RecruitingPhase 1Phase 2NCT07262619

EIK1005-002: A Clinical Research Study Evaluating EIK1005, a Werner Helicase Inhibitor, as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors Including Microsatellite Instability High (MSI-H) Tumors

A Multicenter, Multi-Part, Phase 1/2 Study of EIK1005 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors, Including Checkpoint Inhibitor Naïve Participants With Microsatellite Instability High (MSI-H) or Mismatch Repair Deficient (dMMR) Tumors


Sponsor

Eikon Therapeutics

Enrollment

160 participants

Start Date

Jan 22, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to determine the most effective dose of EIK1005 that a person can take safely. Additionally, this study will test how well EIK1005 is tolerated alone and in combination with pembrolizumab in treating patients with advanced cancer.


Eligibility

Min Age: 18 Years

Inclusion Criteria7

  • is ≥ 18 years of age at the time of signing the informed consent.
  • has a life expectancy of at least 3 months.
  • has histologically or cytologically documented advanced (unresectable and/or metastatic) solid tumor. Part 1A: recommend that participants have archival tissue not more than 3 years old. Part 1B and Part 2: participant has locally confirmed Microsatellite Instability High (MSI-H) or Mismatch Repair Deficient (dMMR) tumor. Participant must have archival tumor tissue (not more than 3 years old) for retrospective confirmation of MSI-H or dMMR tumor by a central laboratory.
  • In Part 1A, has received and then progressed after or is intolerant to at least 1 standard treatment regimen in the advanced setting. The participant does not have alternative therapeutic options per PI's medical judgement. Preference should be given to: (1) participants with MSI-H or dMMR cancers that have progressed after checkpoint inhibitor (CPI) therapy and (2) participants with microsatellite stable cells (MSS) cancers that have progressed following at least one regimen of platinum, alkylating or topoisomerase containing chemotherapy.
  • has measurable disease at baseline according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) as determined by the PI.
  • has an Eastern Cooperative Oncology Group (ECOG) score of 0 to 1.
  • has an adequate organ and marrow function.

Exclusion Criteria11

  • has not recovered (i.e., to Grade ≤ 1 or to baseline) from prior anti-cancer therapy-induced adverse events (AEs).
  • has received prior treatment with Werner (WRN) inhibitor.
  • has a history of relevant drug hypersensitivity, ascertained or presumptive allergy/hypersensitivity to the active drug substance and/or formulation ingredients, history of serious allergic reactions leading to hospitalization, or any other allergic reaction in general.
  • In Parts 1B and Part 2 Rescue: diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention.
  • has known additional malignancy that is progressing or has required active treatment within the past 3 years.
  • has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable (ie, without evidence of progression) for at least 4 weeks as confirmed by repeat imaging performed during the study screening, are clinically stable and have not required steroid treatment for at least 14 days before the first dose of study treatment.
  • has mean resting QTcF \> 470 ms (men and women) obtained from triplicate electrocardiograms (ECGs).
  • has active autoimmune disease that has required systemic treatment in the past 2 years (ie, with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Participants may enroll with the following conditions: Type 1 diabetes, hypothyroidism requiring hormone replacement, or skin disorders (vitiligo, psoriasis, or alopecia not requiring systemic treatment).
  • has history of (non-infectious) pneumonitis/pneumonitis/interstitial lung disease that required steroids or current pneumonitis/interstitial lung disease.
  • has active tuberculosis.
  • has any active infections requiring systemic therapy.

Interventions

DRUGEIK1005

EIK1005 is a selective inhibitor of the Werner helicase.

DRUGpembrolizumab (KEYTRUDA® )

Pembrolizumab is a PD-1 inhibitor.


Locations(10)

Morristown Medical Center

Morristown, New Jersey, United States

Memorial Sloan Kettering Cancer Center (MSKCC)

New York, New York, United States

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

GenesisCare North Shore (Oncology)

Saint Leonards, New South Wales, Australia

Calvary Mater Newcastle Hospital

Waratah, New South Wales, Australia

Grampians Health

Ballarat, Victoria, Australia

Chris O'Brien Lifehouse (Sydney Cancer Centre)

Camperdown, Victoria, Australia

Oncology Clinics Victoria (OCV) - Cabrini Brighton Hospital

Frankston, Victoria, Australia

Peninsula and Southeast Oncology (PASO) Medical

Frankston, Victoria, Australia

Health New Zealand

Wellington, New Zealand

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NCT07262619


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