ClinicalTrials.gg
RecruitingNCT04585750Updated Oct 2, 2026

The Evaluation of PC14586 in Patients With Advanced Solid Tumors Harboring a TP53 Y220C Mutation (PYNNACLE)

A Phase 1/2 interventional study of rezatapopt and pembrolizumab in Advanced Solid Tumor, Advanced Malignant Neoplasm and Metastatic Cancer, sponsored by PMV Pharmaceuticals, Inc. Recruiting at 76 sites in 9 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by PMV Pharmaceuticals, Inc · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2020; still recruiting 6 years later.
Updated Oct 2, 2026Site recruiting status changedEligibility revised+1 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
300
Allocation
Non-randomized
Ages
12 Years and older
Sex
All
01

Study summary

The Phase 2 monotherapy portion of this study is currently enrolling and will evaluate the efficacy and safety of PC14586 (INN rezatapopt) in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation. The Phase 1 portion of the study will assess the safety, tolerability and preliminary efficacy of multiple dose levels of rezatapopt as monotherapy and in Phase 1b in combination with pembrolizumab.

Read the detailed description

Rezatapopt is a first-in-class, oral, small molecule p53 reactivator that is selective for the TP53 Y220C mutation.

The primary objective of Phase 2 Monotherapy is to evaluate the efficacy of rezatapopt at the Recommended Phase 2 Dose (RP2D) including the Overall Response Rate (ORR) in the Ovarian Cancer Cohort and the ORR across all cohorts as determined by blinded independent central review. Secondary objectives of Phase 2 are to characterize the safety, pharmacokinetic (PK) properties, quality of life, and other efficacy measures of PC14586 rezatapopt at the RP2D. Enrollment is open for the Phase 2 Monotherapy portion of the study.

The primary objective of Phase 1 Monotherapy is to establish the maximum tolerated dose (MTD) and RP2D of rezatapopt. Secondary objectives are to characterize the PK properties, safety and tolerability, and to assess preliminary efficacy including ORR. Enrollment into Phase 1 Monotherapy is complete.

The primary objective of Phase 1b Combination Therapy is to establish the MTD/RP2D of rezatapopt when administered in combination with pembrolizumab. Secondary objectives of Phase 1b Combination Therapy are to characterize PK, safety and tolerability, and to assess preliminary efficacy of rezatapopt when administered in combination with pembrolizumab, including ORR. Enrollment into Phase 1b Combination Therapy is complete.

02

Conditions studied

  • Advanced Solid Tumor
  • Advanced Malignant Neoplasm
  • Metastatic Cancer
  • Metastatic Solid Tumor
  • Lung Cancer
  • Ovarian Cancer
  • Endometrial Cancer
  • Prostate Cancer
  • Colorectal Cancer
  • Breast Cancer
  • Other Cancer
  • Locally Advanced
  • Head and Neck Cancer
  • Gall Bladder Cancer
  • Small Cell Lung Cancer
  • Small Cell Lung Cancer ( SCLC )
  • Small Cell Lung Carcinoma
  • NSCLC
  • NSCLC (Non-small Cell Lung Cancer)
  • SCLC
  • Non-Small Cell Lung Carcinoma
  • Triple Negative Breast Cancer
  • TNBC
  • HER2+ Breast Cancer
  • Non-Small Cell Lung Cancer
  • ER/PR Positive Breast Cancer
  • HER2- Breast Cancer
  • HER2-positive Breast Cancer
  • HER2-negative Breast Cancer
  • ER/PR(+), Her2(-) Breast Cancer

Keywords

  • PC14586
  • p53
  • Y220C
  • Phase 1
  • Phase 1/2
  • PMV
  • PMV Pharma
  • p53 mutation
  • TP53
  • TP53 mutation
  • p53 mutant
  • p53 reactivator
  • pembrolizumab
  • Keytruda
  • combination
  • PD-1
  • PD-L1
  • anti-PD-1
  • Merck
  • MSD
  • IgG4
  • mAb
  • Phase 1b
  • NGS
  • Next Generation Sequencing
  • precision
  • Phase 2
  • Rezatapopt
03

In context

Neoplasm Metastasis

4,040 studies on the registry are indexed under Neoplasm Metastasis; 886 are open to participants now.

This study's planned enrollment of 300 is above the median of 50 across 3,268 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

PMV Pharmaceuticals, Inc is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

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

04

Who can participate

The criteria were revised on the registry on Oct 2, 2026. See what changed

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • At least 18 years of age or 12 to 17 years of age after Safety Review Committee approval.
  • Locally advanced or solid with a TP53 Y220C mutation
  • (ECOG) status of 0 or 1
  • Previously treated with one or more lines of anticancer therapy and progressive disease
  • Adequate organ function
  • per v1.1 (Phase 2)

Additional Criteria for Inclusion in Phase 1b (rezatapopt) + pembrolizumab combination)

  • Anti-/PD-L1 naive or must have progressed on treatment
  • Measurable disease

Exclusion criteria

Exclusion Criteria:

  • Anti-cancer therapy within 21 days (or 5 half-lives) of receiving the study drug
  • Radiotherapy within 14 days of receiving the study drug
  • Primary CNS tumor
  • History of or spinal cord compression
  • , unless neurologically stable and do not require to treat associated neurological symptoms
  • Stroke or within 6 months prior to screening
  • Heart conditions such as unstable angina within 6 months prior to screening, uncontrolled hypertension, a heart attack within 6 months prior to screening, congestive heart failure, prolongation of , or other rhythm abnormalities
  • Strong inducers and strong CYP2C9 inhibitors/inducers within 14 days of first dose of rezatapopt
  • History of gastrointestinal (GI) disease that may interfere with absorption of study drug or patients unable to take oral medication
  • History of prior organ transplant
  • Known, active , except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer
  • Known, active uncontrolled , , or infection

Additional Criteria for Exclusion from Phase 2 (rezatapopt monotherapy)

  • Known KRAS mutation, defined as a single nucleotide variant (SNV) (Phase 2). Exception: Ovarian cancer patients with a known KRAS SNV are permitted.

Additional Criteria for Exclusion from Phase 1b (rezatapopt) + pembrolizumab combination)

  • Received prior therapy with an , anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor and discontinued from that treatment due to a Grade 3 or higher immune-related AE (irAE)
  • Received a live or within 30 days prior to the first dose of study intervention
  • Diagnosis of immunodeficiency or receiving chronic systemic steroid therapy within 7 days prior to the first dose of study drug
  • (≥ Grade 3) to pembrolizumab and/or any of its
  • Active disease that has required systemic treatment in past 2 years
  • History of radiation pneumonitis
  • History of (non-infectious) or active pneumonitis / interstitial lung disease that required steroids
  • Active infection requiring systemic therapy
  • Known history of HIV infection
  • Has previously received rezatapopt
Terms in these criteria, in plain language(19)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Phase 1 Monotherapy Dose Escalation

    Multiple dose levels of daily oral rezatapopt will be evaluated in an escalating manner, to determine the maximum tolerated dose and to ensure sufficient safety experience, pharmacokinetic information, and early evidence of clinical activity of rezatapopt to recommend a Phase 2 dose (RP2D).

    Drug: rezatapopt

  • Experimental
    Phase 1b Combination Therapy Dose Escalation, Part 1

    Multiple dose levels of daily oral rezatapopt in combination with a stable dose of pembrolizumab (200 mg IV q3 weeks) will be evaluated in an escalating manner, to determine the maximum tolerated dose and to ensure sufficient safety experience, pharmacokinetic information, and early evidence of clinical activity of PC14586 to recommend a Phase 2 dose (RP2D) of rezatapopt when administered in combination with pembrolizumab.

    Drug: rezatapopt · Drug: pembrolizumab

  • Experimental
    Phase 1b Combination Therapy Dose Expansion, PD(L)-1 naive patients

    Additional (expansion of) participants will enroll at the RP2D of daily oral PC14586 (INN: rezatapopt) when administered in combination with pembrolizumab (200 mg IV q3 weeks) for continued evaluation. Participants will have advanced solid tumors harboring a p53 Y220C mutation and are PD(L)-1 naive patients.

    Drug: rezatapopt · Drug: pembrolizumab

  • Experimental
    Phase 1b Combination Therapy Dose Expansion, PD(L)-1 relapsed/refractory patients

    Additional (expansion of) participants will enroll at the RP2D of daily oral rezatapopt when administered in combination with pembrolizumab (200 mg IV q3 weeks) for continued evaluation. Participants will have advanced solid tumors harboring a p53 Y220C mutation and are PD(L)-1 relapsed/refractory patients.

    Drug: rezatapopt · Drug: pembrolizumab

  • Experimental
    Phase 2 Monotherapy Dose Expansion, Ovarian Cancer Cohort

    Additional (expansion of) participants will dose with 2000 mg daily oral PC14586 (INN: rezatapopt) with food for continued evaluation. Ovarian Cancer Cohort participants will have locally advanced or metastatic ovarian cancer harboring a TP53 Y220C mutation who meet all eligibility criteria and have measurable disease per RECIST 1.1.

    Drug: rezatapopt

  • Experimental
    Phase 2 Monotherapy Dose Expansion, Lung Cancer Cohort

    Additional (expansion of) participants will dose with 2000 mg daily oral PC14586 (INN: rezatapopt) with food for continued evaluation. Lung Cancer Cohort participants will have locally advanced or metastatic lung cancer harboring a TP53 Y220C mutation who meet all eligibility criteria and have measurable disease per RECIST 1.1.

    Drug: rezatapopt

  • Experimental
    Phase 2 Monotherapy Dose Expansion, Breast Cancer Cohort

    Additional (expansion of) participants will dose with 2000 mg daily oral PC14586 (INN: rezatapopt) with food for continued evaluation. Breast Cancer Cohort participants will have locally advanced or metastatic breast cancer harboring a TP53 Y220C mutation who meet all eligibility criteria and have measurable disease per RECIST 1.1.

    Drug: rezatapopt

  • Experimental
    Phase 2 Monotherapy Dose Expansion, Endometrial Cancer Cohort

    Additional (expansion of) participants will dose with 2000 mg daily oral PC14586 (INN: rezatapopt) with food for continued evaluation. Endometrial Cancer Cohort participants will have locally advanced or metastatic endometrial cancer harboring a TP53 Y220C mutation who meet all eligibility criteria and have measurable disease per RECIST 1.1.

    Drug: rezatapopt

  • Experimental
    Phase 2 Monotherapy Dose Expansion, Other Solid Tumors Cohort

    Additional (expansion of) participants will dose with 2000 mg daily oral PC14586 (INN: rezatapopt) with food for continued evaluation. Other Solid Tumors Cohort participants will have locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation who meet all eligibility criteria and have measurable disease per RECIST 1.1.

    Drug: rezatapopt

Interventions

  • First-in-class, oral, small molecule p53 reactivator selective for the TP53 Y220C mutation.

    Also known as: PC14586

  • Participants receive pembrolizumab 200 mg by intravenous (IV) infusion over 30 minutes.

    Also known as: KEYTRUDA®, MK-3475, KEYNOTE-D79, MK-3475-D79

06

What researchers measure

Primary outcomes

  1. Phase 1 Monotherapy (Dose Escalation): Determine the number and type of adverse events to characterize the safety of rezatapopt

    Number of participants with treatment related adverse events

    Time frame: 40 months

  2. Phase 1 Monotherapy (Dose Escalation): Establish the Recommended Phase 2 Dose (RP2D)

    RP2D will be determined using available safety and pharmacokinetics and pharmacodynamics data

    Time frame: 30 months

  3. Phase 1 Monotherapy (Dose Escalation): Establish the maximum tolerated dose (MTD) (Phase 1)

    Incidence of dose limiting toxicities (DLTs) during the first 28 days of treatment with rezatapopt

    Time frame: The first 28 days of treatment (Cycle 1) per patient

  4. Phase 1b Combination Therapy (Part 1: Dose Escalation): Determine the number and type of adverse events to characterize the safety of rezatapopt when administered in combination with pembrolizumab

    Number of participants with treatment related adverse events

    Time frame: 18 months for treatment arm

  5. Phase 1b Combination Therapy (Part 1: Dose Escalation): Establish the maximum tolerated dose (MTD) of rezatapopt when administered in combination with pembrolizumab

    Incidence of dose limiting toxicities (DLTs) during the first 28 days of treatment with rezatapopt

    Time frame: The first 28 days of combination treatment arm (starting on Day -7) per patient

  6. Phase 1b Combination Therapy (Part 1: Dose Escalation): Establish the Recommended Phase 2 Dose (RP2D) of rezatapopt when administered in combination with pembrolizumab

    RP2D will be determined using available safety and pharmacokinetics and pharmacodynamics data

    Time frame: 18 months

  7. Phase 1b Combination Therapy (Part 2: Dose Expansion): Determine the number and type of adverse events to characterize the safety of rezatapopt when administered in combination with pembrolizumab

    Number of participants with treatment related adverse events

    Time frame: 12 months for treatment arm

  8. Phase 2 Monotherapy (Dose Expansion): Response rate assessment to evaluate the clinical activity / efficacy of rezatapopt

    Overall response rate in accordance with Response Evaluation Criteria (RECIST) v.1.1 as assessed by independent review across all cohorts

    Time frame: 34 months

  9. Phase 2 Monotherapy (Dose Expansion): Response rate assessment to evaluate the clinical activity / efficacy of rezatapopt in ovarian cancer patients

    Overall response rate in accordance with Response Evaluation Criteria (RECIST) v.1.1 as assessed by independent review in the ovarian cancer cohort

    Time frame: 34 months

Secondary outcomes

  1. Phase 1 Monotherapy: PK profile of rezatapopt - Peak concentration (Cmax)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  2. Phase 1 Monotherapy: PK profile of rezatapopt - Time of peak concentration (Tmax)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  3. Phase 1 Monotherapy: PK profile of rezatapopt - Area under the plasma concentration-time curve from time zero to time of last sampling timepoint (AUC0-t)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  4. Phase 1 Monotherapy: PK profile of rezatapopt - Area under the plasma concentration-time curve in one dosing interval (AUCtau)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  5. Phase 1 Monotherapy: PK profile of rezatapopt - Trough observed concentrations (Ctrough/Ctau)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  6. Phase 1 Monotherapy: Blood plasma assessment to describe the concentration of PC14586 and metabolites when rezatapopt is administered orally.

    Blood plasma concentration

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  7. Phase 1 Monotherapy (Dose Escalation): Overall Response Rate per RECIST v1.1 or PCWG3 modified RECIST v1.1

    Evaluation of preliminary anti-tumor activity of rezatapopt as a single agent

    Time frame: 41 months for study (end of Phase 1)

  8. Phase 1 Monotherapy (Dose Escalation): Time to Response per RECIST v1.1 or PCWG3 modified RECIST v1.1

    Evaluation of preliminary anti-tumor activity of rezatapopt as a single agent

    Time frame: 41 months for study (end of Phase 1)

  9. Phase 1 Monotherapy (Dose Escalation): Duration of Response per RECIST v1.1 or PCWG3 modified RECIST v1.1

    Evaluation of preliminary anti-tumor activity of rezatapopt as a single agent

    Time frame: 41 months for study (end of Phase 1)

  10. Phase 1 Monotherapy (Dose Escalation): Disease Control Rate per RECIST v1.1 or PCWG3 modified RECIST v1.1

    Evaluation of preliminary anti-tumor activity of rezatapopt as a single agent

    Time frame: 41 months for study (end of Phase 1)

  11. Phase 1 Monotherapy (Dose Escalation): Progression Free Survival per RECIST v1.1 or PCWG3 modified RECIST v1.1

    Evaluation of preliminary anti-tumor activity of rezatapopt as a single agent

    Time frame: 41 months for study (end of Phase 1)

  12. Phase 1 Monotherapy (Dose Escalation): Overall Survival

    Evaluation of preliminary anti-tumor activity of rezatapopt as a single agent

    Time frame: 41 months for study (end of Phase 1)

  13. Phase 1b Combination Therapy: PK profile of rezatapopt in combination with pembrolizumab - Peak concentration (Cmax)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (30 months for treatment arm)

  14. Phase 1b Combination Therapy: PK profile of rezatapopt in combination with pembrolizumab - Time of peak concentration (Tmax)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (30 months for treatment arm)

  15. Phase 1b Combination Therapy: PK profile of rezatapopt in combination with pembrolizumab - Area under the plasma concentration-time curve from time zero to time of last sampling timepoint (AUC0-t)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (30 months for treatment arm)

  16. Phase 1b Combination Therapy: PK profile of rezatapopt in combination with pembrolizumab - Area under the plasma concentration-time curve in one dosing interval (AUCtau)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (30 months for treatment arm)

  17. Phase 1b Combination Therapy: PK profile of rezatapopt in combination with pembrolizumab - Trough observed concentrations (Ctrough/Ctau)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (30 months for treatment arm)

  18. Phase 1b Combination Therapy: Blood plasma assessment to describe the concentration of rezatapopt and metabolites when rezatapopt is administered orally in combination with pembrolizumab.

    Blood plasma concentration

    Time frame: Approximately 12 months per patient (30 months for treatment arm)

  19. Phase 1b Combination Therapy: Overall Response Rate per RECIST v1.1, iRECIST, or PCWG3 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt in combination with pembrolizumab

    Time frame: 30 months for study (end of Phase 1b)

  20. Phase 1b Combination Therapy: Time to Response per RECIST v1.1, iRECIST, or PCWG3 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt in combination with pembrolizumab

    Time frame: 30 months for study (end of Phase 1b)

  21. Phase 1b Combination Therapy: Duration of Response per RECIST v1.1, iRECIST, or PCWG3 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt in combination with pembrolizumab

    Time frame: 30 months for study (end of Phase 1b)

  22. Phase 1b Combination Therapy: Disease Control Rate per RECIST v1.1, iRECIST, or PCWG3 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt in combination with pembrolizumab

    Time frame: 30 months for study (end of Phase 1b)

  23. Phase 1b Combination Therapy: Overall Survival

    Evaluation of anti-tumor activity of rezatapopt in combination with pembrolizumab

    Time frame: 30 months for study (end of Phase 1b)

  24. Phase 1b Combination Therapy: Determine the number and type of adverse events to characterize the safety of rezatapopt

    Number of participants with treatment related adverse events

    Time frame: 30 months for study (end of Phase 1b)

  25. Phase 1b Combination Therapy: Progression Free Survival per RECIST v1.1, iRECIST, or PCWG3 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt in combination with pembrolizumab

    Time frame: 30 months for study (end of Phase 1b)

  26. Phase 2 Monotherapy: PK profile of rezatapopt - Time of peak concentration (Tmax)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  27. Phase 2 Monotherapy: PK profile of rezatapopt - Peak concentration (Cmax)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  28. Phase 2 Monotherapy: PK profile of rezatapopt - Area under the plasma concentration-time curve from time zero to time of last sampling timepoint (AUC0-t)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  29. Phase 2 Monotherapy: PK profile of rezatapopt - Area under the plasma concentration-time curve in one dosing interval (AUCtau)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  30. Phase 2 Monotherapy: PK profile of rezatapopt - Trough observed concentrations (Ctrough/Ctau)

    Pharmacokinetic parameters will be determined by non-compartmental methods using pharmacokinetic profile of rezatapopt

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  31. Phase 2 Monotherapy: Blood plasma assessment to describe the concentration of rezatapopt and metabolites when rezatapopt is administered orally.

    Blood plasma concentration

    Time frame: Approximately 12 months per patient (75 months for Phase 1 and Phase 2)

  32. Phase 2 Monotherapy (Dose Expansion): Determine the number and type of adverse events to characterize the safety of rezatapopt

    Number of participants with treatment related adverse events

    Time frame: 34 months for study (end of Phase 2)

  33. Phase 2 Monotherapy (Dose Expansion): Overall Response Rate across all cohorts per RECIST v1.1 as assessed by Investigator

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  34. Phase 2 Monotherapy (Dose Expansion): Overall Response Rate in ovarian cancer cohort per RECIST v1.1 as assessed by Investigator

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  35. Phase 2 Monotherapy (Dose Expansion): Time to Response in ovarian cancer cohort per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  36. Phase 2 Monotherapy (Dose Expansion): Time to Response across all cohorts per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  37. Phase 2 Monotherapy (Dose Expansion): Duration of Response in ovarian cancer cohort per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  38. Phase 2 Monotherapy (Dose Expansion): Duration of Response across all cohorts per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  39. Phase 2 Monotherapy (Dose Expansion): Disease Control Rate in ovarian cancer cohort per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  40. Phase 2 Monotherapy (Dose Expansion): Disease Control Rate across all cohorts per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  41. Phase 2 Monotherapy (Dose Expansion): Progression Free Survival in ovarian cancer cohort per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  42. Phase 2 Monotherapy (Dose Expansion): Progression Free Survival across all cohorts per RECIST v1.1 as assessed by Investigator and as assessed by independent review

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  43. Phase 2 Monotherapy (Dose Expansion): Overall Survival in ovarian cancer cohort

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  44. Phase 2 Monotherapy (Dose Expansion): Overall Survival across all cohorts

    Evaluation of anti-tumor activity of rezatapopt as a single agent

    Time frame: 34 months for study (end of Phase 2)

  45. Phase 2 Monotherapy (Dose Expansion): Quality of life assessment

    Changes from baseline in quality of life as measured by a validated instrument, for participants 18 and older

    Time frame: Evaluated at every visit. 34 months for treatment arm (end of Phase 2)

07

Study locations

71 of 76 sites recruiting
  • University of California Irvine Chao Family Comprehensive Cancer Center
    Irvine, California 92868, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • University of San Diego Moores Cancer Center
    La Jolla, California 92093, United States
    Recruiting
    • Shumei Kato, MD · Contact
  • UCLA Jonsson Comprehensive Cancer Center
    Los Angeles, California 90024, United States
    Recruiting
    • Gottfried Konecny, MD · Contact
  • USC Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
    Recruiting
    • Anthony El-Khoueiry, MD · Contact
  • Rocky Mountain Cancer Center
    Denver, Colorado 80218, United States
    Recruiting
    • Allen Cohn, MD · Contact
  • Yale Cancer Center
    New Haven, Connecticut 06519, United States
    Recruiting
    • Patricia LoRusso, MD · Contact
  • Medical Oncology Hematology Consultants
    Newark, Delaware 19713, United States
    Recruiting
    • Jamal Misleh, MD · Contact
  • University of Miami - Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
    Recruiting
    • Gilberto de Lima Lopes Jr., MD · Contact
  • Advent Health
    Orlando, Florida 32803, United States
    Recruiting
    • Robert Holloway, MD · Contact
  • Florida Cancer Specialists South
    Port Charlotte, Florida 33980, United States
    Recruiting
    • Ivor Percent, MD · Contact
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
    Recruiting
    • Aparna Parikh, MD · Contact
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02215, United States
    Recruiting
    • Geoffrey Shapiro, MD, PhD · Contact
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
    Completed

    Not enrolling at this site — choose another above.

  • Columbia University Medical Center
    New York, New York 10032, United States
    Not yet recruiting
    • June Hou, MD · Contact
  • Memorial Sloan Kettering
    New York, New York 10065, United States
    Recruiting
    • Alison Schram, MD · Contact
  • Duke University
    Durham, North Carolina 27705, United States
    Recruiting
    • Niharika Mettu, MD, PhD · Contact
  • The Cleveland Clinic Taussig Cancer Center
    Cleveland, Ohio 44195, United States
    Recruiting
    • Dale Shepard, MD · Contact
  • University of Oklahoma
    Oklahoma City, Oklahoma 73104, United States
    Recruiting
    • Debra Richardson, MD · Contact
  • Oregon Health & Science University (OHSU)
    Portland, Oregon 97210, United States
    Recruiting
    • Shivaani Kummar, MD · Contact
  • Abramson Cancer Center of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
    • Lainie Martin, MD · Contact
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15213, United States
    Recruiting
    • Sarah Taylor, MD, PhD · Contact
  • WellSpan York Cancer Center
    York, Pennsylvania 17403, United States
    Recruiting
    • Ikechukwu Akunyili, MD · Contact
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Sarah Cannon Research Institute
    Nashville, Tennessee 37203, United States
    Recruiting
    • Melissa Johnson, MD · Contact
  • New Experimental Therapeutics - NEXT Oncology
    Austin, Texas 78705, United States
    Recruiting
    • David Sommerhalder, MD · Contact
  • Texas Oncology
    Bedford, Texas 76022, United States
    Recruiting
    • Terrence Wong, MD · Contact
  • UT Southwest Simmons Cancer Center
    Dallas, Texas 75390, United States
    Recruiting
    • David Miller, MD · Contact
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
    • Ecaterina Dumbrava, MD · Contact
  • New Experimental Therapeutics of San Antonio - NEXT Oncology
    San Antonio, Texas 78229, United States
    Recruiting
    • David Sommerhalder, MD · Contact
  • Virginia Cancer Specialists
    Fairfax, Virginia 22031, United States
    Recruiting
    • Alexander Spira, MD · Contact
  • University of Washington, Fred Hutchinson Cancer Center
    Seattle, Washington 98109, United States
    Recruiting
    • Andrew Coveler, MD · Contact
  • University of Wisconsin Carbone Cancer Center
    Madison, Wisconsin 53705, United States
    Recruiting
    • Nataliya Uboha, MD, PhD · Contact
  • Chris O'Brien Lifehouse Hospital
    Camperdown, New South Wales, Australia
    Recruiting
    • Peter Grimison, MD · Contact
  • Mater Cancer Care Centre
    South Brisbane, Queensland, Australia
    Recruiting
    • Catherine Shannon, MD · Contact
  • Flinders Medical Center
    Bedford Park, South Australia, Australia
    Recruiting
    • Shawgi Sukumaran, MD · Contact
  • Monash Medical Centre
    Clayton, Victoria, Australia
    Recruiting
    • Sophia Frentzas, MD · Contact
  • Linear Clinical Research
    Nedlands, Western Australia, Australia
    Recruiting
    • Michael Millward, MD · Contact
  • ICANS - Institut de cancérologie Strasbourg Europe
    Strasbourg, Bas-Rhin, France
    Recruiting
    • Lauriane Eberst, MD · Contact
  • Institut Bergonie
    Bordeaux, Gironde, France
    Recruiting
    • Veronique Debien, MD · Contact
  • Institut Claudius Regaud
    Toulouse, Haute-Garonne, France
    Recruiting
    • Carlos-Alberto Gomez-Roca, MD · Contact
  • EDOG Institut de Cancerologie de l'Ouest
    Saint-Herblain, Loire-Atlantique, France
    Recruiting
    • Jean-Sebastien Frenel, MD · Contact
  • Centre Jean Perrin
    Clermont-Ferrand, Puy-de-Dôme, France
    Recruiting
    • Xavier Durando, MD · Contact
  • Institut Gustave Roussy
    Villejuif, Val-de-Marne, France
    Recruiting
    • Yohann Loriot, MD · Contact
  • Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer
    Lyon, France
    Recruiting
    • Isabelle Ray-Coquard, MD · Contact
  • CHU de Nîmes
    Nîmes, 30900, France
    Recruiting
    • Frédéric Fiteni, MD, PhD · Contact
  • Institute Cancer De Lorraine
    Vandœuvre-lès-Nancy, 54519, France
    Recruiting
    • Aurélien Lambert, MD · Contact
  • Nationale Centrum für Tumorerkrankungen (NCT) Heidelberg
    Heidelberg, Baden-Wurttemberg, Germany
    Recruiting
    • Martin Haag, MD · Contact
  • Universitätsklinikum Augsburg
    Augsburg, Bavaria, Germany
    Recruiting
    • Rainer Claus, MD · Contact
  • Asklepios Klinik Altona
    Hamburg, Free and Hanseatic City of Hamburg, Germany
    Recruiting
    • Dirk Arnold, MD · Contact
  • Universitätsklinikum Frankfurt
    Frankfurt am Main, Hesse, Germany
    Withdrawn

    Not enrolling at this site — choose another above.

  • Universitätsklinikum Essen
    Essen, North Rhine-Westphalia, Germany
    Recruiting
    • Marcel Wiesweg, MD · Contact
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS
    Rome, Lazio, Italy
    Recruiting
    • Anna Fagotti, MD · Contact
  • Istituti Fisioterapici Ospitalieri - Istituto Nazionale Tumori Regina Elena
    Rome, Lazio, Italy
    Recruiting
    • Lorenza Landi, MD · Contact
  • ASST Grande Ospedale Metropolitano Niguarda
    Milan, Lombardy, Italy
    Recruiting
    • Salvatore Siena, MD · Contact
  • Fondazione IRCCS Istituto Nazionale Dei Tumori
    Milan, Lombardy, Italy
    Recruiting
    • Massimo Di Nicola, MD · Contact
  • Istituto Europeo Di Oncologia
    Milan, Lombardy, Italy
    Recruiting
    • Giuseppe Curigliano, MD · Contact
  • Istituto Clinico Humanitas
    Rozzano, Lombardy, Italy
    Recruiting
    • Armando Santoro, MD · Contact
  • Fondazione del Piemonte per l'Oncologia (IRCCS)
    Candiolo, Torino, Italy
    Recruiting
    • Chiara Lazzari, MD · Contact
  • Humanitas San Pio X
    Milan, Italy
    Recruiting
    • Domenica Lorusso, MD · Contact
  • IRCCS - lstituto Nazionale Tumori - Fondazione G. Pascale
    Naples, 80131, Italy
    Recruiting
    • Anna Passarelli, MD · Contact
  • National University Hospital
    Kent Ridge, Singapore
    Recruiting
    • David Shao Peng Tan, MD · Contact
  • National Cancer Center of Singapore
    Singapore, 168582, Singapore
    Recruiting
    • Tira Tan, MD · Contact
  • Asan Medical Center
    Seoul, South Korea
    Recruiting
    • Dae Ho Lee, MD · Contact
  • National Cancer Center
    Seoul, South Korea
    Recruiting
    • Myong Cheol Lim, MD, PhD · Contact
  • Samsung Medical Center
    Seoul, South Korea
    Recruiting
    • Chel Hun Choi, MD · Contact
  • Seoul University Hospital
    Seoul, South Korea
    Recruiting
    • Seock-Ah Im, MD · Contact
  • Severance Hospital Yonsei University
    Seoul, South Korea
    Recruiting
    • Jung-Yun Lee, MD · Contact
  • START MADRID_Hospital Universitario Fundacion Jimenez Diaz
    Madrid, Madrid, Spain
    Recruiting
    • Victor Moreno Garcia, MD · Contact
  • START MADRID_Hospital Universitario HM Sanchinarro - CIOCC
    Madrid, Madrid, Spain
    Recruiting
    • Irene Moreno, MD · Contact
  • Instituto de Investigacion Oncologica Vall d'Hebron (VHIO) - EPON
    Barcelona, Spain
    Recruiting
    • Lorena Farinas, MD · Contact
  • NEXT Oncology-Hospital Quironsalud Barcelona
    Barcelona, Spain
    Recruiting
    • Elena Garralda, MD · Contact
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
    Recruiting
    • Santiago Ponce Aix, MD · Contact
  • START Rioja
    Rioja, Spain
    Recruiting
    • Jorge Luis Ramon Patino, MD · Contact
  • Hospital Clinico Universitario de Valencia
    Valencia, Spain
    Recruiting
    • José Alejandro Pérez Fidalgo, MD · Contact
  • Sarah Cannon Research Institute UK
    London, Middlesex, United Kingdom
    Recruiting
    • Elisa Fontana, MD, PhD · Contact
  • Freeman Hospital
    Newcastle upon Tyne, Tyne and Wear, United Kingdom
    Recruiting
    • Alastair Greystoke, MB ChB PhD · Contact
08

References and documents

Publications

  • Dumbrava EE, Shapiro GI, Parikh AR, Johnson ML, Tolcher AW, Thompson JA, El-Khoueiry AB, Vandross AL, Kummar S, Shepard DR, LeDuke K, Sheehan L, Alland L, Haque A, Jalota D, Fellous M, Schram AM. Phase 1 Study of Rezatapopt, a p53 Reactivator, in TP53 Y220C-Mutated Tumors. N Engl J Med. 2026 Feb 26;394(9):872-883. doi: 10.1056/NEJMoa2508820. PubMed 41740031 ↗
  • Schram AM, Fellous M, LeDuke K, Schmid A, Dumbrava EE. PYNNACLE phase II clinical trial protocol: rezatapopt (PC14586) monotherapy in advanced or metastatic solid tumors with a TP53 Y220C mutation. Future Oncol. 2025 Oct;21(24):3159-3166. doi: 10.1080/14796694.2025.2557176. Epub 2025 Sep 11. PubMed 40932470 ↗
  • Papavassiliou KA, Vassiliou AG, Papavassiliou AG. Rezatapopt: A promising small-molecule "refolder" specific for TP53Y220C mutant tumors. Neoplasia. 2025 Sep;67:101201. doi: 10.1016/j.neo.2025.101201. Epub 2025 Jun 20. PubMed 40543428 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2020 (actual). Primary completion is estimated for Dec 2026, 73 months after the start.

Of 127 industry-sponsored phase 1/2 interventional studies under Neoplasm Metastasis, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 89. This study's planned 73 months is above that.

Counting every sponsor, half of 213 studies reached it within 62 months; a quarter within 41 and three quarters within 89.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 1, 2020
First posted
Oct 14, 2020
StartActual
Oct 29, 2020
Primary completionEst.
Dec 15, 2026
CompletionEst.
Dec 31, 2027
Last update
Oct 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
1 site removed. Karmanos Cancer Institute is now Completed
Show 1 removed
  • University of Nebraska Medical Center Buffet Cancer Center · Omaha, United States
Oct 2, 2026
Eligibility
1 exclusion criterion edited
What changed in the criteria
Exclusion criteria
  • EditedKnown KRAS mutation, defined as a single nucleotide variant (SNV) (Phase 2). Exception: Ovarian cancer patients with a known KRAS SNV are permitted.
Oct 2, 2026
Site contacts
Changed at 2 sites. See the sites
Show 2 sites
  • Karmanos Cancer Institute · Detroit, United StatesContact removed (no phone or email listed)
  • Flinders Medical Center · Bedford Park, AustraliaContact person changed (no phone or email listed)
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    1 site removed. Karmanos Cancer Institute is now Completed
    Show 1 removed
    • University of Nebraska Medical Center Buffet Cancer Center · Omaha, United States
    Eligibility 1 exclusion criterion edited
    What changed in the criteria
    Exclusion criteria
    • EditedKnown KRAS mutation, defined as a single nucleotide variant (SNV) (Phase 2). Exception: Ovarian cancer patients with a known KRAS SNV are permitted.
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Karmanos Cancer Institute · Detroit, United StatesContact removed (no phone or email listed)
    • Flinders Medical Center · Bedford Park, AustraliaContact person changed (no phone or email listed)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04585750
Lead sponsor
PMV Pharmaceuticals, Inc
Responsible party
Sponsor
First posted
Oct 14, 2020
Start date
Oct 29, 2020
Primary completion
Dec 15, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Oct 2, 2026

Study contacts

PMV Pharma Clinical Study Information Center
Contact
clinicaltrials@pmvpharma.com
(609) 235-4038
Marc Fellous, MD
study director · Sr. Vice President, Clinical Development and Medical Affairs

Oversight

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

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Discussion

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Studies of the drug tested here: Rezatapopt

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