Trametinib and Navitoclax in Treating Patients With Advanced or Metastatic Solid Tumors
Active, enrolledPhase 1, PHASE2Results postedLast updated 30 September 2025
What this trial tests
Phase 1, PHASE2 trial testing Biopsy Procedure in Metastatic Malignant Solid Neoplasm in 96 participants. Participants enrolled and being followed up; not accepting new ones.
18 and older, any sex, with Metastatic Malignant Solid Neoplasm or Refractory Malignant Solid Neoplasm. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
(Phase 1b) Maximal Tolerated Dose of Trametinib and NavitoclaxPrimary· Within the first 42 days of treatment
Dose escalation uses a 3+3 enrollment design per dose level. The occurrence of 1 dose limiting toxicity (DLT) will prompt expansion of a given dose level to 6 participants. The occurrence of 2 DLTs in a given dose level will indicate that the maximal tolerated dose (MTD) has been exceeded, and expansion of the prior dose level to 6 participants will occur, if not already performed. The recommended phase 2 dose (RP2D) will be the highest dose level at which no more than 1 out of 6 participants experiences a DLT. Dose escalation will proceed until the MTD/RP2D have been determined.
Trametinib on Days 1-14
Group
Value
95% CI
Treatment (Trametinib, Navitoclax)
2
Navitoclax on Days 1-28
Group
Value
95% CI
Treatment (Trametinib, Navitoclax)
250
(Phase 1b) Dose-Limiting Toxicities of Trametinib and NavitocloxPrimary· Within the first 42 days of treatment
Dose-limiting toxicity (DLT) are adverse events (AEs) that are serious enough to prevent an increase in dose level of that treatment. Grading based on Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. CTCAE version 5.0 will be utilized beginning April 1, 2018.
Grade 3 AST/ALT increased
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
1
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 4C = Trametinib 2 mg + Navitoclax 200 mg
0
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
0
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
0
Grade 4 hypokalemia
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
1
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 4C = Trametinib 2 mg + Navitoclax 200 mg
0
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
0
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
0
Grade 3 Bilirubin increase
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 4C = Trametinib 2 mg + Navitoclax 200 mg
0
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
0
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
1
Grade 3 Enterocolitis
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 4C = Trametinib 2 mg + Navitoclax 200 mg
0
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
0
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
1
(Phase 2) Response RatePrimary· Up to 6 months
Response rate is defined as the number of participants who achieve complete response (CR) or partial response (PR), according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1:
* CR = Disappearance of target lesion(s). Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm
* PR = At least a 30% decrease in the sum of the longest diameter(s) of target lesion(s)
Participants are considered evaluable for response if they had measurable disease present at baseline, received at least one cycle of therapy, and had their
Complete Response
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
0
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
0
Partial Response
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
6
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
1
(Phase 2) Progression-free SurvivalPrimary· Up to 31 months
Progression-free survival (PFS) is defined as the duration of time from start of treatment to time of progressive disease (PD) or death, whichever occurs first.
PD is defined according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1 as at least a 20% increase in the (sum of the) longest diameter(s) of target lesion(s), and an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
1.37
0.60 – 2.87
Expansion Cohort 2 = GYN Cancer
5.87
0.37 – 31.60
Expansion Cohort 3 = Lung Cancer
6.57
1.33 – 26.77
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
5.17
0.03 – 30.97
(Phase 2) Treatment Emergent Adverse EventsPrimary· up to 29 months on treatment
Treatment emergent adverse events (TEAEs) are undesirable events not present prior to study treatment, or an already present event that worsens either in intensity or frequency while on treatment. TEAEs are assessed as grade 3 or higher according to Common Terminology Criteria for Adverse Events (CTCAE) criteria version 4.0. CTCAE criteria version 5.0 will be utilized beginning April 1, 2018. TEAEs are also assessed as possibly, probably, or definitely related to study treatment.
Grade 3 abdominal pain
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
1
Expansion Cohort 2 = GYN Cancer
0
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
0
Grade 3 ALT increase
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
3
Expansion Cohort 3 = Lung Cancer
1
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
0
Grade 3 anemia
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
1
Expansion Cohort 2 = GYN Cancer
1
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
1
Grade 3 AST increase
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
2
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
0
Grade 3 blood bilirubin increased
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
1
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
0
Grade 3 dehydration
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
1
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
0
Grade 3 diarrhea
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
1
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
0
Grade 3 hypertension
Group
Value
95% CI
Expansion Cohort 1 = Pancreatic Cancer
0
Expansion Cohort 2 = GYN Cancer
0
Expansion Cohort 3 = Lung Cancer
0
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
1
(Phase 1b) Pharmacokinetic Parameter Cmax for Trametinib and Navitoclax When Administered in CombinationSecondary· Cycle 1 day 7 and day 21
Pharmacokinetic blood draw samples collected for the following parameter and reported as mean values per day: maximum observed plasma drug concentration (Cmax).
Schedule A:
* C1 D7 = pre-nav (0h) then 2h, 4h, 6h, 8h
* C1 D8 = pre-tram (-1h = 23h post-nav)
* C1 D21 = pre-tram (-1h); pre-nav (0h); then 2h, 4h, 6h, 8h post-nav
* C1 D22 = pre-tram (-1h = 23h post-nav)
* D1 of Cycle 2,4,8,12 (single trough) = pre-tram (-1h)
Schedule B:
* C1 D7, D14 = pre-tram (-1h); pre-nav (0h); then 2h, 4h, 6h, 8h post-nav
* C1 D8, D15 = pre-tram (-1h = 23h post-nav)
* D1 of Cycle 2,4,8,12 (single trough) = p
Day 7 Navitoclax Cmax
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
3120.0
1710.0 – 4190.0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
2374.0
562.0 – 4480.0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
3040.0
2890.0 – 3190.0
Day 21 Navitoclax Cmax
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
2325.0
374.0 – 4740.0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
1349.0
347.0 – 1860.0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
1405.0
1380.0 – 1430.0
Day 21 Trametinib Cmax
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
12.2
8.37 – 20.5
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
19.6
14.2 – 29.8
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
23.2
21.5 – 25.0
(Phase 1b) Pharmacokinetic Parameter AUC for Trametinib and Navitoclax When Administered in CombinationSecondary· Cycle 1 day 7 and day 21
Pharmacokinetic blood draw samples collected for the following parameter and reported as mean values per day: area under the concentration time curve from zero (pre-dose) to 24 hours (AUC 0-24).
Schedule A:
* C1 D7 = pre-nav (0h) then 2h, 4h, 6h, 8h
* C1 D8 = pre-tram (-1h = 23h post-nav)
* C1 D21 = pre-tram (-1h); pre-nav (0h); then 2h, 4h, 6h, 8h post-nav
* C1 D22 = pre-tram (-1h = 23h post-nav)
* D1 of Cycle 2,4,8,12 (single trough) = pre-tram (-1h)
Schedule B:
* C1 D7, D14 = pre-tram (-1h); pre-nav (0h); then 2h, 4h, 6h, 8h post-nav
* C1 D8, D15 = pre-tram (-1h = 23h post-nav)
* D1 of
Day 7 Navitoclax AUC
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
52219.0
26752.0 – 66795.0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
35451.0
9148.5 – 67610.0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
48714.0
48038.5 – 49390
Day 21 Navitoclax AUC
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
30575.0
7385.0 – 44056.0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
24224.0
6177.0 – 38322.0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
25804.0
24609.0 – 26999.0
Day 21 Trametinib AUC
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
206.0
160.0 – 308.0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
311.0
221.0 – 483.0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
305.0
283.0 – 329.0
(Phase 1b) Pharmacokinetic Parameter C0 for Trametinib and Navitoclax When Administered in CombinationSecondary· Cycle 1 day 7 and day 21
Pharmacokinetic blood draw samples collected for the following parameter and reported as mean values per day: trough plasma drug concentration (C0).
Schedule A:
* C1 D7 = pre-nav (0h) then 2h, 4h, 6h, 8h
* C1 D8 = pre-tram (-1h = 23h post-nav)
* C1 D21 = pre-tram (-1h); pre-nav (0h); then 2h, 4h, 6h, 8h post-nav
* C1 D22 = pre-tram (-1h = 23h post-nav)
* D1 of Cycle 2,4,8,12 (single trough) = pre-tram (-1h)
Schedule B:
* C1 D7, D14 = pre-tram (-1h); pre-nav (0h); then 2h, 4h, 6h, 8h post-nav
* C1 D8, D15 = pre-tram (-1h = 23h post-nav)
* D1 of Cycle 2,4,8,12 (single trough) = pre-tram (-1h
Day 7 Navitoclax C0
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
1156.7
510 – 1520
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
1012.0
314 – 1710
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
910.5
551 – 1270
Day 21 Navitoclax C0
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
1110
221 – 1860
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
584
207 – 1080
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
949
857 – 1040
Day 21 Trametinib C0
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
6.4
4.8 – 9.43
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
9.7
7.5 – 14.9
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
9.9
8.8 – 11.1
(Phase 1b) Response RateSecondary· Up to 4 months
Response rate is defined as the number of participants who achieve complete response (CR) or partial response (PR), according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.1:
* CR = Disappearance of target lesion(s). Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm
* PR = At least a 30% decrease in the sum of the longest diameter(s) of target lesion(s)
Participants are considered evaluable for response if they had measurable disease present at baseline, received at least one cycle of therapy, and had their
Complete Response
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 4C = Trametinib 2 mg + Navitoclax 200 mg
0
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
0
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
0
Partial Response
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
0
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
0
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
0
Cohort 4C = Trametinib 2 mg + Navitoclax 200 mg
0
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
1
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
0
(Phase 1b and 2) Percent Change in Levels of Proteins/Messenger Ribonucleic Acids Implicated in Mitogen-activated Protein Kinase SignalingSecondary· up to 50 days
Paired pre-treatment and on treatment tumor biopsies will be obtained to assess the pharmacodynamic response to therapy (e.g., change in levels of proteins/mRNAs implicated in MAPK signaling). Results will be reported as a mean percent (%) change in MAPK transcripts day 15 vs day 0.
Pre-treatment tumor tissue for analysis will be obtained either from archival tissue remaining from a participant's prior surgery, diagnostic biopsy, or other procedure performed during routine clinical care. Alternatively, study-related pre-treatment biopsies will be obtained between days -21 and -1 of treatment
Group
Value
95% CI
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
15.2
± 0
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
-98.3
± 0
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
-39.5
± 25
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
-98.3
± 0
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
6.0
± 67
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
8.7
± 19
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
-49.0
± 50
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
-42.5
± 0
Expansion Cohort 2 = GYN Cancer
6.8
± 99
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
132.0
± 0
Expansion Cohort 1 = Pancreatic Cancer
175.3
± 229
Adverse events — posted to ClinicalTrials.gov
Time frame: Up to 34 months.
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Cohort 1A = Trametinib 1 mg + Navitoclax 150 mg
Serious: 0/3 (0%)
Deaths: 3/3
Cohort 2A = Trametinib 1.5 mg + Navitoclax 150 mg
Serious: 0/3 (0%)
Deaths: 3/3
Cohort 3A = Trametinib 1.5 mg + Navitoclax 200 mg
Serious: 1/3 (33%)
Deaths: 2/3
Cohort 1B = Trametinib 1 mg + Navitoclax 150 mg
Serious: 1/3 (33%)
Deaths: 3/3
Cohort 3B = Trametinib 1.5 mg + Navitoclax 200 mg
Serious: 1/8 (13%)
Deaths: 7/8
Cohort 3C = Trametinib 1.5 mg + Navitoclax 200 mg
Serious: 0/3 (0%)
Deaths: 3/3
Cohort 4C = Trametinib 2 mg + Navitoclax 200 mg
Serious: 1/3 (33%)
Deaths: 3/3
Cohort 5C = Trametinib 2 mg + Navitoclax 250 mg
Serious: 0/8 (0%)
Deaths: 6/8
Cohort 6C = Trametinib 2 mg + Navitoclax 300 mg
Serious: 1/4 (25%)
Deaths: 3/4
Expansion Cohort 1 = Pancreatic Cancer
Serious: 1/12 (8%)
Deaths: 10/12
Expansion Cohort 2 = GYN Cancer
Serious: 2/25 (8%)
Deaths: 14/25
Expansion Cohort 3 = Lung Cancer
Serious: 0/6 (0%)
Deaths: 4/6
Expansion Cohort 4 = All Other NRAS Mutation-positive Solid Tumor Types
This phase Ib/II trial studies the side effects and best dose of trametinib and navitoclax and how well they work in treating patients with solid tumors that have spread to other places in the body (advanced or metastatic). Trametinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Navitoclax inhibits members of the BCL2 family of proteins that are believed to play key roles in promoting the survival of cancer cells. It may stop the growth of cancer cells by blocking Bcl-2, Bcl-XL, and Bcl-w, proteins needed for cancer cell survival. Giving trametinib and navitoclax may help stop the growth of tumor cells.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by National Cancer Institute (NCI)
Last refreshed: 30 September 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02079740.