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A Phase 1/2 Dose Escalation Study of CRN09682 With an Expansion Phase in Participants With Progressive Metastatic Somatostatin Receptor Type 2 (SST2)-Expressing Neuroendocrine Neoplasms (NENs) and Other SST2-Expressing Solid Tumors
Led by Crinetics Pharmaceuticals Inc. · Updated on 2026-05-11
150
Participants Needed
24
Research Sites
104 weeks
Total Duration
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AI-Summary
What this Trial Is About
Researchers are evaluating CRN09682 in a Phase 1/2, multicenter, open-label study focused on participants with neuroendocrine neoplasms (NENs) and other solid tumors that express somatostatin receptor type 2 (SST2). The study aims to assess the safety, tolerability, pharmacokinetics (PK), and early antitumor activity of CRN09682. This includes identifying the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) in a Dose Escalation Phase, followed by further safety and efficacy assessment at an expansion dose. Participants will receive multiple dose levels of CRN09682 given intravenously every three weeks. The study includes several groups based on tumor type, including pancreatic neuroendocrine tumors, non-pancreatic neuroendocrine tumors, neuroendocrine carcinoma, and other solid tumors. After determining the MTD, additional participants will be enrolled to receive the expansion dose to continue evaluation of safety, tolerability, pharmacokinetics, and antitumor effects. During the study, participants will undergo monitoring for adverse events, dose-limiting toxicities, and pharmacokinetic measurements at Day 1 of each 21-day cycle, continuing up to two years. Researchers will assess tumor response using RECIST 1.1 criteria, somatostatin receptor imaging, and progression-free survival. Safety and tolerability will be closely followed, including assessments of interruptions and serious adverse events. The total participation duration may last approximately two years with regular evaluations throughout.
CONDITIONS
Brief Title
A Study to Investigate Safety and Effectiveness of CRN09682 in Participants With SST2-Expressing NENs and Other Solid Tumors
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Have a histological diagnosis of metastatic or locally advanced inoperable neuroendocrine tumor (NET), neuroendocrine carcinoma (NEC), or other solid tumors with confirmed radiological progression.
- Have one or more measurable disease locations based on RECIST version 1.1.
- Have a tumor expressing somatostatin receptors confirmed by SSR imaging.
- Have an ECOG performance status of 0, 1, or 2.
You will not qualify if you...
- Have tumor progression during or within 6 months after peptide receptor radionuclide therapy (PRRT).
- Have brain metastases unless asymptomatic and stable for at least one month (for SCLC or LCLC) or at least 3 months (for other non-NET solid tumors).
- Use anticancer agents within specified intervals before the first dose of study drug.
- Had surgery, chemoembolization, or radiofrequency ablation within 90 days prior to the first dose of study drug.
- Prior participation in any interventional clinical study within 30 days or 5 half-lives before the first dose.
- Have carcinoid syndrome.
- Have an active or recently treated secondary malignancy within 3 years, excluding certain non-invasive cancers.
- Have prior treatment with MMAE.
- Have hypersensitivity or history of anaphylactic reaction to octreotide, other somatostatin analogs, or MMAE.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Repeated 21-day cycles for up to approximately 2 years or until disease progression or discontinuation
Participants receive the study drug CRN09682 intravenously in cycles every 3 weeks to treat SST2-expressing neuroendocrine neoplasms or other solid tumors.
Visits at Day 1 of each 21-day cycle for drug administration and assessments
Duration - 30 days after the last dose
After treatment ends, participants are monitored for safety and lasting effects of the study drug.
Approximately 1 to 2 follow-up visits
Trial Site Locations
Total: 24 locations
1
Crinetics Study Site
Phoenix, Arizona, United States, 85054
Actively Recruiting
2
Crinetics Study Site
Duarte, California, United States, 91010
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3
Crinetics Study Site
Newport Beach, California, United States, 92663
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4
Crinetics Study Site
Orange, California, United States, 92868
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5
Crinetics Study Site
San Francisco, California, United States, 60637
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6
Crinetics Study Site
Denver, Colorado, United States, 80218
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7
Crinetics Study Site
New Haven, Connecticut, United States, 48201
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8
Crinetics Study Site
Atlanta, Georgia, United States, 30322
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9
Crinetics Study Site
Lexington, Kentucky, United States, 40536
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10
Crinetics Study Site
Metairie, Louisiana, United States, 70006
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11
Crinetics Study Site
Detroit, Michigan, United States, 48201
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12
Crinetics Study Site
Grand Rapids, Michigan, United States, 49503
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13
Crinetics Study Site
Rochester, Minnesota, United States, 53905
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14
Crinetics Study Site
Philadelphia, Pennsylvania, United States, 19111
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15
Crinetics Study Site
Austin, Texas, United States, 78758
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16
Crinetics Study Site
Houston, Texas, United States, 70030
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17
Crinetics Study Site
Irving, Texas, United States, 75039
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18
Crinetics Study Site
Salt Lake City, Utah, United States, 84112
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19
Crinetics Study Site
Charlottesville, Virginia, United States, 22908
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20
Crinetics Study Site
Fairfax, Virginia, United States, 22031
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21
Crinetics Study Site
Barcelona, Spain, 08023
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22
Crinetics Study Site
Barcelona, Spain, 08035
Actively Recruiting
23
Crinetics Study Site
Madrid, Spain, 28040
Actively Recruiting
24
Crinetics Study Site
Madrid, Spain, 28041
Actively Recruiting
Research Team
C
Crinetics Clinical Trials
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
5
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