Clinical trial Recruiting at 9 sites Phase 1 Interventional Ages 18 and up

STRO-004 treatment in adults with recurrent or metastatic solid tumors

Official title: A Phase 1 Open-Label Study to Evaluate Safety, Pharmacokinetics, and Preliminary Anti-Tumor Activity of STRO-004 in Adults With Refractory/Recurrent Metastatic Solid Tumors

Run by Sutro Biopharma, Inc. · NCT07227168 · Data updated 2026-11-12

This study will test whether STRO-004, alone and with pembrolizumab, is safe and can shrink tumors in adults with several types of metastatic cancers that often express Tissue Factor.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorSutro Biopharma, Inc.
Industry-sponsored
Drugs / interventionspembrolizumab
Locations9 sites (San Diego, California and 8 other locations)
StatusRecruiting
StartedNovember 7, 2025
Main results expectedDecember 2027
Study endsApril 2028
Registry record updatedAugust 27, 2026
Trial IDNCT07227168 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with metastatic or locally advanced solid tumors listed (HNSCC, NSCLC, esophageal/gastric, colorectal, pancreatic, cervical, endometrial, or urothelial), ECOG 0–1, measurable disease, available tumor tissue, adequate organ function, and prior therapies per protocol are ideal candidates.

Probably not a fit

Patients with untreated brain metastases, certain eye disorders, inadequate organ function, or poor performance status (ECOG ≥2), or those unable to attend required visits at participating centers are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1, first-in-human study of STRO-004, an antibody–drug conjugate targeting Tissue Factor, conducted in three parts: dose escalation of STRO-004 monotherapy (Part 1A), cohort expansion to select a recommended monotherapy dose and examine anti-tumor activity (Part 1B), and dose escalation of STRO-004 combined with pembrolizumab (Part 1C). The study enrolls adults with a range of metastatic or locally advanced solid tumors known to commonly express Tissue Factor and requires measurable disease and available tumor tissue. Primary focuses are safety, tolerability, dose finding, and preliminary anti-tumor activity using standard response criteria. Participants will undergo regular safety monitoring, tumor assessments per RECIST 1.1, and laboratory evaluations to define dose-limiting toxicities and recommended doses for later studies.

Why it matters

Potential benefit: If successful, STRO-004 could provide a new targeted treatment that shrinks tumors and prolongs disease control for patients with Tissue Factor–expressing metastatic cancers.

How similar studies have gone: Other Tissue Factor–targeting ADCs (for example, tisotumab vedotin) have shown clinical activity in some cancers, so the approach has clinical precedent although STRO-004 itself is early-stage.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically or cytologically documented metastatic or locally advanced solid tumors including: Head and Neck Squamous Cell Carcinoma, Non-small Cell Lung Cancer, Esophageal/Gastric Cancer, Colorectal Cancer, Pancreatic Ductal Adenocarcinoma, Cervical Cancer, Endometrial Cancer, and Urothelial Carcinoma
* Age 18 years or older
* Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
* Received all appropriate systemic therapies that are locally available for which they are eligible. For Parts 1A and 1C, there is no limit on the number of prior therapies. For Part 1B only, up to 3 prior therapies are allowed, except for NSCLC participants with genomic alterations, who may have up to 4 prior therapies
* Availability of tumor tissue
* Measurable disease per RECIST 1.1
* Adequate organ function
* Participants receiving anticoagulants must be on a stable dose

Exclusion Criteria:

* Eye disorders
* Untreated brain metastases
* Pre-existing clinically significant ocular disorders, active interstitial lung disease, clinically significant cardiac or cerebrovascular disease, or other significant concurrent, uncontrolled medical condition
* Previous solid organ or bone marrow transplantation
* Concurrent participation in another therapeutic treatment trial

Where it's running

  • UC San Diego Moores Cancer Center
    San Diego, California, United States
    Recruiting
  • SCRI Denver
    Denver, Colorado, United States
    Recruiting
  • Georgetown University Medical Center
    Washington D.C., District of Columbia, United States
    Recruiting
  • SCRI FCS Sarasota
    Sarasota, Florida, United States
    Recruiting
  • Mass General Cancer Center
    Boston, Massachusetts, United States
    Recruiting
  • Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai
    New York, New York, United States
    Recruiting
Show 3 more locations
  • NEXT Austin
    Austin, Texas, United States
    Recruiting
  • NEXT San Antonio
    San Antonio, Texas, United States
    Recruiting
  • NEXT Virginia
    Fairfax, Virginia, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.