Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID07029399

A Phase 1, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-Tumor Activity of the Oral CDK2/CDK4 Dual Degrader NKT5097 in Adults With Advanced or Metastatic Solid Tumors

Led by NiKang Therapeutics, Inc. · Updated on 2026-05-19

361

Participants Needed

14

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating NKT5097, a new oral drug that targets CDK2 and CDK4 proteins, in adults with advanced or metastatic solid tumors, including breast cancer and tumors with CCNE1 amplification. This open-label Phase 1 study aims to find the best dose for further testing and to understand the safety and side effects of NKT5097 alone and combined with endocrine therapy (ET). The study is divided into several parts: initial dose escalation of NKT5097 alone in selected solid tumors; evaluation of the effect of food on the drug; expansion of dose levels based on safety and pharmacokinetics; dose escalation of NKT5097 combined with ET in HR+/HER2- breast cancer; and expansion cohorts for combination therapy. NKT5097 will be taken orally once or twice daily, while ET drugs like fulvestrant (injection) and letrozole (oral) are given in specific schedules. Participants will undergo regular safety monitoring for dose-limiting toxicities and adverse events, pharmacokinetic testing at specified days, and tumor assessments to measure response and progression. The study includes collection of tumor tissue and biomarker analyses. Treatment and monitoring may last up to several years, with detailed follow-up to evaluate how the drug behaves in the body and its effects on tumors.

CONDITIONS

Brief Title

A Study With NKT5097 for Adults With Advanced/Metastatic Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Able to provide written informed consent
  • Have advanced unresectable or metastatic solid tumor (Parts 1, 2, and 3) or HR+/HER2- breast cancer (Parts 4 and 5)
  • Refractory to or unable to tolerate existing therapies (Parts 1, 2, and 4)
  • Have measurable or evaluable disease (Parts 1, 2, and 4); measurable disease (Parts 3 and 5)
  • Be 18 years of age or older
  • ECOG performance status of 0 or 1
  • Have adequate organ function
  • Patients with female reproductive organs must be surgically sterile, post-menopausal, or willing to use effective contraception per protocol
  • Patients capable of insemination must be willing to use highly effective contraception and refrain from sperm donation during treatment and for 28 days after last dose
  • Able to swallow oral medications
  • Willing to provide tumor tissue
Not Eligible

You will not qualify if you...

  • Have advanced solid tumor that is a candidate for curative treatment
  • History of another malignancy except certain treated cancers in complete remission
  • Not recovered from effects of prior anticancer therapy
  • Clinically significant cardiovascular event within 6 months
  • Known active CNS metastases or carcinomatous meningitis
  • Active interstitial lung disease requiring treatment
  • History of uveitis, retinopathy, or other significant retinal disease
  • Major surgery within 30 days before first dose
  • Active uncontrolled infectious disease
  • Significant liver disease (Child Pugh class B or C)
  • Prior selective investigational inhibitors or degraders (Part 5 only)

AI-Screening

AI-Powered Screening

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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 3 years

Participants receive daily or twice daily oral doses of NKT5097, with some receiving combination therapy including Fulvestrant injections and daily oral Letrozole. Treatment duration varies based on dose escalation and cohort assignment.

Visits on Day 1, Day 15, and every cycle thereafter with more frequent visits during initial dose escalation

Follow-up

Duration - 28 days after last dose

Participants are monitored for safety and treatment outcomes after ending active treatment.

Approximately 1 to 2 follow-up visits

Trial Site Locations

Total: 14 locations

1

UC San Diego Moores Cancer Center

La Jolla, California, United States, 92037

Actively Recruiting

2

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, United States, 80218

Actively Recruiting

3

Yale Cancer Center

New Haven, Connecticut, United States, 06520

Actively Recruiting

4

SCRI Florida Cancer Specialists - Sarasota

Sarasota, Florida, United States, 34232

Actively Recruiting

5

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02115

Actively Recruiting

6

South Texas Accelerated Research Therapeutics (START) Midwest

Grand Rapids, Michigan, United States, 49546

Actively Recruiting

7

Washington University

St Louis, Missouri, United States, 63110

Actively Recruiting

8

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

9

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States, 15232

Actively Recruiting

10

University of Texas Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

11

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

12

South Texas Accelerated Research Therapeutics (START) San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

13

South Texas Accelerated Research Therapeutics (START) Mountain Region

West Valley City, Utah, United States, 84119

Actively Recruiting

14

NEXT Virginia

Fairfax, Virginia, United States, 22031

Actively Recruiting

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Research Team

S

Sponsor Contact

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

5

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