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New cancer drug EXS74539 enters first human trials

NCT ID NCT07517198

First seen Apr 29, 2026 · Last updated Jun 23, 2026 · Updated 11 times

Summary

This early-stage trial is testing an experimental oral drug called EXS74539 (REC-4539) in about 40 people with various solid tumors, including lung, prostate, ovarian, and breast cancers. The main goal is to check the drug's safety, find the right dose, and see how the body processes it. Researchers will also watch for any signs that the drug is shrinking tumors.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • START Dallas

    RECRUITING

    Fort Worth, Texas, 76104, United States

  • START Mountain Region

    RECRUITING

    West Valley City, Utah, 84119, United States

  • Start Lacn

    RECRUITING

    Los Angeles, California, 90025, United States

What this could mean

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

Active substance

EXS74539 (REC-4539), an oral drug

What this could lead to

If successful, this could lead to a new treatment option for several types of solid tumors.

What could go wrong

This is an early Phase 1 trial with only 40 participants, focused on safety and dosing. It is too early to know if the drug will be effective or have manageable side effects.

Conditions

The condition(s) this trial relates to.

gastric neoplasm head and neck squamous cell carcinoma Liver Neoplasms Margins of Excision non-small cell lung carcinoma ovarian cancer prostate cancer renal cell carcinoma small cell lung carcinoma Squamous Cell Carcinoma of Head and Neck triple-negative breast carcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.