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NCT07284186PHASE1Recruiting

First-in-Human Study of PLX-61639 in Locally Advanced or Metastatic Solid Tumors

Plexium, Inc.

Start Date

12/1/2025

Completion Date

9/1/2030

Summary

A multicenter, single-arm, first-in-human study to investigate the safety, pharmacokinetics, and preliminary antitumor activity of PLX-61639 in participants with locally advanced or metastatic, relapsed/refractory, SMARCA4-deficient solid tumors who are intolerant of or have failed available, approved therapies. The study will be conducted in 3 parts: dose escalation (Part 1), dose optimization (Part 2), and cohort expansion (Part 3). Each part of the study will consist of a Screening Phase lasting up to 28 days during which participants will be assessed for eligibility, a Treatment Phase beginning on Cycle 1 Day 1 and consisting of consecutive 28-day cycles, an End of Treatment Visit, and a Post-Treatment Follow-Up Phase. Participants will receive their assigned dose of PLX-61639 administered orally, once daily until progression/relapse, intolerance, death, or withdrawal from study treatment by the Investigator or participant.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * Participants with locally advanced or metastatic, relapsed/refractory, solid tumors harboring a SMARCA4 loss-of-function mutation that have progressed on, are intolerant of, or not otherwise candidates for available approved therapies * Adequate liver bone marrow, coagulation, renal, and cardiopulmonary function * Measurable disease per RECIST 1.1 * ECOG PS of 0 or 1 Key Exclusion Criteria: * Germline SMARCA4 mutations * Known SMARCA2 mutation or loss of expression * Symptomatic CNS disease * Prior treatment with another SMARCA2-directed therapy * History of other malignancies * Clinically significant heart disease * Uncontrolled hypertension * Prolongation of QT interval

Interventions

DRUG

PLX-61639

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Conditions

Esophageal Squamous Cell CarcinomaGastric AdenocarcinomaGastric Squamous Cell CarcinomaGastroesophageal Junction (GEJ) AdenocarcinomaMetastatic Solid TumorNon-Small Cell Lung CarcinomaEsophageal AdenocarcinomaSMARCA4 MutationGastroesophageal Junction Squamous Cell CarcinomaAdvanced Solid Tumor

Locations

Research Site

Scottsdale, Arizona 85258

United States

Research Site

Duarte, California 91010

United States

Research Site

Orange, California 92868

United States

Research Site

Boston, Massachusetts 02114

United States

Research Site

St Louis, Missouri 63110

United States

Research Site

New York, New York 10044

United States

Research Site

Durham, North Carolina 27710

United States

Research Site

Cleveland, Ohio 44106

United States

Research Site

San Antonio, Texas 78229

United States

Research Site

Fairfax, Virginia 22031

United States