NCT07029399

Brief Summary

The goal of this open-label dose escalation and expansion study is to evaluate the safety and tolerability of NKT5097 in adults with advanced/metastatic tumors (emphasis on breast cancer and solid tumors with CCNE1 amplification). Main questions to answer include:

  • What is the recommended dose for expansion and/or Phase 2
  • What medical issues/symptoms do participants experience when taking NKT5097

Trial Health

77
On Track

Trial Health Score

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

Enrollment
205

participants targeted

Target at P75+ for phase_1

Timeline
20mo left

Started Mar 2025

Typical duration for phase_1

Geographic Reach
1 country

14 active sites

Status
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 Progress40%
Mar 2025Dec 2027

Study Start

First participant enrolled

March 25, 2025

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

May 28, 2025

Completed
22 days until next milestone

First Posted

Study publicly available on registry

June 19, 2025

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2027

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

March 12, 2026

Status Verified

March 1, 2026

Enrollment Period

2.4 years

First QC Date

May 28, 2025

Last Update Submit

March 10, 2026

Conditions

Keywords

CCNE1cyclin E1triple negative breast cancerTNBCestrogen receptor positiveHER2-breast canceradvanced solid tumorspost CDK4/6iHER2 expression

Outcome Measures

Primary Outcomes (1)

  • Incidence of dose-limiting toxicities as Assessed by CTCAE

    From enrollment through end of safety monitoring period of 28 days from first dose

Secondary Outcomes (9)

  • Incidence of adverse events (AEs) as defined by CTCAE Version 5

    From enrollment through end of treatment up to 2 years

  • Maximum concentration Cmax after a single dose and multiple doses

    Day 1 and Day 15 of Cycle 1 (Cycle 1 is 28 days)

  • Area under the concentration-time curve (AUC last) after a single dose and multiple doses from first dose through the last timepoint with quantifiable concentration (Tlast)

    Day 1 and Day 15 of Cycle 1 ((Cycle 1 is 28 days)

  • Maximum concentration (Cmax) when dosed with and without food

    Day 1 and Day 2 of Cycle 1 (Cycle 1 is 28 days)

  • Area under the concentration-time curve (AUC last) when dosed with and without food from dosing through the last timepoint with quantifiable concentration (Tlast)

    Day 1 through Day 3 of Cycle 1 (Cycle 1 is 28 days)

  • +4 more secondary outcomes

Study Arms (3)

Part 1 Dose Escalation

EXPERIMENTAL

Escalation of orally administered NKT5097

Drug: NKT5097 CDK2/CDK4 dual degrader

Part 2 Food Effect

EXPERIMENTAL

Orally administered NKT5097 with and without meal

Drug: NKT5097 CDK2/CDK4 dual degrader

Part 3 Expansion

EXPERIMENTAL

Expansion of dose levels based upon safety and PK following Part 1 escalation.

Drug: NKT5097 CDK2/CDK4 dual degrader

Interventions

NKT5097 will be distributed in tablet form and dosed daily or twice a day

Part 1 Dose EscalationPart 2 Food EffectPart 3 Expansion

Eligibility Criteria

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

You may qualify if:

  • Able to provide written informed consent
  • Advanced unresectable or metastatic solid tumor
  • Refractory to or unable to tolerate existing therapies (Part 1 \& 2 only)
  • Measurable or evaluable disease (Part 1 \& 2 only)
  • Eighteen years of age or older
  • ECOG status of 0 or 1
  • Adequate organ function
  • Patients with female reproductive organs must be surgically sterile, post- menopausal or willing to use effective contraception per protocol
  • Patients who are capable of insemination must be willing to use highly effective contraception and to refrain from sperm donation during treatment and for 28 days after the last dose
  • Able to swallow oral meds
  • Willing to provide tumor tissue

You may not qualify if:

  • Advanced solid tumor that is a candidate for curative treatment
  • History of another malignancy except for the following: adequately treated local basal cell or squamous carcinoma of the skin, in situ cervical cancer, adequately treated papillary noninvasive bladder cancer, other adequately treated Stage I or Stage II cancers currently in complete remission
  • Not recovered from the effects of prior anticancer therapy
  • Clinically significant cardiovascular event, including myocardial infarction, arterial thromboembolism, or cerebrovascular thromboembolism, within 6 months
  • Known active CNS metastases and/or carcinomatous meningitis
  • Active interstitial lung disease requiring treatment
  • History of uveitis, retinopathy, or other clinically significant retinal disease
  • Major surgery within 30 days of administration of first dose
  • Active uncontrolled infectious disease
  • Significant liver disease (Child Pugh class B or C)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

UC San Diego Moores Cancer Center

La Jolla, California, 92037, United States

RECRUITING

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, 80218, United States

RECRUITING

Yale Cancer Center

New Haven, Connecticut, 06520, United States

RECRUITING

SCRI Florida Cancer Specialists - Sarasota

Sarasota, Florida, 34232, United States

RECRUITING

Dana-Farber Cancer Institute

Boston, Massachusetts, 02115, United States

RECRUITING

South Texas Accelerated Research Therapeutics (START) Midwest

Grand Rapids, Michigan, 49546, United States

RECRUITING

Washington University

St Louis, Missouri, 63110, United States

RECRUITING

Cleveland Clinic

Cleveland, Ohio, 44195, United States

RECRUITING

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

RECRUITING

University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

RECRUITING

MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

South Texas Accelerated Research Therapeutics (START) San Antonio

San Antonio, Texas, 78229, United States

RECRUITING

South Texas Accelerated Research Therapeutics (START) Mountain Region

West Valley City, Utah, 84119, United States

RECRUITING

NEXT Virginia

Fairfax, Virginia, 22031, United States

RECRUITING

MeSH Terms

Conditions

Triple Negative Breast NeoplasmsOvarian NeoplasmsEndometrial NeoplasmsBreast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersUterine NeoplasmsUterine Diseases

Central Study Contacts

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

May 28, 2025

First Posted

June 19, 2025

Study Start

March 25, 2025

Primary Completion (Estimated)

July 31, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

March 12, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations