🏛️ Verified NIH Record • Updated 2025-12-12

Evaluation of RBS2418 in Subjects With Advanced, Metastatic Solid Tumors (NCT05270213)

A First-In-Human, Phase 1 a/b Dose Escalation and Expansion Study to Evaluate RBS2418 as Monotherapy and in Combination With Pembrolizumab in Subjects With Advanced Unresectable, Recurrent or Metastatic Tumors

🟢 Recruiting Phase1 💊 Investigational Drug / Biologic Sponsor: Riboscience, LLC.

🩺 Plain-English Summary (8th-Grade Level)

RBS2418 (investigational product) is a specific immune modulator, working through ectonucleotide pyrophosphatase/phosphodiesterase I (ENPP1), designed to lead to anti-tumor immunity by increasing endogenous 2'-3'-cyclic guanosine monophosphate-adenosine monophosphate (cGAMP) and adenosine triphosphate (ATP levels) and reducing adenosine production in the tumors. RBS2418 has the potential to be an important therapeutic option for subjects both as monotherapy and in combination with other cancer treatments including monotherapy and in combination with other cancer treatments including immunotherapy or chemotherapy. This study is an open-label, multi-site Phase 1a/1b study of RBS2418, a selective ENPP1 inhibitor, in combination with pembrolizumab or other approved anticancer therapies or as a monotherapy in subjects with advanced unresectable, recurrent or metastatic tumors. The phase 1a (dose escalation phase) has been completed. The Phase 1b expansion phase of the study has been increased in size and scope.

Who can join: To join this study, participants generally need to meet the listed inclusion criteria (12 items) and avoid the listed exclusions (30 items).

Location: Honor Health Research Institute — Scottsdale, Arizona

Age range: 18 Years

📋 "Do I Qualify?" — 1-Minute Self Screener

Instant Checklist

Check every box below. If you can check all of them, you may meet the study's basic screening requirements (final eligibility is confirmed by the site team).

Usually NOT eligible if any of the following apply:

  • Exclusion Criteria:
  • Use of any systemic anti-cancer therapy (including radiotherapy, chemotherapy, targeted therapy or immunotherapy) within 2 weeks prior to first dose of RBS2418 unless such therapy is being administered in combination with RBS2418 per protocol and has been approved by the Sponsor; or if subject has not recovered (i.e., Less than or equal to Grade 1 or returned to baseline level) from adverse events due to a previously administered agent; the following exceptions are allowed:
  • Palliative radiotherapy for bone metastases or soft tissue lesions should be completed \> 7 days prior to baseline imaging
  • Hormone-replacement therapy or oral contraceptives
  • Subjects with Grade 2 neuropathy or Grade 2 alopecia
  • Subjects with evidence of rapid progression on prior therapy resulting in rapid clinical deterioration should be excluded from participation in the trial.
  • Currently participating and receiving trial therapy or has participated in a trial of an investigational agent and/or has used an investigational device within 28 days prior to Day 1.
  • Uncontrolled tumor-related pain
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures
  • Malignancies other than indications open for enrollment within 3 years prior to Day 1, with the exception of those with negligible risk of metastasis or death treated with expected curative outcome, undergoing active surveillance or treatment-naïve for indolent tumors
  • History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins.
  • Known hypersensitivity allergy or contraindication to any investigational product components administered as part of the combination therapy.

🔍 Extracted verbatim from the official NIH eligibility criteria. Always confirm with the study coordinator.

📍 All Participating Trial Locations (14 Sites)

  • Honor Health Research Institute — Scottsdale, Arizona
  • University of Arizona — Tucson, Arizona
  • Stanford Cancer Institute — Palo Alto, California
  • UCLA Hematology/Oncology - Santa Monica — Santa Monica, California
  • Christiana Care Health Services — Newark, Delaware
  • Norton Cancer Institute — Louisville, Kentucky
  • Ochsner Clinic Foundation — New Orleans, Louisiana
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center — Baltimore, Maryland
  • American Oncology Partners of Maryland — Bethesda, Maryland
  • Ichan School of Medicine at Mount Sinai — New York, New York
  • Carolina BioOncology Institute — Huntersville, North Carolina
  • Vanderbilt-Ingram Cancer Center — Nashville, Tennessee
  • Tranquil Research — Webster, Texas
  • NEXT Virigina — Fairfax, Virginia

📞 Contact the Study Coordinator

Phone: (415) 754-3182

Email: clinicaltrials@riboscience.com

Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

Explore by condition: All Advanced Cancer clinical trials

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Contact the study coordinator using the phone/email above.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗