About this trial
This phase Ib trial tests the safety, side effects, and best dose of M1774 when given with ZEN-3694 in treating patients with ovarian and endometrial cancer that has come back (recurrent). M1774 and ZEN-3694 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. M1774 and ZEN-3694 combined together has demonstrated to be better than either drug alone in killing ovarian tumor cells.
Eligibility criteria
Qualifiers
PART I: Recurrent clear cell or endometrioid ovarian carcinoma (at least 50% morphology of clear cell and endometrioid required), recurrent clear cell and low grade endometrioid endometrial carcinoma (The International Federation of Gynecology and Obstetrics [FIGO] grade 1), or recurrent platinum resistant high grade serous ovarian carcinoma
NOTE: platinum-resistant disease is defined as progression within < 6 months from completion of platinum-based therapy. The date should be calculated from the last administered dose of platinum therapy
NOTE: Institutional pathology reports must be provided indicating at least 50% endometrioid or clear cell morphology for ovarian cancer.
NOTE: Patients with recurrent endometrial carcinoma must not be eligible for or decline treatment with curative intent.
Disqualifiers
Patients who are receiving any other investigational agents.
Patients who have received prior ATR, ATM, CHK, BET, EZH2, and/or PI3K inhibitors.
History of allergic reactions attributed to compounds of similar chemical or biologic composition to ZEN003694 or M1774 used in study.
Patients taking proton pump inhibitors given decreased solubility of M1774 with increased pH. Proton pump inhibitors must be discontinued 7 days prior to initiating the trial.
Trial design
Treatments tested in this trial
- BET Bromodomain Inhibitor ZEN-3694
- Biopsy Procedure
- Biospecimen Collection
- Computed Tomography
- Magnetic Resonance Imaging
- Tuvusertib
- X-Ray Imaging
Treatment groups
Sponsors and collaborators
National Cancer Institute (NCI)
Lead sponsor
NRG Oncology
Collaborator