A Phase 1/2 Trial of TER-2013 in Patients With Solid Tumors Harboring AKT/PI3K/PTEN Pathway Alterations

NCT ID: NCT07109726

Last Updated: 2026-02-05

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/PHASE2

Total Enrollment

205 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-23

Study Completion Date

2029-02-28

Brief Summary

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This is a Phase 1/2, open-label, multicenter study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of TER-2013 in patients with advanced solid tumors harboring AKT/PI3K/PTEN pathway alterations.

Detailed Description

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This is a first-in-human clinical trial that will evaluate the safety, tolerability, and pharmacokinetics (PK) of TER-2013 as a monotherapy and in combination with fulvestrant and to determine the maximum tolerated/administered dose and preliminary clinical activity. The study consists of two parts: Part 1-Dose Escalation and Part 2 -Dose Expansion.

Conditions

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Breast Cancer Endometrial Cancer Ovarian Cancer Lung Squamous Cell Carcinoma Head and Neck Squamous Cell Carcinoma Esophageal Squamous Cell Carcinoma Solid Tumor Cervical Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Monotherapy Dose Escalation

Group Type EXPERIMENTAL

TER-2013

Intervention Type DRUG

Oral Capsules

Combination Therapy Dose Escalation

Dose Escalation of TER-2013 with recommended dose of fulvestrant

Group Type EXPERIMENTAL

TER-2013

Intervention Type DRUG

Oral Capsules

Fulvestrant injection

Intervention Type DRUG

Fulvestrant 500 mg Intramuscular Injection

Monotherapy Dose Expansion

Group Type EXPERIMENTAL

TER-2013

Intervention Type DRUG

Oral Capsules

Combination Therapy Dose Expansion

Dose Expansion of TER-2013 with recommended dose of fulvestrant

Group Type EXPERIMENTAL

TER-2013

Intervention Type DRUG

Oral Capsules

Fulvestrant injection

Intervention Type DRUG

Fulvestrant 500 mg Intramuscular Injection

Interventions

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TER-2013

Oral Capsules

Intervention Type DRUG

Fulvestrant injection

Fulvestrant 500 mg Intramuscular Injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Metastatic or locally advanced, unresectable disease
* No available treatment with curative intent
* Presence of lesions to be evaluated per RECIST v1.1:

a. Dose Escalation: measurable or evaluable disease b. Cohort Expansion: measurable disease
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Adequate organ function
* Advanced solid tumor malignancy harboring an eligible AKT/PI3K/PTEN pathway alteration detected by a sponsor approved test


* Histologically confirmed diagnosis of:

a. \[For TER-2013 dose escalation\]: solid tumor malignancy b. \[For TER-2013 cohort expansion\]: i. Cohort 1: ovarian cancer, cervical cancer, or squamous cell carcinoma of the head and neck, lung, or esophagus ii. Cohort 2: endometrial adenocarcinoma
* Prior therapy:

1. \[For TER-2013 dose escalation\]: Received standard therapies appropriate for their tumor type and stage, unless contraindicated, intolerable, or patient refused
2. \[For TER-2013 cohort expansion\]: No more than 3 prior lines of treatment in the advanced setting

* Histologically confirmed diagnosis of:

a. \[For TER-2013 + fulvestrant dose escalation\]: HR+/HER2- advanced unresectable or metastatic breast cancer b. \[For TER-2013 + fulvestrant cohort expansion\]: i. Received treatment with an AI containing regimen (single agent or in combination) ii. No more than 3 prior lines of treatment in the advanced unresectable or metastatic setting
* Prior Therapy:

a. \[For TER-2013 + fulvestrant dose escalation\]: Received treatment with an AI containing regimen (single agent or in combination) b. \[For TER-2013 + fulvestrant cohort expansion\]: i. Received treatment with an AI containing regimen (single agent or in combination) ii. No more than 3 prior lines of treatment in the advanced unresectable or metastatic setting

Exclusion Criteria

* Known EGFR, KRAS, NRAS, HRAS, or BRAF oncogenic-driver co-mutation with PI3K/AKT/PTEN alteration
* Clinically significant abnormalities of glucose metabolism
* Active brain metastases or carcinomatous meningitis.
* History of significant hemoptysis or hemorrhage within 4 weeks prior to first dose of study drug
* Malabsorption syndrome, nausea and vomiting uncontrolled by medication, or disease significantly affecting gastrointestinal function likely to interfere with the delivery, absorption, or metabolism of TER-2013
* Prior therapy:

1. \[For TER-2013 monotherapy escalation\]: AKT inhibitor
2. \[For TER-2013 monotherapy expansion\]: AKT/PI3K/PTEN pathway inhibitor
3. \[For TER-2013 + fulvestrant combination expansion\]: AKT/PI3K/PTEN pathway inhibitor, fulvestrant and other SERDs, mTOR inhibitor; some PIK3CA-altered cohorts allow prior PI3K inhibitor.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Terremoto Biosciences Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Florida Cancer Specialists - Lake Nona

Orlando, Florida, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Nebraska Cancer Specialists

Omaha, Nebraska, United States

Site Status RECRUITING

Carolina BioOncology Institute

Huntersville, North Carolina, United States

Site Status RECRUITING

UH Cleveland Medical Center

Cleveland, Ohio, United States

Site Status RECRUITING

Sarah Cannon Nashville

Nashville, Tennessee, United States

Site Status RECRUITING

NEXT Oncology

Austin, Texas, United States

Site Status RECRUITING

MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

START Center for Cancer Research

San Antonio, Texas, United States

Site Status RECRUITING

START Center for Cancer Research

West Valley City, Utah, United States

Site Status RECRUITING

NEXT Oncology

Fairfax, Virginia, United States

Site Status RECRUITING

PanOncology Trials

San Juan, , Puerto Rico

Site Status RECRUITING

Countries

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United States Puerto Rico

Central Contacts

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Terremoto Biosciences, Inc. Clinical Trials Central Contact

Role: CONTACT

888-682-1551

Facility Contacts

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Elizabeth Griffith- Gilmore

Role: primary

904-380-2418

Ashley Servais Degenhardt

Role: primary

402-955-2691

Ryan Allen

Role: primary

704-947-6599

Role: primary

833-788-7425

Referral Coordinator

Role: primary

615.329.7274

Recruitment Coordinator

Role: primary

737-610-5200

Role: primary

877-589-0209

Isabel Jimenez

Role: primary

210-593-5265

Marie Assay

Role: primary

801-907-4770

Referral Coordinator

Role: primary

(703) 783-4518

Study Coordinator

Role: primary

Other Identifiers

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TER-2013-C01

Identifier Type: -

Identifier Source: org_study_id

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