Clinical trial Recruiting at 3 sites Phase1; Phase2 Interventional Ages 18 and up

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

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment180 (estimated)
SponsorXilio Development, Inc.
Industry-sponsored
Locations3 sites (Canton, Ohio and 2 other locations)
StatusRecruiting
StartedOctober 21, 2026
Main results expectedNovember 2029
Study endsNovember 2029
Registry record updatedNovember 4, 2026
Trial IDNCT07688577 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

  • Investigator Site
    Canton, Ohio, United States
    Recruiting
  • Investigator Site
    Fort Worth, Texas, United States
    Recruiting
  • Investigator Site
    Fairfax, Virginia, United States
    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.