ClinicalTrials.gg
RecruitingNCT07909031APOLLOUpdated Nov 2, 2026

CR-002 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

A Phase 1/2 interventional study of CR-002 in Head and Neck Squamous Cell Carcinoma (HNSCC) - Recurrent/Metastatic (R/M), Gastric/GEJ and Biliary Tract Cancer (BTC), sponsored by Crescent Biopharma, Inc.. Recruiting at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Crescent Biopharma, Inc. · Phase 1/2, Interventional, and Treatment

Updated Nov 2, 2026Newly registeredGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
219
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the safety and tolerability of monotherapy CR-002 and to identify the MTD and/or optimal biologic dose and RP2D(s) in participants with locally advanced or metastatic solid tumors.

Read the detailed description

The study will initially comprise 2 parts: dose escalation (Part 1) and backfill (Part 2). Population-defined dose optimization (Part 3) and expansion (Part 4) cohorts may be added based on emerging data.

Part 1: The study will follow a stepwise approach, beginning with a typical dose escalation in participants with selected indications of advanced solid tumors.

Part 2: Additional participants will enroll in the backfill part at select dose levels that have been previously cleared for safety by the safety review committee.

All participants will undergo a screening period, a treatment period, a safety follow-up period, and long-term follow-up. During the treatment period, participants will undergo clinical and safety assessments including disease assessment scans and blood laboratory safety, and pharmacokinetic assessments. After treatment ends, disease scans will continue until disease progression, and long-term follow-up visits will be conducted by telephone every 3 months.

02

Conditions studied

  • Head and Neck Squamous Cell Carcinoma (HNSCC) - Recurrent/Metastatic (R/M)
  • Gastric/GEJ
  • Biliary Tract Cancer (BTC)
  • Esophageal Squamous Cell Carcinoma (ESCC)
  • Ovarian Cancer
  • Endometrial Cancer
  • Cervical Cancer Metastatic
  • Non-small Cell Lung Cancer (NSCLC)

Keywords

  • Advanced Solid Tumors
  • Metastatic Solid Tumors
  • ADC
03

In context

Squamous Cell Carcinoma of Head and Neck

2,018 studies on the registry are indexed under Squamous Cell Carcinoma of Head and Neck; 573 are open to participants now.

This study's planned enrollment of 219 is above the median of 48 across 1,653 interventional studies indexed under Squamous Cell Carcinoma of Head and Neck.

Browse Squamous Cell Carcinoma of Head and Neck studies →

Lead sponsor

Crescent Biopharma, Inc. is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

  • ≥ 3 months
  • (ECOG) performance status score of 0 - 1
  • Adequate organ function and hematologic reserve based on laboratory parameters
  • Have defined by v1.1
  • Willingness to provide recent sample or willingness to undergo biopsy
  • Tumor indication specific inclusion criteria:
  • Is progressing from, intolerant to, or ineligible for (due to unavailability or ) local standard of care therapies and have one of the following locally advanced or tumor types:

    • Head and Neck Squamous Cell Carcinoma (HNSCC)
    • Gastric/GEJ Cancer
    • Biliary Tract Cancer (BTC)
    • Esophageal Squamous Cell Carcinoma (ESCC)
    • Ovarian Cancer
    • Endometrial Carcinoma
    • Cervical Cancer
    • Non-Small Cell Lung Cancer (NSCLC)

Exclusion criteria

Exclusion Criteria:

  • Has other than disease under study within the past 3 years
  • Has not adequately recovered from recent major surgery
  • Has ongoing toxicity related to prior therapy
  • Has known sensitivity to any component of CR-002
  • Has received prior treatment with an antibody-drug conjugate (ADC) with a topoisomerase I inhibitor payload.
  • Has active central nervous system (CNS)
  • Has a medical or psychological condition that could interfere with study participation, increase risk, or affect interpretation of the study results
  • NOTE: Other protocol defined Inclusion and Exclusion criteria may apply.
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.

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.

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

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.

05

Study design

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

Study arms

  • Experimental
    CR-002 Dose Escalation

    Escalating dose levels of CR-002 will be tested to define the maximum tolerated dose of CR-002 in participants with locally advanced or metastatic solid tumors who are refractory to or unable to tolerate standard of care treatment, or for whom standard of care treatment is unavailable.

    Drug: CR-002

  • Experimental
    CR-002 Backfill

    Escalating dose levels of CR-002 will be tested in indication-specific cohort populations.

    Drug: CR-002

Interventions

  • DrugCR-002

    Intravenous Infusion

06

What researchers measure

Primary outcomes

  1. Part 1: Dose Escalation - incidence and nature of dose-limiting toxicities

    Per cohort

    Time frame: From the first dose of study drug up until approximately 1 month

  2. Part 1: Dose Escalation - characterization of the maximum tolerated dose, if applicable

    Per cohort

    Time frame: From the first dose of study drug up until approximately 1 month

  3. All Parts - incidence, nature, and severity of treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events

    Events are graded according to National Cancer Institute Cancer Terminology Criteria for Adverse Events (NCI CTCAE)

    Time frame: From the first dose of study drug until 90 days after the last dose of study drug

  4. All Parts - incidence and severity of TEAEs leading to dose modifications

    Time frame: From the first dose of study drug until 90 days after the last dose of study drug

  5. All Parts - incidence and severity of TEAEs leading to treatment discontinuation

    Time frame: From the first dose of study drug until 90 days after the last dose of study drug

Secondary outcomes

  1. All Parts - determination of recommended phase 2 dose(s)

    Time frame: From the first dose of study drug until 90 days after the last dose of study drug

  2. All Parts - serum CR-002 pharmacokinetic parameters

    AUC0-inf after a single dose and steady state parameters, as appropriate

    Time frame: Predose until up to approximately 36 months

  3. All Parts - serum CR-002 pharmacokinetic parameters

    AUClast after a single dose and steady state parameters, as appropriate

    Time frame: Predose until up to approximately 36 months

  4. All Parts - serum CR-002 pharmacokinetic parameters

    Cmax after a single dose and steady state parameters, as appropriate

    Time frame: Predose until up to approximately 36 months

  5. All Parts - serum CR-002 pharmacokinetic parameters

    Tmax after a single dose and steady state parameters, as appropriate

    Time frame: Predose until up to approximately 36 months

  6. All Parts - serum CR-002 pharmacokinetic parameters

    Vd after a single dose and steady state parameters, as appropriate

    Time frame: Predose until up to approximately 36 months

  7. All Parts - serum CR-002 pharmacokinetic parameters

    CL after a single dose and steady state parameters, as appropriate

    Time frame: Predose until up to approximately 36 months

  8. All Parts - serum CR-002 pharmacokinetic parameters

    t½ after a single dose and steady state parameters, as appropriate

    Time frame: Predose until up to approximately 36 months

  9. All Parts - incidence of participants with detectable antidrug antibodies

    Time frame: Predose until up to approximately 36 months

  10. All Parts - overall response rate (ORR)

    Time frame: Predose until up to approximately 36 months

  11. All Parts - duration of response (DOR)

    Time frame: Predose until up to approximately 36 months

  12. All Parts - disease control rate (DCR)

    Time frame: Predose until up to approximately 36 months

  13. All Parts - clinical benefit rate (CBR)

    Time frame: Predose until up to approximately 36 months

  14. All Parts - time to response (TTR)

    Time frame: Predose until up to approximately 36 months

  15. All Parts - progression free survival (PFS)

    Time frame: Predose until up to approximately 36 months

  16. All Parts - overall survival (OS)

    Time frame: Predose until up to approximately 36 months

  17. All Parts - best percent change in target lesions

    Time frame: Predose until up to approximately 36 months

07

Study locations

3 of 3 sites recruiting
  • Clinical Study Site
    Austin, Texas 78758, United States
    Recruiting
  • Clinical Study Site
    Dallas, Texas 75039, United States
    Recruiting
  • Clinical Study Site
    Fairfax, Virginia 22031, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    First appeared on the registry

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
NCT07909031
Lead sponsor
Crescent Biopharma, Inc.
Responsible party
Sponsor
First posted
Nov 2, 2026
Start date
Oct 21, 2026
Primary completion
Oct 2028 (estimated)
Completion
Jan 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

Crescent Clinical Trials
Contact
clinicaltrials@crescentbiopharma.com
617-430-5595

Oversight

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

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