Summit

Researchers are evaluating the safety, tolerability, and overall survival of an experimental therapy called E-EDV-D682/GC combined with gemcitabine and nab-paclitaxel in participants with metastatic pancreatic ductal adenocarcinoma (PDAC) who have progressed after first-line therapy. This randomized, blinded Phase I/IIa trial focuses on participants whose cancer expresses the epidermal growth factor receptor (EGFR) and who have failed prior 5-fluorouracil-based treatments. The study aims to assess whether adding the investigational nanocell therapy improves outcomes compared to standard chemotherapy alone. The investigational treatment includes E-EDV-D682, which packages a chemotherapy drug (PNU-159682) inside targeted nanocells designed to deliver the drug directly to cancer cells expressing EGFR. It is combined with EDV-GC, another nanocell product carrying an immune-stimulating agent (alpha-galactosylceramide). Participants are randomized to receive either E-EDV-D682/GC with gemcitabine and nab-paclitaxel or gemcitabine and nab-paclitaxel with placebo. Treatment cycles involve bi-weekly and weekly visits with intravenous infusions, tumor assessments by imaging at week 8, and continued treatment until disease progression or unacceptable side effects occur. The study includes an initial safety run-in phase followed by a randomized expansion phase. Participants will be involved for about 6 months during active treatment, including screening, two 7-week treatment cycles with treatment-free weeks for tumor evaluation, and a safety follow-up visit about 30 days after the last dose. Researchers will monitor adverse events continuously from enrollment until 30 days after treatment ends, as well as overall survival from first dose through treatment and for at least 12 months after discontinuation. Assessments include imaging scans, laboratory tests, performance status, and compliance with treatment protocols to evaluate safety and effectiveness.

Researchers are evaluating the effects of pelacarsen (TQJ230), given as a monthly injection under the skin, in people with mild to moderate calcific aortic valve stenosis. This study aims to see if pelacarsen can safely slow the progression of this heart valve condition compared to a placebo. The trial is a phase 2, randomized, double-blind, placebo-controlled study conducted at multiple centers. Participants will receive either pelacarsen 80 mg or a matching placebo once a month. Before starting the treatment, they must have elevated lipoprotein(a) levels and be optimally treated for existing cardiovascular risk factors. The study focuses on those aged 50 to under 80 years with mild or moderate calcific aortic valve stenosis. During the 36 months of participation, researchers will monitor changes in peak aortic jet velocity and aortic valve calcium score to assess disease progression. Safety, tolerability, and the impact of the treatment will be evaluated. Participants will undergo regular assessments, including laboratory tests and clinical evaluations, to track heart valve condition and overall health throughout the study.

Researchers are evaluating the safety and tolerability of NKX019, an investigational allogeneic CD19-directed CAR natural killer (CAR NK) cell therapy, in adults with active lupus nephritis or primary membranous nephropathy. This Phase 1/2 open-label, multi-center, non-randomized study also explores preliminary efficacy, pharmacokinetics, and pharmacodynamics of NKX019 in people with these autoimmune diseases. Participants have conditions that have persisted despite standard treatments and meet specific disease activity and biopsy criteria. Participants undergo a dose escalation phase using a 3+3 design to identify recommended doses. Each treatment cycle includes lymphodepletion with fludarabine and cyclophosphamide (Flu/Cy), though some may receive cyclophosphamide alone if cytopenic, followed by three doses of NKX019. The study monitors safety during and after treatment, and additional participants may be enrolled across indications once doses are established. During the study, participants receive medical evaluations including safety assessments for treatment-emergent adverse events and dose-limiting toxicities. Researchers assess disease activity, laboratory markers, and immunologic responses. Monitoring continues from the first NKX019 dose until 30 days after the last treatment. The study spans adults aged 18 to 70 years with specific autoimmune kidney diseases meeting detailed inclusion and exclusion criteria to ensure safety and appropriate participation.

Researchers are evaluating the safety and tolerability of NKX019, an investigational allogeneic CD19-directed CAR natural killer (CAR NK) cell therapy, in participants with autoimmune diseases such as systemic sclerosis, idiopathic inflammatory myopathies, and antineutrophil cytoplasmic antibody-associated vasculitis. This Phase 1/2, open-label, multi-center, non-randomized study uses a dose escalation and dose expansion design to assess preliminary efficacy, pharmacokinetics, pharmacodynamics, and immunogenicity of NKX019 in these immune-mediated conditions. The study uses a "3+3" dose escalation design to determine recommended doses for further study. Participants receive a cycle that starts with lymphodepletion using fludarabine and cyclophosphamide (Flu/Cy), or cyclophosphamide alone if they are cytopenic, followed by three doses of NKX019. The trial includes multiple cohorts to enroll additional participants across different autoimmune disease indications and monitors treatment effects and safety throughout. Participants undergo screening and receive treatments under close observation. Researchers monitor safety outcomes including dose-limiting toxicities during the first 28 days after the initial NKX019 dose and treatment-emergent adverse events from the first dose until 30 days after the last treatment. The study collects data on clinical responses, laboratory tests, and immune effects throughout the treatment and follow-up periods, with participant involvement spanning screening, treatment, and safety monitoring phases.

This trial investigates the safety and effectiveness of rilvegostomig combined with fluoropyrimidine and trastuzumab deruxtecan (T-DXd) compared to trastuzumab, chemotherapy, and pembrolizumab in adults with HER2-positive locally advanced or metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma whose tumors express PD-L1 with a combined positive score of 1 or higher. Additionally, rilvegostomig combined with trastuzumab and chemotherapy is studied separately to understand each component's contribution. This Phase 2, randomized, open-label, global study is conducted at 200-250 sites in about 25 countries. Participants are randomly assigned to one of three arms: Arm A receives rilvegostomig, fluoropyrimidine, and T-DXd; Arm B receives trastuzumab, chemotherapy, and pembrolizumab; Arm C receives rilvegostomig, trastuzumab, and chemotherapy. Treatments are administered mostly by intravenous infusion every three weeks, with capecitabine given orally twice daily. The study compares these treatment regimens to evaluate their effects on the cancer. Throughout the study, participants undergo assessments including tumor measurements, organ function tests, and heart function evaluation to ensure safety and monitor disease progression. The main outcomes measured are progression-free survival and overall survival for up to approximately six years. Researchers will also monitor adverse events and overall health status during and after treatment.

Researchers are evaluating the effectiveness of niraparib compared to temozolomide (TMZ) in adults recently diagnosed with MGMT unmethylated glioblastoma multiforme (GBM). This Phase 3 trial aims to determine if niraparib can improve overall survival compared to the standard treatment with TMZ. The study will enroll 450 participants who have not received prior GBM treatment except surgery or biopsy. Participants will be randomly assigned to receive either niraparib or TMZ. Niraparib will be taken orally at 200 mg once daily starting on the first day of radiation therapy (RT) and continued daily during RT for 6-7 weeks, followed by adjuvant niraparib taken daily on Days 1 to 28 of each 28-day cycle until disease progression. The TMZ group will receive 75 mg/m2 orally once daily with RT, then after a 4-week rest, will take adjuvant TMZ 150-200 mg/m2 orally once daily on Days 1 to 5 of each 28-day cycle for up to 6 cycles or until progression. Participants will complete scheduled study visits and keep a diary recording their study medication intake. Researchers will monitor overall survival over 24 months and assess safety and efficacy throughout the study period. Participants must meet specific health and diagnostic criteria and will be closely followed for treatment effects and adverse events.

The primary purpose of the study is to assess how well amivantamab in combination with lazertinib or in combination with chemotherapy works (antitumor activity) in participants with epidermal growth factor receptor mutated (EGFRm) non-small cell lung cancer (NSCLC; that is one of the major types of lung cancer).

Researchers are studying the effectiveness and safety of CC-97540, a CD19-targeted NEX-T CAR T cell therapy, in people with active systemic lupus erythematosus (SLE), including lupus nephritis. This phase 2, open-label trial focuses on participants who have not responded well to glucocorticoids and at least two immunosuppressant treatments. The goal is to assess whether CC-97540 can help achieve drug-free remission of SLE symptoms within six months. Participants receive CC-97540 along with specified doses of fludarabine and cyclophosphamide on certain days as part of the treatment. The study involves multiple centers and includes patients with active disease despite current treatment. The dosing schedule and exact administration details are defined to evaluate the therapy's effects and monitor drug levels. During the study, participants are closely monitored for safety and response to treatment. Researchers measure the proportion of participants who reach remission without the need for drugs by month six. The study includes assessments of disease activity and organ function, with ongoing observation to understand the therapy's impact on lupus symptoms and potential side effects over time.

Researchers are evaluating the safety, early effectiveness, and how the body processes CC-97540 in adults with severe, hard-to-treat autoimmune diseases such as Systemic Lupus Erythematosus, Idiopathic Inflammatory Myopathy, Systemic Sclerosis, and Rheumatoid Arthritis. This Phase 1, open-label study aims to find the recommended dose for further research while monitoring tolerability and side effects in these conditions. Participants will receive CC-97540, a CD19-targeted Nex-T CAR T cell therapy, along with other drugs including fludarabine, cyclophosphamide, and tocilizumab, given at specified doses on certain days. The study includes treatment and monitoring phases lasting up to 2 years after infusion to assess safety and dose limits. Throughout the study, participants will be closely observed for any adverse events, serious side effects, and laboratory abnormalities. Researchers will track treatment-emergent toxicities and measure the optimal dose over this period. The study involves regular assessments including clinical evaluations and laboratory tests to monitor health and disease status over the long term.

Researchers are evaluating the effectiveness and safety of adding Tersolisib (LY4064809/STX-478) to other anti-cancer drugs as the first treatment for adults with advanced hormone receptor-positive (HR+) and human epidermal growth factor receptor 2-negative (HER2-) breast cancer. This phase 3 study focuses on participants whose cancer has a specific genetic change called a PIK3CA mutation and who have not received prior treatment for advanced breast cancer. The study aims to understand how well this treatment combination works and its safety over time. Participants will receive Tersolisib or a placebo, combined with a CDK4/6 inhibitor (Ribociclib, Palbociclib, or Abemaciclib) and endocrine therapy (Anastrozole, Letrozole, Exemestane, or Fulvestrant). All drugs are given orally except for Fulvestrant, which is given by injection into the muscle. The study includes two parts: Part 1 allows participants who have had up to two prior treatments for advanced breast cancer, including chemotherapy; Part 2 includes those with no prior treatment for advanced disease and classifies them as endocrine sensitive or resistant based on their cancer history. During the study, participants will be regularly assessed for cancer response, progression-free survival, and side effects. Researchers will monitor measurable disease or bone involvement and track overall response rates, including complete or partial tumor shrinkage. The study will continue as long as the treatment is helping without causing unbearable side effects. Follow-up may last up to five years to observe long-term outcomes and safety.