy dose escalation and dose expansion parts, the following criteria apply:

    • [CRC Dose Escalation and Dose Expansion Parts] Participant has histologically confirmed locally advanced (unresectable) or metastatic adenocarcinoma of the colon or rectum.
    • [CRC Dose Escalation and Dose Expansion Parts] Participant has a documented KRAS G12V, G12D, G12C, G12R, G12A or G13D mutation determined by local testing.
    • [CRC Dose Escalation and Dose Expansion Parts] Participant must have received standard therapy in the advanced setting, including prior therapy with fluoropyrimidine, oxaliplatin and irinotecan and anti-vascular endothelial growth factor (VEGF) therapy or is ineligible for these therapies.
    • [CRC Dose Escalation and Dose Expansion Parts] For a participant who has received neoadjuvant or adjuvant chemotherapy and had recurrence during or within 6 months of completion of therapy, the neoadjuvant or adjuvant chemotherapy should be counted as a regimen in the advanced setting.
    • [CRC Dose Escalation and Dose Expansion Parts] Participant with microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) colorectal cancer (CRC) must have also received prior treatment with immune checkpoint inhibitors or is ineligible for these therapies.
  • Participant consents to provide tumor specimen in a tissue block or unstained serial slides or a baseline tumor obtained after the last interventional treatment, but not more than 90 days prior to the start of study intervention. Participant also consents to provide a tumor biopsy during the treatment period as indicated in the schedules of assessments. If a participant cannot provide a tumor specimen or undergo a baseline tumor biopsy procedure no more than 90 days prior to the start of study intervention, contact the medical monitor. Submission of an archival tumor tissue specimen to the central laboratory in addition to the baseline specimen is highly encouraged.
  • Participant has at least 1 per (RECIST) v1.1. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions.
  • Participant has an (ECOG) performance status of 0 or 1.
  • Participant's adverse event (AEs) (excluding alopecia) from prior anti-cancer therapy have improved to Grade 1 or baseline at least 14 days prior to the start of study intervention. Persistent Grade 2 or higher toxicities from prior anti-cancer therapy that are considered clinically irreversible, may be allowed if they are not otherwise described in the exclusion criteria AND there is agreement to allow by both the investigator and sponsor.
  • Participant has adequate organ function as indicated by laboratory values (if a participant has received a recent blood transfusion, the laboratory tests must be obtained >/= 14 days after any blood transfusion).
  • Female participant is not pregnant confirmed by pregnancy test and medical evaluation by interview, and at least 1 of the following conditions apply:

    • Not a woman of (WOCBP)
    • WOCBP who has a negative urine or serum pregnancy test within 7 days prior to day 1 and agrees to follow the guidance from the time of through at least 6 months after final study intervention administration.
  • Female participant must not be breastfeeding or lactating starting at screening and throughout the investigational period and for 6 months after final investigational study intervention administration.
  • Female participant must not donate ova starting at first administration of study intervention and throughout the investigational period and for 6 months after final investigational study intervention administration.
  • Male participant must agree to use contraception with female partner(s) of childbearing potential (including breastfeeding partner) throughout the treatment period and for 3 months after final investigational study intervention administration.
  • Male participant must agree to remain abstinent or use a condom with pregnant partner(s) for the duration of the pregnancy throughout the investigational period and for 3 months after final investigational study intervention administration.
  • Male participant must not donate sperm during the treatment period and for 3 months after final investigational study intervention administration.
  • Participant agrees not to participate in another interventional study while receiving study intervention in the present study/participating in the present study.

Exclusion criteria

Exclusion Criteria:

  • Participant has symptomatic or untreated central nervous system (CNS) . Participants with stable, asymptomatic and treated are eligible.
  • Participant has as a manifestation of the current .
  • Participant has another prior malignancy active (i.e., requiring treatment or intervention) within the previous 2 years different from the primary malignancy for this study, except for local malignancies that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast, which are allowed.
  • Participant with active (including acute hepatitis B virus (HBV) or chronic HBV) or virus (HCV) (Ribonucleic acid (RNA) detected by qualitative assay). HCV RNA testing is not required in participants with negative HCV antibody testing.
  • Participant has a known history of (HIV) infection with Acquired Immune Deficiency Syndrome (AIDS) related complications. No HIV testing is required unless mandated by a local health authority.
  • Participant has had a myocardial infarction or unstable angina within 6 months prior to the start of study intervention or currently has an uncontrolled illness including, but not limited to symptomatic congestive heart failure, cardiac disease, unstable angina pectoris, cardiac arrhythmia (including but not limited to uncontrolled atrial fibrillation, recent restoration of rhythm after atrial fibrillation, clinically significant conduction disorder within 6 months prior to the start of study intervention, or ventricular arrhythmias), obligate use of a cardiac pacemaker, or long syndrome.
  • Resting heart rate \< 50 bpm at screening, unless clinically appropriate (e.g., well-conditioned participant) and deemed not clinically significant.
  • Known family history of sudden cardiac death before 50 years of age.
  • Hypokalemia that is not corrected to within the institutional normal range prior to first dose of study intervention.
  • Participants with clinically significant electrolyte abnormalities (e.g., hypomagnesemia or hypocalcemia) that are not corrected to within the institutional normal range prior to first dose of study intervention.
  • Participant has had major surgery within 4 weeks prior to first dose of study intervention.
  • Participant has acute neurological events (e.g., intracranial or subarachnoid hemorrhage, stroke, intracranial trauma) within 6 months prior to the first dose of study intervention.
  • Participant has received any radiotherapy (including stereotactic radiosurgery) within 14 days prior to the first dose of study intervention.
  • Participant has received prior KRAS targeting agents (including but not limited to KRAS directed inhibitors, degraders, small interfering RNA [siRNA] therapies, vaccines and cellular therapies), with the following exceptions:

    • In the dose escalation part, a participant with PDAC or NSCLC who has received prior RMC-6236 or RMC-9805 or a participant with NSCLC who has received prior KRAS G12C inhibitors but no other KRAS targeting agents will be eligible.
  • Participant has an active infection requiring any systemic anti-infectious agents within 14 days prior to study intervention.
  • Participant is expected to require another form of anticancer therapy while on study treatment.
  • Participant requires treatment with concomitant drugs that are strong or moderate inhibitors or inducers of Cytochrome P450 family 3 subfamily A ().
  • Participant has received any therapy within 28 days or 5 half-lives, whichever is longer, prior to the start of study intervention.
  • Participant has any condition that makes the participant unsuitable for study participation.
  • Participant has a known or suspected to the protocol specified study intervention(s) or any components of the formulation used.
  • Participant has a corrected QT interval by Fridericia (QTcF) value (single (ECG)) of > 450 msec (men) or > 470 msec (women) during screening.
  • Participant has a (LVEF) \< 50% as assessed by echocardiogram (ECHO) (or multigated acquisition (MUGA)) performed at screening.
  • Participant with a known history of an acquired KRAS G12V, G12D, G12C, G12R, G12A or G13D mutation or KRAS amplification identified as a resistance mechanism to prior systemic therapy (note: if a participant has more than 1 relevant KRAS alteration [KRAS G12V, G12D, G12C, G12R, G12A or G13D mutation or KRAS amplification], only those with a known history of acquired resistance to all relevant KRAS alterations would be excluded). Participant will not be excluded if it is not known whether the KRAS alteration(s) were acquired as a resistance mechanism.
  • UNIQUE to EU: Participant who is the subject of any legal protection measures under local legislation will not be allowed.
  • Participant has a history of pneumonitis/interstitial lung disease (ILD) or has current pneumonitis/ILD. Note that a participant with resolved pulmonary infections is eligible.
  • [ASP5834 combination therapy] Participant had prior discontinuation of panitumumab treatment due to toxicity or intolerance of panitumumab.
Terms in these criteria, in plain language(25)

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.

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.

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.

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.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

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.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

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.

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.

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.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

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

Study arms

  • Experimental
    ASP5834 Dose Escalation

    Participants will receive sequential doses levels of ASP5834 intravenously following 1 of 2 dose regimens.

    Drug: ASP5834

  • Experimental
    ASP5834 Dose Expansion (Tumor/ Mutation Specific)

    Participants with select tumor types will receive 1 of 2 dose regimens of ASP5834 with dose level(s) selected from dose escalation.

    Drug: ASP5834

  • Experimental
    ASP5834 Dose Expansion (Dose-ranging)

    Participants will receive dose level(s) and regimen of ASP5834 based on emerging data from Dose Escalation alone or Dose Escalation and Dose Expansion cohorts.

    Drug: ASP5834

  • Experimental
    ASP5834 combination therapy Dose Escalation

    Participants will receive sequential doses levels of ASP5834 intravenously following 1 of 2 dose regimens based on emerging data. Panitumumab will be administered every 2 weeks.

    Drug: ASP5834 · Drug: panitumumab

  • Experimental
    ASP5834 monotherapy therapy Dose Expansion

    Participants will receive 1 of 2 dose regimens of ASP5834.

    Drug: ASP5834

  • Experimental
    ASP5834 combination therapy Dose Expansion

    Participants will receive ASP5834 and panitumumab with dose level(s) and regimen selected from dose escalation (Combination Therapy). Panitumumab will be administered every 2 weeks.

    Drug: ASP5834 · Drug: panitumumab

Interventions

  • DrugASP5834

    Intravenous infusion

  • Intravenous infusion

06

What researchers measure

Primary outcomes

  1. Incidence of Dose Limiting Toxicities (DLTs) (Dose Escalation only)

    A DLT is defined as any Adverse Event (AE) which meets DLT criteria, not clearly due to the underlying disease or extraneous causes, that occurs within the DLT observation period.

    Time frame: Up to 21 days

  2. Number of participants with Adverse Events (AEs)

    An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study intervention. This includes events related to the comparator, if applicable, and events related to the (study) procedures.

    Time frame: Up to 40 months

  3. Number of Participants with Serious Adverse Events (SAEs)

    An SAE is any untoward medical occurrence that at any dose either results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or other medical situation.

    Time frame: Up to 40 months

  4. Number of participants with laboratory value abnormalities and/or adverse events (AEs)

    Number of participants with potentially clinically significant laboratory values.

    Time frame: Up to 40 months

  5. Number of Participants with Eye Exam abnormalities and/or Adverse Events (AEs)

    Number of participants with potentially clinically significant eye exam values.

    Time frame: Up to 39 months

  6. Number of participants with electrocardiogram (ECG) abnormalities and/or Adverse Events (AEs)

    Number of participants with potentially clinically significant ECG values.

    Time frame: Up to 39 months

  7. Number of participants with vital sign abnormalities and/or adverse events (AEs)

    Number of participants with potentially clinically significant vital sign values.

    Time frame: Up to 40 months

  8. Number of participants with echocardiogram (ECHO) abnormalities and/or adverse events (AEs)

    Number of participants with potentially clinically significant ECHO values.

    Time frame: Up to 39 months

  9. Number of participants with multigated acquisition (MUGA) abnormalities and/or adverse events (AEs)

    Number of participants with potentially clinically significant MUGA values.

    Time frame: Up to 39 months

  10. Number of Participants with Physical Examination (PE) abnormalities and/or AEs

    Number of participants with potentially clinically significant PE values.

    Time frame: Up to 40 months

  11. Number of Participants at each grade of Eastern Cooperative Oncology Group (ECOG) performance status scores

    The ECOG scale will be used to assess performance status. Scores range from 0 (fully active) to 5 (dead). Negative change scores represent an improvement. Positive scores represent a decline in performance.

    Time frame: Up to 40 months

Secondary outcomes

  1. Objective Response Rate (ORR) of ASP5834 per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    ORR is defined as the proportion of participants whose best overall response is a Complete Response (CR) or Partial Response (PR) per RECIST v1.1.

    Time frame: Up to 45 months

  2. Duration of Response (DOR) of ASP5834 per RECIST v1.1

    DOR is defined as the time from the date of first documented response (CR or PR that is subsequently confirmed) to the date of first documented progressive disease (PD) per RECIST v1.1 or death due to any cause, whichever occurs first.

    Time frame: Up to 45 months

  3. Disease Control Rate (DCR) of ASP5834 per RECIST v1.1

    DCR is defined as the proportion of participants whose best overall response is CR, PR or stable disease (SD) per RECIST v1.1.

    Time frame: Up to 45 months

  4. Progression Free Survival (PFS) per RECIST v1.1

    PFS is defined as the time from the first dose of study intervention until the date of documented radiological disease progression by investigator per RECIST v1.1 or until death for any cause, whichever comes first.

    Time frame: Up to 45 months

  5. Overall Survival (OS)

    OS is defined as the time from the first dose of study intervention until death due to any cause.

    Time frame: Up to 45 months

  6. Pharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve from the time of dosing to 24 hours after dosing (AUC24h)

    AUC24h will be recorded from the PK plasma samples collected.

    Time frame: Up to 39 months

  7. Pharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve from the time of dosing to 168 hours after dosing (AUC168h)

    AUC168h will be recorded from the PK plasma samples collected.

    Time frame: Up to 39 months

  8. Pharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve from the time of dosing to 336 hours after dosing (AUC336h) for 1 of 2 dose regimens

    AUC336h will be recorded from the PK plasma samples collected.

    Time frame: Up to 39 months

  9. Pharmacokinetics (PK) of ASP5834 in plasma: maximum concentration (Cmax)

    Cmax will be recorded from the PK plasma samples collected.

    Time frame: Up to 39 months

  10. Pharmacokinetics (PK) of ASP5834 in plasma: trough concentration (Ctrough)

    Ctrough will be recorded from the PK plasma samples collected.

    Time frame: Up to 39 months

  11. Pharmacokinetics (PK) of ASP5834 in plasma: terminal elimination half-life (t1/2)

    t1/2 will be recorded from the PK plasma samples collected.

    Time frame: Up to 39 months

  12. Pharmacokinetics (PK) of ASP5834 in plasma: time of maximum concentration (tmax)

    tmax will be recorded from the PK plasma samples collected.

    Time frame: Up to 39 months

  13. Change from baseline in Kirsten rat sarcoma viral oncogene homolog (KRAS) protein levels

    KRAS protein levels in tumor samples will be measured.

    Time frame: Up to 45 months

07

Study locations

22 of 22 sites recruiting
08

References and documents

Related links

Individual participant data

Plan to share: Yes — Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as compounds terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.

Access criteria: Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.

Data sharing details ↗ · www.clinicaltrials.astellas.com

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar 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 Jul 2025 (actual). Primary completion is estimated for Nov 2028, 40 months after the start.

Of 473 industry-sponsored phase 1 interventional studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 66. This study's planned 40 months is below that.

Counting every sponsor, half of 699 studies reached it within 50 months; a quarter within 31 and three quarters within 70.

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

Registered
Jul 23, 2025
First posted
Jul 30, 2025
StartActual
Jul 25, 2025
Primary completionEst.
Nov 30, 2028
CompletionEst.
Apr 30, 2029
Last update
Oct 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.
Sites
2 sites added — first site in South Korea
Show 2 added (2 South Korea)
  • Site KR82001 · Seoul, South Korea
  • Site KR82002 · Seoul, South Korea
Oct 29, 2026
Enrollment
364→404
Oct 13, 2026
Eligibility
1 exclusion criterion edited
What changed in the criteria
Exclusion criteria
  • EditedParticipant has received any investigational therapy within 28 days or 5 half-lives, whichever is longer, prior to screeningthe start of study intervention.
Oct 13, 2026
Secondary outcomes
3 edited
What changed in the outcomes
  • EditedPharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve atfrom the time of dosing to 24 hours after dosing (AUC24h)Time frame: Up to 39 months
  • EditedPharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve atfrom the time of dosing to 168 hours after dosing (AUC168h)Time frame: Up to 39 months
  • EditedPharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve atfrom the time of dosing to 336 hours after dosing (AUC336h) for 1 of 2 dose regimensTime frame: Up to 39 months
Oct 13, 2026
Show all 2 updates
  1. Oct 29, 2026
    2 sites added — first site in South Korea
    Show 2 added (2 South Korea)
    • Site KR82001 · Seoul, South Korea
    • Site KR82002 · Seoul, South Korea
  2. Oct 13, 2026
    Enrollment 364→404
    Eligibility 1 exclusion criterion edited
    What changed in the criteria
    Exclusion criteria
    • EditedParticipant has received any investigational therapy within 28 days or 5 half-lives, whichever is longer, prior to screeningthe start of study intervention.
    Secondary outcomes 3 edited
    What changed in the outcomes
    • EditedPharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve atfrom the time of dosing to 24 hours after dosing (AUC24h)Time frame: Up to 39 months
    • EditedPharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve atfrom the time of dosing to 168 hours after dosing (AUC168h)Time frame: Up to 39 months
    • EditedPharmacokinetics (PK) of ASP5834 in plasma: area under the concentration-time curve atfrom the time of dosing to 336 hours after dosing (AUC336h) for 1 of 2 dose regimensTime frame: Up to 39 months
    + 2 other changes: identifiers and verification date

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
NCT07094204
Responsible party
Sponsor
First posted
Jul 30, 2025
Start date
Jul 25, 2025
Primary completion
Nov 30, 2028 (estimated)
Completion
Apr 30, 2029 (estimated)
Last update
Oct 29, 2026

Study contacts

Astellas Pharma Global Development, Inc.
Contact
Astellas.registration@astellas.com
800-888-7704
Medical Lead
study director · Astellas Pharma Inc

Oversight

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

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