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OncoMatch/Clinical Trials/NCT06249048

Phase 1/2 Study of Intratumoral Injection of STX-001 in Advanced Solid Tumors as Monotherapy or in Combination With Pembrolizumab

Is NCT06249048 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including STX-001 and Keytruda® for advanced solid tumor.

Phase 1/2RecruitingStrand Therapeutics Inc.NCT06249048Data as of May 2026

Treatment: STX-001 · Keytruda®Phase 1/2, Open-label, Multi-center, First-in-human Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Anti-tumor Activity of STX-001 Delivered by Intratumoral Injection in Patients with Advanced Solid Tumors as a Monotherapy or in Combination with Pembrolizumab. The study now includes a monotherapy cohort targeting visceral lesions and a separate Phase 2 monotherapy cohort for advanced melanoma.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Biomarker criteria

Allowed: BRAF v600e

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: any prior therapy

Disease progression confirmed by imaging or other objective evidence after having received standard treatment or patients with refractory solid tumors. Patients must have progressed or are intolerant of at least one line of prior therapy.

Must have received: taxane — advanced, metastatic or [neo]adjuvant

Prior treatment (for advanced, metastatic or [neo]adjuvant) should have included a taxane and/or anthracycline-based therapy and, where appropriate, an approved checkpoint inhibitor.

Must have received: anthracycline — advanced, metastatic or [neo]adjuvant

Prior treatment (for advanced, metastatic or [neo]adjuvant) should have included a taxane and/or anthracycline-based therapy and, where appropriate, an approved checkpoint inhibitor.

Must have received: checkpoint inhibitor — where appropriate

Prior treatment (for advanced, metastatic or [neo]adjuvant) should have included a taxane and/or anthracycline-based therapy and, where appropriate, an approved checkpoint inhibitor.

Must have received: anti-PD-1 therapy

Received an anti-programmed death-1 (PD-1) / programmed death ligand-1 (PD-L1) inhibitor as monotherapy or in combination with anti-cytotoxic lymphocyte associated protein 4 (CTLA-4) inhibitor and have either primary or secondary checkpoint inhibitor resistance as per Society for Immunotherapy of Cancer (SITC) consensus definition, unless deemed intolerable by the investigator.

Must have received: anti-PD-L1 therapy

Received an anti-programmed death-1 (PD-1) / programmed death ligand-1 (PD-L1) inhibitor as monotherapy or in combination with anti-cytotoxic lymphocyte associated protein 4 (CTLA-4) inhibitor and have either primary or secondary checkpoint inhibitor resistance as per Society for Immunotherapy of Cancer (SITC) consensus definition, unless deemed intolerable by the investigator.

Must have received: anti-CTLA-4 therapy

Received an anti-programmed death-1 (PD-1) / programmed death ligand-1 (PD-L1) inhibitor as monotherapy or in combination with anti-cytotoxic lymphocyte associated protein 4 (CTLA-4) inhibitor and have either primary or secondary checkpoint inhibitor resistance as per Society for Immunotherapy of Cancer (SITC) consensus definition, unless deemed intolerable by the investigator.

Must have received: BRAF inhibitor

Patients with BRAF V600E mutant melanoma should have received a BRAF inhibitor as monotherapy or in combination with other targeted agents (mitogen-activated protein kinase [MAPK] kinase [MEK] inhibitors), unless deemed intolerable by the investigator.

Must have received: MEK inhibitor

Patients with BRAF V600E mutant melanoma should have received a BRAF inhibitor as monotherapy or in combination with other targeted agents (mitogen-activated protein kinase [MAPK] kinase [MEK] inhibitors), unless deemed intolerable by the investigator.

Cannot have received: IL-12 therapy

Prior IL-12 therapy.

Cannot have received: direct radiation therapy to the tumor lesion to be injected

Prior direct radiation therapy to the tumor lesion to be injected.

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1,000 cells/mm3; Platelet count ≥ 75,000 cells/mm3; Hemoglobin ≥ 8.0 g/dL.

Kidney function

Serum creatinine < 1.5 × ULN or creatinine clearance ≥ 40 mL/min based on Cockcroft-Gault.

Liver function

AST and ALT < 2 × ULN; Bilirubin ≤ 2 × ULN or ≤ 5 × ULN for all patients.

Cardiac function

QTcF prolongation to > 470 ms in women and > 450 ms in men based on ECG in triplicate using the Fridericia formula.

Laboratory values (Hematology): Absolute neutrophil count ≥ 1,000 cells/mm3; Platelet count ≥ 75,000 cells/mm3; Hemoglobin ≥ 8.0 g/dL. Laboratory values (Renal): Serum creatinine < 1.5 × ULN or creatinine clearance ≥ 40 mL/min based on the Cockcroft-Gault glomerular filtration rate estimation. Laboratory values (Liver): AST and ALT < 2 × ULN; Bilirubin ≤ 2 × ULN or ≤ 5 × ULN for all patients. QTcF prolongation to > 470 ms in women and > 450 ms in men based on a 12-lead electrocardiogram (ECG) in triplicate using the Fridericia formula.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • HonorHealth Research and Innovation Institute · Scottsdale, Arizona
  • NextGen Oncology · Beverly Hills, California
  • Cleveland Clinic · Cleveland, Ohio
  • University of Pittsburgh Medical Center · Pittsburgh, Pennsylvania
  • The University of Texas MD Anderson Cancer Center · Houston, Texas

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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