Clinical trial Recruiting at 27 sites Phase1; Phase2 Interventional Ages 18 and up

GSK5460025 alone or with other anti-cancer drugs for advanced solid tumors

Official title: A Phase 1/2 Open-label, Multicenter Study of Oral GSK5460025 Alone or in Combination With Other Anti-cancer Agents in Adult Participants With Mismatch Repair-deficient (dMMR) or Microsatellite Instability-High (MSI-H) Solid Tumors

Run by GlaxoSmithKline · NCT07213609 · Data updated 2026-11-12

This trial will test whether the experimental drug GSK5460025, alone or combined with other cancer medicines, can shrink tumors and be safe for people with advanced colorectal or other solid tumors that are dMMR/MSI-H or have unknown MMR/MSI status.

More Neoplasms trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment47 (estimated)
SponsorGlaxoSmithKline
Industry-sponsored
Locations27 sites (Aurora, Colorado and 26 other locations)
StatusRecruiting
StartedOctober 20, 2025
Main results expectedSeptember 28, 2028
Study endsOctober 27, 2028
Registry record updatedSeptember 16, 2026
Trial IDNCT07213609 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with advanced, unresectable or metastatic solid tumors (including colorectal cancer) who have exhausted standard therapies, have dMMR/MSI-H or will undergo MMR/MSI testing, can provide tumor tissue, and have ECOG 0–2 and adequate organ function.

Probably not a fit

People whose tumors lack the dMMR/MSI-H feature or who are medically unfit for treatment (for example poor organ function, ECOG >2, or life expectancy under three months) are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1/2, early-stage interventional trial testing GSK5460025 as a single agent and in combination with other anti-cancer therapies to characterize safety, tolerability, preliminary anti-tumor activity, and how the drug is processed in the body. Participants must have advanced (unresectable, metastatic, or recurrent) solid tumors and either known dMMR/MSI-H status or provide tissue for central MMR/MSI testing. The study requires archival or fresh tumor samples, an ECOG performance status of 0–2, adequate organ function, and an expectation of at least three months' life expectancy. Dose-escalation and expansion cohorts are used to identify tolerable doses and to observe early signals of tumor shrinkage.

Why it matters

Potential benefit: If successful, GSK5460025 could provide a new treatment option that shrinks tumors in people with dMMR/MSI-H or related advanced solid tumors.

How similar studies have gone: Other therapies targeting dMMR/MSI-H tumors (notably immune checkpoint inhibitors) have shown clinical benefit, but GSK5460025 is a novel agent and its safety and effectiveness are unproven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Has a histologically diagnosed advanced (unresectable, metastatic or recurrent) solid tumor
* Has a known dMMR/MSI-H status as determined by a certified local laboratory at the time of Pre-screening or has an unknown Mismatch repair (MMR)/ Microsatellite Instability (MSI) status at the time of Pre-screening and MMR/MSI status will be determined by central reference laboratory
* Provides an archival or fresh (preferred) formalin fixed, paraffin embedded (FFPE) sample
* Intends to receive GSK5460025 as next treatment
* Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
* Is expected to have a minimum of 3 months life expectancy
* Has adequate organ function, as defined in the protocol

Part 1 inclusion criteria:

• Has histologically diagnosed advanced (unresectable, metastatic or recurrent) solid tumor and has exhausted all standard of care treatment options

Part 2 inclusion criteria:

* Has histologically diagnosed advanced (unresectable, metastatic or recurrent) Colorectal cancer (CRC) or Endometrial cancer (EC)
* Has received at least 1 but no more than 3 lines of systemic anticancer therapy for their advanced (unresectable, metastatic or recurrent) disease including at least one line of Immune checkpoint inhibitors (ICI) therapy
* Has measurable disease (i.e., at least 1 target lesion) during the Screening period per RECIST 1.1, as determined by the investigator

Exclusion Criteria:

* Has not recovered (i.e., to Grade ≤1 or to baseline) from prior anticancer therapy-induced Adverse Events (AEs)
* Has received prior treatment with a Werner (WRN) inhibitor or Nucleotide Excision Repair Targeting (NERT) agent.
* Is unable to swallow and retain orally administered study treatment
* Has untreated or progressed metastases in brain or CNS
* Has a known additional malignancy that progressed or required active treatment within the last 2 years because reoccurrence of another malignancy would confound interpretation by RECIST 1.1 criteria. Exceptions include basal or squamous cell carcinomas of the skin or in situ carcinomas \[e.g., breast, cervix, bladder\] that have been resected with no evidence of metastatic disease.
* Has any impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of study drugs
* Has cirrhosis or current unstable liver or biliary disease
* Has known hypersensitivity to any of the study interventions or any of their excipients

Where it's running

  • GSK Investigational Site
    Aurora, Colorado, United States
    Recruiting
  • GSK Investigational Site
    Detroit, Michigan, United States
    Recruiting
  • GSK Investigational Site
    Canton, Ohio, United States
    Recruiting
  • GSK Investigational Site
    Nashville, Tennessee, United States
    Recruiting
  • GSK Investigational Site
    Hamilton, Ontario, Canada
    Recruiting
  • GSK Investigational Site
    Toronto, Ontario, Canada
    Recruiting
Show 21 more locations
  • GSK Investigational Site
    Montreal, Quebec, Canada
    Recruiting
  • GSK Investigational Site
    København Ø, Capital Region, Denmark
    Recruiting
  • GSK Investigational Site
    Lyon, France
    Recruiting
  • GSK Investigational Site
    Saint-Herblain, France
    Recruiting
  • GSK Investigational Site
    Villejuif, France
    Recruiting
  • GSK Investigational Site
    Milan, Italy
    Recruiting
  • GSK Investigational Site
    Milan, Italy
    Recruiting
  • GSK Investigational Site
    Chiba, Japan
    Recruiting
  • GSK Investigational Site
    Osaka, Japan
    Recruiting
  • GSK Investigational Site
    Tokyo, Japan
    Recruiting
  • GSK Investigational Site
    Tokyo, Japan
    Recruiting
  • GSK Investigational Site
    Amsterdam, Netherlands
    Recruiting
  • GSK Investigational Site
    Utrecht, Netherlands
    Recruiting
  • GSK Investigational Site
    Barcelona, Spain
    Recruiting
  • GSK Investigational Site
    Madrid, Spain
    Recruiting
  • GSK Investigational Site
    Madrid, Spain
    Recruiting
  • GSK Investigational Site
    Madrid, Spain
    Recruiting
  • GSK Investigational Site
    Madrid, Spain
    Recruiting
  • GSK Investigational Site
    Lund, Sweden
    Recruiting
  • GSK Investigational Site
    Stockholm, Sweden
    Recruiting
  • GSK Investigational Site
    Uppsala, Sweden
    Recruiting

Study contacts

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.