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TerminatedNCT03114319Updated Jul 9, 2026

Dose Finding Study of TNO155 in Adult Patients With Advanced Solid Tumors

A Phase 1 interventional study of TNO155 and TNO155 in combination with EGF816 (nazartinib) in Advanced EGFR Mutant Non Small Cell LungCancer (NSCLC), KRAS G12-mutant NSCLC and Esophageal Squamous Cell Cancer (SCC), sponsored by Novartis Pharmaceuticals. Terminated at 18 sites in 9 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-07-09.

Sponsored by Novartis Pharmaceuticals · Phase 1, Interventional, and Treatment

Why this study was terminated
Business reasons and not due to any safety concerns

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 3 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
227
Allocation
Non-randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

The purpose of this first in human (FIH) trial was to characterize the safety and tolerability of the SHP2 inhibitor TNO155 alone and in combination with EGF816 (nazartinib) and identify a recommended dose for future studies in adult patients with advanced solid tumors in selected indications.

Read the detailed description

This study has been designed as a Phase I, open-label, dose finding study with a dose escalation part and a dose expansion part in adult patients with selected advanced solid tumors. The study treatment, TNO155 alone or in combination with EGF816 (nazartinib), was taken until the patient experienced unacceptable toxicity, progressive disease and/or treatment was discontinued at the discretion of the investigator or the patient or due to withdrawal of consent.

02

Conditions studied

  • Advanced EGFR Mutant Non Small Cell LungCancer (NSCLC)
  • KRAS G12-mutant NSCLC
  • Esophageal Squamous Cell Cancer (SCC)
  • Head/Neck SCC
  • Melanoma
  • Advanced Gastrointestinal Stromal Tumors (GIST)
  • Advanced NRAS/BRAFT wt Cutaneous Melanoma

Keywords

  • TNO155
  • SHP2
  • advanced solid tumor
  • NSCLC
  • HNSCC
  • Esophageal SCC
  • Melanoma
  • EGFR
  • KRAS G12C
  • GIST
  • PTPN11
  • cancers with a mass
  • bulky tumor
  • nodule
  • lump
  • advanced solid malignancies
03

In context

Esophageal Squamous Cell Carcinoma

646 studies on the registry are indexed under Esophageal Squamous Cell Carcinoma; 275 are open to participants now.

This study's enrollment of 227 is above the median of 65 across 540 interventional studies indexed under Esophageal Squamous Cell Carcinoma.

Browse Esophageal Squamous Cell Carcinoma studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Able to understand and voluntarily sign the ICF and able to comply with the study visit schedule and the other protocol requirements.
  2. Patient (male or female) ≥18 years of age willing to agree to not father a child/become pregnant and comply with effective contraception criteria.
  3. Must have progressed following standard therapy, or for whom, in the opinion of the Investigator, no effective standard therapy exists, is tolerated or is appropriate.
  4. ECOG (Eastern cooperative oncology group) performance status ≤2

    Additional criteria only appying to TNO155 in combination with EGF816 (nazartinib):

  5. Patients must be screened for Hepatitis B virus and Hepatitis C virus

Exclusion criteria

Exclusion Criteria:

  1. Tumors harboring known activating KRAS, NRAS, HRAS, BRAF or PTPN11 (SHP2) mutations. (Exceptions are KRAS G12-mutant NSCLC's)
  2. History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO.
  3. Any medical condition that would, in the investigator's judgment, prevent the patient's participation in the clinical study due to safety concerns or compliance with clinical study procedures.
  4. Clinically significant cardiac disease.
  5. Active diarrhea or inflammatory bowel disease
  6. Insufficient bone marrow function
  7. Insufficient hepatic and renal function.

    Additional criteria only appying to TNO155 in combination with EGF816 (nazartinib):

  8. Patients with a known history of human immunodeficiency virus (HIV) seropositivity.
  9. Patients receiving concomitant immunosuppressive agents or chronic corticosteroids use at the time of study entry.
  10. Patients who have undergone a bone marrow or solid organ transplant
  11. Patients with a history or presence of interstitial lung disease or interstitial pneumonitis
  12. Bullous and exfoliative skin disorders at screening of any grade
  13. Presence of clinically significant ophthalmological abnormalities that might increase the risk of corneal epithelial injury
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
227 participants (actual)

Study arms

  • Experimental
    TNO155

    TNO155 for oral administration

    Drug: TNO155

  • Experimental
    TNO155 in combination with EGF816 (nazartinib)

    TNO155 in combination with EGF816 (nazartinib) in patients with advanced EGFR mutant NSCLC

    Drug: TNO155 in combination with EGF816 (nazartinib)

Interventions

  • DrugTNO155

    TNO155 for oral administration

  • DrugTNO155 in combination with EGF816 (nazartinib)

    TNO155 for oral administration; EGF816 (nazartinib) for oral administration

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events and serious adverse events

    All patients participating in this study will be assessed for incidence and severity of adverse events (AEs) and serious AEs, including changes in laboratory values, vital signs, electrocardiograms and cardiac biomarkers

    Time frame: up to 5 years; at least once per treatment cycle

  2. Number of participants with dose limiting toxicities

    Incidence and nature of dose limiting toxicities (DLTs) in the dose escalation part. A DLT is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first treatment cycle (either 21 days or 28 days, depending on the cohort's treatment schedule) with TNO155 or with TNO155 in combination with EGF816 (nazartinib)

    Time frame: up to 28-day cycle

  3. Number of participants with dose interruptions and reductions

    Assessment of tolerability. For patients who do not tolerate the protocol-specified dosing schedule, dose adjustments may be permitted in order to allow patients to continue the study treatment

    Time frame: Up to 5 years

  4. Dose intensity of study drugs

    Dose intensity is computed as the ratio of actual cumulative dose received to actual duration of exposure

    Time frame: Up to 5 years

Secondary outcomes

  1. Overall response rate (ORR) per RECIST v1.1

    ORR is the proportion of patients with a best overall response of Complete Response (CR) or Partial response (PR)

    Time frame: From start of treatment for 60 months

  2. Disease control rate (DCR) per RECIST v1.1

    DCR is the proportion of patients with a best overall response of CR or PR or stable disease (SD)

    Time frame: From start of treatment for 60 months

  3. Progression-free survival (PFS) per RECIST v1.1

    PFS is the time from date start of treatment to the date of event defined as the first documented progression or death due to any cause

    Time frame: Up to 5 years

  4. Duration of response (DOR) per RECIST v1.1

    DOR is the time from first documented response (PR or CR) to the date of first documented disease progression or death due to any cause

    Time frame: Up to 5 years

  5. Change from baseline in DUSP6 in tumor samples

    Dual Specificity Phosphatase 6 (DUSP6) mRNA levels assessed in paired tumor biopsy samples by quantitative polymerase chain reaction (qPCR)

    Time frame: At screening and between Cycle 1 and Cycle 3. One cycle=either 21 days or 28 days, depending on the cohort's treatment schedule.

  6. Area under the plasma concentration-time curve (AUC) of study drugs

    Pharmacokinetic (PK) parameters calculated based on the plasma concentrations versus time profiles by using non-compartmental methods

    Time frame: From pre-dose up to 48 hours post-dose on Cycle 1 Day 1 and from pre-dose up to 24 hours post-dose on Cycle 1 Day 14. One cycle=21 days or 28 days, depending on the dosing schedule.

  7. Peak plasma concentration (Cmax) of study drugs

    PK parameters calculated based on the plasma concentrations versus time profiles by using non-compartmental methods

    Time frame: From pre-dose up to 48 hours post-dose on Cycle 1 Day 1 and from pre-dose up to 24 hours post-dose on Cycle 1 Day 14. One cycle=21 days or 28 days, depending on the dosing schedule.

  8. Time to reach peak plasma concentration (Tmax) of study drugs

    PK parameters calculated based on the plasma concentrations versus time profiles by using non-compartmental methods

    Time frame: From pre-dose up to 48 hours post-dose on Cycle 1 Day 1 and from pre-dose up to 24 hours post-dose on Cycle 1 Day 14. One cycle=21 days or 28 days, depending on the dosing schedule.

  9. Apparent terminal elimination half-life of study drugs

    PK parameters calculated based on the plasma concentrations versus time profiles by using non-compartmental methods

    Time frame: From pre-dose up to 48 hours post-dose on Cycle 1 Day 1 and from pre-dose up to 24 hours post-dose on Cycle 1 Day 14. One cycle=21 days or 28 days, depending on the dosing schedule.

07

Study locations

18 sites
  • H Lee Moffitt Cancer Center and Research Institute
    Tampa, Florida 33612, United States
  • Dana Farber Cancer Center
    Boston, Massachusetts 02215, United States
  • Memorial Sloane Ketterin Cancer Ctr
    New York, New York 10065, United States
  • Sarah Cannon Research Institute
    Nashville, Tennessee 37221, United States
  • Novartis Investigative Site
    Toronto, Ontario M5G 2M9, Canada
  • Novartis Investigative Site
    Milan, MI 20141, Italy
  • Novartis Investigative Site
    Kobe, 650-0017, Japan
  • Novartis Investigative Site
    Rotterdam, South Holland 3015 GD, Netherlands
  • Novartis Investigative Site
    Amsterdam, 1066 CX, Netherlands
  • Novartis Investigative Site
    Singapore, 168583, Singapore
  • Novartis Investigative Site
    Seoul, 03080, South Korea
  • Novartis Investigative Site
    Seoul, 05505, South Korea
  • Novartis Investigative Site
    L'Hospitalet de Llobregat, Barcelona 08907, Spain
  • Novartis Investigative Site
    Barcelona, Catalonia 08035, Spain
  • Novartis Investigative Site
    Madrid, 28009, Spain
  • Novartis Investigative Site
    Madrid, 28034, Spain
  • Novartis Investigative Site
    Madrid, 28040, Spain
  • Novartis Investigative Site
    Taipei, 10002, Taiwan
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03114319
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Apr 14, 2017
Start date
May 26, 2017
Primary completion
Jul 4, 2025
Completion
Jul 4, 2025
Last update
Jul 9, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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