Can a new pill boost Immunotherapy's power against advanced tumors?
NCT ID NCT03674567
First seen Sep 03, 2026 · Last updated Sep 04, 2026 · Updated 1 time
Summary
This trial tests an experimental drug called FLX475, given alone or with the immunotherapy pembrolizumab, in people with advanced cancers that have not responded to standard treatments. The study aims to find the safest dose and to see whether the combination can shrink tumors. Participants receive the drugs in two phases: first to establish safety, then to measure anti-tumor activity across several cancer types.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- FLX475 (tivumecirnon) alone or in combination with pembrolizumab (KEYTRUDA)
- What this could lead to
- If it works, this could offer a new treatment option for people with advanced cancers that have stopped responding to standard therapies.
- What could go wrong
- This is an early-phase trial, so the drug may not prove effective or safe in a larger group. Side effects are possible, and the combination may not work better than existing treatments.
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
-
323 people
The number who actually took part.
- Started
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Sep 2018
- Finished
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Dec 2024
- 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
-
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: * Documented advanced or metastatic cancer ineligible for standard therapies with one of the following histologies * Dose Escalation: non-small cell lung cancer, head and neck squamous cell carcinoma, nasopharyngeal carcinoma, metastatic triple negative breast cancer, urothelial carcinoma, gastric cancer, esophageal carcinoma, cervical cancer, classical Hodgkin lymphoma * Dose Expansion: nasopharyngeal carcinoma, lymphoma, head and neck squamous cell carcinoma, cervical cancer, non-small cell lung cancer, triple-negative breast cancer * Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1 * Evaluable disease at baseline (at least one measurable target lesion by imaging for expansion cohorts) * Tumor available for biopsy Exclusion Criteria: * History of allergy or severe hypersensitivity to biologic agents * History of Grade 3-4 immune-related adverse events leading to discontinuation of prior immuno-oncology treatment * Active autoimmune disease or serious autoimmune disease within past 2 years requiring systemic therapy * History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, (non-infectious) pneumonitis that required steroids, or symptoms of active pneumonitis * Prior allogeneic hematopoietic stem cell transplant within 5 years, or prior allogeneic organ transplant * Active graft-versus-host disease
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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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Asan Medical Center
Seoul, 05505, South Korea
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Austin Hospital
Heidelberg, Victoria, 3084, Australia
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Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
-
Carolina BioOncology Institute
Huntersville, North Carolina, 28078, United States
-
Chi Mei Meidcal Center
Tainan, 71004, Taiwan
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Chungbuk National University Hospital
Taebuk, 28644, South Korea
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City of Hope
Duarte, California, 91010, United States
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Comprehensive Hematology and Oncology, LLC
St. Petersburg, Florida, 33709, United States
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Emory Winship Cancer Institute
Atlanta, Georgia, 30322, United States
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Georgetown - Lombardi Comprehensive Cancer Center
Washington D.C., District of Columbia, 20007, United States
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Johns Hopkins University
Baltimore, Maryland, 21231, United States
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King Chulaongkorn Memorial Hospital
Bangkok, 10330, Thailand
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Linear Clinical Research Limited
Nedlands, Western Australia, 6009, Australia
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Mary Crowley Cancer Research Center
Dallas, Texas, 75230, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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National Cheng Kung University Hospital
Tainan, 70403, Taiwan
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National Taiwan University Hospital
Taipei, 10002, Taiwan
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New York Presbyterian Hospital-Columbia University Medical Center
New York, New York, 10032, United States
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Prince of Wales Hospital
Shatin, Hong Kong
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Quantum Santa Fe
Santa Fe, New Mexico, 87505, United States
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Queen Mary Hospital
High West, Hong Kong
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Queen Mary Hospital - Lymphoma
High West, Hong Kong
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Ramathibodi Hospital
Bangkok, 10400, Thailand
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Samsung Medical Center
Seoul, 06351, South Korea
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Seoul National University
Seoul, 03080, South Korea
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of California, Los Angeles JCCC Clinical Research Unit
Los Angeles, California, 90024, United States
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University of Chicago
Chicago, Illinois, 60637, United States
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University of Louisville Hospital/James Graham Brown Cancer Center
Louisville, Kentucky, 40202, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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University of Washington
Seattle, Washington, 98195, United States
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Yale Cancer Center
New Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Neoadjuvant low-dose radiotherapy, tislelizumab, combined with albumin-bound paclitaxel and cisplatin in resectable locally advanced head and neck squamous cell carcinoma (NeoRTPC02): an open label, single-arm, phase II clinical trial
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