Promising new pill targets rare cancer in phase 3 trial
NCT ID NCT06058793
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new cancer pill called brigimadlin in 138 adults with a rare type of fat-tissue cancer (dedifferentiated liposarcoma). The pill works by blocking a protein that helps the cancer grow. Participants took the pill once every three weeks, and doctors monitored side effects and tumor changes. The goal was to see if the drug is safe and can shrink or slow the cancer.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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138 people
The number who actually took part.
- Started
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Dec 2023
- Finished
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Dec 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: 1. Provision of signed and dated, written informed consent form (ICF) in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) - Good Clinical Practice (GCP) and local legislation prior to any study-specific procedures, sampling, or analyses 2. Male or female patients ≥18 years old at the time of signature of the ICF 3. Women of childbearing potential (WOCBP) and men able to father a child must be ready and able to use two medically acceptable methods of birth control per ICH M3 (R2) that result in a low failure rate of \<1% per year when used consistently and correctly beginning at screening, during study participation, and until 6 months and 12 days after last dose for women and 102 days after last dose for men. A list of contraception methods meeting these criteria is provided in the patient information 4. Histologically documented locally advanced or metastatic, unresectable (i.e. surgery morbidity would outweigh potential benefits), progressive or recurrent Dedifferentiated liposarcoma (DDLPS), meeting the criteria for an open study cohort: * Cohort A: patient has not received prior systemic therapy for DDLPS in any setting (including adjuvant, neoadjuvant, maintenance, palliative) * Cohort B: patient has received any prior systemic therapy for DDLPS in any setting (including adjuvant, neoadjuvant, maintenance, palliative) 5. Written pathology report indicating the diagnosis of DDLPS with positive MDM2 immunohistochemistry or MDM2 amplification as demonstrated by fluorescence in situ hybridisation (FISH) or next-generation sequencing (NGS) 6. Presence of at least 1 measurable target lesion according to RECIST version 1.1. In patients who only have 1 target lesion, the baseline imaging must be performed at least 2 weeks after any biopsy of the target lesion 7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 8. Life expectancy ≥3 months at the start of treatment in the opinion of the investigator Further inclusion criteria apply. Exclusion Criteria: 1. Known mutation in the TP53 gene (screening for TP53 status is not required) 2. Major surgery (major according to the investigator's assessment) performed within 4 weeks prior to start of study treatment or planned within 6 months after screening 3. Previous administration of brigimadlin or any other MDM2-p53 or MDM4 regulator of p53 (MDM4/MDMX)-p53 antagonist 4. Previous treatment in study 1403-0008 (Brightline-1) 5. Having to receive, or intending to receive, restricted medications or any drug considered likely to interfere with the safe conduct of the study 6. Receiving treatment for brain metastases or leptomeningeal disease (LMD) which may interfere with safety and/or endpoint assessment 7. Unable to swallow the study treatment 8. Previous or concomitant malignancies other than the one treated in this study within the previous 2 years, except effectively treated non-melanoma skin cancers, carcinoma in situ of the cervix, ductal carcinoma in situ, or other malignancy that is considered cured by local treatment Further exclusion criteria apply.
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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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Abramson Cancer Center at Pennsylvania Hospital
Philadelphia, Pennsylvania, 19106, United States
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Addenbrooke's Hospital
Cambridge, CB2 0QQ, United Kingdom
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Aichi Cancer Center Hospital
Aichi, Nagoya, 464-8681, Japan
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Arthur J. E. Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2, Canada
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Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN, United Kingdom
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CEPHO - Centro de Estudos e Pesquisas em Hematologia e Oncologia
Santo André, 09060-650, Brazil
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Fred Hutchinson Cancer Research Center
Seattle, Washington, 98109, United States
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Froedtert and The Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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H.S.J. Beneficência Portuguesa - São Paulo
São Paulo, 01323-001, Brazil
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Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804, Japan
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Hospital Britanico de Buenos Aires
CABA, 1280AEB, Argentina
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Hospital Italiano de Buenos Aires
CABA, C1199ABB, Argentina
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Hospital Sao Domingos
São Luís, 65060-645, Brazil
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Hospital do Cancer de Londrina
Londrina, 86015-520, Brazil
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Huntsman Cancer Institute
Salt Lake City, Utah, 84112, United States
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Instituto Medico Especializado Alexander Fleming
Ciudad Autonoma de Bs As, C1426ANZ, Argentina
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Japanese Foundation for Cancer Research
Tokyo, Koto-ku, 135-8550, Japan
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John Theurer Cancer Center
Hackensack, New Jersey, 07601, United States
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Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582, Japan
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Mayo Clinic - Florida
Jacksonville, Florida, 32224, United States
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Mayo Clinic, Rochester
Rochester, Minnesota, 55905, United States
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Mayo Clinic-Arizona
Phoenix, Arizona, 85054, United States
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McGill University Health Centre (MUHC)
Montreal, Quebec, H4A 3J1, Canada
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Medical Oncology Associates, P.S.
Spokane, Washington, 99208, United States
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Memorial Sloan-Kettering Cancer Center
New York, New York, 10065, United States
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Nagoya University Hospital
Aichi, Nagoya, 466-8560, Japan
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National Cancer Center Hospital East
Chiba, Kashiwa, 277-8577, Japan
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National Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, 811-1395, Japan
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Nebraska Methodist Hospital
Omaha, Nebraska, 68114, United States
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Northwell Health
Lake Success, New York, 11042, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Okayama University Hospital
Okayama, Okayama, 700-8558, Japan
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Osaka International Cancer Institute
Osaka, Osaka, 541-8567, Japan
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Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000, Australia
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Precision NextGen Oncology
Beverly Hills, California, 90212, United States
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Prince of Wales Hospital-Randwick-66496
Randwick, New South Wales, 2031, Australia
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Princess Alexandra Hospital
Woolloongabba, Queensland, 4102, Australia
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
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Pronutrir
Fortaleza, 60810-180, Brazil
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Sanatorio Finochietto
CABA, C1120AAB, Argentina
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Sarcoma Oncology Center
Santa Monica, California, 90403, United States
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Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009, Australia
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The Christie
Manchester, M20 4BX, United Kingdom
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The Royal Marsden Hospital, Chelsea
London, SW3 6JJ, United Kingdom
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The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Tohoku University Hospital
Miyagi, Sendai, 980-8574, Japan
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University Cancer and Blood Center
Athens, Georgia, 30607, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35249, United States
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University of California Los Angeles
Santa Monica, California, 90404, United States
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University of Kansas Cancer Center
Overland Park, Kansas, 66210, United States
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Utah Cancer Specialists Cancer Center
Salt Lake City, Utah, 84106, United States
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Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031, United States
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Washington University School of Medicine
St Louis, Missouri, 63108, United States
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West Cancer Center & Research Institute
Germantown, Tennessee, 38138, United States
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Yale Cancer Center
New Haven, Connecticut, 06510, United States
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