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Not yet recruitingNCT07688577Updated Jul 7, 2026

XTX501 in Patients With Metastatic Non-Small Cell Lung Cancer and Advanced Solid Tumors

A Phase 1/2 interventional study of XTX501 in Metastatic NSCLC - Non-Small Cell Lung Cancer and Advanced Solid Tumor, sponsored by Xilio Development, Inc.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-07.

Sponsored by Xilio Development, Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
140
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a first-in-human, multicenter, Phase 1/2, open-label study designed to evaluate the safety and tolerability of XTX501 as monotherapy in participants with metastatic non-small cell lung cancer (NSCLC) and select advanced solid tumors.

Read the detailed description

This is a first-in-human, Phase 1/2, multicenter, open-label study designed to evaluate the safety, tolerability, PK, pharmacodynamics, immunogenicity, and antitumor activity of XTX501, an investigational bispecific PD-1/masked IL-2 in participants with metastatic NSCLC and select advanced solid tumors.

Phase 1, Part 1A will examine XTX501 monotherapy in a Bayesian Optimal Interval design to determine the maximum tolerated dose up to 10 dose regimens.

Phase 1, Part 1B will further evaluate the safety and antitumor activity of XTX501 at dose regimens under consideration for the recommended Phase 2 dose(s).

Phase 2 will further evaluate the efficacy of the selected recommended Phase 2 dose(s).

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Conditions studied

  • Metastatic NSCLC - Non-Small Cell Lung Cancer
  • Advanced Solid Tumor
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In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's planned enrollment of 140 is above the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Xilio Development, Inc. is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Measurable disease at baseline per RECIST v1.1
  • ECOG performance status of 0 or 1
  • Adequate organ function
  • Metastatic NSCLC:

    • Must have histologically confirmed metastatic NSCLC.
    • Tumor must have been assessed for EGFR and ALK per local standard of practice; patients with these driver mutations are excluded.
    • Patients with tumors known to have the following alterations are excluded: ROS1, RET, MET, HER-2, NTRK 1/2/3.
    • Patients must have previously derived clinical benefit from a PD-1/PD-L1 inhibitor or PD-1/PDL-1 bispecific without progression for at least 6 months.

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with IL-2
  • History of significant pulmonary disease
  • History of clinically significant cardiovascular disease
  • Active CNS metastases
  • Pregnant or breastfeeding

In Phase 1, participants with select additional solid tumor types may be enrolled.

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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    Phase 1 - XTX501 Monotherapy Dose Escalation and Backfill

    Part 1A will examine XTX501 monotherapy in a Bayesian Optimal Interval design to determine the maximum tolerated dose up to 10 dose regimens. Part 1B will further evaluate the safety and antitumor activity of XTX501 at dose regimens under consideration for the recommended Phase 2 dose(s).

    Drug: XTX501

  • Experimental
    Phase 2- XTX501 Monotherapy Dose Expansion in metastatic NSCLC

    Phase 2 will further evaluate the efficacy of the selected recommended Phase 2 dose(s) in participants with metastatic NSCLC.

    Drug: XTX501

Interventions

  • DrugXTX501

    XTX501 monotherapy

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What researchers measure

Primary outcomes

  1. Incidence of Dose Limiting Toxicities (DLTs) in Part 1A

    Time frame: Cycle 1 Day 1 up to just prior to the second dose of study drug (approximately 21 days)

  2. Incidence of treatment-emergent adverse events (Phase 1 and Phase 2)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

  3. Incidence of serious adverse events (Phase 1 and Phase 2)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

  4. Incidence of significant change from baseline in clinical laboratory values (Phase 1 and Phase 2)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

  5. Investigator-assessed objective response rate (ORR) per RECIST v1.1 (Phase 2)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

Secondary outcomes

  1. Investigator-assessed objective response rate (ORR) per RECIST v1.1 (Phase 1)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

  2. Investigator-assessed duration of response (DOR) per RECIST v1.1 (Phase 1 and Phase 2)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

  3. Investigator-assessed disease control rate (DCR) per RECIST v1.1 (Phase 2)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

  4. Investigator-assessed progression free survival (PFS) per RECIST v1.1 (Phase 2)

    Time frame: Up to Safety Follow Up Period (90 [+7] days after the last dose)

  5. Incidence and persistence of antidrug antibodies (ADAs) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

  6. Maximum observed plasma concentration (Cmax) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

  7. Time of maximum observed concentration (Tmax) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

  8. Trough concentrations (Ctrough) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

  9. Area under the curve (AUC) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

  10. Half-life (t1/2) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

  11. Systemic clearance (CL) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

  12. Volume of distribution (Vd) (Phase 1 and Phase 2)

    Time frame: Up to End of Treatment (within 10 days of the decision to discontinue XTX501)

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07688577
Lead sponsor
Xilio Development, Inc.
Responsible party
Sponsor
First posted
Jul 7, 2026
Start date
Aug 2026 (estimated)
Primary completion
Nov 2029 (estimated)
Completion
Nov 2029 (estimated)
Last update
Jul 7, 2026

Study contacts

Xilio Medical Affairs
Contact
medicalaffairs@xiliotx.com
(857) 524-2466

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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