New pill targets Hard-to-Treat cancers in early trial
NCT ID NCT06898450
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial is testing a new daily pill called NDI-219216 for people with advanced solid tumors that have not responded to standard treatments. The study will first check safety and side effects, then look at whether the drug can shrink tumors. About 134 participants will take the pill daily and have regular clinic visits for monitoring.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- NDI-219216 (a WRN inhibitor taken as a daily pill)
- What this could lead to
- If successful, this could point toward a new treatment option for advanced solid tumors, especially those with specific genetic features (MSI-H/dMMR).
- What could go wrong
- This is an early phase 1/2 trial with a small number of participants, so safety and effectiveness are not yet proven. The drug may cause side effects or fail to shrink tumors.
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
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About 134 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- 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 to 99 years
- 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: * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 * Have unresectable and/or metastatic solid tumors (with or without MSI-H/dMMR) refractory to or intolerant to previous SoC therapy or for which no SoC therapy exists * Presence of measurable disease according to RECIST version 1.1 except for Part A (Dose Escalation) * Adequate bone marrow / hematologic, end-organ, and cardiovascular function * Resolution of all acute (or toxic) adverse effects of prior therapies, radiation therapy, or surgical procedures to Grade ≤ 1 (except fatigue, alopecia, and peripheral neuropathy). Exclusion Criteria: * Clinically significant cardiovascular disease. * Patients with known WRN syndrome. * Pregnancy, breastfeeding, or intention of becoming pregnant during the study.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
Locations
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Atrium Health Wake Forest Baptist Center
RECRUITINGWinston-Salem, North Carolina, 27157, United States
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Brown University Health
RECRUITINGProvidence, Rhode Island, 02901, United States
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Cayuga Cancer Center
TERMINATEDIthaca, New York, 14850, United States
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Centre Hospitalier Universitaire (CHU) de Poitiers
RECRUITINGPoitiers, 86021, France
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Hospital Clinico San Carlos
RECRUITINGMadrid, 28040, Spain
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Hôpital Saint-Antoine - Assistance Publique-Hopitaux de Paris (AP-HP)
RECRUITINGParis, 75012, France
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Levine Cancer Center
RECRUITINGCharlotte, North Carolina, 28204, United States
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Liverpool Hospital
RECRUITINGLiverpool, New South Wales, 2170, Australia
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Princess Margaret Cancer Center
RECRUITINGToronto, Ontario, M5G2C4, Canada
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Prisma Health Cancer Institute - Multidisciplinary Center
RECRUITINGGreenville, South Carolina, 29605, United States
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START Barcelona
RECRUITINGBarcelona, 08023, Spain
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START Dublin
RECRUITINGDublin, D07 R2WY, Ireland
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START Lisbon
RECRUITINGLisbon, 1649-028, Portugal
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Sarah Cannon Research Institute UK
RECRUITINGLondon, W1G 6AD, United Kingdom
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Southern Oncology Clinical Research Unit
RECRUITINGBedford Park, South Australia, 5042, Australia
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Taylor Cancer Research Center
RECRUITINGMaumee, Ohio, 43537, United States
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The Christie NHS Foundation Trust UK
RECRUITINGManchester, M20 4BX, United Kingdom
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USC Norris Comprehensive Cancer Center
RECRUITINGLos Angeles, California, 90089, United States
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University of Chicago Medicine
RECRUITINGChicago, Illinois, 60637, United States
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University of Louisville James Graham Brown Cancer Center
RECRUITINGLouisville, Kentucky, 40202, United States
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University of Virginia Emily Couric Clinical Cancer Center
RECRUITINGCharlottesville, Virginia, 22908, United States
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Virginia Cancer Specialists, P.C. - Fairfax
RECRUITINGFairfax, Virginia, 22031, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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
- Experimental biologic AWT020 put to the test in Hard-to-Treat cancers
- Can a pill shrink Hard-to-Treat ovarian tumors?
- Oral drug RVU120 put to the test against advanced solid tumors