XTX501 in people with metastatic NSCLC and advanced solid tumors
Official title: A First-in-Human, Multicenter, Phase 1/2, Open-Label Study of XTX501 in Participants With Metastatic Non-Small Cell Lung Cancer and Advanced Solid Tumors
Run by Xilio Development, Inc. · NCT07688577 · Data updated 2026-11-12
A first-in-human study tests XTX501, a PD-1/masked IL-2 drug, to see if it is safe and tolerable in people with metastatic NSCLC and selected advanced solid tumors.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | Xilio Development, Inc. Industry-sponsored |
| Locations | 3 sites (Canton, Ohio and 2 other locations) |
| Status | Recruiting |
| Started | October 21, 2026 |
| Main results expected | November 2029 |
| Study ends | November 2029 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07688577 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with measurable metastatic NSCLC or select advanced solid tumors, good performance status, and prior benefit from a PD-1/PD-L1 inhibitor, without certain driver mutations or prior IL-2 treatment.
✕Probably not a fit
Patients whose tumors do not respond to XTX501 or who experience intolerable toxicity may not benefit.
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 multicenter, open-label Phase 1/2 trial of XTX501 given as a single agent. The study aims to characterize safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, and anti-tumor activity. Phase 1 uses a Bayesian design to establish a maximum tolerated dose and then to evaluate safety and activity at dose levels under consideration for the recommended Phase 2 dose. Phase 2 will further assess efficacy at the chosen dose(s). Enrollment includes participants with measurable disease and adequate organ function, who have previously benefited from a PD-1/PD-L1 blocker, and excludes certain driver mutations, prior IL-2 therapy, and other comorbid conditions. In addition to NSCLC, select other advanced solid tumors may enroll in Phase 1.
Why it matters
Potential benefit: If successful, participants may experience tumor control or shrinkage and improved symptoms with the investigational therapy.
How similar studies have gone: Other bispecific PD-1/IL-2–based approaches have shown signals of activity in early trials, but this exact agent and design are investigational.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Measurable disease at baseline per RECIST v1.1 * ECOG performance status of 0 or 1 * Adequate organ function * Metastatic NSCLC: * Must have histologically confirmed metastatic NSCLC. * Tumor must have been assessed for EGFR and ALK per local standard of practice; patients with these driver mutations are excluded. * Patients with tumors known to have the following alterations are excluded: ROS1, RET, MET, HER-2, NTRK 1/2/3. * Patients must have previously derived clinical benefit from a PD-1/PD-L1 inhibitor or PD-1/PDL-1 bispecific without progression for at least 6 months. Exclusion Criteria: * Prior treatment with IL-2 * History of significant pulmonary disease * History of clinically significant cardiovascular disease * Active CNS metastases * Pregnant or breastfeeding In Phase 1, participants with select additional solid tumor types may be enrolled.
Where it's running
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Investigator Site
Canton, Ohio, United States Recruiting -
Investigator Site
Fort Worth, Texas, United States Recruiting -
Investigator Site
Fairfax, Virginia, United States Recruiting
Study contacts
- Study coordinator: Xilio Medical Affairs
- Email: medicalaffairs@xiliotx.com
- Phone: (857) 524-2466
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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.