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New drug combo takes on Hard-to-Treat cancers

NCT ID NCT04344795

First seen Nov 01, 2025 · Last updated Jun 19, 2026 · Updated 40 times

Summary

This early-phase trial tested an experimental oral drug called TPST-1495, given alone or with the immunotherapy Keytruda, in 89 people with advanced solid tumors (like colorectal, lung, and head/neck cancers) that had stopped responding to standard treatments. The main goals were to find the safest dose and to look for early signs that the drug might control tumor growth. Because this is a first-in-human study, the focus is on safety and dosing, not yet on proving the drug works.

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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

Locations

  • Baystate Gynecologic Oncology

    Springfield, Massachusetts, 01107, United States

  • Carolina BioOncology Institute

    Huntersville, North Carolina, 28078, United States

  • SCRI-OK Stephenson Cancer Center

    Oklahoma City, Oklahoma, 73104, United States

  • START Midwest

    Grand Rapids, Michigan, 49546, United States

  • Sidney Kimmel Cancer Center, Johns Hopkins School of Medicine

    Baltimore, Maryland, 21287, United States

  • South Texas Accelerated Research Therapeutics (START)

    San Antonio, Texas, 78229, United States

  • Tennessee Oncology

    Nashville, Tennessee, 37203, United States

  • University of Colorado

    Aurora, Colorado, 80045, United States

  • University of Michigan Rogel Cancer Center

    Ann Arbor, Michigan, 48109, United States

  • University of Pennsylvania Perelman School of Medicine

    Philadelphia, Pennsylvania, 19104, United States

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213, 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

TPST-1495 (an experimental oral drug) and pembrolizumab (Keytruda, an immunotherapy)

What this could lead to

If it works, this could point toward a new treatment option for people with advanced solid tumors that have not responded to standard therapies.

What could go wrong

This is a very early (Phase 1) trial with only 89 participants, so it is primarily testing safety and dosing. It is too soon to know if the drug will shrink tumors or improve survival, and side effects are expected.

Conditions

The condition(s) this trial relates to.

colorectal cancer colorectal neoplasm endometrial cancer endometrium neoplasm gastric adenocarcinoma gastroesophageal junction adenocarcinoma head and neck squamous cell carcinoma neoplasm non-small cell lung carcinoma Squamous Cell Carcinoma of Head and Neck transitional cell carcinoma urothelial carcinoma

As listed by the trial registrant

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