ALRN-6924 in Patients With Advanced Solid Tumors or Lymphomas
A Phase 1/2a Open-Label Study to Determine the Safety and Tolerability of ALRN-6924 Alone or in Combination in Patients With Advanced Solid Tumors or Lymphomas Expressing Wild-Type p53 Protein
1 other identifier
interventional
142
1 country
13
Brief Summary
This study evaluates the anti-tumor effects of ALRN-6924 in patients with advanced solid tumors or lymphomas with WT TP53.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Oct 2014
Longer than P75 for phase_1
13 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2014
CompletedFirst Submitted
Initial submission to the registry
October 7, 2014
CompletedFirst Posted
Study publicly available on registry
October 15, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2020
CompletedResults Posted
Study results publicly available
January 13, 2026
CompletedJanuary 13, 2026
January 1, 2026
5.4 years
October 7, 2014
December 2, 2024
January 9, 2026
Conditions
Outcome Measures
Primary Outcomes (4)
Evaluate the Safety and Tolerability of ALRN-6924 in Adult Patients With Advanced Solid Tumors or Lymphomas With Wild-type (WT) TP53 Who Are Refractory to or Intolerant of Standard Therapy, or for Whom no Standard Therapy Exists
Number of participants with treatment-related adverse events as assessed by CTCAE v.4.0
From Day 1 of treatment until 30 days after the last cycle of treatment (each cycle in DR-A is 28 days, DR-B and DR-C is 21 days), an average of 138 Days
Evaluate the Safety and Tolerability of ALRN-6924 in Adult Patients With Advanced Solid Tumors or Lymphomas With Wild-type (WT) TP53 Who Are Refractory to or Intolerant of Standard Therapy, or for Whom no Standard Therapy Exists, Expansion
Number of participants with treatment-related adverse events as assessed by CTCAE v.4.0
From Day 1 of treatment until 30 days after the last cycle of treatment (each cycle in DR-A is 28 days, DR-B and DR-C is 21 days), an average of 138 Days
Determine the Maximum Tolerated Dose (MTD) of ALRN-6924 in Adult Patients With Advanced Solid Tumors or Lymphomas
Determine the maximum tolerated dose (MTD)
From Day 1 of treatment until 30 days after the last cycle of treatment (each cycle in DR-A is 28 days, DR-B and DR-C is 21 days), an average of 138 Days
Determine Overall Response Rate
The proportion of efficacy-evaluable patients who achieve complete response (CR) or partial response (PR), per investigator assessment, in accordance with RECIST 1.1 or iRECIST (for solid tumor patients) or Response Assessment in Neuro-Oncology (RANO) criteria (for glioblastoma patients).
From Day 1 of treatment until 30 days after the last cycle of treatment (each cycle in DR-A is 28 days, DR-B and DR-C is 21 days), an average of 138 Days
Secondary Outcomes (2)
Assess Additional Measures of Anti-tumor Activity, Including Duration of Response, Progression Free Survival, Overall Survival and Time to Response
From Day 1 of treatment until 30 days after the last cycle of treatment (each cycle in DR-A is 28 days, DR-B and DR-C is 21 days), an average of 138 Days
Determine Pharmacokinetic Parameters of ALRN-6924 When Administered to Patients With Advanced Solid Tumors or Lymphomas
8 weeks
Study Arms (4)
Dose Regimen A (DR-A)
EXPERIMENTALDrug: ALRN-6924 Weight-based-dosing administered IV on days 1, 8 and 15 of a 28-day cycle.
Dose Regimen B (DR-B)
EXPERIMENTALDrug: ALRN-6924 Weight-based-dosing administered IV on days 1, 4, 8 and 11 of a 21-day cycle
Dose Regimen C (DR-C)
EXPERIMENTALDrug: ALRN-6924 Weight-based-dosing administered IV on days 1, 3 and 5 of a 21-day cycle
Combination with palbociclib
EXPERIMENTALDrug: ALRN-6924 Weight-based-dosing administered IV on days 1, 8 and 15 of a 28-day cycle Drug: Palbociclib Fixed-dose capsule administered orally on days 1 through 21 of a 28-day cycle
Interventions
ALRN-6924 will be administered as an IV infusion
Eligibility Criteria
You may qualify if:
- Histologically or cytologically confirmed solid tumor or lymphoma that is not amenable to standard therapies.
- Cohort specific biomarkers, including confirmed or anticipated WT TP53 (Phase 1 and PTCL expansion cohorts) and MDM2-amplification or MDM2/CDK4-co-amplification (solid tumor expansion cohort)
- At least one target lesion that is measurable by RECIST 1.1, RANO or IWG 2014, as appropriate for tumor type
- ECOG (Eastern Cooperative Oncology Group) performance status 0-1
- Adequate coagulation and hematologic function
- Adequate hepatic and renal function
- Sufficient wash out from prior therapies and recovery from all significant acute toxicities
You may not qualify if:
- Prior treatment with an MDM2 inhibitor, with protocol specified exceptions
- Known hypersensitivity to any study drug component
- Protocol specified cardiovascular risk factors
- Clinically significant gastrointestinal bleeding within 6 months
- Clinically significant third-space fluid accumulation
- Active uncontrolled infection, including HIV/AIDS or Hepatitis B or C
- HPV positive tumors
- Second malignancy within two years, with protocol specified exceptions
- Pregnancy or lactation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (13)
Unknown Facility
Birmingham, Alabama, 35294, United States
Unknown Facility
Duarte, California, 91010, United States
Unknown Facility
Denver, Colorado, 80218, United States
Unknown Facility
Sarasota, Florida, 34232, United States
Unknown Facility
Tampa, Florida, 33612, United States
Unknown Facility
Boston, Massachusetts, 02114, United States
Unknown Facility
Boston, Massachusetts, 02215, United States
Unknown Facility
New York, New York, 10065, United States
Unknown Facility
The Bronx, New York, 10461, United States
Unknown Facility
Greenville, South Carolina, 29605, United States
Unknown Facility
Nashville, Tennessee, 37203, United States
Unknown Facility
Houston, Texas, 77030, United States
Unknown Facility
Seattle, Washington, 98105, United States
Related Publications (1)
Zhou X, Singh M, Sanz Santos G, Guerlavais V, Carvajal LA, Aivado M, Zhan Y, Oliveira MMS, Westerberg LS, Annis DA, Johnsen JI, Selivanova G. Pharmacologic Activation of p53 Triggers Viral Mimicry Response Thereby Abolishing Tumor Immune Evasion and Promoting Antitumor Immunity. Cancer Discov. 2021 Dec 1;11(12):3090-3105. doi: 10.1158/2159-8290.CD-20-1741.
PMID: 34230007DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Allen Annis
- Organization
- Consultant
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 7, 2014
First Posted
October 15, 2014
Study Start
October 1, 2014
Primary Completion
March 1, 2020
Study Completion
April 1, 2020
Last Updated
January 13, 2026
Results First Posted
January 13, 2026
Record last verified: 2026-01