RecruitingPhase 1Phase 2NCT07109726

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


Sponsor

Terremoto Biosciences Inc.

Enrollment

205 participants

Start Date

Sep 23, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 18 Years

Inclusion Criteria16

  • 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:
  • \[For TER-2013 dose escalation\]: Received standard therapies appropriate for their tumor type and stage, unless contraindicated, intolerable, or patient refused
  • \[For TER-2013 cohort expansion\]: 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 Criteria9

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

Interventions

DRUGTER-2013

Oral Capsules

DRUGFulvestrant injection

Fulvestrant 500 mg Intramuscular Injection


Locations(14)

Florida Cancer Specialists - Lake Nona

Orlando, Florida, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Mayo Rochester

Rochester, Minnesota, United States

Washington Univ. School of Medicine

St Louis, Missouri, United States

Nebraska Cancer Specialists

Omaha, Nebraska, United States

Carolina BioOncology Institute

Huntersville, North Carolina, United States

UH Cleveland Medical Center

Cleveland, Ohio, United States

Sarah Cannon Nashville

Nashville, Tennessee, United States

NEXT Oncology

Austin, Texas, United States

MD Anderson Cancer Center

Houston, Texas, United States

START Center for Cancer Research

San Antonio, Texas, United States

START Center for Cancer Research

West Valley City, Utah, United States

NEXT Oncology

Fairfax, Virginia, United States

PanOncology Trials

San Juan, Puerto Rico

View Full Details on ClinicalTrials.gov

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NCT07109726


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