Clinical trial Recruiting at 13 sites Phase1; Phase2 Interventional Ages 18 and up

Testing VLS-1488 for advanced cancers

Official title: A Phase I/II Study of VLS-1488 (an Oral KIF18A Inhibitor) in Subjects With Advanced Cancer

Run by Volastra Therapeutics, Inc. · NCT05902988 · Data updated 2026-11-12

This study is testing a new oral medication called VLS-1488 to see if it is safe and effective for people with advanced solid tumors.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorVolastra Therapeutics, Inc.
Industry-sponsored
Locations14 sites (Los Angeles, California and 13 other locations)
StatusRecruiting
StartedOctober 18, 2023
Main results expectedJune 2026
Study endsDecember 2026
Registry record updatedNovember 4, 2025
Trial IDNCT05902988 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with advanced solid tumors who have no available therapeutic options that provide clinically meaningful benefits.

Probably not a fit

Patients with early-stage cancers or those who have not exhausted standard treatment options may not benefit from this study.

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 first-in-human phase I/II study designed to evaluate the safety, tolerability, and preliminary efficacy of VLS-1488 in patients with advanced solid tumors. The study consists of two parts: Dose Escalation, which aims to identify the Maximum Tolerated Dose (MTD) through various cohorts, and Dose Expansion, which will further assess safety and efficacy across different tumor types. VLS-1488 will be administered orally in 28-day cycles until disease progression or other stopping criteria are met.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced cancers that currently have limited treatment options.

How similar studies have gone: Other studies involving KIF18A inhibitors have shown promise, but this specific approach is novel and untested in humans.

Who can join: the full rules

Show full inclusion / exclusion 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

Where it's running

  • University of Southern California
    Los Angeles, California, United States
    Recruiting
  • Hoag Memorial Hospital
    Newport Beach, California, United States
    Recruiting
  • University of Colorado Cancer Center
    Aurora, Colorado, United States
    Recruiting
  • Yale Cancer Center
    New Haven, Connecticut, United States
    Recruiting
  • Kellogg Cancer Center
    Evanston, Illinois, United States
    Recruiting
  • Community Health Network
    Indianapolis, Indiana, United States
    Recruiting
Show 8 more locations
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
    Baltimore, Maryland, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York, United States
    Recruiting
  • The Christ Hospital
    Cincinnati, Ohio, United States
    Recruiting
  • Women & Infants Hospital
    Providence, Rhode Island, United States
    Recruiting
  • M.D. Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Froedtert & the Medical College of Wisconsin
    Milwaukee, Wisconsin, United States
    Recruiting
  • START Midwest
    Grand Rapids, Michigan, United States
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.