RecruitingPhase 1Phase 2NCT06898450

A Study to Assess the Safety, Tolerability, and Efficacy of NDI-219216 in Patients With Advanced Solid Tumors.

A Phase 1/2 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of NDI-219216 in Patients With Advanced Solid Tumors With/Without Microsatellite Instability and/or Deficient Mismatch Repair


Sponsor

Nimbus Wadjet, Inc.

Enrollment

134 participants

Start Date

Mar 31, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to learn if NDI-219216 is safe for patients, and if NDI-219216 might be a possible treatment for advanced solid tumors in the later phases of the study. The main questions it aims to answer are: Is NDI-219216 safe and what kinds of side effects might it cause? What kind of effects does NDI-219216 have on the body? Does NDI-219216 have any impact on tumor size? Participants will: Take NDI-219216 every day by mouth. Visit the clinic 6 times during Cycle 1, 2 times during Cycle 2, once a month thereafter for checkups and tests while on the study, then one time for an end of treatment visit. After the End of Study, a follow up will occur but can be done on the phone. Keep a diary of their tablet consumption and symptoms experienced.


Eligibility

Min Age: 18 YearsMax Age: 99 Years

Inclusion Criteria5

  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
  • Have unresectable and/or metastatic solid tumors (with or without MSI-H/dMMR) refractory to or intolerant to previous SoC therapy or for which no SoC therapy exists
  • Presence of measurable disease according to RECIST version 1.1 except for Part A (Dose Escalation)
  • Adequate bone marrow / hematologic, end-organ, and cardiovascular function
  • Resolution of all acute (or toxic) adverse effects of prior therapies, radiation therapy, or surgical procedures to Grade ≤ 1 (except fatigue, alopecia, and peripheral neuropathy).

Exclusion Criteria3

  • Clinically significant cardiovascular disease.
  • Patients with known WRN syndrome.
  • Pregnancy, breastfeeding, or intention of becoming pregnant during the study.

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Interventions

DRUGNDI-219216

NDI-219216 is a highly selective small molecule inhibitor of WRN helicase activity.


Locations(22)

USC Norris Comprehensive Cancer Center

Los Angeles, California, United States

University of Chicago Medicine

Chicago, Illinois, United States

University of Louisville James Graham Brown Cancer Center

Louisville, Kentucky, United States

Cayuga Cancer Center

Ithaca, New York, United States

Levine Cancer Center

Charlotte, North Carolina, United States

Atrium Health Wake Forest Baptist Center

Winston-Salem, North Carolina, United States

Taylor Cancer Research Center

Maumee, Ohio, United States

Brown University Health

Providence, Rhode Island, United States

Prisma Health Cancer Institute - Multidisciplinary Center

Greenville, South Carolina, United States

University of Virginia Emily Couric Clinical Cancer Center

Charlottesville, Virginia, United States

Virginia Cancer Specialists, P.C. - Fairfax

Fairfax, Virginia, United States

Liverpool Hospital

Liverpool, New South Wales, Australia

Southern Oncology Clinical Research Unit

Bedford Park, South Australia, Australia

Princess Margaret Cancer Center

Toronto, Ontario, Canada

Hôpital Saint-Antoine - Assistance Publique-Hopitaux de Paris (AP-HP)

Paris, France

Centre Hospitalier Universitaire (CHU) de Poitiers

Poitiers, France

START Dublin

Dublin, Ireland

START Lisbon

Lisbon, Portugal

START Barcelona

Barcelona, Spain

Hospital Clinico San Carlos

Madrid, Spain

Sarah Cannon Research Institute UK

London, United Kingdom

The Christie NHS Foundation Trust UK

Manchester, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT06898450


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