A First-in-Human (FIH) Study to Evaluate the Safety and Tolerability of VVD-130037 in Participants With Advanced Solid Tumors

NCT ID: NCT05954312

Last Updated: 2025-12-26

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

290 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-28

Study Completion Date

2031-02-28

Brief Summary

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A FIH dose escalation and dose expansion study to evaluate VVD-130037 in participants with advanced solid tumors as a single agent, and in combination with docetaxel, paclitaxel, or pembrolizumab.

Detailed Description

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Conditions

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Advanced Solid Tumors

Keywords

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VVD-130037 First-in-Human KEAP1 NRF2 Cancer small molecule squamous cell histology esophageal adenocarcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1 (Dose Escalation): VVD-130037 Single Agent

Participants will receive ascending doses of VVD-130037, orally, once or twice daily in 21-day treatment cycles during Part 1.

Group Type EXPERIMENTAL

VVD-130037

Intervention Type DRUG

Oral tablets

Part 1 (Dose Escalation): VVD-130037 and Docetaxel Combination Therapy

Participants will receive ascending doses of VVD-130037, orally, once or twice daily along with docetaxel intravenous (IV) infusion administered once every 3 weeks in 21-day treatment cycles during Part 1.

Group Type EXPERIMENTAL

VVD-130037

Intervention Type DRUG

Oral tablets

Docetaxel

Intervention Type DRUG

IV infusion

Part 1 (Dose Escalation): VVD-130037 and Paclitaxel Combination Therapy

Participants will receive ascending doses of VVD-130037, orally, once or twice daily along with paclitaxel IV infusion administered on Days 1, 8, and 15 of each 28-day treatment cycle during Part 1.

Group Type EXPERIMENTAL

VVD-130037

Intervention Type DRUG

Oral tablets

Paclitaxel

Intervention Type DRUG

IV infusion

Part 2 (Dose Expansion): VVD-130037 Single Agent

Participants will receive VVD-130037 at the recommended dose for expansion (RDE), orally, once or twice daily in 21-day treatment cycles during Part 2.

Group Type EXPERIMENTAL

VVD-130037

Intervention Type DRUG

Oral tablets

Part 2 (Dose Expansion): VVD-130037 and Docetaxel Combination Therapy

Participants will receive VVD-130037 at the RDE, orally, once or twice daily along with docetaxel IV infusion administered once every 3 weeks in 21-day treatment cycles during Part 2.

Group Type EXPERIMENTAL

VVD-130037

Intervention Type DRUG

Oral tablets

Docetaxel

Intervention Type DRUG

IV infusion

Part 2 (Dose Expansion): VVD-130037 and Paclitaxel Combination Therapy

Participants will receive VVD-130037 at the RDE, orally, once or twice daily along with paclitaxel IV infusion administered on Days 1, 8, and 15 of each 28-day treatment cycle during Part 2.

Group Type EXPERIMENTAL

VVD-130037

Intervention Type DRUG

Oral tablets

Paclitaxel

Intervention Type DRUG

IV infusion

Experimental: Part 2 (Dose Expansion): VVD-130037 and Pembrolizumab Combination Therapy

Participants will first be evaluated in a safety-run in cohort to determine the RDE(s). Participants will then receive VVD-130037 at the RDE, orally, once or twice daily along with pembrolizumab IV infusion administered once every 3 weeks in 21-day treatment cycles during Part 2.

Group Type EXPERIMENTAL

VVD-130037

Intervention Type DRUG

Oral tablets

Pembrolizumab

Intervention Type DRUG

IV infusion

Interventions

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VVD-130037

Oral tablets

Intervention Type DRUG

Docetaxel

IV infusion

Intervention Type DRUG

Paclitaxel

IV infusion

Intervention Type DRUG

Pembrolizumab

IV infusion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed metastatic or unresectable solid tumor.
* Measurable disease by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as assessed by the Investigator.
* Have progressed on or after all prior standard-of-care therapies for metastatic disease.
* Eastern Cooperative Oncology Group (ECOG) performance status ≤1.
* Adequate organ and marrow function as defined in the protocol.


* Participants with squamous non-small cell lung cancer (sqNSCLC) with or without nuclear factor erythroid 2-related factor 2 (NRF2 \[NFE2L2\]) and/or cullin 3 (CUL3) mutations.
* Participants with advanced sqNSCLC must be refractory to or have progressed on or after a platinum-based doublet regimen and an immune checkpoint inhibitor.
* Participants with advanced head and neck squamous cell carcinoma (HNSCC) must have received prior treatment with platinum-based chemotherapy, an immune checkpoint inhibitor (for tumors with known programmed death-ligand 1 \[PD-L1\] expression, microsatellite instability-high, or mismatch repair deficiency, and an anti-epidermal growth factor receptor agent) (Combination Expansion Cohort).
* Participants with advanced esophageal squamous cell carcinoma (ESCC) must have received prior treatment with platinum-based chemotherapy, an immune checkpoint inhibitor (for tumors with known PD-L1 expression) (Combination Expansion Cohort).
* Participants with a known driver mutation, including activating epidermal growth factor receptor mutations or anaplastic lymphoma kinase rearrangements, should have progressed after appropriate targeted treatment.
* Participants with known human epidermal growth factor receptor 2 overexpression should have progressed after appropriate targeted treatment.

Exclusion Criteria

* Participant is known to have a mutation that has no expectation of benefit from VVD-130037. Current such mutations include the following:

1. KEAP1 nonsense mutation (any position)
2. KEAP1 frameshift mutation (any position)
* Any unresolved toxicity Grade ≥2 per CTCAE version 5.0 from previous anticancer treatment.
* Current or prior treatment with anti-epileptic medications for the treatment or prophylaxis of seizures.
* History of seizure or condition that may predispose to seizure.
* History or presence of central nervous system (CNS) metastases or spinal cord compression.
* Uncontrolled arterial hypertension despite optimal medical management.
* Risk factors for abnormal heart rhythm/QT prolongation as defined in the protocol.
* History of the following cardiac diseases:

i) congestive heart failure (New York Heart Association \[NYHA\] Class \>II), ii) unstable angina, iii) new onset angina within past 6 months, iv) myocardial Infarction within the past 6 months, v) clinically significant arrhythmias within past 6 months.
* Any prior toxicity (Grade 3 or 4) related to immunotherapy leading to treatment discontinuation (Combination Expansion Cohort)
* Medical history of (noninfectious) pneumonitis/interstitial lung disease (ILD), drug induced ILD, radiation pneumonitis that required steroid treatment, or any evidence of clinically active pneumonitis/ILD (Combination Expansion Cohort)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vividion Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Mayo Clinic Jacksonville

Jacksonville, Florida, United States

Site Status RECRUITING

Florida Cancer Specialists

Sarasota, Florida, United States

Site Status RECRUITING

Moffitt Cancer Center

Tampa, Florida, United States

Site Status RECRUITING

Mayo Clinic Rochester

Rochester, Minnesota, United States

Site Status RECRUITING

Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status RECRUITING

MDACC

Houston, Texas, United States

Site Status RECRUITING

NEXT Dallas

Irving, Texas, United States

Site Status RECRUITING

NEXT Virginia

Fairfax, Virginia, United States

Site Status RECRUITING

National Cancer Center

Goyang, , South Korea

Site Status RECRUITING

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status RECRUITING

Seoul National University; Bundang Hospital

Seongnam, , South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Severance Hospital; Yonsei University Health System

Seoul, , South Korea

Site Status RECRUITING

The Catholic University of Korea, St. Vincent's Hospital

Suwon, , South Korea

Site Status RECRUITING

Hospital Vall d'Hebron

Barcelona, , Spain

Site Status RECRUITING

START Barcelona Hospital HM Nou Delfos

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status RECRUITING

NEXT Madrid

Madrid, , Spain

Site Status RECRUITING

START Madrid CIOCC

Madrid, , Spain

Site Status RECRUITING

Start Madrid-FJD, Hospital Fundacion Jimenez Diaz

Madrid, , Spain

Site Status RECRUITING

Clinica Universitaria de Navarra

Pamplona, , Spain

Site Status RECRUITING

Hospital Clinico Universitario de Valencia

Valencia, , Spain

Site Status RECRUITING

Countries

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United States South Korea Spain

Central Contacts

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Vividion Clinical Trial Call Center

Role: CONTACT

Phone: (858) 345-9752

Email: [email protected]

References

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Roy N, Wyseure T, Lo IC, Lu J, Eissler CL, Bernard SM, Bok I, Snead AN, Parker A, Lo UG, Green JC, Inloes J, Jacinto SR, Kuenzi B, Pariollaud M, Negri K, Le K, Horning BD, Ibrahim N, Grabow S, Panda H, Bhatt DP, Wilkerson EM, Saeidi S, Zolkind P, Rush Z, Williams HN, Walton E, Pastuszka MK, Sigler JJ, Tran E, Hee K, McLaughlin J, Ambrus-Aikelin G, Pollock J, Abraham RT, Kinsella TM, Simon GM, Major MB, Weinstein DS, Patricelli MP. A covalent allosteric molecular glue suppresses NRF2-dependent cancer growth. Cancer Discov. 2025 Dec 19. doi: 10.1158/2159-8290.CD-25-1187. Online ahead of print.

Reference Type DERIVED
PMID: 41417010 (View on PubMed)

Other Identifiers

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2023-506199-28-00

Identifier Type: CTIS

Identifier Source: secondary_id

VVD-130037-001

Identifier Type: -

Identifier Source: org_study_id