Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID05661461

A Phase 1, Open-label, Dose-escalation Study to Assess Safety and Pharmacokinetics of Nab-Sirolimus in Patients With Locally Advanced or Metastatic Solid Tumors and Moderate Liver Impairment

Led by Aadi Bioscience, Inc. · Updated on 2025-11-13

28

Participants Needed

2

Research Sites

8 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating nab-sirolimus in adults with locally advanced or metastatic solid tumors who have either moderate liver impairment or normal liver function. This phase 1, multi-center, open-label study focuses on understanding the safety and how the drug behaves in the body through a dose-escalation approach. The study is sponsored by Aadi Bioscience, Inc. and aims to gather important information to guide future treatments for these patients. Participants will receive nab-sirolimus through an intravenous infusion lasting about 30 minutes on Days 1 and 8. The study includes a dose-escalation period to determine the maximum tolerated dose for patients with moderate liver impairment. The treatment is given in a controlled setting to monitor the effects closely. Throughout the study, participants will undergo various assessments including blood tests to measure drug concentration and liver function, as well as monitoring for side effects. Key outcomes measured include maximum drug levels in the blood, how long the drug stays in the body, and overall safety up to Day 22. The study involves careful observation to understand how the treatment is processed in patients with different liver functions, with participation lasting according to the dosing and follow-up schedule.

CONDITIONS

Brief Title

Dose-escalation Study to Assess Safety and Pharmacokinetics of Nab-Sirolimus in Patients With Locally Advanced or Metastatic Solid Tumors and Moderate Liver Impairment

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Willing and able to provide informed consent and comply with protocol requirements for the duration of the study
  • Male or female patients at least 18 years of age at the time of signing the informed consent form
  • Histologically confirmed locally advanced or metastatic solid tumors that is measurable or non-measurable
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2
  • Adequate hematologic counts including absolute neutrophil count 1.0 � 109/L, platelet count 75,000/mm3, and hemoglobin 8.0 g/dL
  • Creatinine clearance 30 mL/min as assessed by Cockcroft-Gault equation
  • Fasting serum triglyceride 300 mg/dL and cholesterol 350 mg/dL
  • Male or non-pregnant and non-breastfeeding female with contraception requirements
  • Minimum of 4 weeks since major surgery, radiation, or systemic anticancer therapy with recovery from acute toxicities
  • For patients with normal hepatic function: total bilirubin  upper limit of normal (ULN) and AST  ULN
  • For patients with moderate hepatic impairment: total bilirubin 1.5-3.0 � ULN and any level of AST
Not Eligible

You will not qualify if you...

  • Prior treatment with an mTOR inhibitor within 4 weeks before first dose
  • Severe or uncontrolled medical or psychiatric conditions affecting participation
  • Meningeal carcinomatosis, untreated or unstable brain metastases, or symptomatic brain metastases
  • Unstable angina, symptomatic congestive heart failure (NYHA class III or IV), recent myocardial infarction within 6 months, serious uncontrolled cardiac arrhythmia
  • Severely impaired lung function or oxygen saturation 88% at rest on room air
  • Uncontrolled hypertension (systolic 160 mmHg or diastolic 100 mmHg)
  • History of interstitial lung disease, pneumonitis, or pulmonary hypertension
  • Known HIV infection
  • Active Hepatitis B or C with detectable viral load
  • Active severe infection requiring IV antibiotics
  • Recent use of high-dose systemic corticosteroids
  • History of Gilbert's disease
  • Conditions placing patient at unacceptable risk or unlikely to comply
  • For moderate hepatic impairment: recent liver disease exacerbation, tense ascites, acute viral hepatitis within 1 month, hepatorenal syndrome, transjugular intrahepatic portosystemic shunt, active stage 3 or 4 encephalopathy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 22 days

Participants receive nab-sirolimus by intravenous infusion over 30 minutes on Days 1 and 8 as part of a dose-escalation study to assess safety and pharmacokinetics.

2 infusion visits (in-person)

Trial Site Locations

Total: 2 locations

1

South Texas Accelerated Research Therapeutics, LLC

San Antonio, Texas, United States, 78229

Actively Recruiting

2

START Mountain Region

West Valley City, Utah, United States, 84119

Actively Recruiting

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Research Team

A

Aadi Medical Information

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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