Clinical trial Recruiting at 10 sites Phase 1 Interventional Ages 18 and up

JNJ-95437446 for advanced-stage solid tumors

Official title: A Phase 1 Study of JNJ-95437446 in Participants With Advanced-Stage Solid Tumors

Run by Janssen Research & Development, LLC · NCT07107230 · Data updated 2026-11-12

This tests JNJ-95437446 to find a safe dose and check tolerability in people with advanced solid tumors, including colorectal cancer.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment400 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionsradiation
Locations10 sites (Sarasota, Florida and 9 other locations)
StatusRecruiting
StartedJuly 15, 2025
Main results expectedNovember 18, 2027
Study endsApril 24, 2028
Registry record updatedNovember 3, 2026
Trial IDNCT07107230 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with unresectable, locally advanced, or metastatic colorectal cancer (or specified NSCLC or head and neck cancers) who have ECOG 0–1, adequate organ function, and required molecular testing results.

Probably not a fit

Patients with ECOG ≥2, inadequate hematologic/renal/hepatic function, or who cannot provide required local molecular testing likely will not benefit from participation.

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

What this trial studies

This phase 1 interventional study uses a two-part design: Part 1 is dose escalation to determine recommended phase 2 doses (RP2Ds) of JNJ-95437446 and Part 2 further examines safety at those doses in participants with advanced solid tumors. Eligible participants have histologically confirmed unresectable, locally advanced, or metastatic colorectal cancer, non‑small cell lung cancer (adenocarcinoma), or head and neck squamous cell carcinoma, with measurable or evaluable disease and an ECOG performance status of 0–1. Local molecular testing for EGFR in NSCLC and KRAS/NRAS/BRAF in colorectal cancer is required, and safety will be monitored via adverse event reporting and laboratory assessments. The study is sponsored by Janssen and is conducted at several U.S. oncology centers, with primary objectives focused on dose selection and safety rather than demonstrating efficacy.

Why it matters

Potential benefit: If successful, this could identify a tolerable dose and safety profile that enables further testing and potentially offers a new treatment option for patients with advanced solid tumors.

How similar studies have gone: Dose-escalation and safety studies are a standard first step for new oncology drugs and similar targeted agents have shown benefit in molecularly selected cancers, but the efficacy of this specific compound is not yet established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants must have been previously diagnosed with histologically confirmed unresectable, locally advanced, or metastatic non-small cell lung cancer, colorectal carcinoma, or head and neck squamous cell carcinoma
* Participants with non-small cell lung cancer (NSCLC) adenocarcinoma and colorectal cancer (CRC) must have local molecular testing to determine epidermal growth factor receptor (EGFR) mutational status for NSCLC and Kirsten rat sarcoma/neuroblastoma ras viral oncogene/v-raf murine sarcoma oncogene B1 (KRAS/NRAS/BRAF) mutation status for CRC
* Have measurable or evaluable disease:
* Part 1: Either measurable or evaluable disease; Part 2: At least 1 measurable lesion per response evaluation criteria in solid tumors (RECIST) version (v) 1.1
* Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1 at screening
* Participants must have appropriate hematologic, renal, and hepatic function within the required limits

Exclusion Criteria:

* Any prior medical history of ILD/pneumonitis, including pneumonitis from anti-PD-1/ PD-L1 antibody or radiation that required systemic steroids
* Toxicity from prior anticancer therapy that has not resolved to Grade \<=1
* Evidence of clinically significant active viral, bacterial, or fungal infection within 7 days before the first dose of study treatment requiring systemic or non-topical treatment
* History of clinically significant cardiovascular disease within 6 months prior to signing informed consent
* Participants with prior or concurrent second malignancy cannot be enrolled if prior/concurrent malignancy's natural history of treatment is likely to interfere with any safety or efficacy study endpoints

Where it's running

  • Florida Cancer Specialists
    Sarasota, Florida, United States
    Recruiting
  • Columbia University Medical Center Herbert Irving Pavilion
    New York, New York, United States
    Recruiting
  • Tennessee Oncology
    Nashville, Tennessee, United States
    Recruiting
  • NEXT Oncology
    Fairfax, Virginia, United States
    Recruiting
  • Severance Hospital Yonsei University Health System
    Seoul, South Korea
    Recruiting
  • Samsung Medical Center
    Seoul, South Korea
    Recruiting
Show 4 more locations
  • Hosp Univ Vall D Hebron
    Barcelona, Spain
    Recruiting
  • Hosp Univ Fund Jimenez Diaz
    Madrid, Spain
    Recruiting
  • Hosp. Univ. 12 de Octubre
    Madrid, Spain
    Recruiting
  • Hosp Univ Hm Sanchinarro
    Madrid, Spain
    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.