NCT06787950

Brief Summary

This is a Phase I/IIa, open-label, multi-center, dose-escalation, and expansion study to evaluate the safety, tolerability, PK and preliminary anti-tumor activity of ASN-3186 when given orally in subjects with advanced solid tumors

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for phase_1

Timeline
41mo left

Started Feb 2025

Longer than P75 for phase_1

Status
not yet recruiting

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 Progress26%
Feb 2025Sep 2029

First Submitted

Initial submission to the registry

December 5, 2024

Completed
2 months until next milestone

First Posted

Study publicly available on registry

January 22, 2025

Completed
29 days until next milestone

Study Start

First participant enrolled

February 20, 2025

Completed
4.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 20, 2029

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 20, 2029

Last Updated

January 22, 2025

Status Verified

January 1, 2025

Enrollment Period

4.1 years

First QC Date

December 5, 2024

Last Update Submit

January 16, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • phase 1( Dose Escalation Stage): Dose Limiting Toxicity (DLT)

    DLT will be defined as toxicities that meet pre-defined severity criteria(according to the NCI CTCAE v5.0 toxicity assessment criteria),

    During the first 26 Days

  • phase 1( Dose Escalation Stage): Recommended phase 2 dose(RP2D)

    RP2D is recommended based on MTD, safety data , efficacy data, and clinical pharmacokinetic (PK) characteristics

    14 months

  • phase 2a: ORR

    ORR assessed by investigators.

    26 months

Secondary Outcomes (11)

  • phase1:PK characteristics

    14 months

  • phase1: QT/QTc

    14 months

  • phase1: ECG

    14 months

  • phase1+2a:AE

    28 days after the last administration

  • phase1+2a:Serious adverse events (SAE)

    28 days after the last administration

  • +6 more secondary outcomes

Study Arms (3)

Dose Escalation

EXPERIMENTAL

Participants will receive ASN-3186 in sequential cohorts of increasing doses.

Drug: ASN-3186

Dose Expansion

EXPERIMENTAL

Recommended doses from dose escalation stage will be studied to determine RP2D.

Drug: ASN-3186

Tumor-specific Cohort Expansion

EXPERIMENTAL

RP2D will be further studied in tumor-specific cohorts.

Drug: ASN-3186

Interventions

ASN-3186 will be administered orally.

Tumor-specific Cohort Expansion

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Males or females aged ≥ 18 years at time of signing informed consent form (ICF). Signed ICF must be obtained before the performance of any protocol-specified procedures.
  • Life expectancy ≥12 weeks evaluated by investigator.
  • ECOG Performance Score 0 to 2.
  • Histologically or cytologically confirmed advanced solid tumors defined as unresectable locally advanced or metastatic and do not have standard treatment available, or have disease progression on/after standard treatment, or cannot tolerate standard treatment.
  • For Phase Ib subjects: Subjects must have confirmed deleterious or suspected deleterious germline or somatic BRCAm, or HRRm, or HRD positive or other alterations.
  • For Phase IIa subjects: Subjects must have confirmed deleterious or suspected deleterious germline or somatic BRCAm, or HRRm, or HRD positive or other alterations.

You may not qualify if:

  • . Treatment with any of the following:
  • Prior treatment with any USP1 inhibitors.
  • Prior treatment with radiotherapy, chemotherapy, targeted therapy or endocrine therapy within 4 weeks prior to the first dose of ASN-3186.
  • Participated and received investigational therapy or used an investigational device or participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks or 5 × t1/2, whichever is longer, prior to the first dose of ASN-3186.
  • .Subjects who expect to require any other form of anti-tumor therapy during the treatment period. 3. Subjects who have unresolved toxicity greater than common terminology CTCAE V5.0 Grade 1 from prior anti-tumor therapy prior to the first dose of ASN-3186, except for alopecia and chemotherapy-induced peripheral neurotoxicity ≤ CTCAE V5.0 Grade 2. 4. Subjects who have undergone surgery on vital organs (other than aspiration biopsy) or suffered major trauma within 4 weeks prior to the first dose, or subjects who have not recovered from any surgical effect at screening, or subjects who are scheduled for major surgery during the study period. 5. Subjects who have gastrointestinal disorders that will affect oral administration or affect the absorption of ASN-3186 as judged by the investigator. Or subjects who have severe or clinically significant gastrointestinal disease (e.g., refractory diarrhea, intractable vomiting, colitis, etc.) within 4 weeks prior to the first dose of ASN-3186 and did not recover to CTCAE V5.0 Grade 1.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 5, 2024

First Posted

January 22, 2025

Study Start

February 20, 2025

Primary Completion (Estimated)

March 20, 2029

Study Completion (Estimated)

September 20, 2029

Last Updated

January 22, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share