CClinicalTrials.gg
TerminatedNCT05006794Updated Jul 17, 2026

Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of GS-9716 as Monotherapy and in Combination With Anticancer Therapies in Adults With Solid Malignancies

A Phase 1 interventional study of zamzetoclax and Docetaxel in Solid Malignancies, sponsored by Gilead Sciences. Terminated at 13 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-17.

Sponsored by Gilead Sciences · Phase 1, Interventional, and Treatment

Why this study was terminated
Sponsor decision to terminate

From the registry’s dates

  • Primary completion was Jun 2025, 1 year 3 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
37
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase I open-label, multi-center study of zamzetoclax (formerly GS-9716) tested either as monotherapy or in combination with other anti-cancer agents in patients with advanced solid malignancies. Primary objectives are to define the maximum tolerated dose (MTD) or maximum administered dose of zamzetoclax, and characterize the safety and tolerability of zamzetoclax as monotherapy and in combination with anti-cancer therapies.

02

Conditions studied

  • Solid Malignancies
03

In context

Lead sponsor

Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.

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

04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

General Inclusion Criteria (all cohorts):

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Measurable disease per RECIST version 1.1
  • Adequate hematology, renal and hepatic function
  • Left ventricular ejection fraction (LVEF) ≥ 50%
  • Patients with brain metastases may be enrolled only if treated, nonprogressive, asymptomatic and not taking high dose steroids for at least 4 weeks prior to Cycle 1 Day 1 (C1D1)
  • Individuals of childbearing potential who engage in heterosexual intercourse must agree to use method(s) of contraception, per protocol.
  • Tissue criteria: must provide sufficient, and adequate tumor tissue sample or agree to have a biopsy taken.

Part A Specific Inclusion Criteria: zamzetoclax as monotherapy

  • Histologically or cytologically confirmed locally advanced or metastatic malignant solid tumor for which no standard therapy is available, standard therapy has failed, or for whom standard-of-care therapy is contraindicated.

Cohorts B1 and C1 Specific Inclusion Criteria:

  • Histologically or cytologically confirmed unresectable metastatic or locally advanced disease following treatment for metastatic disease including an immune checkpoint inhibitor and a platinum-containing chemotherapy
  • Patients with actionable genomic alterations must have also received treatment with at least 1 approved therapy appropriate to the genomic alteration unless unavailable or contraindicated

Cohorts B4 and C4 Specific Inclusion Criteria:

  • Histologically or cytologically confirmed disease based on the most recent analyzed biopsy metastatic disease that is refractory to or relapsed after at least 2 prior standard-of-care chemotherapy regimens, one of which was a taxane (unless contraindicated).

Key Exclusion Criteria:

  • Prior systemic anti-cancer therapy must meet wash-out criteria outlined in protocol
  • Treatment with any high dose systemic corticosteroids or nonsystemic radiotherapy within 2 weeks of the first dose of zamzetoclax (low dose corticosteroids permitted).
  • Women who are pregnant or lactating
  • Patients with active ≥ Grade 2 nausea or vomiting, and/or signs of intestinal obstruction
  • Known active or chronic hepatitis B or C infection or HIV infection/ HIV positive
  • Known history of clinically significant cardiovascular disease or heart failure.
  • Known history of clinically significant active chronic obstructive pulmonary disease or other moderate to severe chronic respiratory illness present within 6 months prior to C1D1
  • Known history of other clinically significant pulmonary disease or evidence of active pneumonitis
  • Uncontrolled pleural effusion, pericardial effusion, or ascites
  • History of clinically significant bleeding, intestinal obstruction, or gastrointestinal (GI) perforation within 6 months prior to C1D1
  • Infection requiring intravenous anti-infective use within 2 weeks prior to C1D1
  • Active or history of autoimmune disease or immune deficiency
  • History of uncured coexisting cancer, not including uncured basal cell carcinoma, cervical cancer in situ, or superficial bladder cancer.

Cohort A Specific Exclusion Criteria: zamzetoclax as monotherapy:

  • Known heart failure or elevated cardiac biomarkers

Cohorts B1 and C1 Specific Exclusion Criteria:

  • Known hypersensitivity to excipients in study treatments.

Cohorts B4 and C4 Specific Exclusion Criteria:

  • Prior treatment with sacituzumab govitecan-hziy or a topoisomerase 1 inhibitor or agents targeting Trop-2.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    Part A: zamzetoclax Dose-Escalation

    Patients will receive escalating doses of zamzetoclax to estimate MTD.

    Drug: zamzetoclax

  • Experimental
    Part A: zamzetoclax Dose-Expansion

    Patients will receive ≤ MTD of zamzetoclax.

    Drug: zamzetoclax

  • Experimental
    Part B (Cohort B1): Zamzetoclax + docetaxel

    Patients will receive escalating doses of zamzetoclax in combination with docetaxel.

    Drug: zamzetoclax · Drug: Docetaxel

  • Experimental
    Part B (Cohort B4): zamzetoclax + sacituzumab govitecan-hziy

    Patients will receive escalating doses of zamzetoclax in combination with sacituzumab govitecan-hziy.

    Drug: zamzetoclax · Drug: sacituzumab govitecan-hziy

  • Experimental
    Part C (Cohort C1): zamzetoclax + docetaxel

    Patients will receive ≤ MTD zamzetoclax in combination with docetaxel.

    Drug: zamzetoclax · Drug: Docetaxel

  • Experimental
    Part C (Cohort C4): zamzetoclax + sacituzumab govitecan-hziy

    Patients will receive ≤ MTD zamzetoclax in combination with sacituzumab govitecan-hziy.

    Drug: zamzetoclax · Drug: sacituzumab govitecan-hziy

Interventions

  • Drugzamzetoclax

    Tablet(s) administered orally

    Also known as: GS-9716

  • DrugDocetaxel

    Administered intravenously

  • Drugsacituzumab govitecan-hziy

    Administered intravenously

06

What researchers measure

Primary outcomes

  1. Percentage of Patients Experiencing Dose-Limiting Toxicities (DLTs)

    Time frame: First dose date up to 28 days

  2. Percentage of Patients Experiencing Adverse Events (AEs) According to National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE), Version 5.0

    Time frame: First dose date up to last dose date (Maximum: 105 weeks) plus 30 days

Secondary outcomes

  1. Maximum Observed Concentration (Cmax) for Zamzetoclax

    Time frame: Approximately 105 Weeks

  2. Time to Maximum Observed Concentration (Tmax) for Zamzetoclax

    Time frame: Approximately 105 Weeks

  3. Area Under the Concentration Versus Time Curve From Time 0 to 24 Hours (AUC0-24) for Zamzetoclax

    Time frame: Approximately 105 Weeks

  4. Parts B and C: Objective Response Rate (ORR)

    ORR is defined as the percentage of patients who achieve a confirmed complete response (CR) or confirmed partial response (PR) as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Time frame: Up to 105 weeks

  5. Parts B and C: Disease Control Rate (DCR)

    DCR is defined as the percentage of patients who achieve a CR, PR, or stable disease (SD) as assessed by RECIST version 1.1.

    Time frame: Up to 105 weeks

  6. Parts B and C: Progression-Free Survival (PFS)

    PFS is defined as the interval from the first dose of zamzetoclax to the earlier of the first documentation of definitive progressive disease (PD) or death from any cause.

    Time frame: First dose date to PD or death, whichever occurs first (up to 39 months)

  7. Parts B and C: Time to Response (TTR)

    TTR is defined as the time from first dose of zamzetoclax to the first documentation of CR or PR.

    Time frame: First dose date to the first documentation of CR or PR (up to 105 weeks)

  8. Parts B and C: Duration of Response (DOR)

    DOR is defined as the time from the first documentation of CR or PR to the earlier of the first documentation of definitive disease progression or death from any cause.

    Time frame: From first documentation of CR or PR to PD or death, whichever occurs first (up to 37 months)

07

Study locations

13 sites
  • University of Colorado Hospital - Anschutz Cancer Pavilion (ACP)
    Aurora, Colorado 80045, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
  • START Midwest
    Grand Rapids, Michigan 49546, United States
  • Montefiore Medial Center - Montefiore Medical Park
    The Bronx, New York 10467, United States
  • Novant Health Cancer Institute - Elizabeth (Breast Cancer)
    Charlotte, North Carolina 28204, United States
  • Stephenson Cancer Center
    Oklahoma City, Oklahoma 73104, United States
  • Oregon Health Oregon Health & Sciences University-Knight Cancer Institute
    Portland, Oregon 97239, United States
  • Sarah Cannon Research Institute
    Nashville, Tennessee 37203, United States
  • START San Antonio
    San Antonio, Texas 78229, United States
  • START Mountain Region
    West Valley City, Utah 84119, United States
  • Rambam Health Care Campus
    Haifa, 31096, Israel
  • Hadassah Medical Center- Ein Kerem
    Jerusalem, 91120, Israel
  • Tel-Aviv Sourasky Medical Center
    Tel Aviv, 6423906, Israel
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05006794
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
Aug 16, 2021
Start date
Sep 15, 2021
Primary completion
Jun 16, 2025
Completion
Jun 16, 2025
Last update
Jul 17, 2026

Study contacts

Gilead Study Director
study director · Gilead Sciences

Oversight

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

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