DPTX3186 for Wnt-pathway activated solid tumors

An Open Label, Multicenter Study of DPTX3186 to Evaluate Safety, Tolerability, and Pharmacokinetics in Subjects With Known Wnt Pathway Activated Solid Tumors Where No Other Treatments Exist

PHASE1 · Dewpoint Therapeutics · NCT07312903

This first-in-human study will try an oral drug called DPTX3186 in adults whose solid tumors are driven by the Wnt pathway and who have no approved treatment options left.

Quick facts

PhasePHASE1
Study typeInterventional
Enrollment40 (estimated)
Ages18 Years and up
SexAll
SponsorDewpoint Therapeutics (industry)
Locations2 sites (San Antonio, Texas and 1 other locations)
Trial IDNCT07312903 on ClinicalTrials.gov

What this trial studies

This is a Phase 1, first-in-human trial of DPTX3186 given to adults with solid tumors known to have Wnt-pathway activation. The study will escalate doses to define safety and pharmacokinetics, record any early signs of anti-tumor activity, and collect samples to explore pharmacodynamic biomarkers. Eligible patients must have measurable disease, good performance status (ECOG 0–1), and limited remaining standard treatment options. The drug is administered orally and participants will be seen at specialized clinical research sites for dosing and monitoring.

Who should consider this trial

Good fit: Adults (age ≥18) with histologically or cytologically confirmed solid tumors known to be Wnt-pathway activated (for example colorectal, gastric, certain lung cancers, or triple-negative breast cancer), at least one measurable lesion, ECOG 0–1, life expectancy ≥3 months, and no approved treatment options available are the intended candidates.

Not a fit: Patients with symptomatic or uncontrolled brain metastases requiring treatment, another progressing malignancy needing therapy, inadequate organ function, known hypersensitivity to the drug, or conditions that prevent reliable oral drug absorption are unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, DPTX3186 could provide a new targeted oral treatment option for patients with Wnt-activated cancers who currently lack approved therapies.

How similar studies have performed: Wnt-pathway targeting is an active but challenging area with few proven therapies so far, making this approach relatively novel with limited prior clinical success.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically or cytologically confirmed solid tumor and tumor types known to be Wnt-pathway activated (such as colorectal cancer, gastric cancer, lung cancer, and triple negative breast cancer) and no other approved treatment options available.
* At least one measurable target lesion as defined by RECIST v1.1 on CT, PET/CT, or MRI.
* ECOG performance status of 0 or 1.
* Physiological conditions that may prevent absorption of an oral medication including but not limited to colostomy and ileostomy.
* Age ≥18 years (or ≥ age of majority per local regulation)
* Life expectancy ≥3 months
* Willing and able to comply with protocol requirements

Exclusion Criteria:

* Symptomatic or uncontrolled brain metastasis requiring concurrent treatment,
* Another known malignancy that is progressing or requires active treatment within the last 2 years (except basal cell carcinoma, in situ cervical cancer, etc.).
* Inadequate organ function
* Known hypersensitivity to study drug or excipients

Where this trial is running

San Antonio, Texas and 1 other locations

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Solid Tumors

Last reviewed 2026-05-15 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.