220 Participants NeededMy employer runs this trial

STX-003 + Pembrolizumab for Advanced Solid Tumors

(ASCENT-1 Trial)

Recruiting at 3 trial locations
JL
Overseen ByJason Luke, MD, Chief Medical Officer
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment, STX-003, either alone or with Pembrolizumab (also known as KEYTRUDA®, an immunotherapy), for individuals with advanced solid tumors. These are serious cancers that have spread and cannot be easily treated with surgery. Researchers aim to determine if STX-003 is safe, how it behaves in the body, and whether it can help shrink tumors. The trial targets individuals with specific cancers, such as cutaneous melanoma or PD-L1+ non-small cell lung cancer, who have not responded to other treatments. Participants should have a cancer diagnosis that affects daily life, causing ongoing symptoms despite treatment. As a Phase 1, Phase 2 trial, this research seeks to understand how the treatment works in people and measure its effectiveness in an initial, smaller group, offering participants a chance to be among the first to benefit from a potentially groundbreaking therapy.

Do I need to stop my current medications to join the trial?

The trial information does not specify if you need to stop taking your current medications. However, it mentions that you cannot have used another systemic anticancer therapy within 3 weeks before starting the trial. It's best to discuss your specific medications with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that STX-003 specifically targets tumors, reducing the risk of harming healthy cells. This focus is crucial for minimizing potential side effects. Early clinical data indicates that patients generally tolerate STX-003 well when used alone, with severe side effects being uncommon.

When combined with pembrolizumab, an FDA-approved cancer treatment, the safety outlook remains positive. Pembrolizumab is widely used for various cancers, and its side effects are well-documented. Common side effects include tiredness and skin reactions, while serious side effects are less frequent.

Overall, although the trial is still in its early stages, current data on the combination of STX-003 and pembrolizumab suggests it is reasonably safe for patients. However, ongoing studies continue to closely monitor safety, as with any new treatment.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about STX-003 because it offers a fresh approach to treating advanced solid tumors. Unlike many existing therapies, which often rely on traditional chemotherapy, STX-003 works by targeting specific pathways involved in tumor growth. This precision could mean fewer side effects and more effective targeting of cancer cells. When combined with pembrolizumab, a well-known immunotherapy, STX-003 may enhance the body's immune response against tumors, potentially leading to improved outcomes for patients with high unmet medical needs.

What evidence suggests that this trial's treatments could be effective for advanced solid tumors?

This trial will evaluate STX-003, a new cancer treatment, both as a monotherapy and in combination with pembrolizumab for advanced solid tumors. Studies have shown that STX-003 targets the genetic instructions in cancer cells, potentially stopping their growth. Patients have previously responded well to similar treatments, suggesting the effectiveness of STX-003.

In this trial, some participants will receive STX-003 alone, while others will receive it with pembrolizumab, a drug known to help the immune system fight cancer. This combination might improve treatment outcomes by combining the genetic targeting of STX-003 with the immune-boosting effects of pembrolizumab. Early research suggests that this dual approach could be more effective than using either treatment alone.678910

Are You a Good Fit for This Trial?

This trial is for adults with advanced solid tumors, such as non-small cell lung cancer or melanoma, whose cancer has not responded to standard treatments. Participants should be in generally stable health and able to undergo regular clinic visits.

Inclusion Criteria

Body weight ≥ 40 kg
Coagulation: PT/INR or PT ≤ 1.5 × ULN, aPTT ≤ 1.5 × ULN unless on anticoagulation therapy
My kidney function is normal or only mildly reduced.
See 14 more

Exclusion Criteria

Known psychiatric or substance use disorder interfering with study cooperation
History of primary immune deficiency
I do not have severe immune side effects from treatment that are still unresolved.
See 23 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

STX-003 administered intravenously, alone or in combination with pembrolizumab, at ascending doses across sequential cohorts for up to 35 cycles

24 months
Once per cycle

Follow-up

Participants are monitored for safety and effectiveness after treatment, including changes in clinical safety laboratory values and vital signs

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • KEYTRUDA®
  • STX-003

Trial Overview

Researchers are testing a new drug called STX-003 given by IV, either alone or together with pembrolizumab (KEYTRUDA). The study aims to find the safest dose and see how well these treatments work against advanced cancers.

How Is the Trial Designed?

4

Treatment groups

Experimental Treatment

Group I: Phase 2 Monotherapy (STX-003)Experimental Treatment1 Intervention
Group II: Phase 2 Combination (STX-003 with Pembrolizumab)Experimental Treatment2 Interventions
Group III: Phase 1 MonotherapyExperimental Treatment1 Intervention
Group IV: Phase 1 Combination (STX-003 with Pembrolizumab)Experimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Strand Therapeutics Inc.

Lead Sponsor

Trials
1
Recruited
110+

Citations

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solidproject.org

solidproject.org/

Solid: Your data, your choice - Solid Project

Your data, your choice. Advancing the Web to empower people and communities. Get a Solid Pod · Already have a Pod - try the apps.

2.

en.wikipedia.org

en.wikipedia.org/wiki/SOLID

solid

In object-oriented programming and functional programming, SOLID is a mnemonic acronym for five principles intended to make source code more understandable, ...

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inrupt.com

inrupt.com/solid

About Solid Project | Tim Berners-Lee

Inspired by Tim Berners-Lee, Solid is a technology for organizing data, applications, and identities on the web and is built on existing web standards.

4.

solidjs.com

solidjs.com/

SolidJS · Reactive Javascript Library

A declarative, efficient and flexible JavaScript library for building user interfaces.

SOLID Design Principles Explained: Building Better ...

Understand SOLID design principles in object-oriented programming to write cleaner, scalable, and maintainable code.

Pembrolizumab

A fixed-dose combination of pembrolizumab and berahyaluronidase alfa, (Keytruda Qlex) was approved for medical use in the United States in September 2025.

7.

keytrudahcp.com

keytrudahcp.com/

KEYTRUDA® (pembrolizumab) | Official Website for Health ...

The reactions resolved in 79% of the 38 patients. Immune-mediated dermatologic adverse reactions occurred in 1.6% (4/251) of patients receiving KEYTRUDA QLEX in ...

8.

keytruda.com

keytruda.com/

KEYTRUDA® (pembrolizumab) & KEYTRUDA QLEX ...

Do not receive KEYTRUDA QLEX if you are allergic to berahyaluronidase, hyaluronidase or any of the inactive ingredients in KEYTRUDA QLEX.

Definition of Keytruda - NCI Dictionary of Cancer Terms

A drug that binds to the protein PD-1 to help immune cells kill cancer cells better and is used to treat many different types of cancer.

How treatment works

KEYTRUDA® (pembrolizumab) and KEYTRUDA QLEX™ (pembrolizumab and berahyaluronidase alfa-pmph) are FDA-approved immunotherapies. Learn how they work.