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CTX-471

Phase 2

Neuroendocrine Neoplasm | Biologics | Oncology |Compass Therapeutics, Inc.|Trials Updated: Jul 6, 2026

CTX-471 development status

Highest phase Phase 2
Registered trials 3 across 2 sponsors since Mar 2019

CTX-471 target and mechanism

Molecular targetCD137
Target classProtein
ModalityBiologics

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment58

FDA Designations

No designations recorded

CTX-471 clinical trials

CTX-471 · 1 trial · 3 indications

Phase 2 1
NCT07684170Study of CTX-471 in Patients With Neural Cell Adhesion Molecule (NCAM) Positive Neuroendocrine NeoplasmsNeuroendocrine Neoplasm
NOT YET_RECRUITING58 Analytics
PHASE2NOT YET_RECRUITING
Study of CTX-471 in Patients With Neural Cell Adhesion Molecule (NCAM) Positive Neuroendocrine Neoplasms
Neuroendocrine NeoplasmUnlock trial analytics

Study Endpoints

Primary Endpoints

Evaluate the clinical activity of CTX-471
Baseline until confirmed disease progression (up to 1 year)

Objective Response Rate (ORR) (Percentage of Participants With Objective Response) as per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

Evaluate the safety of CTX-471
From first dose of CTX-471 (Cycle 1 Day 1, Cycle = 2 weeks) until 30 days after the last dose of CTX-471

Incidence of treatment emergent adverse events (TEAEs), treatment-related AEs (TREAEs), and serious adverse events (SAEs)

Determine the recommended phase 2 dose (RP2D) for CTX-471
From first dose of CTX-471 (Cycle 1 Day 1, Cycle = 2 weeks) until 30 days after the last dose of CTX-471

Efficacy, exposure, safety events, and markers of response will be aggregated to select a Phase 2 dose

Secondary Endpoints

Duration of Response (DOR) as per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
From the date of first confirmed PR or CR until date of progression or death, whichever occurs first (up to 1 year)
Disease Control Rate (DCR) as per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
From first dose of CTX-471 (Cycle 1 Day 1,Cycle = 2 weeks) until until disease progression or death, whichever occurs first (up to 1 year)
Progression-Free Survival (PFS) as per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
From first dose of CTX-471(Cycle 1 Day 1,Cycle = 2 weeks ) until disease progression or death, whichever occurs first (up to 1 year)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose Level 0.3 mg/kgEXPERIMENTAL -
Dose Level 0.6 mg/kgEXPERIMENTAL -

Interventions

NameTypeDescription
CTX-471DRUGPatients will receive CTX-471 as an intravenous (IV) infusion every 2 weeks until disease progression or unacceptable toxicity.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Age 18 years or older. 2. Positive immunohistochemical staining for NCAM (defined as ≥ 1% of malignant cells with membranous/cytoplasmic staining of any intensity) on an archived (≤ 3 months) or freshly taken biopsy specimen (centrally tested) with histologically confirmed di...

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Frequently asked questions about CTX-471

What is CTX-471?

CTX-471 is an investigational small molecule developed by Compass Therapeutics, Inc. (ticker CMPX) for the treatment of neuroendocrine neoplasms, a group of cancers that includes neuroendocrine tumors and neuroendocrine carcinomas. It is currently in Phase 2 clinical development and has not been approved by the FDA.

What is CTX-471 used for in neuroendocrine neoplasms?

CTX-471 is being studied for use in patients with neuroendocrine neoplasms, including neuroendocrine tumors and neuroendocrine carcinomas. The Phase 2 trial enrolls adults aged 18 years and older with neural cell adhesion molecule (NCAM) positive disease. It remains investigational and is not approved for any indication.

What does CTX-471 target?

CTX-471 targets CD137, a protein also known as 4-1BB that acts as a costimulatory receptor on immune cells. CD137 belongs to the tumor necrosis factor receptor family, and targeting it is intended to stimulate immune responses against tumor cells. CTX-471 is a small molecule directed at this protein target.

Who is developing CTX-471?

CTX-471 is being developed by Compass Therapeutics, Inc., which trades under the ticker CMPX. The company is the sponsor of the clinical program evaluating the drug in neuroendocrine neoplasms. No other developer or partnership for CTX-471 is disclosed in the available program information.

What phase is CTX-471 in?

CTX-471 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA for any indication. The Phase 2 study is controlled and randomized, and it is not yet recruiting participants at this time.

What clinical trials is CTX-471 in?

CTX-471 is being evaluated in one clinical trial, NCT07684170, titled Study of CTX-471 in Patients With Neural Cell Adhesion Molecule (NCAM) Positive Neuroendocrine Neoplasms. The Phase 2 trial has a planned enrollment of 58 participants, is randomized and controlled, and is currently listed as not yet recruiting.