Overview

A Phase I/II Study of VLS-1488 in Subjects With Advanced Cancer

Status:
Not yet recruiting
Trial end date:
2026-06-01
Target enrollment:
0
Participant gender:
All
Summary
This is a first-in-human phase I/II study to examine the safety, tolerability and preliminary efficacy of VLS-1488 in subjects with advanced cancers.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Volastra Therapeutics, Inc.
Criteria
Key Inclusion Criteria:

- All Parts: Age ≥ 18 years, ECOG Performance Status ≤ 1, at least 1 site of measurable
disease evaluable by CT scan or MRI per RECIST 1.1, able to take oral medication
without alteration

- Dose Escalation: No available therapeutic options to provide clinically meaningful
benefits in the following tumor types: High Grade Serous Ovarian Cancer, Squamous Non
-Small Cell Lung Cancer, Triple Negative Breast Cancer, Gastric Adenocarcinoma (not
EBV+), Colorectal, Esophageal Squamous Cell Carcinoma, Esophageal Adenocarcinoma,
Gastroesophageal Junction, Bladder (transitional cell), Head and Neck Squamous Cell
Carcinomas (not nasopharynx, sinonasal or lip), Ovarian Carcinosarcoma, CN-high
Endometrial/Uterine

- Dose Expansion: Must have been previously treated with several lines of standard of
care treatment specified in the protocol in the following tumor types: High Grade
Serous Ovarian Cancer, Squamous Non-Small Cell Lung Cancer, Triple Negative Breast
Cancer, Gastric Adenocarcinoma (not EBV+), Colorectal, Esophageal Squamous Cell
Carcinoma, Esophageal Adenocarcinoma, Head and Neck Squamous Cell Carcinomas (not
nasopharynx, sinonasal or lip), CN-high Endometrial/Uterine

Key Exclusion Criteria:

- MSI-H, dMMR, POLE gene hotspot mutated, or known hypermutator phenotype

- Previously received KIF18A inhibitor

- Current CNS metastases or leptomeningeal disease

- Cardiac parameters: MI or stroke ≤ 1 year, unstable angina/PE/DVT/CABG ≤ 6 months,
NYHA Class ≥ II, LVEF < 50%

- Inability to comply with concomitant medication restrictions with respect to strong
inhibitors and inducers of CYP3A, and clinical inhibitors of MDR1 (P-gp) and BCRP

- Any clinically significant ascites or pleural effusions at time of enrollment, or any
therapeutic paracentesis or thoracentesis within 28 days of planned first dose of
study drug

- Bowel obstruction or GI perforation within 6 months of planned first dose of study
drug