Clinical trial Recruiting at 1 site Phase1; Phase2 Interventional Ages 18 and up

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

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment178 (estimated)
SponsorNerviano Medical Sciences (Shanghai) Ltd.
Industry-sponsored
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedMarch 18, 2026
Main results expectedJuly 31, 2028
Study endsJanuary 31, 2029
Registry record updatedJuly 29, 2026
Trial IDNCT07374419 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.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.