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
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Centre hospitalier de l'Université de Montréal (CHUM)
RECRUITINGMontreal, Quebec, H2X 0C2, Canada
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Dana Farber Cancer Institute
RECRUITINGBoston, Massachusetts, 02215, United States
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H. Lee Moffitt Cancer Center and Research Institute Hospital
RECRUITINGTampa, Florida, 33612-9497, United States
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Memorial Sloan-Kettering Cancer Center
WITHDRAWNNew York, New York, 10065, United States
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Ohio State University-James Cancer Hospital and Solove Research Institute
RECRUITINGColumbus, Ohio, 43202, United States
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Princess Margaret Cancer Centre
RECRUITINGToronto, Ontario, M5G 1X6, Canada
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UPMC Hillman Cancer Center
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
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University of California, Los Angeles
RECRUITINGSanta Monica, California, 90404, United States
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