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> Record changed: 2026-10-13

# First In Human Study of CX-2051 in Advanced Solid Tumors

NCT06265688

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

Participants

160

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

Lead sponsor

CytomX Therapeutics

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

Start date

2024-04-02

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

Number of sites

8

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Title and summary

**Summary**

The purpose of this first-in-human study, CTMX-2051-101, is to characterize the safety, tolerability, and antitumor activity of CX-2051 as a monotherapy and in combination with bevacizumab in adult participants with advanced solid tumors.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Short title**

First In Human Study of CX-2051 in Advanced Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Official title**

An Investigational Study of CX-2051 in Participants With Advanced Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Dates

**Completion date**

2029-03-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**First posted**

2024-02-20

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Registry last updated**

2026-07-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Primary completion date**

2027-11-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Start date**

2024-04-02

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Size and sites

**Participants**

160

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Planned participants**

160

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Protocol amendments**

2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Number of sites**

8

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Lead sponsor**

CytomX Therapeutics

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Identifiers

**Registry ID**

NCT06265688

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**ClinicalTrials.gov ID**

NCT06265688

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Study design

**Allocation**

Not randomised

**Model**

Sequential

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Outcomes

### Primary outcomes

1. Safety and tolerability of CX-2051  
Timeframe: 44 months  
The number of participants experiencing a dose-limiting toxicity (DLT) as defined in the protocol, AEs (adverse events), and treatment-emergent adverse events (TEAEs) at any dose level
2. Determine the recommended Phase 2 dose (RP2D)  
Timeframe: 44 months  
The number of participants experiencing a dose-limiting toxicity (DLT) as defined in the protocol, AEs (adverse events), and treatment-emergent adverse events (TEAEs) at any dose level

### Secondary outcomes

1. Objective response rate (ORR)  
Timeframe: 60 months  
ORR defined as the proportion of participants who achieve a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by Investigator assessment
2. Duration of response (DOR)  
Timeframe: 60 months  
DOR defined as the time from the first documentation of confirmed CR or PR (based on RECIST v1.1) to the first documentation of disease progression or death due to any cause on study, whichever occurs first.
3. Progression-free survival (PFS)  
Timeframe: 60 months  
PFS defined as the time from the first dose of study intervention to the date of first documentation of objective tumor progression (based on RECIST v1.1) or death due to any cause, whichever occurs first.
4. Time to Treatment Failure (TTF)  
Timeframe: 60 months  
TTF defined as the time from first dose of study intervention to the date of premature discontinuation for any reason, including tumor progression, severe toxicity, participant withdrawal, or death.
5. Disease control rate (DCR)  
Timeframe: 60 months  
DCR defined as the proportion of participants with confirmed CR, PR, or stable disease (SD) as per RECIST v1.1 by Investigator assessment.
6. Duration of disease control (DODC)  
Timeframe: 60 months  
DODC defined as the time from the first documentation of confirmed CR, PR, or SD (based on RECIST v1.1) to the first documentation of disease progression or death due to any cause on study, whichever occurs first.
7. Overall survival (OS)  
Timeframe: 60 months  
OS defined as the time from the first dose of study intervention to death due to any cause

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- Metastatic or locally advanced unresectable solid tumor that has progressed after standard therapy
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- Measurable disease per RECIST v1.1
- Consent to fresh biopsy or if medically contraindicated, recent (within 6 months) archival tumor tissue
- Additional inclusion criteria may apply

### Exclusion criteria

- Recent history (within last 2 years) of localized cancers that are not related to the current cancer being treated
- Known active central nervous system (CNS) involvement by malignancy
- Systemic anticancer treatment, radiotherapy, or investigational agent(s) within 14 days prior to C1D1
- Previous treatment with antibody-drug conjugates (ADCs) with Topo-I inhibitor payload
- Major surgery (requiring general anesthesia) within 4 weeks prior to C1D1
- Elevated baseline laboratory values
- Serious concurrent illness
- Pregnant or breast feeding
- Additional exclusion criteria may apply

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Sites

- Sarah Cannon Research Institute at HealthONEDenver, United StatesRecruiting
- Dana-Farber Cancer InstituteBoston, United StatesRecruiting
- Montefiore Medical CenterThe Bronx, United StatesRecruiting
- Carolina BioOncology Institute, PLLCHuntersville, United StatesRecruiting
- Sarah Cannon Research Institute, LLCNashville, United StatesRecruiting
- START - Dallas/Fort WorthFort Worth, United StatesRecruiting
- START San Antonio LLCSan Antonio, United StatesRecruiting
- NEXT VirginiaFairfax, United StatesRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06265688)

## Related records

### Drugs (1)

- [Bevacizumab](https://trialight.com/data/asset/bevacizumab-a9e09d09-2d3c-4fda-ad45-01fd000dd363.md)

### Lead sponsors (1)

- [CytomX Therapeutics](https://trialight.com/data/company/cytomx-therapeutics-60926d97-ee88-4ffa-b307-aa0b48974f91.md)

### Conditions (1)

- [ADULT syndrome](https://trialight.com/data/condition/adult-syndrome-8aeb5e11-f165-5276-850c-05129a3e72a5.md) Primary condition

### Targets (1)

- [VEGFA](https://trialight.com/data/target/vegfa-d5a98392-6ee9-5b71-b7a2-9a73ce1575d2.md)

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