Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT05488548

Dual BET and CBP/p300 Inhibitor in Patients With Targeted Advanced Solid Tumors and Hematological Malignancies

Led by Epigenetix, Inc. · Updated on 2025-01-14

75

Participants Needed

6

Research Sites

123 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

A Phase 1, first-in-human study of EP31670, a dual BET and CBP/p300 inhibitor in patients with targeted advanced solid tumors and Hematological Malignancies

CONDITIONS

Official Title

Dual BET and CBP/p300 Inhibitor in Patients With Targeted Advanced Solid Tumors and Hematological Malignancies

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or older
  • Relapsed or refractory castration-resistant prostate cancer after at least one anti-androgen regimen and a docetaxel regimen OR metastatic or unresectable NUT midline carcinoma without standard curative or palliative options
  • Relapsed or refractory chronic myelomonocytic leukemia after at least 4 cycles of hypomethylating agents or hydroxyurea unless disease progression or intolerance
  • Advanced intermediate or high-risk myelofibrosis after at least one JAK inhibitor treatment or unsuitable for JAK inhibitors
  • Advanced intermediate or high-risk myelofibrosis with 0% blasts in blood not responding or losing response after at least 3 months of JAK inhibitor therapy
  • Other relapsed or refractory solid tumors or hematological malignancies with features suggesting benefit from dual BET and CBP/p300 inhibition with approval
  • ECOG performance status 0-1
  • Life expectancy of at least 3 months
  • Evaluable disease
  • Adequate bone marrow function (hemoglobin 5 9.0 g/dL, ANC 5 1,500/dL, platelet count 100,000/bcL or 75,000/bcL depending on study part)
  • Adequate kidney function (creatinine clearance 5 60 mL/min)
  • Adequate liver function (total bilirubin 4 1.5 x ULN; ALT or AST 4 2.5 x ULN or 4 5 x ULN if liver metastases)
  • INR 4 1.2 in patients not on chronic anticoagulation
  • At least 4 weeks since prior anti-cancer therapy or major surgery and recovered from related toxicities to grade 1 or less
  • Agreement to use effective contraception during the study and 4 weeks after last dose
  • Ability to understand and sign informed consent
Not Eligible

You will not qualify if you...

  • New or progressive central nervous system metastases; patients with treated brain metastases must have stable neurological status and no progression on imaging after 4 weeks
  • Corrected QT interval of 470 msec or longer
  • Uncontrolled illnesses such as active infections requiring IV antibiotics, symptomatic heart failure, unstable angina, cardiac arrhythmias, or psychiatric/social issues affecting compliance
  • Pregnant or breastfeeding women
  • Known hepatitis B or C requiring antiviral treatment
  • HIV-infected patients not on effective antiretroviral therapy or with detectable viral load within 6 months

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 6 locations

1

Mayo Clinic Arizona

Phoenix, Arizona, United States, 85054

Actively Recruiting

2

Mayo Clinic Florida

Jacksonville, Florida, United States, 32224

Actively Recruiting

3

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

4

Mayo Clinic Rochester

Rochester, Minnesota, United States, 55905

Actively Recruiting

5

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

6

University of Washington/Fred Hutchinson Cancer Center

Seattle, Washington, United States, 98109

Actively Recruiting

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Research Team

J

Judy Chiao, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

3

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