New drug targets Hard-to-Treat cancers in people with BRCA2 or PALB2 mutations

NCT ID NCT04890613

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This early-phase trial is testing an experimental drug called CX-5461 (Pidnarulex) in people with advanced solid tumors (pancreatic, prostate, breast, or ovarian) that have specific BRCA2 or PALB2 gene mutations. The main goal is to find a safe and tolerable dose for future studies. Researchers will also look for signs that the drug shrinks tumors and monitor quality of life. About 52 participants will receive the drug by IV infusion twice per month.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
CX-5461 (Pidnarulex), a drug given by IV infusion
What this could lead to
If successful, this could point toward a new treatment option for people with certain hard-to-treat cancers linked to BRCA2 or PALB2 mutations.
What could go wrong
This is an early Phase 1b trial with only 52 participants, so it is primarily testing safety and dosing. The drug may not shrink tumors or may cause side effects, and it is too soon to know if it will work for a broader population.

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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

  • Centre hospitalier de l'Université de Montréal (CHUM)

    RECRUITING

    Montreal, Quebec, H2X 0C2, Canada

  • Dana Farber Cancer Institute

    RECRUITING

    Boston, Massachusetts, 02215, United States

  • H. Lee Moffitt Cancer Center and Research Institute Hospital

    RECRUITING

    Tampa, Florida, 33612-9497, United States

  • Memorial Sloan-Kettering Cancer Center

    WITHDRAWN

    New York, New York, 10065, United States

  • Ohio State University-James Cancer Hospital and Solove Research Institute

    RECRUITING

    Columbus, Ohio, 43202, United States

  • Princess Margaret Cancer Centre

    RECRUITING

    Toronto, Ontario, M5G 1X6, Canada

  • UPMC Hillman Cancer Center

    RECRUITING

    Pittsburgh, Pennsylvania, 15232, United States

  • University of California, Los Angeles

    RECRUITING

    Santa Monica, California, 90404, United States

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