Can a new Immune-Boosting pill make immunotherapy work better against Hard-to-Treat tumors?
NCT ID NCT06244992
First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time
Summary
This study tests an experimental drug called PTT-936, which activates a protein (ALPK1) that may help the immune system attack cancer. The trial includes adults with advanced or metastatic solid tumors that cannot be removed by surgery. In the first part, patients receive PTT-936 alone to find a safe dose; in the second part, they receive PTT-936 combined with a standard immunotherapy (anti-PD-1/L1) to see if the combination is safe and effective. The main goals are to measure side effects and how many patients see their tumors shrink or disappear.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- PTT-936, an experimental drug that activates the ALPK1 protein, given alone or with an anti-PD-1/L1 immunotherapy
- What this could lead to
- If successful, this could lead to a new treatment option that boosts the immune system's ability to fight advanced solid tumors, potentially improving response rates when combined with standard immunotherapy.
- What could go wrong
- This is an early-phase trial with a small number of patients, so safety and effectiveness are not yet established. The drug may cause side effects or may not work as hoped, and results may not apply to all tumor types.
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 68 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Dec 2027
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 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. Voluntarily signed informed consent form (ICF). 2. Ability and willingness to adhere to all study procedures. 3. Male or female patients ≥ 18 years of age at the time of signing the ICF. 4. Locally advanced unresectable or metastatic solid tumor confirmed by histology or cytology 5. For Part A: On tumor imaging, as assessed by RECIST v1.1 and iRECIST, with measurable or unmeasurable disease. For Part B: On tumor imaging, as assessed by RECIST v1.1 and iRECIST, with at least one measurable disease. 6. Life expectancy ≥ 3 months. 7. Eastern Cooperative Oncology Group (ECOG) performance status (PS): 0-1 for Part A and Part B. 8. Adequate end-organ and hematopoietic function, defined based on the following laboratory results obtained within 7 days prior to the first dose of study treatment \[Day 1\]): 1. Absolute neutrophil count (ANC) ≥ 1.5×109/L (1500/μL), without granulocyte colony-stimulating factor (G-CSF) support. Note that G-CSF may be administered until 14 days prior to Cycle 1 Day 1 (C1D1). 2. Platelet count ≥ 90×109/L (90,000/μL) without transfusion within 14 days prior to C1D1. 3. Hemoglobin ≥ 90 g/L (9 g/dL). Note that patients may be transfused or receive erythropoietic treatment to meet this criterion until 14 days prior to C1D1. 4. Creatinine clearance ≥ 60 mL/min. 5. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 x the upper limit of normal (ULN) with or without primary or metastatic liver tumor lesions. 6. Total bilirubin (TBIL) ≤ 1.5 x ULN. 7. For patients not receiving therapeutic anticoagulation: International Normalized Ratio (INR), activated partial thromboplastin time (aPTT) and prothrombin time (PT) ≤ 1.5 x ULN. 8. For patients receiving warfarin: INR ≤ 3.0 x ULN and no bleeding within 14 days prior to Day 1. Patients receiving therapeutic anticoagulation must be on a stable dose for a minimum of 14 days prior to Day 1. Patients on low molecular weight heparin will be allowed. Exclusion Criteria: 1. Patients with leptomeningeal (LMD) metastases or patients with new and/or progressive brain metastases at the time of study entry. Patients with treated brain metastases are eligible if there is no evidence of progression for at least 4 weeks after central nervous system (CNS)-directed treatment (radiotherapy and/or surgery), as ascertained by clinical examination and brain imaging (MRI or CT) during the screening period. 2. History of primary malignancy other than the diseases under study, not in remission greater than three (3) years prior to Day 1. Exceptions that do not require a 3-year remission include: adequately treated non-melanoma skin cancer, cervical carcinoma in situ on biopsy or squamous intraepithelial lesion on Papanicolaou (PAP) smear, in situ prostate cancer (with no evidence of active disease for two \[2\] years prior to Day 1), or resected melanoma in situ and radically resected papillary thyroid carcinoma. 3. Persistence of Adverse Events (AEs) from prior anti-cancer therapy that have not resolved to Grade 1 (except for alopecia and hypothyroidism), or any history of Grade ≥ 3 immune-related adverse events (irAEs), Grade ≥ 2 pneumonitis, hypophysitis or encephalitis related to immunotherapy, or other Grade ≥ 3 drug-related CNS toxicity. 4. Active systemic autoimmune disease or a history of autoimmune disorder that may relapse (e.g., systemic lupus erythematosus \[SLE\], rheumatoid arthritis, inflammatory bowel disease \[IBD\], autoimmune thyroid disorder\*, multiple sclerosis, vasculitis, glomerulitis, eczema, psoriasis, etc.). \*Note that primary or secondary hypothyroidism, well controlled with hormone replacement therapy is permitted. 5. Major trauma or major surgery within 4 weeks prior to Day 1 or anticipated major surgery during study participation. 6. Serious unhealing wound, ulcer, or bone fracture. 7. History of and/or presence of any of the following cardiovascular and cerebrovascular events or conditions: 1. History of myocardial infarction, unstable or severe angina, or arterial thrombotic event (such as cerebrovascular attack \[CVA\] or transient ischemic attack \[TIA\]) within 12 months prior to Day 1. 2. Significant abnormalities on the screening of ECG, including corrected QT interval (QTc interval) \> 470 msec (average of triplicate measurements, corrected for heart rate using Fridericia's formula), second degree (Mobitz type II) or third degree atrioventricular (AV) block, or other clinically significant (in the Investigator's opinion) arrhythmia. 3. Current New York Heart Association (NYHA) stage II-IV congestive heart failure (CHF). 4. Left ventricular ejection fraction (LVEF) \< 50%. • Note that LVEF assessment by echocardiogram (ECHO) scan performed as part of the patient's regular care within 4 weeks prior to the screening visit may be used for confirmation of eligibility. 5. Other clinically significant (in the Investigator's opinion) cardiac diseases (e.g., valvular disease, cardiomegaly, ventricular hypertrophy, cardiomyopathy, myocarditis, etc.). 6. Uncontrolled hypertension (defined as a systolic blood pressure \[SBP\] ≥ 150 mmHg and/or diastolic blood pressure (DBP) ≥ 100 mmHg at screening), despite appropriate antihypertensive therapy, or poor compliance with an antihypertensive regimen. 8. Active or recent (past 6 months) bleeding disorder, including gastrointestinal (GI) bleeding, as evidenced by hematemesis, significant hemoptysis, or melena within 6 months prior to Day 1. 9. Uncontrolled diabetes. 10. Chronic severe liver disease or Child-Pugh B or C liver cirrhosis. 11. History of alcoholism or drug abuse within the past year.
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
6 sites in 2 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
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Locations
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Beijing Cancer Hospital
RECRUITINGBeijing, China
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Cancer Hospital, Chinese Academy of Medical Sciences
RECRUITINGBeijing, China
Contact Email: •••••@•••••
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D&H Cancer Research Center
RECRUITINGMargate, Florida, 33063, United States
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Precision NextGen Oncology and Research Center
RECRUITINGBeverly Hills, California, 90212, United States
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Sun Yat-sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510060, China
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The START Center
RECRUITINGSan Antonio, Texas, 78229, United States
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