Treatment for adult patients with solid tumors that have a specific p53 mutation
Official title: GUARDIAN-101: A Phase 1 Dose Escalation and Expansion Study of CLSP-1025 in Adult Patients With Solid Tumors That Harbor the p53 R175H Mutation
Run by Clasp Therapeutics, Inc. · NCT06778863 · Data updated 2026-11-12
This study is testing a new treatment for adults with advanced solid tumors that have a specific p53 mutation to see if it is safe and effective.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Clasp Therapeutics, Inc. Industry-sponsored |
| Locations | 21 sites (Scottsdale, Arizona and 20 other locations) |
| Status | Recruiting |
| Started | February 28, 2025 |
| Main results expected | December 2027 |
| Study ends | June 2028 |
| Registry record updated | February 13, 2026 |
| Trial ID | NCT06778863 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with advanced solid tumors harboring the p53 R175H mutation who have progressed after standard therapies.
✕Probably not a fit
Patients with Li-Fraumeni syndrome or those who have previously received p53 R175H-directed therapies 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 Phase 1, open-label, multicenter study evaluates the safety and effectiveness of CLSP-1025, a T cell engager targeting solid tumors with the p53 R175H mutation. The study consists of two parts: a dose escalation phase to determine the recommended doses for further testing and an expansion phase to assess the preliminary antitumor activity and safety of the treatment. Participants must be HLA-A*02:01 positive and have advanced solid tumors that have not responded to standard therapies.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with specific solid tumors that currently have limited treatment options.
How similar studies have gone: While this approach is novel in targeting the p53 R175H mutation specifically, similar T cell engager therapies have shown promise in other contexts.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Patients must be at least 18 years of age at the time of signing the informed consent. * Patients must be willing and able to provide written informed consent * Patients must have locally advanced or metastatic solid tumors that have progressed after standard of care therapy or for which no standard therapy exists * Tumors must harbor a TP53 R175H variant mutation confirmed by an accredited laboratory-based test * Patients must be HLA-A\*02:01 positive by central assay * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at the time of enrollment * Adequate hematological, renal and hepatic function * Per Investigator judgement, patient is willing and able to complete study visits and/or procedures per the protocol and comply with study requirements for study participation Key Exclusion Criteria: * Patients with Li-Fraumeni syndrome or other known germline p53 R175H mutation * Patients who have received other p53 R175H-directed therapies * Patients who have not fully recovered from adverse events due to previous anticancer therapies * Patients with active infection requiring systemic antimicrobial therapy * Any other primary malignancy within the 2 years prior to enrollment (except for non- melanoma skin cancer, carcinoma in situ (eg, cervix, bladder, breast) or prostate cancer in remission. * Known active central nervous system metastases and/or carcinomatous meningitis
Where it's running
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HonorHealth Research Institute
Scottsdale, Arizona, United States Recruiting -
The University of Arizona Cancer Center
Tucson, Arizona, United States Recruiting -
USC - Norris Comprehensive Cancer Center
Los Angeles, California, United States Recruiting -
University of California Davis Comprehensive Cancer Center
Sacramento, California, United States Recruiting -
University of California San Francisco
San Francisco, California, United States Recruiting -
University of Miami - Sylvester Comprehensive Cancer Center
Miami, Florida, United States Recruiting
Show 15 more locations
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The University of Chicago Comprehensive Cancer Center
Chicago, Illinois, United States Recruiting -
University of Kentucky Markey Cancer Center
Lexington, Kentucky, United States Recruiting -
Johns Hopkins - Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, United States Recruiting -
Hackensack University Medical Center
Hackensack, New Jersey, United States Recruiting -
NYU Langone Health
New York, New York, United States Recruiting -
Memorial Sloan Kettering Cancer Center
New York, New York, United States Recruiting -
Duke Cancer Institute
Durham, North Carolina, United States Recruiting -
Thomas Jefferson University, Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania, United States Recruiting -
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States Recruiting -
Sarah Cannon Research Institute (SCRI) Oncology Partners
Nashville, Tennessee, United States Recruiting -
Vanderbilt University Medical Center
Nashville, Tennessee, United States Recruiting -
Mary Crowley Cancer Research
Dallas, Texas, United States Recruiting -
Baylor University Medical Center
Dallas, Texas, United States Recruiting -
MD Anderson Cancer Center
Houston, Texas, United States Recruiting -
Fred Hutchinson Cancer Center
Seattle, Washington, United States Recruiting
Study contacts
- Study coordinator: Lauren Harshman, MD
- Email: LHarshman@clasptx.com
- Phone: +1-617-812-1431
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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LY4052031 for advanced or metastatic urothelial and other nectin‑4–expressing solid tumors
This trial will test whether LY4052031 is safe and can help people with advanced or metastatic urothelial cancer or other solid tumors that express nectin‑4.
-
Evaluating PC14586 for advanced solid tumors with a specific mutation
This study is testing a new oral medication called PC14586 to see if it can help people with advanced solid tumors that have a specific mutation in the TP53 gene.
-
IDOV-Immune for advanced solid tumors
This trial will try a single IV infusion of an engineered oncolytic vaccinia virus called IDOV-Immune in adults with advanced solid tumors that no longer respond to standard treatments.
-
Oral treatment with MOMA-313 for advanced solid tumors
This study is testing a new oral treatment called MOMA-313 for people with advanced solid tumors that can't be cured, to see how safe it is and how well it works, especially for those with certain genetic changes.
-
Investigating HER3-DXd for advanced solid tumors
This study is testing a new drug called HER3-DXd to see if it can safely help people with advanced solid tumors like melanoma, head and neck cancer, and gastric cancer who have already tried other treatments.
-
Validation of a blood test for early cancer detection and monitoring
This study is testing a blood test to see if it can help find different types of cancer early and monitor patients after treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.