ActiveCancerNIHR-supported projectDigestion, Kidneys & Other Organs
A Phase 1/2 Study to Investigate the Safety, Pharmacokinetics and Efficacy of CRB-601, a Monoclonal Antibody against Integrin ?v?8, in Patients with Advanced Solid Tumors (CRB-601-01)
Recipient organisationNIHR Wellcome Trust Birmingham Clinical Research Facility
NIHR supportRecorded as supported by this research centre
PeriodMar 2025 — Jul 2027
In plain English
AI plain-English summary
A new intravenous drug, CRB-601, is being tested in humans for the first time to see if it can shrink advanced solid tumours that have resisted standard treatments. This matters because many cancers exploit a protein called integrin alpha-v, beta-8 to release inflammatory signals that fuel tumour growth. Existing immunotherapies often fail when this pathway is active. The trial aims to find the safest and most effective dose of CRB-601, first on its own, then combined with the immunotherapy cemiplimab, and finally with both immunotherapy and targeted radiotherapy (stereotactic body ablative radiotherapy). If the drug works, it could offer a new treatment option for patients with cancers that have returned or stopped responding to at least one prior therapy. The immediate impact would be on clinical practice: doctors would gain a new tool to block a specific cancer-promoting mechanism. Patients would face additional hospital visits and scans, and potential side effects that may be serious or unknown. The trial is early-stage, so practical benefits are not guaranteed, but success would open a new avenue for combination therapies that attack tumours from multiple angles.
View original technical description
This research involves an early phase clinical trial, which is testing a new intravenous therapy (CRB-601) for advanced cancer that targets a protein, called integrin alpha-v, beta-8, in humans for the first time. This protein is important, because it can stimulate the release of another inflammatory protein that has been shown to promote cancer growth. In this trial, one of the aims is to find the maximum dose that can be given to patients and at what level it is active. The trial will then try to find the best dose for this drug when given in combination with other therapies that are used to boost the immune system against cancer (an immunotherapy, called cemiplimab). Finally, the aim will be to find the best dose that may be given in combination with immunotherapy and a targeted radiotherapy treatment (stereotactic body ablative radiotherapy). The patients who may be recruited to this study will have cancers that have come back or have not responded to at least one standard treatment. Patients will be asked to attend hospital for treatment and regular assessments, including imaging scans. The benefits include the possibility of receiving a new therapy at an early stage, which may prove to be more effective than existing treatments. However, the risks include potential side effects, some of which may be serious or unknown, and the inconvenience of additional hospital visits and tests.
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