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RecruitingInterventionalPhase 1

An Open-Label, First-in-Human, Phase 1/2 Dose Escalation and Expansion Study of NEO-811 in Subjects With Locally Advanced or Metastatic Non-Resectable Clear Cell Renal Cell Carcinoma

NCT ID: NCT07300241Sponsor: Neomorph, IncLast updated: 2026-06-02

Summary

The NEO-811-101 study is an open-label, first-in-human, Phase 1/2 dose escalation and expansion study testing NEO-811, an ARNT molecular glue degrader, in subjects with locally advanced or metastatic non-resectable clear cell renal cell carcinoma. The study will test NEO-811 initially as a monotherapy.

Arms & interventions

  • DrugNEO-811

    NEO-811

Outcome measures

Primary

  • Frequency and severity of treatment emergent adverse events (TEAEs) of NEO-811 as a single agent.

    TEAEs will be assessed and severity assigned by using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 6.0.

    Time frame: Start of Cycle 1 until at least 30 days following the last dose of the last treatment cycle (each treatment cycle is 21 days).

  • Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of NEO-811 as a single agent.

    The MTD and/or RP2D of NEO-811 as a single agent will be determined.

    Time frame: Start of Cycle 1 until at least 30 days following the last dose of the last treatment cycle (each treatment cycle is 21 days).

Secondary

  • Maximum observed plasma concentration (Cmax) of NEO-811.

    Time frame: Start of Cycle 1 until Day 1 of last treatment cycle (each treatment cycle is 21 days).

  • Trough observed plasma concentration (Ctrough) of NEO-811.

    Time frame: Start of Cycle 1 until Day 1 of last treatment cycle (each treatment cycle is 21 days).

  • Time to Cmax (Tmax) of NEO-811.

    Time frame: Start of Cycle 1 until Day 1 of last treatment cycle (each treatment cycle is 21 days).

  • Area under the concentration time curve (AUC) of NEO-811.

    Time frame: Start of Cycle 1 until Day 1 of last treatment cycle (each treatment cycle is 21 days).

  • Anti-tumor activity of NEO-811 as a single agent.

    Time frame: Start of Cycle 1 until documented disease progression or death, etc. (each treatment cycle is 21 days), estimated as 6-9 months.

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Subjects with locally advanced or metastatic non-resectable clear cell renal cell carcinoma (ccRCC). * Subjects must have progressed on or refused standard therapies. * Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0 or 1. * Estimated life expectancy, in the judgment of the Investigator, of at least 12 weeks. * Formalin-fixed paraffin-embedded (FFPE) tumor tissue, newly obtained or archival, is mandatory for enrollment to the study. * Measurable disease as defined by RECIST v1.1. * Adequate hematologic, hepatic, and renal function defined as: * Hemoglobin ≥10 g/dL, * Absolute neutrophil count ≥1000 cells/µL, * Platelet count ≥100,000/µL, * AST and ALT ≤2.5 × ULN, or AST and ALT ≤5 × ULN for subjects with liver metastases, * Total bilirubin ≤1.5 × ULN, * Estimated glomerular filtration rate (eGFR) ≥60 mL/min. * Subject can swallow oral medications and does not have a condition that could impair the oral bioavailability of the study drug. * Other inclusion criteria per protocol. Exclusion Criteria: * Non-clear cell predominant RCC histologic subtypes. * Leptomeningeal disease or symptomatic active CNS metastases with exceptions for asymptomatic treated CNS metastases per protocol. * Prior or concurrent malignancies with exceptions per protocol. * History of hepatitis B virus (HBV), hepatitis C virus (HCV), or HIV infection. * Other exclusion criteria per protocol.

Study locations (10)

NEO-811 Los Angeles Site

Duarte, California, 91010

Recruiting

NEO-811 San Diego Site

San Diego, California, 92037

Recruiting

NEO-811 Chicago Site

Zion, Illinois, 60099

Recruiting

NEO-811 Grand Rapids Site

Grand Rapids, Michigan, 49503

Recruiting

NEO-811 Long Island Site

Lake Success, New York, 11042

Recruiting

NEO-811 NYC Site

New York, New York, 10065

Recruiting

NEO-811 South Carolina Site

Myrtle Beach, South Carolina, 29572

Recruiting

NEO-811 Dallas Site

Dallas, Texas, 75039

Recruiting

NEO-811 Houston Site

Houston, Texas, 77054

Recruiting

NEO-811 Virginia Site

Fairfax, Virginia, 22031

Recruiting