Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT05932862

A Phase 1 Study of XL309 (ISM3091) Alone and in Combination in Participants With Advanced Solid Tumors

Led by Exelixis · Updated on 2025-09-05

429

Participants Needed

16

Research Sites

278 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a first-in-human (FIH), multicenter, open-label Phase I study to investigate the safety, tolerability, preliminary antitumor activity, as well as pharmacokinetics (PK) and pharmacodynamics of XL309 (previously ISM3091) administered alone or in combination with olaparib in participants with advanced solid tumors.

CONDITIONS

Official Title

A Phase 1 Study of XL309 (ISM3091) Alone and in Combination in Participants With Advanced Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Able to understand and follow the study requirements
  • Male or female aged 18 years or older
  • Eastern Cooperative Oncology Group performance status of 0 or 1
  • Adequate bone marrow and organ function
  • For dose escalation: advanced solid tumors with specific genetic alterations including HER2-negative breast cancer with BRCA1/2 alterations, high-grade serous ovarian cancer, castration-resistant prostate cancer with BRCA1/2 alterations, pancreatic cancer with BRCA1/2 alterations, or tumors with homologous recombination repair mutations or deficiency
  • For cohort expansion: HER2-negative breast cancer with select HRR gene alterations; platinum-sensitive high-grade serous ovarian cancer with HRD or HRR gene alterations; metastatic castration-resistant prostate cancer with HRR gene alterations; or advanced solid tumors with HRR gene alterations
  • At least one measurable target lesion for cohort expansion
  • Recovery to baseline or grade 1 or less from adverse events related to prior treatments
Not Eligible

You will not qualify if you...

  • Prior anticancer treatments within specified washout periods: small molecule-targeted therapy less than 5 half-lives or 3 weeks, antibody therapy less than 5 half-lives or 4 weeks, chemotherapy with nitrosoureas or mitomycin C less than 6 weeks, other chemotherapy less than 3 weeks, radiation therapy less than 1 week before starting study treatment
  • Known brain metastases or cranial epidural disease unless treated and stable for at least 4 weeks
  • History of hypersensitivity to XL309 or similar drugs
  • Pregnant or breastfeeding females
  • Clinically relevant cardiovascular disease
  • History of myelodysplastic syndrome
  • Severe medical conditions or lab abnormalities that increase risk or interfere with study participation
  • Inability or unwillingness to take oral drugs or gastrointestinal conditions preventing adequate absorption of XL309
  • Prior treatment with a ubiquitin specific peptidase 1 (USP1) inhibitor

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 16 locations

1

Exelixis Clinical Site #12

Fountain Valley, California, United States, 92708

Withdrawn

2

Exelixis Clinical Site #15

Jacksonville, Florida, United States, 32224

Actively Recruiting

3

Exelixis Clinical Site #8

Orlando, Florida, United States, 32827

Actively Recruiting

4

Exelixis Clinical Site #16

Tampa, Florida, United States, 33612

Actively Recruiting

5

Exelixis Clinical Site #14

Rochester, Minnesota, United States, 55905

Actively Recruiting

6

Exelixis Clinical Site #10

Kansas City, Missouri, United States, 64111

Withdrawn

7

Exelixis Clinical Site #9

New Brunswick, New Jersey, United States, 08901

Actively Recruiting

8

Exelixis Clinical Site #5

New York, New York, United States, 10029

Actively Recruiting

9

Exelixis Clinical Site #7

Cleveland, Ohio, United States, 44106

Actively Recruiting

10

Exelixis Clinical Site #13

Oklahoma City, Oklahoma, United States, 73104

Actively Recruiting

11

Exelixis Clinical Site #11

Germantown, Tennessee, United States, 38138

Actively Recruiting

12

Exelixis Clinical Site #6

Nashville, Tennessee, United States, 37203

Actively Recruiting

13

Exelixis Clinical Site #4

Austin, Texas, United States, 78758

Actively Recruiting

14

Exelixis Clinical Site #1

Houston, Texas, United States, 77030

Actively Recruiting

15

Exelixis Clinical Site #2

Houston, Texas, United States, 77030

Withdrawn

16

Exelixis Clinical Site #3

San Antonio, Texas, United States, 78229

Actively Recruiting

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Research Team

E

Exelixis Clinical Trials

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

4

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A Phase 1 Study of XL309 (ISM3091) Alone and in Combination in Participants With Advanced Solid Tumors | DecenTrialz