New drug CCS1477 tested against tough solid tumors
NCT ID NCT03568656
First seen Sep 25, 2026 · Last updated Sep 25, 2026
Summary
Researchers are running a phase 1/2a trial of an oral drug called CCS1477 in people with advanced solid tumors, including metastatic castration-resistant prostate cancer, metastatic breast cancer, and non-small cell lung cancer. The trial checks the safety and tolerability of CCS1477 when given alone and in combination with other cancer drugs such as abiraterone, enzalutamide, darolutamide, olaparib, and atezolizumab. Participants receive the study drug and undergo regular tests to monitor side effects and early signs of biological activity.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CCS1477, an experimental oral drug, tested alone and with other cancer drugs
- What this could lead to
- If CCS1477 proves safe and shows activity, it could become a new option for people with advanced prostate, breast, lung, or other solid tumors that have stopped responding to standard treatments.
- What could go wrong
- This is an early-phase trial with a limited number of participants, so safety and benefit are not yet established. CCS1477 may cause side effects or fail to shrink tumors, and the results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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219 people
The number who actually took part.
- Started
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Jul 2018
- Finished
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Jul 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Provision of consent * ECOG performance status 0-1 * Assessable disease (by CT, MRI, bone scan or X-ray) * Adequate organ function * Highly effective contraception measures for duration of study Additional inclusion criteria for mCRPC patients only: * Previously received abiraterone and/or enzalutamide (or equivalent anti-androgen), and docetaxel (unless ineligible or refused) * Progressive disease documented by one or more of the following: * Biochemical progression defined as at least 2 stepwise increases in a series of any 3 PSA values * Progression as defined by RECIST v1.1 guideline for assessment of malignant soft tissue disease. * Progression defined as two or more new metastatic bone lesions confirmed on bone scan from a previous assessment * PSA at screening ≥2 μg/L * Serum testosterone concentration ≤50 ng/dL * Serum albumin \>2.5 g/dL Additional inclusion criteria for patients in CCS1477 plus abiraterone combination arm: * Patients must have previously progressed on abiraterone treatment * Patients whose last dose of abiraterone is greater than 6 months prior to start of study treatment will receive a 4-week run-in treatment with abiraterone to confirm refractoriness to abiraterone treatment Additional inclusion criteria for patients in CCS1477 plus enzalutamide combination arm: * Patients must have previously progressed on enzalutamide treatment * Patients whose last dose of enzalutamide is greater than 6 months prior to start of study treatment will receive a 4-week run-in treatment with enzalutamide to confirm refractoriness to enzalutamide treatment Additional inclusion criteria for patients in mutation arm: * Advanced solid tumour with identification of markers which may indicate potential for response to p300/CBP inhibition. Markers include loss of function mutations in CREBBP, EP300 or ARID1A, MYC gene amplifications or rearrangements and androgen receptor (AR) gene amplifications or over-expression. Exclusion Criteria: * Intervention with any chemotherapy, investigational agents or other anti-cancer drugs within 14 days or 5 half-lives of the first dose * Radiotherapy with a wide field of radiation or to more than 30% of the bone marrow within 4 weeks of the first dose of study treatment * Major surgical procedure or significant traumatic injury within 4 weeks of the first dose of study treatment * Strong inhibitors of CYP3A4 or CYP3A4 substrates with a narrow therapeutic range taken within 2 weeks of the first dose of study treatment * Strong inducers of CYP3A4 within 4 weeks of the first dose of study treatment * Statins; patients should discontinue statins prior to starting study treatment * Any unresolved reversible toxicities from prior therapy \>CTCAE grade 1 at the time of starting study treatment * Any evidence of severe or uncontrolled systemic diseases * Any known uncontrolled inter-current illness * QTcF prolongation (\> 480 msec). * Primary brain tumours or known or suspected brain metastases. Additional exclusion criteria for patients in CCS1477 plus abiraterone combination arm: * Clinically significant cardiac abnormalities Additional exclusion criteria for patients in CCS1477 plus enzalutamide combination arm: * History of seizures or other predisposing factors * Use of substrates with a narrow therapeutic index metabolised by CYP2C9 or CYP2C19 within 2 weeks of the first dose of study treatment * Clinically significant cardiac abnormalities
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Belfast City Hospital
Belfast, BT9 7AB, United Kingdom
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Cambridge University Hospital
Cambridge, CB2 0QQ, United Kingdom
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Edinburgh Cancer Centre Western General Hospital
Edinburgh, EH4 2XU, United Kingdom
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Freeman Hospital
Newcastle, NE7 7DN, United Kingdom
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Hospital Vall d'Hebron, VHIO
Barcelona, 08035, Spain
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Hôpital Europeen Georges Pompidou
Paris, 75015, France
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Institute Bergonie
Bordeaux, 33000, France
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Institute Gustave Roussy
Villejuif, 94805, France
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Karolinska Institute
Stockholm, 171 76, Sweden
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Leicester Royal Infirmary
Leicester, LE1 5WW, United Kingdom
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Netherlands Cancer Institute (NKI)
Amsterdam, 1066 CX, Netherlands
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Queen Elizabeth Hospital Cancer Centre
Birmingham, B15 2TH, United Kingdom
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Royal Marsden Hospital
Sutton, SM2 5NG, United Kingdom
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START CIOCC Hospital Universitario HM
Madrid, 28050, Spain
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The Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN, United Kingdom
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The Christie Hospital
Manchester, M20 4BX, United Kingdom
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Thomas Jefferson University, Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania, 19107, United States
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University Hospital Southampton
Southampton, SO16 6YD, United Kingdom
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Other studies related to the condition(s) this trial covers.
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