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NCT04106492

Phase 1/2a Study of SQ3370 in Patients With Advanced Solid Tumors

Terminated Phase 1, PHASE2 Results posted Last updated 14 November 2025
What this trial tests

Phase 1, PHASE2 trial testing SQ3370 in Cancer in 53 participants. Terminated before completion.

Timeline
1 August 2020
Primary endpoint
7 September 2023
7 September 2023

Quick facts

Lead sponsorShasqi, Inc.
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment53
Start date1 August 2020
Primary completion7 September 2023
Estimated completion7 September 2023
Sites10 locations across United States, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Shasqi, Inc. — full company profile →

Who can join

18 and older, any sex, with Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Phase 1 Cohorts Primary · From start of treatment to approximately 12 weeks

To determine the Recommended Phase 2 Dose of SQ3370

GroupValue95% CI
Dose Escalation Cohort (10 mL SQL70)1250
Dose Escalation Cohort (20 mL SQL70)1250
Phase 2a: Objective Response Rate (ORR) Secondary · Up to 1 year

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

GroupValue95% CI
Cohort A (10 mL SQL70 and 185 mg/m2/Day of SQP33)0
Phase 2a Expansion Group 1 (Extremity STS) (10 mL SQL70 and 250 mg/m2/Day of SQP33)1
P2a Grp 2 (10 mL SQL70 and 500 mg/m^2/ of SQP33 for 2 Days and and 250 mg/m^2/ of SQP33 for 1 Day)0
P2a Grp 2 (10 mL SQL70 and 250 mg/m^2/Day of SQP33 for Five Days)1

Adverse events — posted to ClinicalTrials.gov

Time frame: 1 year. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dose Escalation Cohort 1 (10 mL SQL70 and 8 mg/m^2 of SQP33)
Serious: 1/1 (100%)
Deaths: 1/1
Dose Escalation Cohort 2 (10 mL SQL70 and 16 mg/m^2 of SQP33)
Serious: 0/1 (0%)
Deaths: 0/1
Dose Escalation Cohort 3 (10 mL SQL70 and 32 mg/m^2 of SQP33)
Serious: 1/1 (100%)
Deaths: 0/1
Dose Escalation Cohort 4 (10 mL SQL70 and 58 mg/m^2 of SQP33)
Serious: 2/3 (67%)
Deaths: 0/3
Dose Escalation Cohort 5 (10 mL SQL70 and 85 mg/m^2 of SQP33)
Serious: 2/3 (67%)
Deaths: 0/3
Dose Escalation Cohort 6 (10 mL SQL70 and 125 mg/m^2 of SQP33)
Serious: 0/4 (0%)
Deaths: 0/4
Dose Escalation Cohort 7 (10 mL SQL70 and 185 mg/m^2 of SQP33)
Serious: 2/4 (50%)
Deaths: 0/4
Dose Escalation Cohort 8 (10 mL SQL70 and 250 mg/m^2 of SQP33)
Serious: 2/7 (29%)
Deaths: 0/7
Dose Escalation Cohort 9 (10 mL SQL70 and 315 mg/m^2 of SQP33)
Serious: 0/6 (0%)
Deaths: 0/6
Dose Escalation Cohort (20 mL SQL70 and 85 mg/m^2 of SQP33)
Serious: 1/5 (20%)
Deaths: 0/5
Dose Escalation Cohort (20 mL SQL70 and 125 mg/m^2 of SQP33)
Serious: 1/3 (33%)
Deaths: 0/3
Cohort A (10 mL SQL70 and 185 mg/m^2 of SQP33)
Serious: 0/1 (0%)
Deaths: 0/1
Phase 2a Expansion Group 1 (Extremity STS) (20 mL SQL70 and 250 mg/m^2/Day of SQP33)
Serious: 0/2 (0%)
Deaths: 0/2
P2a Grp 2 (10 mL SQL70 and 500 mg/m^2/ of SQP33 for 2 Days and and 250 mg/m^2/ of SQP33 for 1 Day)
Serious: 2/6 (33%)
Deaths: 1/6
P2a Grp 2 (10 mL SQL70 and 250 mg/m^2/Day of SQP33 for Five Days)
Serious: 1/6 (17%)
Deaths: 0/6

Serious adverse events (25 terms)

ReactionSystemDose Escalation Cohort 1 (…Dose Escalation Cohort 2 (…Dose Escalation Cohort 3 (…Dose Escalation Cohort 4 (…Dose Escalation Cohort 5 (…Dose Escalation Cohort 6 (…Dose Escalation Cohort 7 (…Dose Escalation Cohort 8 (…Dose Escalation Cohort 9 (…Dose Escalation Cohort (20…Dose Escalation Cohort (20…Cohort A (10 mL SQL70 and …Phase 2a Expansion Group 1…P2a Grp 2 (10 mL SQL70 and…P2a Grp 2 (10 mL SQL70 and…
NeutropeniaBlood and lymphatic system disorders
DehydrationMetabolism and nutrition disorders
ThrombocytopeniaBlood and lymphatic system disorders
Haemorrhagic transformation strokeNervous system disorders
AnaemiaBlood and lymphatic system disorders
COVID-19Infections and infestations
Device related infectionInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
Flank painMusculoskeletal and connective tissue disorders
General physical health deteriorationGeneral disorders
HypotensionVascular disorders
NauseaGastrointestinal disorders
Pelvic venous thrombosisVascular disorders
PneumoniaInfections and infestations
PneumothoraxRespiratory, thoracic and mediastinal disorders
SepsisInfections and infestations
Troponin T increasedInvestigations
UrosepsisInfections and infestations
VomitingGastrointestinal disorders
Prohormone brain natriuretic peptide increasedInvestigations
PyrexiaGeneral disorders
ChillsGeneral disorders
PancytopeniaBlood and lymphatic system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Other adverse events (147 terms — click to expand)

ReactionSystemDose Escalation Cohort 1 (…Dose Escalation Cohort 2 (…Dose Escalation Cohort 3 (…Dose Escalation Cohort 4 (…Dose Escalation Cohort 5 (…Dose Escalation Cohort 6 (…Dose Escalation Cohort 7 (…Dose Escalation Cohort 8 (…Dose Escalation Cohort 9 (…Dose Escalation Cohort (20…Dose Escalation Cohort (20…Cohort A (10 mL SQL70 and …Phase 2a Expansion Group 1…P2a Grp 2 (10 mL SQL70 and…P2a Grp 2 (10 mL SQL70 and…
NauseaGastrointestinal disorders
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
Decreased AppetiteMetabolism and nutrition disorders
Covid-19Infections and infestations
AlopeciaSkin and subcutaneous tissue disorders
HeadacheNervous system disorders
StomatitisGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
Injection Site PainGeneral disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
HypokalaemiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
Urinary Tract InfectionInfections and infestations
Oral CandidiasisInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
Dry EyeEye disorders
InsomniaPsychiatric disorders
Neuropathy PeripheralNervous system disorders
Procedural PainInjury, poisoning and procedural complications
Abdominal Pain UpperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Abdominal DiscomfortGastrointestinal disorders
Abdominal DistensionGastrointestinal disorders
Abdominal Pain LowerGastrointestinal disorders
Colonic FistulaGastrointestinal disorders
DysphagiaGastrointestinal disorders
Lip PainGastrointestinal disorders
Umbilical HerniaGastrointestinal disorders
Oedema PeripheralGeneral disorders
Non-Cardiac Chest PainGeneral disorders
PainGeneral disorders
Catheter Site ErythemaGeneral disorders
Face OedemaGeneral disorders
General Physical Health DeteriorationGeneral disorders

Most-reported serious reactions: Neutropenia, Dehydration, Thrombocytopenia, Haemorrhagic transformation stroke, Anaemia, COVID-19, Device related infection, Dyspnoea.

Data from ClinicalTrials.gov NCT04106492 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety, tolerability, and preliminary activity of SQ3370 in patients with advanced solid tumors.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Radiochemistry for positron emission tomography.
    Rong J, Haider A, Jeppesen TE, Josephson L, et al · · 2023 · cited 160× · PMID 37277339 · DOI 10.1038/s41467-023-36377-4
  2. Click activated protodrugs against cancer increase the therapeutic potential of chemotherapy through local capture and activation.
    Wu K, Yee NA, Srinivasan S, Mahmoodi A, et al · · 2021 · cited 80× · PMID 34163888 · DOI 10.1039/d0sc06099b
  3. In situ activation of therapeutics through bioorthogonal catalysis.
    Wang W, Zhang X, Huang R, Hirschbiegel CM, et al · · 2021 · cited 74× · PMID 34333074 · DOI 10.1016/j.addr.2021.113893
  4. SQ3370 Activates Cytotoxic Drug via Click Chemistry at Tumor and Elicits Sustained Responses in Injected & Non-injected Lesions.
    Srinivasan S, Yee NA, Wu K, Zakharian M, et al · · 2021 · cited 57× · PMID 33869738 · DOI 10.1002/adtp.202000243
  5. Pretargeting: A Path Forward for Radioimmunotherapy.
    Cheal SM, Chung SK, Vaughn BA, Cheung NV, et al · · 2022 · cited 54× · PMID 36215514 · DOI 10.2967/jnumed.121.262186
  6. Radioimmunotherapy in Oncology: Overview of the Last Decade Clinical Trials.
    Rondon A, Rouanet J, Degoul F. · · 2021 · cited 40× · PMID 34771732 · DOI 10.3390/cancers13215570
  7. Perspectives on metals-based radioimmunotherapy (RIT): moving forward.
    White JM, Escorcia FE, Viola NT. · · 2021 · cited 40× · PMID 33995659 · DOI 10.7150/thno.57177
  8. Click Chemistry Selectively Activates an Auristatin Protodrug with either Intratumoral or Systemic Tumor-Targeting Agents.
    McFarland JM, Alečković M, Coricor G, Srinivasan S, et al · · 2023 · cited 32× · PMID 37521794 · DOI 10.1021/acscentsci.3c00365

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