New drug targets Hard-to-Treat cancers with MET mutations
NCT ID NCT03993873
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-stage trial tests a new drug called TPX-0022 in adults with advanced lung, stomach, or other solid tumors that have specific MET gene changes. The main goals are to check the drug's safety, find the best dose, and see if it shrinks tumors. About 95 participants will take the drug by mouth, and researchers will monitor side effects and how the drug moves through the body.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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95 people
The number who actually took part.
- Started
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Sep 2019
- Expected to finish
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Mar 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥ 18 (or age ≥ 20 as required by local regulation). 2. Histological or cytological confirmation of advanced/metastatic MET exon 14 skipping mutation (METΔex14) NSCLC, MET amplified NSCLC, or MET amplified gastric cancers as determined by FISH, qPCR or NGS by local liquid biopsy or tissue, solid tumors with MET fusions or oncogenic MET mutations or MET amplified other than GI/NSCLC. 3. ECOG performance status ≤ 1. 4. Existence of measurable or evaluable disease (according to Response evaluation criteria in solid tumors \[RECIST v1.1\] criteria). 5. Subjects with asymptomatic primary CNS tumors or brain metastases are eligible for the study if they meet protocol specified criteria. 6. Adequate organ function. 7. Life expectancy ≥ 12 weeks. Exclusion Criteria: 1. Locally advanced solid tumor that is a candidate for curative treatment through radical surgery and/or radiotherapy, or chemotherapy. 2. Presence or history of any other primary malignancy within the past 3 years other than a history of adequately treated basal or squamous cell carcinoma of the skin, or any adequately treated in situ carcinoma. 3. Major surgery within four weeks of the start of therapy. 4. Additional exclusion criteria for subjects with NSCLC with MET alterations: known oncogene mutations (eg, ALK, ROS1, KRAS, EGFR, etc.) for which there are approved therapies. 5. Additional exclusion criteria for subjects with HCC with MET alterations: liver dysfunction greater than Child-Pugh Class A. 6. Clinically significant cardiovascular disease (either active or within six months before enrollment): myocardial infarction, unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure (New York Heart Association Classification Class ≥ II), cerebrovascular accident or transient ischemic attack, symptomatic bradycardia, requirement for anti-arrhythmic medication. Ongoing cardiac dysrhythmias of CTCAE version 5.0 grade ≥ 2. 7. Any of the following cardiac criteria: * Mean resting corrected QT interval (ECG interval measured from the onset of the QRS complex to the end of the T wave) for heart rate (QTc) \> 470 msec obtained from three ECGs, using the screening clinic ECG machine-derived QTc value * Any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG (e.g., complete left bundle branch block, third degree heart block, second degree heart block, PR interval \> 250 msec) * Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, congenital long QT syndrome, family history of long QT syndrome, or any concomitant medication known to prolong the QT interval 8. Known clinically significant active infections not controlled with systemic treatment (bacterial, fungal, viral including HIV positivity). 9. Peripheral neuropathy ≥ Grade 2.
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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.
Contacts and locations
Locations
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Local Institution - 2101
Houston, Texas, 77030-4009, United States
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Local Institution - 2102
La Jolla, California, 92093, United States
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Local Institution - 2103
St Louis, Missouri, 63110, United States
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Local Institution - 2104
Toledo, Ohio, 43614, United States
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Local Institution - 2105
Denver, Colorado, 80218, United States
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Local Institution - 2106
Ann Arbor, Michigan, 48109, United States
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Local Institution - 2107
Boston, Massachusetts, 02114, United States
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Local Institution - 2108
Orange, California, 92868, United States
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Local Institution - 2109
Boston, Massachusetts, 02215, United States
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Local Institution - 2111
Chicago, Illinois, 60637, United States
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Local Institution - 2112
Fairfax, Virginia, 22031, United States
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Local Institution - 2113
Detroit, Michigan, 48202, United States
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Local Institution - 4101
Madrid, 28050, Spain
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Local Institution - 4102
Pamplona, 31008, Spain
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Local Institution - 4103
Madrid, 28040, Spain
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Local Institution - 4104
Madrid, 28036, Spain
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Local Institution - 4201
Lyon, 69008, France
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Local Institution - 4202
La Tronche, Auvergne-Rhône-Alpes, 38700, France
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Local Institution - 4203
Saint-Mandé, Val-de-Marne, 94160, France
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Local Institution - 4204
Villejuif, Val-de-Marne, 94805, France
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Local Institution - 6301
Seoul, Seoul-teukbyeolsi [Seoul], 06351, South Korea
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Local Institution - 6302
Seoul, 120-752, South Korea
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Local Institution - 6303
Seoul, 03080, South Korea
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Local Institution - 6304
Seoul, 05505, North Korea
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