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TRX518 monotherapy

Phase 1

Solid Tumors | Small molecule | Oncology |Cypherpunk Technologies Inc.|Last Updated: Aug 3, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment109
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02628574Phase 1 Open-label Study of TRX518 Monotherapy and TRX518 in Combination With Gemcitabine, Pembrolizumab, or NivolumabPHASE1 COMPLETED 109Jan 1, 2016Jul 14, 2020Aug 3, 20256 United States
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Study Endpoints
Primary Endpoints
Adverse events
through 30 days post last dose

Any adverse change in health or side effect from the initiation of the study drug dose TRX518 monotherapy and TRX518 in combination with gemcitabine, pembrolizumab or nivolumab through completion or premature withdrawal

Secondary Endpoints
TRX518 peak concentration (Cmax)
various timepoints through 1 week post dose
Time to peak concentration (Tmax)
various timepoints through 1 week post dose
Area under the curve (AUC)
various timepoints through 1 week post dose
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TRX518 monotherapy (Parts A and B)EXPERIMENTALSubjects receive an assigned dose of TRX518 administered intravenously one time per week or one time per cycle on a 21-day cycle
TRX518 with gemcitabine (Part C)EXPERIMENTALSubjects receive an assigned dose of TRX518 (dosed one time per cycle) intravenously administered in combination with gemcitabine (dosed two times per cycle) on a 21-day cycle
TRX518 with pembrolizumab (Part DEXPERIMENTALSubjects receive an assigned dose of TRX518 (dosed one time per cycle) intravenously administered in combination with pembrolizumab (dosed one time per cycle) on a 21-day cycle
TRX518 with nivolumab (Part E)EXPERIMENTALSubjects receive an assigned dose of TRX518 (dosed two times per cycle) intravenously administered in combination with nivolumab (dosed two times per cycle) on a 28-day cycle
Interventions
NameTypeDescription
TRX518 monotherapyDRUGcomparison of different (ascending) doses of TRX518 monotherapy
TRX518 with gemcitabineDRUGcomparison of different (ascending) doses of TRX518 in combination with gemcitabine
TRX518 with pembrolizumabDRUGcomparison of different (ascending) doses of TRX518 in combination with pembrolizumab
TRX518 with nivolumabDRUGcomparison of different (ascending) doses of TRX518 in combination with nivolumab
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * Advanced Solid Malignancies: Histologically documented metastatic or locally advanced, incurable solid malignancy (Parts A and B); histologically documented metastatic or locally advanced, incurable solid malignancy for which gemcitabine is clinically appropriate (e.g., non-sm...

Countries:United States
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