New hope for Hard-to-Treat cancers: Next-Gen RET inhibitor enters human trials
NCT ID NCT05443126
First seen Jun 27, 2026 · Last updated Jul 02, 2026 · Updated 2 times
Summary
This study tests a new drug called EP0031 in people with advanced cancers that have a specific genetic change (RET alteration), including non-small cell lung cancer. The trial has two parts: first, finding a safe dose, and then checking if the drug shrinks tumors. About 265 adults will take part across multiple sites.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- EP0031 (a next-generation RET inhibitor drug)
- What this could lead to
- If successful, EP0031 could offer a new treatment option for people with advanced RET-altered cancers, especially those who have stopped responding to existing RET inhibitors.
- What could go wrong
- This is an early-phase trial (Phase 1/2) with a small number of participants, so the drug may not prove effective or safe enough for wider use. Side effects are unknown and will be closely monitored.
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
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
About 265 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Sep 2022
- Expected to finish
-
Mar 2028
An estimate. End dates often move.
- Lead sponsor
-
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
-
Anyone
- Healthy volunteers
-
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: Applicable to all participants: 1. Must be ≥18 years of age, with documented RET-altered NSCLC 2. Participants should be well informed and consented about alternative treatment options including approved RET-targeted therapies 3. ECOG performance status of 0 or 1 and life expectancy \>3 months at screening 4. Ability to understand and provide written informed consent and able to participate in all required evaluations and procedures 5. Measurable disease defined by RECIST v1.1 6. Must have locally advanced or metastatic NSCLC with RET fusion who are eligible to receive platinum-based doublet chemotherapy. 7. First line patients: Must not have received a Selective RET inhibitor or chemotherapy. Prior adjuvant and neo-adjuvant therapies (chemotherapy, radiotherapy, immunotherapy, biologic therapy, investigational agents), or definitive radiation/chemoradiation with or without regimens including immunotherapy, biologic therapy, investigational agents, are permitted as long as treatment was completed at least 12 months prior. Palliative radiotherapy for symptom management (eg, bone metastases) is permitted up to 2 weeks prior to treatment start. Exclusion Criteria: Participants with any of the following will not be included in the study: 1. Any known major driver gene alterations other than RET. 2. Spinal cord compression or brain metastases. Patients with stable brain metastases can be enrolled. 3. Active infection requiring systemic antibiotic, antifungal, or antiviral medication 4. Severe or uncontrolled medical condition or psychiatric condition 5. Chronic glomerulonephritis or renal transplant 6. Participants with active hepatitis B infection or active hepatitis C 7. Participants with active HIV infection. Patients living with HIV may be eligible if they have adequate CD4+ T-cell count and no history of AIDS-defining opportunistic infections in the past 12 months 8. Receipt of any strong inhibitor or inducer of CYP3A4 9. Impaired hepatic or renal function, inadequate bone marrow reserve or organ function 10. Any clinically important abnormalities in rhythm, conduction, or morphology on resting ECG or any factor that increases the risk of QTc prolongation or of arrhythmic events , or congestive heart failure Grade III-IV according to the New York Heart Association, myocardial infarction, or unstable angina within the previous 6 months 11. Uncontrolled hypertension 12. Corneal ulceration or untreated keratitis at screening
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Advanced solid tumor are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The study's own enquiry address
This study publishes an address for enquiries. See it below .
-
The places running it
45 sites in 8 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
-
Contact
Email: •••••@•••••
Locations
-
Assistance Publique - Hôpitaux de Marseille
RECRUITINGMarseille, France
-
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
RECRUITINGTorino, Italy
-
Centre François Baclesse
RECRUITINGCaen, France
-
Centre Léon Bérard
RECRUITINGLyon, France
-
Centro di Riferimento Oncologico IRCCS
RECRUITINGAviano, Italy
-
Charité Comprehensive Cancer Center
RECRUITINGBerlin, Germany
-
Cleveland Clinic Abu Dhabi (CCAD)
RECRUITINGAbu Dhabi, 112412, United Arab Emirates
-
David Geffen School of Medicine at UCLA
RECRUITINGLos Angeles, California, 90095, United States
-
Florida Cancer Specialist
TERMINATEDFort Myers, Florida, 33908, United States
-
Florida Cancer Specialists & Research Institute
RECRUITINGWest Palm Beach, Florida, 33401, United States
-
Fondazione IRCCS Istituto Nazionale dei Tumori
NOT_YET_RECRUITINGMilan, Italy
-
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
RECRUITINGRoma, Italy
-
Georgetown University
RECRUITINGWashington D.C., District of Columbia, 20057, United States
-
Guy's and St Thomas' Hospital NHSFT
RECRUITINGLondon, SE1 9RT, United Kingdom
-
Hospital Madrid Sanchinarro
RECRUITINGMadrid, 28050, Spain
-
Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
-
Hospital Universitario Insular de Gran Canaria
RECRUITINGLas Palmas de Gran Canaria, Spain
-
Hospital Universitario Ramon y Cajal
RECRUITINGMadrid, 28034, Spain
-
Hospital Universitario Vall d'Hebron
RECRUITINGBarcelona, 08035, Spain
-
Hospital Universitario de A Coruña
RECRUITINGA Coruña, Spain
-
Hospital Virgen de la Victoria de Malaga
RECRUITINGMálaga, 29010, Spain
-
IRCCSS AOU Bologna
RECRUITINGBologna, Italy
-
Institut Bergonié
RECRUITINGBordeaux, France
-
Institut Gustave Roussy
RECRUITINGParis, France
-
Istituto Nazionale Tumori Regina Elena
RECRUITINGRoma, Italy
-
Karmanos
TERMINATEDDetroit, Michigan, 48201, United States
-
Ludwig-Maximilians-Universität München (LMU)
NOT_YET_RECRUITINGMünchen, Germany
-
MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
-
Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
-
Memorial Sloan Kettering Cancer Center
RECRUITINGNew York, New York, 07920, United States
-
NYU Langone Health
RECRUITINGNew York, New York, 10016, United States
-
Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie
NOT_YET_RECRUITINGWarsaw, Poland
-
Northwestern University
RECRUITINGEvanston, Illinois, 60208, United States
-
Providence Portland Medical Centre
RECRUITINGPortland, Oregon, 97213, United States
-
RUSH University Medical Center
TERMINATEDChicago, Illinois, 60612, United States
-
Sarah Cannon Research Institute
TERMINATEDNashville, Tennessee, 37203, United States
-
Sheffield Teaching Hospitals NHSFT
WITHDRAWNSheffield, S10 2JF, United Kingdom
-
Sheik Shakhbout Medical City (SSMC)
RECRUITINGAbu Dhabi, 11001, United Arab Emirates
-
Stanford University
RECRUITINGStanford, California, 94305, United States
-
Tawam Hospital
RECRUITINGAl Ain City, Abu Dhabi Emirate, United Arab Emirates
-
The Christie Hospital NHSFT
RECRUITINGManchester, M20 4BX, United Kingdom
-
The Ohio State University - Comprehensive Cancer Center
RECRUITINGColumbus, Ohio, 43210, United States
-
The Royal Marsden NHSFT
RECRUITINGLondon, SW36JJ, United Kingdom
-
Thomas Jefferson University
WITHDRAWNPhiladelphia, Pennsylvania, 19107, United States
-
University College London Hospital (UCLH)
RECRUITINGLondon, NW1 2BU, United Kingdom
-
University of Kentucky
TERMINATEDLexington, Kentucky, 40506, United States
-
University of Miami - Sylvester Comprehensive Cancer Center
RECRUITINGMiami, Florida, 33136, United States
-
University of Washington - Fred Hutchinson Cancer Center
RECRUITINGSeattle, Washington, 98109, United States
-
Universitätsklinikum Köln
RECRUITINGCologne, Germany
-
Uniwersyteckie Centrum Kliniczne
RECRUITINGGdansk, Poland
-
Virginia Cancer Specialists
RECRUITINGFairfax, Virginia, 22031, United States
-
Washington University - School of Medicine
RECRUITINGSeattle, Washington, 63130, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A single-arm, non-randomized, open-label, dose-escalation and dose-expansion, multicenter phase i study to evaluate the safety, tolerability, pharmacokinetic and pharmacodynamic profiles, as well as preliminary efficacy, of ND-003 in chinese patients with advanced solid tumors.
- PH-139: a phase i safety and pharmacokinetic study of gamitrinib administered intravenously to patients with advanced cancer
- New antibody drug conjugate tested against advanced cancers
- First-in-Human trial asks whether HG381 is safe and tolerable in advanced solid tumors
- Custom-Built immune cells take aim at a notorious cancer mutation
- Experimental injection SHR-7787 put to the test against advanced solid tumors