> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/s-531011-as-monotherapy-and-in-combination-with-an-immune-ea263a16-9cac-41b3-873f-109a314003e8
> Record changed: 2026-11-04

# S-531011 as Monotherapy and in Combination With an Immune Checkpoint Inhibitor in Advanced or Metastatic Solid Tumors

NCT05101070

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

Phase

Phase 1/Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

Participants

282

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

Lead sponsor

Shionogi

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

Start date

2022-05-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

Number of sites

8

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Title and summary

**Summary**

The primary objective of Part A is to evaluate the safety and tolerability of S-531011 and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of S-531011 with or without pembrolizumab. The primary objective of Parts B and C is to evaluate the antitumor activity of S-531011 at the RP2D with or without pembrolizumab. The primary objective of Parts D and E is to evaluate the antitumor activity of S-531011 at the RP2D in combination with bevacizumab with our without pembrolizumab.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Acronym**

aCCeleR8-001

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Short title**

S-531011 as Monotherapy and in Combination With an Immune Checkpoint Inhibitor in Advanced or Metastatic Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Official title**

A Phase 1b/2, Multicenter, Open-label Study of S-531011 as Monotherapy and in Combination With an Immune Checkpoint Inhibitor in Participants With Locally Advanced or Metastatic Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Phase**

Phase 1/Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Dates

**Completion date**

2028-05-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**First posted**

2021-11-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Registry last updated**

2026-03-18

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Primary completion date**

2028-05-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Start date**

2022-05-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Size and sites

**Participants**

282

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Planned participants**

282

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Protocol amendments**

5

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Number of sites**

8

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Lead sponsor**

Shionogi

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Identifiers

**Registry ID**

NCT05101070

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**ClinicalTrials.gov ID**

NCT05101070

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Study design

**Allocation**

Not randomised

**Model**

Sequential

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Outcomes

### Primary outcomes

1. Part A: Number of Participants with Treatment-emergent Adverse Events (TEAEs)  
Timeframe: Approximately 12 months (Part A-1); Approximately 24 months (Part A-2)
2. Parts B, C, D, E: Objective Response Rate  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part B\]; Approximately 24 months \[Parts C, D, E\])
3. Parts B, C, D, E: Duration of Response  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part B\]; Approximately 24 months \[Parts C, D, E\])
4. Parts B, C, D, E: Disease Control Rate  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part B\]; Approximately 24 months \[Parts C, D, E\])
5. Parts B, C, D, E: Time to Response  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part B\]; Approximately 24 months \[Parts C, D, E\])
6. Parts B, C, D, E: Progression-free Survival  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part B\]; Approximately 24 months \[Parts C, D, E\])
7. Parts B, C, D, E: Overall Survival  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part B\]; Approximately 24 months \[Parts C, D, E\])

### Secondary outcomes

1. Part A: Objective Response Rate  
Timeframe: Every 6 weeks for the ﬁrst 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part A-1\]; Approximately 24 months \[Part A-2\])
2. Part A: Duration of Response  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part A-1\]; Approximately 24 months \[Part A-2\])
3. Part A: Disease Control Rate  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part A-1\]; Approximately 24 months \[Part A-2\])
4. Part A: Time to Response  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part A-1\]; Approximately 24 months \[Part A-2\])
5. Part A: Progression-free Survival  
Timeframe: Every 6 weeks for the first 24 weeks and every 9 weeks thereafter, until disease progression (Approximately 12 months \[Part A-1\]; Approximately 24 months \[Part A-2\])
6. All Parts: Serum concentrations of S-531011  
Timeframe: Part A: Cycle 1, Days 8 and 15 (4 hours post infusion); Cycles 2-9, Day 1 (pre- and end-of-infusion); Safety Follow-up Visit. Parts B, C, D, E: Day 1 of Cycles 1-9 (pre- and end-of-infusion); Safety Follow-up Visit. (each cycle is 21 days)
7. Part A: Maximum Serum Concentration (Cmax) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
8. Part A: Time to Maximum Serum Concentration (Tmax) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
9. Part A: Area Under the Concentration-time Curve from Time Zero to the Time of Last Quantifiable Concentration After Dosing (AUC0-last) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
10. Part A: Area Under the Concentration-time Curve Extrapolated from Time Zero to Infinity (AUC0-inf) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
11. Part A: Terminal elimination rate constant (λz) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
12. Part A: Terminal Elimination Half-life (t1/2,z) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
13. Part A: Total Clearance (CL) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
14. Part A: Volume of Distribution at Steady State (Vss) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
15. Part A: Mean Residence Time (MRT) of S-531011  
Timeframe: Cycle 1, Day 1: pre-infusion, end-of-infusion, and 1 and 3 hours after the end-of S-531011 infusion, and 24, 48, 72 hours after the start of S-531011 infusion (each cycle is 21 days)
16. All Parts: Anti-S-531011 Antibody (ADA) Titer Level  
Timeframe: Day 1 of Cycles 1 to 9 (each cycle is 21 days)
17. All Parts: Anti-S-531011 Antibody (ADA) Titer Level  
Timeframe: Day 1 of Cycles 1 to 9 (each cycle is 21 days)  
Neutralization assays will be performed only for the samples that are confirmed to have ADA.
18. All Parts: Changes in serum tumor markers from pretreatment to on-treatment  
Timeframe: Baseline and Day 1 of each treatment cycle (each cycle is 21 days)
19. Parts B, C, D, E: Number of Participants with Treatment-emergent Adverse Events (TEAEs)  
Timeframe: Approximately 12 months (Part B); Approximately 24 months (Parts C, D, E)

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

Eligibility Criteria: Key Inclusion Criteria:

1. Participants with histologically or cytologically conﬁrmed advanced (locoregionally recurrent, not amenable to curative therapy) or metastatic solid tumors who have no standard therapies with a proven clinical beneﬁt, or who are intolerant to or unwilling to receive these therapies for any reasons.
2. Measurable disease by Response Evaluation Criteria in Solid Tumors version 1.1.
3. (Part A only) Participants should have 1 of the following tumor types: malignant melanoma, head and neck squamous cell carcinoma, renal cell carcinoma, urothelial carcinoma, non-small cell lung cancer, or triple-negative breast cancer, esophageal cancer (esophageal squamous cell carcinoma and adenocarcinoma), or gastric cancer (gastric and gastroesophageal junction adenocarcinoma). Participants with colorectal cancer (CRC), pancreatic cancer, cervical cancer, epithelial ovarian cancer, and other types of solid tumors may also be enrolled upon discussion with and approval by the sponsor. For the backﬁll cohorts only, speciﬁc tumor types may be selected.
4. (Part B CRC cohorts only) Participants must have histologically or cytologically conﬁrmed metastatic adenocarcinoma of the colon or rectum, who had disease progression on or after receiving all of the following standard of care systemic therapies for advanced or metastatic disease or who were intolerant to: ﬂuoropyrimidine, oxaliplatin, and irinotecan; anti-epidermal growth factor receptor (EGFR) therapy if rat sarcoma virus (RAS) (Kirsten RAS/neuroblastoma RAS \[KRAS/NRAS\]) wild-type and medically appropriate ; V-raf murine sarcoma viral oncogene homolog B (BRAF) inhibitor if BRAF V600E mutation. In addition, participants who received up to 2 additional lines of therapy for advanced or metastatic disease of the following therapies are also eligible: triﬂuridine/tipiracil, regorafenib, fruquintinib, other drugs approved in the country, or investigational drugs.
5. (Part C CRC cohorts only) Participants must have histologically or cytologically conﬁrmed metastatic adenocarcinoma of the colon or rectum, who had disease progression on or after receiving all of the following standard of care systemic therapies for advanced or metastatic disease or who were intolerant to: ﬂuoropyrimidine, oxaliplatin, and irinotecan; anti-EGFR therapy if RAS (KRAS/NRAS) wild-type and medically appropriate ; BRAF inhibitor if BRAF V600E mutation. In addition, participants who received up to 2 additional lines of therapy for advanced or metastatic disease of the following therapies are also eligible: triﬂuridine/tipiracil, regorafenib, fruquintinib, other drugs approved in the country, or investigational drugs.
6. (Parts D and E) Participants must have histologically or cytologically conﬁrmed metastatic adenocarcinoma of the colon or rectum, who had disease progression on or after receiving all of the following standard of care systemic therapies for advanced or metastatic disease or who were intolerant to: fluoropyrimidine, oxaliplatin, and irinotecan; anti-EGFR therapy if RAS (KRAS/NRAS) wild-type and medically appropriate; BRAF inhibitor if BRAF-V600E mutation.. In addition, participants who received up to 2 additional lines of therapy for advanced or metastatic disease of the following therapies are also eligible: triﬂuridine/tipiracil, regorafenib, fruquintinib, other drugs approved in the country, or investigational drugs.
7. Participants should be willing and able to provide permission to access archival formalin-ﬁxed paraffin-embedded tumor tissues (as block or unstained slides) for this study.
8. Participants should be willing and able to provide both pre-treatment and on-treatment paired tumor biopsy samples.
9. (Part A and B/CRC Cohorts only; At selected sites only) Participants should be willing and able to provide both pre-treatment and on-treatment paired tumor biopsy samples. Fresh tissue samples are required as these will be used for the proof of mechanism (ﬂow cytometry) analysis.
10. Eastern Cooperative Oncology Group Performance Status of 0 or 1.
11. An estimated life expectancy of at least 12 weeks.
12. Adequate hematologic and organ function as conﬁrmed by laboratory values.
13. QT interval corrected with the Fridericia formula ≤ 480 milliseconds in 12- lead electrocardiogram at Screening.

Key Exclusion Criteria:

1. Presence or history of autoimmune diseases or immune-mediated diseases that require chronic use of systemic corticosteroids (> 10 milligrams of prednisone equivalent per day), immunosuppressive agents, or disease-modifying agents.
2. Presence or history of interstitial lung disease and (non-infectious) pneumonitis that required corticosteroids.
3. Active clinically signiﬁcant bacterial, viral or fungal infection, or any major episode of infection requiring hospitalization or treatment with parenteral anti-infectives within 4 weeks before the ﬁrst dose of study intervention.
4. Uncontrolled or clinically signiﬁcant cardiovascular disease deﬁned as New York Heart Association classiﬁcation III or IV.
5. A positive test for hepatitis B surface antigen and/or hepatitis C virus (HCV) antibody (participants with positive HCV antibody are eligible if a conﬁrmatory HCV RNA test is undetectable).
6. A positive serological test for human immunodeﬁciency virus infection.
7. Known history of any other relevant congenital or acquired immunodeﬁciency.
8. Known history of an allogeneic tissue and/or solid organ transplant.
9. Known history of severe allergy, hypersensitivity, anaphylaxis, or any serious adverse reaction to any component of study intervention or formulation components and/or any other monoclonal antibodies.
10. Women who are pregnant or breastfeeding (or have discontinued breastfeeding) or trying to become pregnant.
11. (Parts D and E only) Serious non-healing wound, non-healing ulcer, or non healing bone fracture.
12. (Parts D and E only) Presence or history of severe arterial thromboembolic events (for example, cerebral infarction, transient ischemic attacks, myocardial infarction, and angina) within 6 months prior to the ﬁrst dose of study intervention, and/or ≥ Grade 3 venous thromboembolic events (for example, deep vein thrombosis) within 3 months prior to the ﬁrst dose of study intervention. Participants who receive a full-dose therapeutic anticoagulation should be excluded.
13. (Parts D and E only) Known coagulopathy that increases risk of bleeding, bleeding diatheses, or any other hemorrhage/bleeding event of ≥ Grade 3 within 4 weeks prior to the ﬁrst dose of study intervention.
14. (Parts D and E only) Presence or history of any life-threatening vascular endothelial growth factor (VEGF)-related adverse event (AE).
15. (Parts D and E only) Proteinuria ≥ 2+ by urine dipstick test within 4 weeks prior to the ﬁrst dose of study intervention.
16. Clinical evidence of uncontrolled brain metastasis.
17. Clinically uncontrollable symptomatic pleural effusion and/or ascites. (Participants who do not require ﬂuid drainage or have no signiﬁcant increase of ﬂuid for 28 days may be eligible with approval by the sponsor.)
18. Known additional malignancy that is progressing or has required active treatment within the past 3 years.
19. (Part B, C, D and E CRC cohorts only): Colorectal cancer with mismatch repair deﬁcient/microsatellite instability-high status.
20. (Parts A-2, C and E only): Has received prior therapy with an anti-programmed death 1, anti-programmed death ligand 1, or anti-programmed death ligand 2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (for example, cytotoxic T-lymphocyte-associated protein 4, OX-40, CD137), and was discontinued from that treatment due to ≥ Grade 3 immune-related adverse event.
21. Prior treatment with systemic anticancer drugs (including any investigational medicinal products) within 28 days or 5 half-lives (whichever is shorter) before the ﬁrst dose of study intervention.
22. Prior major surgery within 28 days before the ﬁrst dose of study intervention.
23. Prior extended ﬁeld radiotherapy within 28 days before the ﬁrst dose of study intervention (within 14 days for limited ﬁeld radiation for palliation) or history of radiation pneumonitis.
24. Participants who have not recovered from any previous treatment toxicities to ≤ Grade 1 or baseline (except alopecia and peripheral neuropathy) before the ﬁrst dose of study intervention.
25. Prior treatment with anti-CCR8 antibody for any indication.
26. Receipt of hematopoietic growth factors (for example, granulocyte-colony stimulating factor or erythropoietin) within 14 days before the ﬁrst dose of study intervention or blood transfusions within 14 days before the ﬁrst dose of study intervention.
27. (Parts D and E only) Presence or history of allergic reactions or hypersensitivity to bevacizumab or any of its excipients.
28. (Parts D and E only) Presence or history of hypersensitivity to Chinese Hamster Ovary cell products or other recombinant human or humanized antibodies.
29. Receipt of a live, attenuated vaccine within 30 days before the ﬁrst dose of study intervention.

Note: Additional protocol deﬁned Inclusion/Exclusion criteria may apply.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Sites

- Angeles Clinic and Research CenterLos Angeles, United StatesActive, not recruiting
- University of Florida HealthGainesville, United StatesRecruiting
- Henry Ford Health CenterDetroit, United StatesActive, not recruiting
- Fox Chase Cancer CenterPhiladelphia, United StatesRecruiting
- MD Anderson Cancer CenterHouston, United StatesRecruiting
- National Cancer Center Hospital EastKashiwa, JapanRecruiting
- The University of Osaka HospitalSuita, JapanRecruiting
- National Cancer Center HospitalChuo Ku, JapanRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## References

### Other registry identifiers

- KEYNOTE-D85

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05101070)

## Related records

### Drugs (2)

- [Bevacizumab](https://trialight.com/data/asset/bevacizumab-a9e09d09-2d3c-4fda-ad45-01fd000dd363.md)
- [Pembrolizumab](https://trialight.com/data/asset/pembrolizumab-f9ac1934-47a5-4a53-ae55-20b7d53d8815.md)

### Collaborators (1)

- [Merck Sharp & Dohme LLC](https://trialight.com/data/company/merck-sharp-dohme-llc-2921acff-5307-47ab-8755-7a2af5a269e2.md)

### Lead sponsors (1)

- [Shionogi](https://trialight.com/data/company/shionogi-b43f8414-7488-436b-b4cd-1fb0330070e3.md)

### Targets (2)

- [PDCD1](https://trialight.com/data/target/pdcd1-a7b9a076-9fdd-55c9-9ce8-e558e5c7503f.md)
- [VEGFA](https://trialight.com/data/target/vegfa-d5a98392-6ee9-5b71-b7a2-9a73ce1575d2.md)

---

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