RecruitingPhase 1Phase 2NCT07129252

A Study to Investigate Safety and Effectiveness of CRN09682 in Participants With SST2-Expressing NENs and Other Solid Tumors

A Phase 1/2 Dose Escalation Study of CRN09682 With an Expansion Phase in Participants With Progressive Metastatic Somatostatin Receptor Type 2 (SST2)-Expressing Neuroendocrine Neoplasms (NENs) and Other SST2-Expressing Solid Tumors


Sponsor

Crinetics Pharmaceuticals Inc.

Enrollment

150 participants

Start Date

Nov 26, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This Phase 1/2, multicenter, open-label, FIH study aims to evaluate the safety, tolerability, PK, and preliminary antitumor activity of CRN09682 in participants with SST2-expressing NENs and other solid tumors. The study includes a Dose Escalation Phase to determine the MTD and DLTs. Following MTD identification, additional participants will be enrolled at the expansion dose to further assess safety, tolerability, PK, and antitumor activity.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Have a histological diagnosis of metastatic or locally advanced inoperable NET, NEC, or other solid tumors that have confirmed radiological progression.
  • Have one or more measurable disease location per RECIST version 1.1.
  • Have a tumor that expresses SSR confirmed by SSR imaging.
  • Have an ECOG performance status of 0, 1, or 2.

Exclusion Criteria9

  • Have tumor progression while undergoing a course of PRRT or within 6 months of completing PRRT.
  • Have brain metastases unless asymptomatic and stable for at least one month for participants with SCLC or LCLC or at least 3 months for participants with other non-NET solid tumors.
  • Use of anticancer agents within specified intervals prior to the first dose of study drug.
  • Had surgery, chemoembolization, or radiofrequency ablation within 90 days prior to first dose of study drug.
  • Prior participation in any intervention clinical study within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study drug.
  • Participants with carcinoid syndrome.
  • Secondary malignancy: participants who have any other malignancy known to be active or treated within 3 years of the start of screening, with the exception of treated cervical intraepithelial neoplasia, superficial (noninvasive) bladder cancer, and non-melanoma skin cancer.
  • Have prior treatment with MMAE.
  • Have hypersensitivity or history of anaphylactic reaction to octreotide, other SSAs, and/or MMAE.

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Interventions

DRUGCRN09682

Study drug CRN09682 intravenously


Locations(21)

Crinetics Study Site

Duarte, California, United States

Crinetics Study Site

Newport Beach, California, United States

Crinetics Study Site

Orange, California, United States

Crinetics Study Site

San Francisco, California, United States

Crinetics Study Site

Denver, Colorado, United States

Crinetics Study Site

New Haven, Connecticut, United States

Crinetics Study Site

Atlanta, Georgia, United States

Crinetics Study Site

Lexington, Kentucky, United States

Crinetics Study Site

Metairie, Louisiana, United States

Crinetics Study Site

Grand Rapids, Michigan, United States

Crinetics Study Site

Philadelphia, Pennsylvania, United States

Crinetics Study Site

Austin, Texas, United States

Crinetics Study Site

Houston, Texas, United States

Crinetics Study Site

Irving, Texas, United States

Crinetics Study Site

Salt Lake City, Utah, United States

Crinetics Study Site

Charlottesville, Virginia, United States

Crinetics Study Site

Fairfax, Virginia, United States

Crinetics Study Site

Barcelona, Spain

Crinetics Study Site

Barcelona, Spain

Crinetics Study Site

Madrid, Spain

Crinetics Study Site

Madrid, Spain

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NCT07129252


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