New pill targets Hard-to-Treat cancers in early trial
NCT ID NCT06004245
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 5 times
Summary
This early-stage study is testing an experimental oral drug, VVD-133214, in people with advanced solid tumors that have specific genetic features (MSI or dMMR). The drug works by blocking a protein that helps these cancers grow. The study will check safety and how well the drug works alone or combined with other treatments. About 280 participants will take part.
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
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 280 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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May 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: * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 * Have a microsatellite instability (MSI) and/or deficient mismatch repair (dMMR), histologically or cytologically documented advanced (unresectable and/or metastatic) solid tumor; For the combination with bevacizumab only: advanced, or metastatic colorectal adenocarcinoma (CRC) treated with at least 2 but no more than 3 prior lines of systemic therapy for the treatment of advanced CRC; For the combination with pembrolizumab only: Histologically confirmed locally advanced, or metastatic CRC with no prior systemic treatment for metastatic disease and not amenable to surgery * Have received and then progressed following, or are intolerant to, standard therapy in the advanced setting * Presence of measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 * Life expectancy of at least (≥)12 weeks * Availability of formaldehyde-fixed paraffin-embedded (FFPE) archival tumor tissue for submission to Sponsor/central laboratory for retrospective central testing; for participants without archival tissue, a biopsy from either primary or metastatic tumor lesion, deemed medically feasible, must be taken * Adequate hematologic, end-organ, and cardiovascular function, as defined in the protocol Exclusion Criteria: * Inability or unwillingness to swallow pills * Malabsorption syndrome or other condition that would interfere with enteral absorption * Known hypersensitivity or intolerance to ingredients from the study drug formulation including patients with rare genetic disorders such as galactosaemia, glucose-galactose intolerance or congenital lactase deficiency * Known uncontrolled central nervous system (CNS) metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control) and/or carcinomatous meningitis * Known active or uncontrolled bacterial, viral, fungal, mycobacterial (including but not limited to tuberculosis and atypical mycobacterial disease), parasitic, or other infection (excluding fungal infections of nail beds), or any major episode of infection requiring treatment with intravenous antibiotics or hospitalization within 2 weeks prior to the start of drug administration (related to the completion of the course of antibiotics, except if for tumor fever) or 6 months for any intracranial abscess * Has a positive test at screening for hepatitis B virus, hepatitis C virus, or for human immodeficiency virus (HIV), per local diagnostic standard and in accordance with local laws and regulations * Uncontrolled diabetes or symptomatic hyperglycemia (i.e., well controlled defined as a screening hemoglobin A1c \<8% and no urinary ketoacidosis) * Significant cardiovascular/cerebrovascular disease within 6 months prior to Day 1 of study drug administration * Alcohol or drug dependence or abuse * Patients with known Werner (WRN) syndrome * Prior treatment with any WRN helicase inhibitor * Treatment with moderate or strong CYP3A4 inducers within 14 days prior to initiation of study treatment * Treatment with moderate or strong CYP3A4 or P-glycoprotein inhibitors within 14 days prior to initiation of study treatment * Pregnancy, breastfeeding, or intention of becoming pregnant during the study Additional Exclusion Criteria for the Combination with Bevacizumab Only: * Had major surgery within 4 weeks prior to study drug administration * Deep venous thrombosis (DVT) or pulmonary embolism (PE) within 12 weeks prior to study drug administration * Known coagulopathy that increases the risk of bleeding * Patients with Grade 2+ proteinuria (exception: if 24-hour urinary protein is less than 1.0 gm/24 hours) Additional Exclusion Criteria for the Combination with Pembrolizumab Only: * Active or history of autoimmune disease or immune deficiency with some exceptions * History of interstitial lung disease or pneumonitis * Treatment with systemic immunosuppressive medication (such as corticosteroids) within 2 weeks prior to initiation of study treatment with some exceptions * Treatment with organ transplant/graft tissue
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
42 sites in 11 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
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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Alfred Hospital
RECRUITINGMelbourne, Victoria, 3181, Australia
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Asan Medical Center
ACTIVE_NOT_RECRUITINGSeoul, 05505, South Korea
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BCCA-Vancouver Cancer Centre
COMPLETEDVancouver, British Columbia, V5Z 4E6, Canada
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Beijing Cancer Hospital
RECRUITINGBeijing, 100142, China
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CLCC Leon Berard Lyon
COMPLETEDLyon, 69008, France
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City of Hope Cancer Center
RECRUITINGDuarte, California, 91010, United States
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City of Hope at Irvine Lennar
RECRUITINGIrvine, California, 91355, United States
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Clinica Universidad de Navarra Madrid
RECRUITINGMadrid, Madrid, 28027, Spain
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Clinica Universitaria de Navarra
RECRUITINGPamplona, Navarre, 31008, Spain
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Duke University
COMPLETEDDurham, North Carolina, 27705, United States
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Emory University School of Medicine
RECRUITINGAtlanta, Georgia, 30322, United States
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Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Hospital Clinico Universitario de Valencia
RECRUITINGValencia, Valencia, 46010, Spain
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Kyungpook National University Chilgok Hospital
NOT_YET_RECRUITINGDaegu, 41404, South Korea
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MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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NEXT Oncology - Barcelona
NOT_YET_RECRUITINGBarcelona, 08023, Spain
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NEXT Oncology-Hospital Universitario Quironsalud Madrid
NOT_YET_RECRUITINGMadrid, 28223, Spain
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National Cancer Center
NOT_YET_RECRUITINGGyeonggi-do, 10408, South Korea
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Norton Cancer Institute - MDC
RECRUITINGLouisville, Kentucky, 40202, United States
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Oklahoma University Health Sciences Center
ACTIVE_NOT_RECRUITINGOklahoma City, Oklahoma, 73170, United States
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Princess Margaret Cancer Center
RECRUITINGToronto, Ontario, M5G 2M9, Canada
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Rigshospitalet
RECRUITINGKøbenhavn Ø, 2100, Denmark
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Royal Marsden Hospital (Sutton)
RECRUITINGSutton, SM2 5PT, United Kingdom
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Rutgers Cancer Institute of New Jersey
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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SCRI Oncology Partners
RECRUITINGNashville, Tennessee, 37203, United States
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START Barcelona
NOT_YET_RECRUITINGBarcelona, 08023, Spain
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START Los Angeles
RECRUITINGLos Angeles, California, 90025, United States
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START Madrid. Centro Integral Oncologico Clara Campal
RECRUITINGMadrid, Madrid, 28050, Spain
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START Midwest
RECRUITINGGrand Rapids, Michigan, 49546, United States
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START Mountain Region
RECRUITINGWest Valley City, Utah, 84119, United States
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START San Antonio
RECRUITINGSan Antonio, Texas, 78229, United States
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Samsung Medical Center
RECRUITINGSeoul, 06355, South Korea
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Sarah Cannon Research Institute
RECRUITINGLondon, W1G 6AD, United Kingdom
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Sarawak Public Hospital
RECRUITINGKuching, Sarawak, 93586, Malaysia
Contact Email: •••••@•••••
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Seoul National University Bundang Hospital
RECRUITINGSeongnam-si, 13620, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, 03080, South Korea
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Severance Hospital
RECRUITINGSeoul, 33732, South Korea
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St Vincents Sydney
RECRUITINGDarlinghurst, New South Wales, 2010, Australia
Contact Email: •••••@•••••
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Start Madrid-FJD, Hospital Fundacion Jimenez Diaz
NOT_YET_RECRUITINGMadrid, 28040, Spain
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The Christie
RECRUITINGManchester, M20 4BX, United Kingdom
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The Sixth Hospital, affiliated with Sun Yat-sen University
NOT_YET_RECRUITINGGuangzhou, 510655, China
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UZ Leuven Gasthuisberg
RECRUITINGLeuven, 3000, Belgium
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University of Arizona Cancer Center
NOT_YET_RECRUITINGTucson, Arizona, 85719, United States
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University of Chicago
NOT_YET_RECRUITINGChicago, Illinois, 60637, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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Vall d'Hebron Institute of Oncology (VHIO), Barcelona
RECRUITINGBarcelona, BARCELONA, 08035, Spain
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Zhejiang Cancer Hospital
NOT_YET_RECRUITINGHangzhou, Zhejiang, 310022, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gut bacteria may hold clues to why some cancer treatments work better
- Burning the edges: a new way to stop colon polyps from coming back
- Missed Follow-Up colonoscopies: do they raise the risk of advanced growths?
- Custom-Built immune cells take aim at a notorious cancer mutation
- A 2.2 mm scope could spot cancerous tissue in minutes, not days
- Experimental drug put to the test against Hard-to-Treat GI cancers