A Phase 1 Clinical Study of NXP900 in Subjects With Advanced Cancers

NCT ID: NCT05873686

Last Updated: 2025-08-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-26

Study Completion Date

2027-07-31

Brief Summary

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This is a multi-center, first-in-human, open label, dose escalation (Part A) and expansion (Part B) Phase 1 study in subjects with advanced solid tumors and in subjects with solid tumors with selected genetic alterations that are either direct (YES1 amplification) or dependent (Hippo Pathway alterations) targets of NXP900.

Detailed Description

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Conditions

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Advanced Solid Tumor NSCLC (Non-small Cell Lung Cancer) Renal Cancer Mesothelioma Non-Small Cell Squamous Lung Cancer Non-small Cell Lung Adenocarcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Sequential assignment, dose escalation and expansion
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation (Part A)

Escalating doses of NXP900 are planned with a starting dose level of 20 mg once per day.

Group Type EXPERIMENTAL

NXP900

Intervention Type DRUG

NXP900 is an orally administered SRC/YES1 kinase inhibitor

Dose Expansion (Part B)

Participants will receive the selected dose of NXP900

Group Type EXPERIMENTAL

NXP900

Intervention Type DRUG

NXP900 is an orally administered SRC/YES1 kinase inhibitor

Interventions

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NXP900

NXP900 is an orally administered SRC/YES1 kinase inhibitor

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Provide written informed consent.
2. 18 years old or older.
3. Advanced, metastatic, and/or progressive solid tumors for whom there is no authorized or effective therapy available, or for whom such therapies are considered inappropriate by the Investigator.
4. Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.


1. Provide written informed consent.
2. 18 years old or older.
3. Advanced, metastatic, and/or progressive solid tumors with pathogenic molecular alterations:

1. Non-small cell lung cancer (adenocarcinoma); YES1, TYMS amplification or FAT1 pathogenic mutation
2. Non-small cell lung cancer (squamous cell carcinoma); YES1, TYMS amplification or FAT1 pathogenic mutation
3. Renal cancer; NF2 pathogenic mutation
4. Mesothelioma; NF2 pathogenic mutation
5. Other solid tumors with a NF2, FAT1 or LATS1 pathogenic gene mutation or TYMS, YAP1, YES1, TAZ1 gene amplification
4. Must have received 1-3 prior therapies appropriate for their tumor type and stage of disease
5. Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
6. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.

Exclusion Criteria

1. Subjects with known human epidermal growth factor receptor 2 (HER2+) overexpressing malignancies.
2. Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days, (42 days for nitrosoureas, mitomycin-C) of first dose of NXP900. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer.
3. Ongoing toxic manifestations of previous treatments \> Grade 2 with the exception of alopecia and neuropathy.
4. Subjects with treated brain metastases with evidence of progression within 28 days after central nervous system (CNS)-directed treatment, as ascertained by clinical examination and brain imaging (magnetic resonance imaging \[MRI\] or computed tomography \[CT\] scan) during the Screening period.
5. Female subjects who can become pregnant (or are already pregnant or lactating), unless they have a negative serum pregnancy test before enrollment and agree to use at least one highly effective form of contraception .
6. Male subjects with partners of childbearing potential, unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide).
7. Major surgery from which the subject has not yet recovered.

Part B:


1. Subjects with the following combination of cancer type and pathogenic molecular alterations are excluded:

1. Subjects with colorectal cancer, glioma, melanoma, or anaplastic thyroid conditions with BRAF mutations.
2. Subjects with NSCLC with BRAF, EGFR or HER2 alterations.
3. Subjects with breast cancer, gastric cancer, esophageal junction adenocarcinoma or biliary cancer with HER2 alterations,
2. Subjects with anal, penile, cervical or head and neck cancers with a prior history of human papilloma virus (HPV) infection.
3. Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days (42 days for nitrosoureas, mitomycin-C) prior to first dose of NXP900. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer.
4. Ongoing toxic manifestations of previous treatments \> Grade 2 with the exception of alopecia and neuropathy.
5. Female subjects who can become pregnant (or are already pregnant or lactating), unless they have a negative serum pregnancy test before enrollment and agree to use at least one highly effective form of contraception .
6. Male subjects with partners of childbearing potential, unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide).
7. Major surgery from which the subject has not yet recovered.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nuvectis Pharma, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Udai Banerji, Prof

Role: PRINCIPAL_INVESTIGATOR

Institute of Cancer Research, Royal Marsden NHS Foundation Trust

Gerald Falchook, MD

Role: PRINCIPAL_INVESTIGATOR

Sarah Cannon Cancer Institute, HealthOne Denver

Locations

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Mayo Clinic

Phoenix, Arizona, United States

Site Status RECRUITING

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, United States

Site Status RECRUITING

Mayo Clinic

Jacksonville, Florida, United States

Site Status RECRUITING

Oregon Health and Science University

Portland, Oregon, United States

Site Status RECRUITING

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Western General Hospital - NHS Lothian

Edinburgh, , United Kingdom

Site Status COMPLETED

The Royal Marsden NHS Foundation and Trust

London, , United Kingdom

Site Status COMPLETED

Countries

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United States United Kingdom

Central Contacts

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Erin Belshaw

Role: CONTACT

(201) 627-8129

Shay Shemesh

Role: CONTACT

(201) 614-3153

Facility Contacts

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Role: primary

855-776-0015

Role: primary

720 754-2610

Role: primary

855-776-0015

Role: primary

503-494-6865

Jordi Rodon Ahnert, MD, PhD

Role: primary

713 792-5603

Other Identifiers

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NXP900-101

Identifier Type: -

Identifier Source: org_study_id

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