- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07341737
SL-28 for Advanced Solid Tumours
A Phase 1/2, Multicentre, Open-Label, Dose Escalation and Expansion Study to Assess the Safety, Pharmacokinetics, and Preliminary Efficacy of SL-28 in Patients With Advanced Solid Tumours
Study Overview
Status
Conditions
- Breast Cancer
- Colorectal Cancer
- Esophageal Cancer
- Ovarian Cancer
- Prostate Cancer
- Lung Adenocarcinoma
- Bladder Cancer
- Endometrial Cancer
- Renal Cancer
- Liver Cancer
- Intestinal Cancer
- Melanoma (Skin Cancer)
- Head & Neck Cancer
- Lung Cancer (Non-Small Cell)
- Stomach (Gastric) Cancer
- Pancreas Cancer, Metastatic
- Lung Cancer (NSCLC)
- Pancreas Carcinoma
Intervention / Treatment
Detailed Description
This study aims to assess the anti-tumour activity, safety, and interactions of single-agent SL-28 as an anti-cancer treatment in patients with a diverse array of solid tumours.
Who is it for? You may be eligible for this study if you are aged 18 years or older, you have been diagnosed with advanced solid tumor, including head and neck cancer, small-cell lung cancer, non-small cell lung cancer; mesothelioma; oesophageal cancer, gastric cancer, liver cancer, colorectal cancer, pancreatic cancer, bladder cancer, kidney cancer, prostate cancer, ovarian cancer, endometrial cancer, breast cancer or skin cancer (melanoma) that is locally advanced, metastatic or unable to be surgically removed. Patients will also be assessed by a study doctor to ensure that they are well enough to participate in the trial before they will be offered enrolment into the study.
Study details All participants who choose to enroll in this study will receive 12 weeks of SL-28 treatment, administered on a 5-days-on, 2-days-off schedule. The first group of participants to receive SL-28 will be monitored for 12 weeks before a second group may be administered a higher dose of SL-28. Up to three cohorts will be enrolled to determine the highest safe and effective dose that does not cause severe side effects in patients.
It is hoped this study will show that SL-28 is safe to deliver to patients with solid tumour cancers, and determine the highest dose of SL-28 that cancer patients can safely receive.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: George Tetz, MD, PhD
- Phone Number: 16466173088
- Email: clinical@secondlifetx.com
Study Locations
-
-
Western Australia
-
Nedlands, Western Australia, Australia
- Hollywood Private Hospital
-
Contact:
- Adnan Khattak
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ability to provide written informed consent prior to any study-related procedures and to understand the nature, purpose, and potential risks of the study
- Adult males and females ≥18 years of age at screening
- Life expectancy of at least 3 months
- Histologically or cytologically confirmed unresectable advanced solid tumor (recurrent, metastatic, or locally advanced)
- Disease refractory to, intolerant of, or refusal of standard therapies, including immunotherapy and molecular/biomarker-directed treatments, as determined by the Principal Investigator (PI) or delegate
- Eligible tumor types include:
- Head and neck squamous cell carcinoma
- Thoracic malignancies (small-cell lung cancer, non-small cell lung cancer, esophageal cancer)
- Gastrointestinal malignancies (gastric, liver, colorectal, pancreatic adenocarcinoma)
- Genitourinary malignancies (bladder, renal cell, prostate cancer)
- Gynecologic malignancies (ovarian, endometrial cancer)
- Breast cancer and melanoma
- Evaluable disease per RECIST v1.1
- ECOG performance status 0-1 (or up to 2 at PI discretion)
- Adequate organ function, defined as:
- Total bilirubin ≤1.5 × ULN (≤2.0 × ULN for liver metastases or Gilbert's syndrome)
- AST, ALT, alkaline phosphatase ≤2.5 × ULN (≤5 × ULN if liver metastases, at PI discretion)
- Creatinine clearance ≥50 mL/min (Cockcroft-Gault) or eGFR ≥50 mL/min (CKD-EPI)
- Absolute neutrophil count ≥1,000/mm³
- Platelet count ≥100,000/mm³
- Hemoglobin ≥90 g/L without transfusion within 2 weeks
- Prothrombin time and aPTT ≤1.5 × ULN (or stable INR if on anticoagulation)
Female patients:
-Non-childbearing potential (surgically sterile or postmenopausal), or of childbearing potential with negative pregnancy tests and agreement to effective contraception through 90 days post-dose
Male patients:
- Agreement not to donate sperm for 90 days post-dose
- Agreement to use adequate contraception as applicable
- Suitable venous access for blood sampling
- Willingness and ability to comply with study procedures and protocol requirements
Exclusion Criteria:
- Ongoing toxicities ≥ Grade 2 per NCI CTCAE v5.0 (except alopecia, fatigue, sensory neuropathy, or adequately treated endocrine deficiencies)
- NYHA Class III or IV heart disease, myocardial infarction within 6 months, unstable arrhythmia, or ischemia on ECG
- QTcF >470 ms (females) or >450 ms (males)
- Active, uncontrolled bacterial, viral, or fungal infection requiring systemic therapy
- Requirement for systemic corticosteroids or other immunosuppressive therapy that cannot be discontinued ≥14 days prior to dosing
- Prior therapies within restricted timeframes:
- Immune checkpoint inhibitors or biologics within 28 days
- Antineoplastic therapies, surgery, radiotherapy, or radiopharmaceuticals within 21 days
- Unapproved investigational drugs within 5 half-lives
- Nitrosoureas or mitomycin C within 6 weeks
- Concurrent malignancy within 5 years, except specified low-risk cancers
- Pregnancy or breastfeeding
- Known HIV, hepatitis B (HBsAg positive), or hepatitis C infection
- Inability or unwillingness to comply with protocol procedures
- History of anaphylaxis or significant allergy interfering with participation
- Clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, neurologic, psychiatric, or immunologic disease within 6 months
- Conditions affecting drug absorption, distribution, metabolism, or excretion
- Receipt of live vaccines within 28 days prior to screening
- Participation in another investigational study within 30 days prior to screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: SL-28 Low Dose
|
Doses administered: 3×10^7 cells/injection, once daily, 5 days per week, 12 weeks. Mode of administration: intravenous push Doses administered: 6×10^7 cells/injection, once daily, 5 days per week, 12 weeks. Mode of administration: intravenous push
Doses administered: to-be-determeined-later Mode of administration: intravenous push
|
|
Experimental: SL-28 Intermediate Dose
|
Doses administered: 3×10^7 cells/injection, once daily, 5 days per week, 12 weeks. Mode of administration: intravenous push Doses administered: 6×10^7 cells/injection, once daily, 5 days per week, 12 weeks. Mode of administration: intravenous push
Doses administered: to-be-determeined-later Mode of administration: intravenous push
|
|
Experimental: SL-28 High Dose
|
Doses administered: 3×10^7 cells/injection, once daily, 5 days per week, 12 weeks. Mode of administration: intravenous push Doses administered: 6×10^7 cells/injection, once daily, 5 days per week, 12 weeks. Mode of administration: intravenous push
Doses administered: to-be-determeined-later Mode of administration: intravenous push
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with treatment-emergent adverse events
Time Frame: 12 weeks
|
Treatment-emergent adverse events will be assessed and graded by the investigator according to the CTCAE v5
|
12 weeks
|
|
To evaluate the safety and tolerability of SL-28 by determining the incidence of dose-limiting toxicitieswithin the first 28 days after infusion.
Time Frame: 12 weeks
|
Assessment of dose limiting toxicities assessed by the occurrence of treatment-emergent adverse events(TEAEs) graded by the Investigator per the National Cancer Institute Common Terminology Criteria forAdverse Events, version 5.0.
|
12 weeks
|
|
Change from baseline in ECG QT interval
Time Frame: 12 weeks
|
Electrocardiograms will be recorded using a 12-lead ECG machine, and the QT interval (milliseconds) will be evaluated and summarized as change from baseline.
|
12 weeks
|
|
Number of participants with dose-limiting toxicities (DLTs)
Time Frame: 12 weeks
|
Dose-limiting toxicities will be assessed during the DLT evaluation period as defined in the protocol.
|
12 weeks
|
|
Change from baseline in vital signs
Time Frame: 12 weeks
|
Vital signs including systolic blood pressure (mmHg) and diastolic blood pressure (mmHg)will be measured using standard clinical equipment and summarized as change from baseline.
|
12 weeks
|
|
Change from baseline in vital signs
Time Frame: 12 weeks
|
Vital signs: Heart rate (beats per minute) will be measured using standard clinical equipment and summarized as change from baseline.
|
12 weeks
|
|
Change from baseline in vital signs
Time Frame: 12 weeks
|
Vital signs: body temperature (°C) will be measured using standard clinical equipment and summarized as change from baseline.
|
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (ORR) per RECIST 1.1
Time Frame: 12 weeks
|
Objective response rate will be defined as the proportion of participants achieving a complete response (CR) or partial response (PR) according to RECIST version 1.1, as assessed by CT or MRI imaging.
|
12 weeks
|
|
Objective Response Rate (ORR) per iRECIST
Time Frame: 12 weeks
|
Objective Response Rate (ORR) per iRECIST
|
12 weeks
|
|
Disease Control Rate (DCR) per RECIST 1.1
Time Frame: 12 weeks
|
Disease control rate will be defined as the proportion of participants achieving CR, PR, or stable disease (SD) according to RECIST version 1.1.
|
12 weeks
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Tetz V, Kardava K, Shulenbayev O, Vecherkovskaya M, Khodadadi-Jamayran A, Tsirigos A, Tetz G. Partial response in a patient with skeletal and hepatic metastases following resected pancreatic cancer to the novel cell therapy SL-28: a case report. Front Oncol. 2025 Nov 19;15:1636989. doi: 10.3389/fonc.2025.1636989. eCollection 2025.
- Tetz V, Kardava K, Shulenbayev O, Vecherkovskaya M, Khodadadi-Jamayran A, Tsirigos A, Tetz G. Dramatic Clinical Response to a Novel Form of Cell Therapy SL-28 in a Patient with Prostate Cancer and Bone Metastasis: A Case Report. Immunotargets Ther. 2025 Oct 29;14:1201-1207. doi: 10.2147/ITT.S547989. eCollection 2025.
- Tetz V, Tetz G. Novel prokaryotic system employing previously unknown nucleic acids-based receptors. Microb Cell Fact. 2022 Oct 4;21(1):202. doi: 10.1186/s12934-022-01923-0.
- Tetz V, Kardava K, Vecherkovskaya M, Khodadadi-Jamayran A, Tsirigos A, Tetz G. Regulating white blood cell activity through the novel Universal Receptive System. bioRxiv [Preprint]. 2025 Jan 20:2025.01.06.631232. doi: 10.1101/2025.01.06.631232.
- Tetz G, Kardava K, Vecherkovskaya M, Khodadadi-Jamayran A, Tsirigos A, Tetz V. Universal receptive system as a novel regulator of transcriptomic activity of Staphylococcus aureus. Microb Cell Fact. 2025 Jan 3;24(1):1. doi: 10.1186/s12934-024-02637-1.
- Tetz V, Kardava K, Vecherkovskaya M, Khodadadi-Jamayran A, Tsirigos A, Tetz G. The universal receptive system: a novel regulator of antimicrobial and anticancer compound production by white blood cells. J Leukoc Biol. 2025 Jun 4;117(6):qiaf085. doi: 10.1093/jleuko/qiaf085.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Pathologic Processes
- Genital Neoplasms, Male
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Genital Diseases, Male
- Prostatic Diseases
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Intestinal Diseases
- Respiratory Tract Diseases
- Neoplasms by Histologic Type
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Stomach Diseases
- Rectal Diseases
- Uterine Diseases
- Genital Diseases, Female
- Lung Diseases
- Endocrine Gland Neoplasms
- Pancreatic Diseases
- Liver Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Colonic Diseases
- Neoplastic Processes
- Esophageal Diseases
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Skin Diseases
- Breast Diseases
- Urologic Neoplasms
- Carcinoma
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Uterine Neoplasms
- Neuroendocrine Tumors
- Nevi and Melanomas
- Skin Neoplasms
- Urinary Bladder Diseases
- Pathological Conditions, Signs and Symptoms
- Skin and Connective Tissue Diseases
- Adenocarcinoma of Lung
- Prostatic Neoplasms
- Stomach Neoplasms
- Lung Neoplasms
- Colorectal Neoplasms
- Esophageal Neoplasms
- Ovarian Neoplasms
- Breast Neoplasms
- Neoplasm Metastasis
- Pancreatic Neoplasms
- Liver Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Head and Neck Neoplasms
- Intestinal Neoplasms
- Melanoma
- Urinary Bladder Neoplasms
- Endometrial Neoplasms
- Kidney Neoplasms
Other Study ID Numbers
- SL-28-FIH
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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