Clinical trial Recruiting at 21 sites Phase 1 Interventional Ages 18 and up

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.

More Breast Cancer trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment90 (estimated)
SponsorClasp Therapeutics, Inc.
Industry-sponsored
Locations21 sites (Scottsdale, Arizona and 20 other locations)
StatusRecruiting
StartedFebruary 28, 2025
Main results expectedDecember 2027
Study endsJune 2028
Registry record updatedFebruary 13, 2026
Trial IDNCT06778863 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

  • 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
  • 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

Similar studies

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

  • 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.

    Recruiting at 36 sites Phase 1 Eli Lilly and Company · Duarte, California and 39 other locations · NCT06465069

  • 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.

    Recruiting at 71 sites Phase 1/2 PMV Pharmaceuticals, Inc · Irvine, California and 75 other locations · NCT04585750

  • 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.

    Recruiting at 5 sites Phase 1 ViroMissile, Inc. · St Louis, Missouri and 4 other locations · NCT06910657

  • 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.

    Recruiting at 14 sites Phase 1 MOMA Therapeutics · Goodyear, Arizona and 17 other locations · NCT06545942

  • 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.

    Recruiting at 92 sites Phase 2 Daiichi Sankyo · Duarte, California and 95 other locations · NCT06172478

  • 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.

    Recruiting at 3 sites Adela, Inc · Duarte, California and 16 other locations · NCT05366881

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.