[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"phase-1b\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:phase-1b":25},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,43],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":17,"targetDuration":4,"studyType":20,"phases":21,"briefSummary":23,"conditions":24,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":31,"lastUpdatePostDateStruct":32,"startDateStruct":35,"completionDateStruct":37,"leadSponsor":39,"locationsCount":42},"100643791","phase-1-a-phase-1b-open-label-study-of-rec-617-a-selective-cdk7-inhibitor-in-patients-with-metastatic-or-unresectable-rb1-negative-leiomyosarcoma-after-prior-systemic-therapy-100643791",false,"NCT07633756","A Phase 1b, Open-Label Study Of REC-617, A Selective CDK7 Inhibitor, In Patients With Metastatic Or Unresectable RB1-Negative Leiomyosarcoma After Prior Systemic Therapy","Eligibility Criteria A. Disease Characteristics\n\n* Histologically confirmed leiomyosarcoma (any site of origin).\n* RB1-negative tumor, as assessed by immunohistochemistry (IHC) with a cutoff of 0% versus any expression Participants will have measurable diseases by RECIST 1.1. Previously ablated\u002F radiated\u002Ftreated areas can only be counted towards measurable disease if there is unequivocal progression after directed therapy.\n* Participant will have tumor lesion(s) or metastases amenable to biopsy, excluding bone metastases, as confirmed by a radiologist, if appropriate, and as deemed safe by the Investigator. If there is only one target lesion per RECIST 1.1 which is accessible to biopsy, this lesion should be at least 2cm.\n\nB. Prior and Current Therapy Requirements\n\n* At least one prior line of systemic therapy. C. Participants Characteristics\n* Age ≥18 years. Because no dosing or adverse event data are currently available on the use of REC-617 in Participants \\\u003C18 years of age, children are excluded from this study.\n* ECOG performance status ≤ 2 (Karnofsky ≥60%,).\n* Life expectancy of \\>3 months, as determined by the investigator.\n* Ability to swallow and retain oral medication.\n* Ability to understand and the willingness to sign a written informed consent document and comply with study procedures.\n\nD. Organ and Marrow Function Requirements\n\nParticipants will have adequate organ and marrow functions as defined below:\n\nHemoglobin ≥8.5 g\u002FdL. Absolute neutrophil count ≥1,000\u002FmcL Platelets ≥150,000\u002FmcL, no platelet transfusion within 7 days prior to screening visit Total bilirubin ≤ institutional upper limit of normal (ULN) (except Participants with Gilbert's syndrome, who must have total bilirubin \\\u003C 3.0 mg\u002FdL) AST(SGOT)\u002FALT(SGPT) ≤3 × institutional ULN INR ≤1.5 except for Participants on oral anticoagulants Creatinine clearance ≥60 mL\u002Fmin based on the Cockcroft-Gault equation or method standard to institution E. Viral and Infectious Disease Requirements\n\n* Participants may not have active or chronic infections with hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) F. CNS and Cardiac Requirements\n* Participants with asymptomatic treated CNS lesions who have completed treatment ≥30 days prior with documented stability on imaging and are on a stable steroid dose are eligible.\n* Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, Participants should be class 2B or better.\n* Participants should not have a QTcF \\>470 msec or history of torsades de pointes or history of congenital long QT syndrome.\n\nG. Reproductive\u002FContraception Requirements\n\nThe effects of REC-617 on the developing human fetus are unknown. For this reason and because CDK7 inhibitor agents as well as other therapeutic agents used in this trial are known to be teratogenic, women of child-bearing potential and men will agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. (Refer to Pregnancy Assessment Policy MD Anderson Institutional Policy # CLN1114). This includes all female Participants, between the onset of menses (as early as 8 years of age) and 55 years unless the Participant presents with an applicable exclusionary factor which may be one of the following:\n\n* Postmenopausal (no menses in greater than or equal to 12 consecutive months).\n* History of hysterectomy or bilateral salpingo-oophorectomy.\n* Ovarian failure (Follicle Stimulating Hormone and Estradiol in menopausal range, who have received Whole Pelvic Radiation Therapy).\n* History of bilateral tubal ligation or another surgical sterilization procedure.\n\n  * Participants are eligible to participate if they agree to use 2 methods of contraception, approved methods of birth control are as follows: Hormonal contraception (i.e. birth control pills, injection, implant, transdermal patch, vaginal ring), Intrauterine device (IUD), Tubal Ligation or hysterectomy, Subject\u002FPartner post vasectomy, Implantable or injectable contraceptives, and condoms plus spermicide. Not engaging in sexual activity for the total duration of the trial and the drug washout period is an acceptable practice; however periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of birth control. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately.\n\nMen and women treated or enrolled on this protocol will also agree to use adequate contraception prior to the study, for the duration of study participation, and 6 months after completion of REC-617 administration.\n\nExclusion Criteria A. Concurrent Treatments and Investigational Agents\n\n* Participants who are receiving any other investigational agents or have received any other investigational agent within 3 weeks prior to enrollment.\n* Current enrollment in another clinical study unless it is non-interventional or the follow-up period of an interventional study.\n* Prior treatment with radiotherapy (including radio-labeled spheres and\u002For cyberknife, hepatic arterial embolization (with or without chemotherapy) or cryotherapy\u002Fablation) is allowed if these therapies did not affect the areas of measurable disease being used for this protocol.\n* Received medications known to prolong QTc within 5 half-lives before the first dose of the study treatment. List of medications that prolong QTc can be obtained from crediblemeds.org.\n* Administration of a live vaccine within 28 days of starting study treatment and for up to 1 month after the final dose of study treatment or anticipation that such vaccine will be required during the study. Note: mRNA-based vaccines for COVID-19 are allowed as well as inactivated flu vaccines.\n* Has had or is scheduled to have major surgery \\\u003C28 days prior to the first dose of study treatment.\n\nB. Disease or Cancer-Related Exclusions\n\n* Active concurrent second malignancy within 2 years of trial enrollment. Note: Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial. Examples include non-melanomatous skin cancer, in situ carcinoma, or low-risk prostate cancer.\n* Unresolved or unstable toxic side-effects of prior anticancer therapy, except fatigue, alopecia, infertility, peripheral neuropathy, or those relating to palliative radiotherapy within 6 weeks prior to first dose of study treatment will have resolved to Grade 1 or less.\n\nC. Other comorbidities affecting participation\n\n* Active gastrointestinal bleeding.\n* Evidence of severe or uncontrolled systemic disease or psychiatric illness that, in the investigator's judgment, would limit safety or compliance.\n* Impaired gastrointestinal absorption\n* History of allergic reactions to compounds like REC-617. D. Transplant History\n* Prior organ or allogeneic stem-cell transplantation","ALL","18 Years",{"count":18,"type":19},15,"ESTIMATED","INTERVENTIONAL",[22],"PHASE1","To learn if the study drug REC-617 can help to control LMS. The safety of REC-617 will also be studied.",[25,26,27,28,29],"Phase 1b","Open Label","REC-617","RB1-Negative","Leiomyosarcoma","NOT_YET_RECRUITING","2026-06-19",{"date":33,"type":34},"2026-06-24","ACTUAL",{"date":36,"type":19},"2026-10-19",{"date":38,"type":19},"2031-12-26",{"name":40,"class":41},"M.D. Anderson Cancer Center","OTHER",1,{"id":44,"slug":45,"hasResults":11,"nctId":46,"briefTitle":47,"officialTitle":47,"acronym":4,"eligibilityCriteria":48,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":49,"targetDuration":4,"studyType":20,"phases":51,"briefSummary":52,"conditions":53,"keywords":4,"overallStatus":57,"whyStopped":4,"lastUpdateSubmitDate":58,"lastUpdatePostDateStruct":59,"startDateStruct":61,"completionDateStruct":63,"leadSponsor":65,"locationsCount":42},"100623841","phase-1-a-phase-1b-study-of-hc-7366-an-agonist-of-isr-with-immunotherapy-in-kidney-cancer-shark-100623841","NCT07401875","A Phase 1b Study of HC-7366, an Agonist of ISR With Immunotherapy in Kidney Cancer (SHARK)","Eligibility Criteria\n\n1. Ability to understand and the willingness to sign a written informed consent document\n2. Male or female ≥ 18 years of age\n3. Confirmed diagnosis of clear cell RCC\n4. Stage IV metastatic RCC per American Joint Committee on Cancer\n5. Triplet Cohort (IO\u002FIO): No prior systemic therapy for advanced RCC or prior adjuvant therapy allowed.\n6. Doublet Cohort: Participant must have progressed on at least one PD1 based doublet regimen (IO\u002FIO or IO\u002FTKI). Prior adjuvant therapy is allowed and does count as one line of systemic therapy.\n7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 )\n8. At least one measurable lesion as defined by RECIST 1.1\n\n   • A tumor lesion situated in a previously irradiated area is considered a measurable\u002Ftarget lesion only if subsequent disease progression has been documented in the lesion\n9. Has pathology-confirmed RCC. Extra tissue should be submitted if available for correlatives. Formalin-fixed paraffin-embedded tissue blocks are preferred to slides. Details pertaining to tumor tissue submission can be found in the Lab Procedures Manual.\n10. Willing and able to undergo bone and brain scans at baseline and continue to have scans performed if positive at screening.\n11. Adequate organ function within 28 days prior to first dose of protocol-indicated treatment, including:\n\n    * White blood cell (WBC) ≥ 2,000 \u002FμL\n    * Absolute neutrophil count (ANC) ≥ 1,000\u002FμL\n    * Platelet count ≥ 100,000\u002FμL\n    * Hemoglobin (Hgb) ≥ 9.0 g\u002FdL in prior 4 weeks. Blood transfusions are allowed to achieve this.\n    * Serum creatinine ≤ upper limit of normal (ULN), or calculated creatinine clearance ≥ 30 mL\u002Fmin (per the Cockcroft-Gault formula,)\n    * Total bilirubin ≤ ULN (except subjects with Gilbert Syndrome, who must have total bilirubin \\\u003C 3.0 mg\u002FdL)\n    * Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 x ULN\n12. Women must not be breastfeeding while taking the study drug and for up to five months after the last dose of study drug\n13. Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test within 24 hours prior to receiving first dose of protocol-indicated treatment\n\n    * \"Women of childbearing potential\" (WOCBP) is defined as any female who has experienced menarche who has not undergone surgical sterilization (hysterectomy or bilateral oophorectomy) or is not postmenopausal\n    * Menopause is defined clinically as 12 months of amenorrhea in a woman over 45 years of age in the absence of other biological or physiological causes\n    * If menopausal status is considered for the purpose of evaluating childbearing potential, women \\\u003C 62 years of age must have a documented serum follicle stimulating hormone (FSH) level within laboratory reference range for postmenopausal women, in order to be considered postmenopausal and not of childbearing potential\n14. Women of childbearing potential (WOCBP) must agree to follow instructions for acceptable contraception prior to the study and from the time of signing consent, for the duration of the study participation and for 23 weeks after their last dose of protocol-indicated treatment\n\n    * The effects of HC-7366 on the developing human fetus are unknown. For this reason and because first-in-class, first-in-human agents as well as other therapeutic agents used in this trial are known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. (Refer to Pregnancy Assessment Policy MD Anderson Institutional Policy # CLN1114).\n    * Approved methods of birth control are as follows: Hormonal contraception (i.e. birth control pills, injection, implant, transdermal patch, vaginal ring), Intrauterine device (IUD), Tubal Ligation or hysterectomy, Subject\u002FPartner post vasectomy, Implantable or injectable contraceptives, and condoms plus spermicide. Not engaging in sexual activity for the total duration of the study and the drug washout period is an acceptable practice; however periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of birth control. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately.\n15. Men not azoospermic who are sexually active with WOCBP must agree to follow instructions for acceptable contraception prior to the study and from the time of signing consent, for the duration of the study participation, and for 31 weeks after their last dose of protocol-indicated treatment\n16. Participant s with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated\n17. Participant s with a history of hepatitis C virus (HCV) infection must have been treated and cured. For participants with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load\n18. Participant s with previously treated brain metastases may be eligible provided they are radiologically (by MRI) and clinically stable (i.e., without evidence of disease progression) for at least 4 weeks (28 days) by repeat imaging (repeat imaging should be performed during study screening), with no evidence of new or enlarging brain metastases, and without requirement for steroid treatment for at least 28 days prior to the first dose of study drug or study therapy. (CT is acceptable if MRI is contraindicated)\n19. Participant s with a prior or concurrent malignancy whose natural history or treatment does not interfere with the safety or efficacy assessment of the investigational regimen are eligible for this study\n20. Participant s with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this study, participant s should be class 2B or better\n\nExclusion Criteria\n\n1\\. For the Triplet Cohort (Nivo\u002FIpi\u002FHC-7366):\n\n* Prior systemic treatment including neoadjuvant or adjuvant therapy including an immune checkpoint inhibitor or TKI 2. For the Doublet Cohort (Nivo\u002FHC-7366):\n* More than 3 prior lines of systemic therapy allowed\n* Has received any type of small molecule kinase inhibitor (including investigational kinase inhibitor) ≤ 2 weeks before start of study drug or study therapy 3. ≤ 28 days before first dose of protocol-indicated treatment:\n* Major surgery requiring general anesthesia 4. ≤ 14 days before first dose of protocol-indicated treatment:\n* Radiosurgery or radiotherapy\n* Minor surgery. (Note: Placement of a vascular access device is not considered minor or major surgery)\n* Active infection requiring systemic treatment 5. Known or suspected clinically significant active bleeding including active hemoptysis 6. Inability to swallow oral medication; or the presence of a poorly controlled gastrointestinal disorder that could significantly affect the absorption of oral study drug - e.g. Crohn's disease, ulcerative colitis, chronic diarrhea (defined as \\> 4 loose stools per day), malabsorption, or bowel obstruction 7. Central nervous system (CNS) metastasis, unless asymptomatic and radiologically (by MRI) and clinically stable (i.e., without evidence of disease progression) for at least 4 weeks (28 days) by repeat imaging (repeat imaging should be performed during study screening), with no evidence of new or enlarging brain metastases, and without requirement for steroid treatment for at least 28 days prior to the first dose of study drug or study therapy. (CT is acceptable if MRI is contraindicated 8. Any condition requiring systemic treatment with either corticosteroids (\\> 10 mg\u002Fday prednisone or equivalent daily) or other immunosuppressive medications within 14 days prior to initiating protocol-indicated treatment\n* In the absence of active autoimmune disease: Subjects are permitted the use of corticosteroids with minimal systemic absorption (e.g. topical, ocular, intraarticular, intranasal, and inhalational) ≤ 10 mg\u002Fday prednisone or equivalent daily; and physiologic replacement doses of systemic corticosteroids ≤ 10 mg\u002Fday prednisone or equivalent daily (e.g. hormone replacement therapy needed in participants with hypophysitis) 9. Active, known or suspected autoimmune disease\n* Subjects with type I diabetes mellitus; hypothyroidism only requiring hormone replacement; skin disorders such as vitiligo, psoriasis or alopecia not requiring systemic treatment; or conditions not expected by the investigator to recur in the absence of an external trigger are permitted to enroll 10. Known psychiatric condition, social circumstance, or other medical condition reasonably judged by the investigator to unacceptably increase the risk of study participation; or to prohibit the understanding or rendering of informed consent or anticipated compliance with and interpretation of scheduled visits, treatment schedule, laboratory tests and other study requirements 11. Pregnant women are excluded from this study because HC-7366 is novel, first-in-class small molecule agent with the potential for teratogenic or abortifacient effects. Because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with HC-7366, breastfeeding should be discontinued if the mother is treated with HC-7366. These potential risks may also apply to other agents used in this study 12. Human immunodeficiency virus (HIV)-infected participants on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this study 13. Participants who are receiving any other investigational agents",{"count":50,"type":19},35,[22],"To find out if the combination of HC-7366 and nivolumab (with or without ipilimumab) can help to control ccRCC. The",[25,54,55,56],"HC-7366","SHARK","Kidney Cancer","RECRUITING","2026-03-31",{"date":60,"type":34},"2026-04-02",{"date":62,"type":34},"2026-03-24",{"date":64,"type":19},"2029-11-30",{"name":40,"class":41}]