ClinicalTrials.gg
RecruitingNCT07488676Updated Sep 22, 2026

A Study of ASP546C in Adults With Gastroesophageal Cancer, Pancreatic Cancer or Other Solid Tumors

A Phase 1/2 interventional study of ASP546C in Gastric or Gastro-esophageal Junction (GEJ) Adenocarcinoma and Pancreatic Adenocarcinoma, sponsored by Astellas Pharma Global Development, Inc.. Recruiting at 21 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Astellas Pharma Global Development, Inc. (part of Astellas Pharma Inc) · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Adenocarcinoma by Astellas Pharma Inc — 7 open to participants now, 9 under way, 4 of them phase 3. Adenocarcinoma · Astellas Pharma Inc.

Started
2026
with 2 others
Phase 1/2
Only one
of the 12
Registered
9th of 12
by date

Among the 12 studies in Adenocarcinoma by Astellas Pharma Inc, this one is one of 3 that started in 2026, is the only one in phase 1/2, and was the 9th registered.

Adenocarcinoma

620 studies on the registry are indexed under Adenocarcinoma; 148 are open to participants now.

Browse Adenocarcinoma studies →

Open to participants now

7 of the 12 studies in Adenocarcinoma by Astellas Pharma Inc are open now, in 12 countries. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Who these studies take

Of the 110 Adenocarcinoma studies recruiting now, 81 (74%) set no upper age limit and 11 (10%) stop at 75 or younger; 7 take children under 18; 4 take healthy volunteers.

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

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies in Adenocarcinoma by Astellas Pharma Inc, or all of them as a file.
02

Study summary

This study will help find the most suitable dose of ASP546C in people with gastric cancer, gastroesophageal junction (GEJ) cancer, pancreatic cancer, and other specific solid tumors. GEJ is where the food pipe (esophagus) joins the stomach.

This study is in 2 parts. In both parts of the study, ASP546C will be given once in 3-week cycles. It will be given slowly through a tube into a vein. This is called an infusion.

In Part 1, people with gastric cancer or GEJ cancer can take part. They will receive an infusion of either a higher dose or a lower dose of ASP546C.

In Part 2, people with pancreatic cancer or who have one of the other solid tumors can take part. Part 2 doesn't include people with gastric cancer or GEJ cancer. All people in this part of the study will receive an infusion of the higher dose of ASP546C.

People will visit the clinic on certain days to receive ASP546C and have health checks. The number of visits and checks done during the study will depend on the health of each person and whether they are still receiving infusions of ASP546C.

03

Conditions studied

  • Gastric or Gastro-esophageal Junction (GEJ) Adenocarcinoma
  • Pancreatic Adenocarcinoma

Keywords

  • Gastric or Gastro-esophageal Junction (GEJ) Adenocarcinoma
  • Pancreatic Adenocarcinoma
  • Cholangiocarcinoma
  • Colorectal adenocarcinoma
  • Non-small cell lung cancer (NSCLC) (adenocarcinoma)
  • Small cell lung cancer (SCLC)
  • Ovarian mucinous carcinoma
  • Invasive breast cancer
  • ASP546C
  • Claudin 18.2
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

  • Participant has a confirmed diagnosis of gastroesophageal (gastric/GEJ/esophageal) adenocarcinoma, pancreatic adenocarcinoma, or pan-tumor (cholangiocarcinoma, colorectal adenocarcinoma, NSCLC [adenocarcinoma], SCLC, ovarian mucinous carcinoma or invasive breast cancer [ER/PR+-; ER/PR-HER2+; ER/PR+HER2+ (triple positive); ER/PR-HER2- (triple negative)].
  • Participant has radiologically confirmed uLA/m gastroesophageal (gastric/GEJ/esophageal) adenocarcinoma, pancreatic adenocarcinoma or pan-tumor within 28 days prior to the first dose of study intervention.
  • Cohorts 1 to 3 only: Participant has according to v1.1 within 28 days prior to the first dose of study intervention. For participants with only 1 measurable lesion and prior radiotherapy, the lesion must be outside the field of prior radiotherapy or must have documented progression following radiation therapy.
  • Cohort 4 only: Participant has radiologically evaluable disease (measurable and/or non-measurable) according to RECIST v1.1, within 28 days prior to the first dose of study intervention. For participants with only 1 evaluable lesion and prior radiotherapy, the lesion must be outside the field of prior radiotherapy or must have documented progression following radiation therapy.
  • Participant's tumor expresses CLDN18.2.
  • Participant has received at least 1 for uLA/m disease.
  • Participant has an performance status of 0 or 1.
  • Participant has a predicted >= 12 weeks.
  • Female participant is not pregnant and at least 1 of the following conditions apply:

    • Not a women of (WOCBP)
    • WOCBP who has a negative urine or serum pregnancy test at screening (Specific to Japan: with a medical interview), and agrees to follow the guidance from the time of through at least 5 half-lives (45 days) plus 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 5 half-lives (45 days) plus 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 5 half-lives (45 days) plus 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 5 half-lives (45 days) plus 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 5 half-lives (45 days) plus 3 months after final investigational study intervention administration.
  • Male participant must not donate sperm during the treatment period and for 5 half-lives (45 days) plus 3 months after final investigational study intervention administration.
  • Participant must meet all of the criteria based on the locally analyzed laboratory tests collected within 14 days prior to the first dose of study intervention. In case of multiple local laboratory tests within this period, the most recent data should be used.
  • Participant is willing to provide or has sufficient tumor tissue for central biomarker assessment.
  • Participant agrees not to participate in another interventional study while receiving study intervention in the present study.

Exclusion criteria

Exclusion Criteria:

  • Cohorts 1, 2 and 3 only: Participant's disease is of the non-adenocarcinoma histology or mixed histology containing adenocarcinoma.
  • Cohorts 1, 2 and 3 only: Participant has received > 2 for uLA/m disease.

    • Participants in Cohort 4 (pan-tumor) may enroll regardless of the number of prior lines of therapy, if they are not eligible for, decline, or do not have any available standard of care treatment options.
  • Participant has complete gastric outlet syndrome or a partial gastric outlet syndrome with persistent recurrent vomiting.
  • Participant has significant gastric bleeding or had a significant bleeding episode from the gastrointestinal tract within 3 months prior to the first dose of study intervention and/or an untreated peptic ulcer disease that would preclude the participant from participation.
  • Participant has significant bleeding disorders or has had vasculitis within 3 months prior to the first dose of study intervention.
  • Participant has a history of gastrointestinal perforation and/or fistula within 6 months prior to the first dose of study intervention.
  • Participant has symptomatic, untreated or meningeal carcinomatosis (carcinomatous meningitis) from the primary . A participant with stable central nervous system for > 3 months without need of for >= 2 weeks prior to the first dose of study intervention is eligible.
  • Participant has a past or current mental illness that is difficult to control.
  • Participant has unresolved pneumonitis or a history of non-infectious pneumonitis such as immune-related pneumonitis or radiation-induced pneumonitis for which the participant is taking glucocorticoids or needed glucocorticoids within 6 months prior to the first dose of study intervention.
  • Participant has a known history of a positive test for (HIV) infection or known active (positive hepatitis B surface antigen [HBsAg]) or infection. Screening for these infections should be conducted if indicated per local requirements.

    • If participant is negative for HBsAg, but hepatitis B core antibody (HBcAb) and/or hepatitis B surface antibody (HBsAb) positive, a hepatitis B DNA test will be performed; if the test is positive, the participant will be excluded.
    • Participant with positive hepatitis C virus (HCV) serology, but negative HCV RNA test results, is eligible.
    • Participant treated for HCV with undetectable viral load results is eligible.
  • Participant has an active infection requiring systemic therapy that has not completely resolved within 7 days prior to the first dose of study intervention.
  • Participant has a malignancy for which treatment is required, has a history of another malignancy within the past 5 years, except malignancies for which participant received curative therapy without recurrence for the last 5 years (e.g., adequately resected non-melanoma skin cancer, localized prostate cancer), or had treatment for carcinoma in situ.
  • Participant has third spacing (large amount of pleural fluid or ascites) that requires frequent percutaneous draining or requires placement of a drainage catheter for adequate control.
  • Participant has any AE from prior antitumor treatments that has not yet recovered to grade 0 or 1 per National Cancer Institute (NCI CTCAE) v6.0 (except alopecia).
  • Participant has an active disease or other medical condition that has required high dose systemic steroids at the time of screening.
  • Participant has known peripheral neuropathy > grade 1 (except when the sole neurological abnormality is absence of deep tendon reflexes).
  • Participant has sinusoidal obstruction syndrome, formerly known as veno-occlusive disease; if present, should be stable or improving.
  • Participant has significant cardiovascular disease, including any of the following:

    • Congestive heart failure (defined as Class III or IV), myocardial infarction, unstable angina, coronary angioplasty, coronary stenting, coronary artery bypass graft, cerebrovascular accident or hypertensive crisis within 6 months prior to the first dose of study intervention.
    • History of clinically significant ventricular arrhythmias (i.e., sustained ventricular tachycardia, ventricular fibrillation or Torsades de Pointes), cardiac arrhythmias requiring anti-arrhythmic medications (a participant with rate controlled atrial fibrillation for > 1 month prior to the first dose of study intervention is eligible) or obligate use of cardiac pacemaker.
    • > 470 msec
    • Documented history or family history of congenital long QT syndrome.
  • Participant has ongoing or previous interstitial lung disease, active diverticulitis or solid organ or stem cell transplant.
  • Participant has a serious non-healing wound or bone fracture within 28 days prior to study intervention.
  • Participant has had a major surgical procedure within 28 days prior to the first dose of study intervention and has not completely recovered from the surgical procedure \<= 14 days prior to the first dose of study intervention.
  • Participant has received chemotherapy, immunotherapy or therapy \<= 14 days prior to the first dose of study intervention and has not recovered from any related toxicity. Palliative radiotherapy is allowed and must be completed > 14 days prior to the first dose of study intervention.
  • Participant has received prior CLDN18.2 ADC. Prior treatment with CLDN18.2 monoclonal antibody or bi-specific T-cell engager is allowed.
  • Participant has received a live or within 30 days prior to the first dose of study intervention.
  • Participant has a known or suspected to ASP546C or any components of the formulation used.
  • Participant has a clinically significant disease or comorbidity that in the opinion of the investigator may adversely affect the safe delivery of treatment within this study or make the participant unsuitable for study participation.
  • Cohorts 1 and 2 (gastroesophageal adenocarcinoma) only: Participant has known positive status defined as immunohistochemistry (IHC) 3+ or IHC 2+/ in situ hybridization (ISH) +. ISH positive is defined as HER2/ chromosome enumeration probe 17 (CEP17) ratio ≥ 2.0 or an average HER2 copy number ≥ 6.0 signals/cell.
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.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

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.

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.

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.

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.

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.

Metastases

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

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.

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.

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.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

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.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

05

Study design

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

Study arms

  • Experimental
    Part 1 - Cohort 1 ASP546C Lower Dose

    Participants with unresectable locally advanced or metastatic (uLA/m) gastroesophageal adenocarcinoma will receive a lower dose of ASP546C intravenously, once every 3 weeks (Q3W).

    Drug: ASP546C

  • Experimental
    Part 1 - Cohort 2 ASP546C Higher Dose

    Participants with uLA/m gastroesophageal adenocarcinoma will receive a higher dose of ASP546C intravenously, once Q3W.

    Drug: ASP546C

  • Experimental
    Part 2 - Cohort 3 ASP546C Higher Dose

    Participants with uLA/m pancreatic adenocarcinoma will receive a higher dose of ASP546C intravenously, once Q3W.

    Drug: ASP546C

  • Experimental
    Part 2 - Cohort 4 ASP546C Higher Dose

    Participants with pan-tumor (cholangiocarcinoma, colorectal adenocarcinoma, NSCLC, SCLC, ovarian mucinous carcinoma or invasive breast cancer) will receive a higher dose of ASP546C intravenously, once Q3W.

    Drug: ASP546C

Interventions

  • DrugASP546C

    Intravenous administration

    Also known as: XNW27011

06

What researchers measure

Primary outcomes

  1. Part 1: Objective Response Rate (ORR) per Investigator-assessed per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    ORR is defined as the proportion of participants who have a best overall response (BOR) of complete response (CR) or partial response (PR) as per investigator assessment per RECIST v1.1.

    Time frame: Up to 36 Months

  2. Part 1: Pharmacokinetics (PK) of ASP546C Antibody-drug Conjugate (ADC): Serum Concentrations of Antibody-drug Conjugate

    ADC concentrations will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  3. Part 1: PK of ASP546C ADC: Maximum Concentration (Cmax)

    Cmax will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  4. Part 1: PK of ASP546C ADC: Area Under the Serum Concentration-time Curve from Time Zero to 21Days (AUC0-21d)

    AUC0-21d will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  5. Part 1: Number of participants with Adverse events (AEs)

    An 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 unfavourable 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 39 Months

  6. Part 1: Number of Participants with Vital Sign Abnormalities and/or AEs

    Number of participants with potentially clinically significant vital sign values.

    Time frame: Up to 39 Months

  7. Part 1: Number of Participants with Laboratory Value Abnormalities and/or AEs

    Number of participants with potentially clinically significant laboratory values.

    Time frame: Up to 39 Months

  8. Part 1: 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. Grades range from 0 (fully active) to 5 (dead). Negative change scores indicate an improvement. Positive scores indicate a decline in performance.

    Time frame: Up to 39 Months

Secondary outcomes

  1. Part 1 and Part 2: ORR per Investigator-assessed per RECIST v1.1

    ORR is defined as the proportion of participants who have a BOR of CR or PR as per investigator assessment per RECIST v1.1.

    Time frame: Up to 36 Months

  2. Part 1 and Part 2: Disease Control Rate (DCR) per Investigator-assessed per RECIST v1.1

    DCR defined as the proportion of participants with a BOR of CR, PR or stable disease (SD) as per investigator assessment per RECIST v1.1.

    Time frame: Up to 36 Months

  3. Part 1 and Part 2: Duration of Response (DOR) per Investigator-assessed per RECIST v1.1

    DOR is defined as the time from the date of the first response (CR/PR) until the date of radiologic disease progression as per investigator assessment per RECIST v1.1 or date of death from any cause, whichever is earlier.

    Time frame: Up to 36 Months

  4. Part 1 and Part 2: Progression Free Survival (PFS) per Investigator-assessed per RECIST v1.1

    PFS is defined as the time from the date of first dose until the date of radiologic disease progression as per investigator assessment per RECIST v1.1 or death from any cause, whichever is earlier.

    Time frame: Up to 39 Months

  5. Part 1 and Part 2: Overall Survival (OS)

    OS is defined as the time from the date of first dose until the documented date of death from any cause

    Time frame: Up to 39 Months

  6. Part 2: Number of Participants with AEs

    An 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 unfavourable 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 39 Months

  7. Part 2: Number of Participants with Vital Sign Abnormalities and/or AEs

    Number of participants with potentially clinically significant vital sign values.

    Time frame: Up to 39 Months

  8. Part 2: Number of Participants with Laboratory Value Abnormalities and/or AEs

    Number of participants with potentially clinically significant laboratory values.

    Time frame: Up to 39 Months

  9. Part 2: Number of Participants at Each Grade of ECOG Performance Status Scores

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

    Time frame: Up to 39 Months

  10. Part 1 and Part 2: Change from baseline in Expression Levels of Claudin 18.2 (CLDN18.2)

    Comparison of CLDN18.2 expression at baseline versus on-treatment tumor biopsies will be performed.

    Time frame: Baseline and up to Day 58

  11. Part 1 and Part 2: PK of ASP546C ADC: Concentration at the End of Infusion (CEOI)

    CEOI will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  12. Part 1 and Part 2: PK of ASP546C Unconjugated Payload: CEOI

    CEOI will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  13. Part 1 and Part 2: PK of ASP546C Total Antibody: CEOI

    CEOI will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  14. Part 2: PK of ASP546C ADC: AUC0-21d

    AUC0-21d will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  15. Part 1 and Part 2: PK of ASP546C Unconjugated Payload: AUC0-21d

    AUC0-21d will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  16. Part 1 and Part 2: PK of ASP546C Total Antibody: AUC0-21d

    AUC0-21d will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  17. Part 1 and Part 2: PK of ASP546C ADC: Trough Concentration (Ctrough)

    Concentration immediately prior to dosing at multiple dosing (Ctrough) will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  18. Part 1 and Part 2: PK of ASP546C Unconjugated Payload: Ctrough

    Concentration immediately prior to dosing at multiple dosing (Ctrough) will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  19. Part 1 and Part 2: PK of ASP546C Total Antibody: Ctrough

    Concentration immediately prior to dosing at multiple dosing (Ctrough) will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  20. Part 1 and Part 2: PK of ASP546C ADC: Time of Maximum Concentration (tmax)

    tmax will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  21. Part 1 and Part 2: PK of ASP546C Unconjugated Payload: tmax

    tmax will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  22. Part 1 and Part 2: PK of ASP546C Total Antibody: tmax

    tmax will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  23. Part 1 and Part 2: PK of ASP546C ADC: Terminal Elimination Half-life (t1/2)

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

    Time frame: Up to 39 Months

  24. Part 1 and Part 2: PK of ASP546C Unconjugated Payload: t1/2

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

    Time frame: Up to 39 Months

  25. Part 1 and Part 2: PK of ASP546C Total Antibody: t1/2

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

    Time frame: Up to 39 Months

  26. Part 1 and Part 2: PK of ASP546C ADC: Clearance (CL)

    CL will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  27. Part 1 and Part 2: PK of ASP546C Unconjugated Payload: CL

    CL will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  28. Part 1 and Part 2: PK of ASP546C Total Antibody: CL

    CL will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  29. Part 1 and Part 2: PK of ASP546C ADC: Volume of Distribution at Steady State (Vss)

    Vss will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  30. Part 1 and Part 2: PK of ASP546C Unconjugated Payload: Vss

    Vss will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  31. Part 1 and Part 2: PK of ASP546C Total Antibody: Vss

    Vss will be recorded from the PK serum samples collected.

    Time frame: Up to 39 Months

  32. Part 1 and Part 2: Number of Participants with all Anti-drug Antibodies (Total Antibody and ADC) Against ASP546C

    Number of participants with anti-drug antibodies will be reported.

    Time frame: Up to 22 Months

07

Study locations

21 of 21 sites recruiting
08

References and documents

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

No publications or documents are linked to this record.

09

Timeline

Tracking 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 May 2026 (actual). Primary completion is estimated for Jul 2029, 38 months after the start.

Of 33 phase 1/2 interventional studies under Adenocarcinoma, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 84. This study's planned 38 months is below that.

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

Registered
Mar 18, 2026
First posted
Mar 23, 2026
StartActual
May 4, 2026
Primary completionEst.
Jul 31, 2029
CompletionEst.
Jul 31, 2029
Last update
Sep 22, 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 Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07488676
Responsible party
Sponsor
First posted
Mar 23, 2026
Start date
May 4, 2026
Primary completion
Jul 31, 2029 (estimated)
Completion
Jul 31, 2029 (estimated)
Last update
Sep 22, 2026

Study contacts

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