Atamparib in advanced NSCLC and other solid tumors
Official title: A Phase Ib/II Study of Atamparib in Patients With Advanced Solid Tumors
Run by Nerviano Medical Sciences (Shanghai) Ltd. · NCT07374419 · Data updated 2026-11-12
This trial tests atamparib in adults with advanced NSCLC adenocarcinoma or other solid tumors to see if it is safe and tolerable and whether it shows early anti-tumor activity.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 178 (estimated) |
| Sponsor | Nerviano Medical Sciences (Shanghai) Ltd. Industry-sponsored |
| Locations | 1 site (Shanghai, Shanghai Municipality) |
| Status | Recruiting |
| Started | March 18, 2026 |
| Main results expected | July 31, 2028 |
| Study ends | January 31, 2029 |
| Registry record updated | July 29, 2026 |
| Trial ID | NCT07374419 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with unresectable or metastatic NSCLC adenocarcinoma harboring KRAS status, who have progressed after at least one line of therapy and have measurable disease with ECOG 0-1.
✕Probably not a fit
Patients whose tumors do not respond to atamparib or who experience intolerable toxicity or rapid disease progression may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an open-label, non-randomized phase Ib/II study evaluating atamparib in patients with unresectable or metastatic NSCLC adenocarcinoma and other solid tumors. It uses a dose-escalation phase to identify a recommended dose, followed by an expansion phase to further assess safety and preliminary anti-tumor activity. Key endpoints include safety, tolerability, pharmacokinetics, and signs of efficacy in KRAS-mutant NSCLC and eligible solid tumors. Eligible participants have prior therapy, measurable disease, good performance status, and adequate organ function. Exclusion criteria include non-adenocarcinoma NSCLC, other actionable drivers without effective therapy, active GI issues affecting absorption, significant cardiac disease, certain drug interactions, and untreated CNS lesions.
Why it matters
Potential benefit: If successful, participants could gain disease control or tumor shrinkage and benefit from the study's targeted dosing strategy with manageable side effects.
How similar studies have gone: Early-phase trials of PARP inhibitors in KRAS-mutant or solid tumors have shown limited yet encouraging signals of activity in selected cohorts, making this approach exploratory but promising.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: 1. Subject must be ≥18 years of age. 2. Histologically confirmed diagnosis of unresectable advanced or metastatic NSCLC adenocarcinoma. 3. Documented KRAS mutation status at study entry. 4. Have received at least one line of standard therapy and experienced radiographic tumor progression to the last administered treatment and have failed institutional standards of care. 5. Have measurable tumor lesions 6. ECOG 0-1 7. Adequate organ functions Exclusion criteria: 1. Non-adenocarcinoma histology of NSCLC. Patients whose tumors have a mixed histology are ineligible. 2. Wtih oncogenic driver mutation other than KRAS for which an approved therapy is available but not adequately treated. 3. Known active GI disease that would impact the absorption 4. Clinically significant cardiac disease 5. Requiring the administration of strong inhibitors or inducers of CYP3A4, P-gp or BCRP. 6. Symptomatic, or untreated CNS lesions.
Where it's running
-
Unit 3.53, 3rd Floor, No. 5, Lane 720 Cailun Road, Pilot Free Trade Zone, Shanghai, P.R.China
Shanghai, Shanghai Municipality, China Recruiting
Study contacts
- Principal investigator: Caicun Zhou, Dr. — Shanghai East Hospital, Yuntailu 1800
- Study coordinator: Olivia Chi Operations Program Lead, Master
- Email: olivia.chi@nervianoms.com
- Phone: 86 18621117100
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
SumMET: Targeted radioligand therapy for c-MET–positive solid tumors
This first‑in‑human study tests the safety and potential effectiveness of a radioligand therapy called [225Ac]Ac-FL-261 in adults with advanced or metastatic solid tumors that overexpress c-MET.
-
SHR-4595 Injection in Advanced Solid Tumors: Safety, Tolerability, and Dosing in Phase 1
This early-phase trial tests SHR-4595 injections to see if they are safe and tolerable for adults with advanced solid tumors who have exhausted standard treatments.
-
FAPI PET imaging with FAPI-RuiJ and FAPI-04 in solid tumors
This study tests two FAP-targeted PET tracers (FAPI-RuiJ and FAPI-04) to see which better detects, stages, and monitors solid tumors.
-
Trop-2 Targeted PET/CT for Recurrent and Metastatic Thyroid Cancer
This study tests whether a Trop-2 targeted PET/CT scan can better detect recurrent or metastatic thyroid cancer in adults than another PET/CT scan (FAPI).
-
SI-B036 in locally advanced or metastatic breast cancer and other solid tumors
Scientists are testing SI-B036 to see if it is safe and tolerable in adults with advanced breast cancer or other solid tumors and to get early signals of whether it might help.
-
Methylscape test in body fluids for multi-cancer detection in Colombia
A simple blood, urine, or saliva test called Methylscape is being tested to see if it can detect multiple cancers and identify where the signal is coming from, using people with cancer and healthy volunteers in Colombia.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.