CClinicalTrials.gg
TerminatedNCT06264921Updated Sep 25, 2025

A Study With NKT3447 for Adults With Advanced/Metastatic Solid Tumors

A Phase 1 interventional study of NKT3447 in Solid Tumor, Solid Tumor, Adult and Advanced Solid Tumor, sponsored by NiKang Therapeutics, Inc.. Terminated at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-25.

Sponsored by NiKang Therapeutics, Inc. · Phase 1, Interventional, and Treatment

Why this study was terminated
This study was terminated as a result of Sponsor portfolio reprioritization.
Phase
Phase 1
Study type
Interventional
Enrollment
23
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of the Dose Escalation phase of the study is to evaluate the safety, tolerability, and pharmacokinetics (PK) to determine the maximum tolerated dose (MTD) and/or preliminary recommended dose for expansion (RDE) of NKT3447 in adults with advanced or metastatic solid tumors. The goal of the Expansion phase of the study is to evaluate the safety, tolerability, pharmacokinetics (PK), and the preliminary antitumor activity of NKT3447 in adult subjects with cyclin E1 (CCNE1) amplified ovarian cancer at the RDEs selected in Dose Escalation and to determine the preliminary recommended phase 2 dose (RP2D).

Read the detailed description

This is a Phase 1/1b, first-in-human, open-label, multicenter study of NKT3447 in adults with advanced/ metastatic solid tumors. The study consists of 2 parts, a Dose Escalation phase and a Dose Expansion phase. Eligible patients must have confirmed advanced/metastatic solid tumors (as outlined below) with disease progression on prior standard treatment, intolerance to or ineligibility for standard treatment, or no available standard treatment likely to improve the disease outcome in the judgment of the investigator.

Dose Escalation:

  1. Ovarian cancer
  2. Endometrial cancer
  3. Gastric cancer or gastroesophageal junction cancer
  4. Small cell lung cancer
  5. Triple-negative breast cancer (human epidermal growth factor receptor 2, estrogen receptor, progesterone receptor negative)
  6. Estrogen receptor/progesterone-receptor positive (ER+/PR+), human epidermal growth factor receptor 2 negative (HER2-) breast cancer (must have progressed following treatment with a CDK4/6 inhibitor, and not suitable for endocrine therapy)
  7. Other solid tumors with CCNE1 amplification as determined by next generation sequencing by local liquid or tissue biopsy.

Dose Expansion:

a. Platinum resistant or refractory ovarian cancer (defined as recurrence ≤6 months after completing platinum-based regimen) with progression on at least 1 platinum containing therapy with cyclin E amplification as determined by fluorescence in situ hybridization, quantitative polymerase chain reaction, or next-generation sequencing by local liquid or tissue biopsy.

The Dose Escalation phase will evaluate the safety, tolerability, and pharmacokinetics (PK) to determine the maximum tolerated dose (MTD) and/or preliminary recommended dose for expansion (RDE) of NKT3447 in adults with advanced or metastatic solid tumors.

The Dose Expansion phase will evaluate the safety, tolerability, pharmacokinetics (PK), and the preliminary antitumor activity of NKT3447 in adult subjects with CCNE1 amplified ovarian cancer at the RDEs selected in Dose Escalation and to determine the preliminary recommended RP2D.

02

Conditions studied

  • Solid Tumor
  • Solid Tumor, Adult
  • Advanced Solid Tumor
  • Metastatic Tumor
  • Ovarian Cancer
  • Ovarian Neoplasms
  • Ovarian Carcinoma
  • Metastatic Ovarian Carcinoma
  • Endometrial Cancer
  • Endometrial Neoplasms
  • Endometrial Diseases
  • Metastatic Endometrial Cancer
  • Metastatic Endometrial Carcinoma
  • Advanced Endometrial Carcinoma
  • Advanced Ovarian Carcinoma
  • Gastric Cancer
  • Advanced Gastric Carcinoma
  • Metastatic Gastric Cancer
  • Metastatic Gastric Carcinoma
  • Small-cell Lung Cancer
  • Small Cell Lung Carcinoma
  • Triple Negative Breast Cancer
  • Triple Negative Breast Neoplasms
  • Platinum-resistant Ovarian Cancer
  • Platinum-refractory Ovarian Carcinoma
  • CCNE1 Amplification
  • Hormone Receptor Negative Breast Carcinoma
  • Human Epidermal Growth Factor 2 Negative Carcinoma of Breast
  • Progesterone-receptor-positive Breast Cancer

Keywords

  • CDK 2 Inhibitor
  • CDK 4 Inhibitor
  • CDK 6 Inhibitor
03

Who can participate

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

Inclusion criteria

  • Must have confirmed unresectable advanced/metastatic solid tumors (as outlined below) with disease progression on prior standard treatment, intolerance to or ineligibility for standard treatment, or no available standard treatment likely to improve the disease outcome in the judgment of the Investigator.

    • Measurable disease per the RECIST v1.1
    • An Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
    • Able to swallow oral medications.

Dose Escalation(Part 1):

  1. Ovarian cancer
  2. Endometrial cancer
  3. Gastric cancer or gastroesophageal junction cancer
  4. Small cell lung cancer (SCLC)
  5. Triple-negative breast cancer (human epidermal growth factor receptor 2 [HER2], estrogen receptor [ER], progesterone receptor negative)
  6. ER/progesterone-receptor positive, HER2 negative breast cancer (must have progressed following treatment with a CDK4/6 inhibitor, and not suitable for endocrine therapy)
  7. Other solid tumors with CCNE1 amplification as determined by NGS by local liquid or tissue biopsy.

Dose Expansion (Part 2):

a. Platinum resistant or refractory ovarian cancer (defined as recurrence ≤6 months after completing platinum-based regimen) with progression on at least 1 platinum containing therapy with CCNE1 amplification as determined by NGS by local liquid or tissue biopsy.

  • Measurable disease per the RECIST v1.1
  • An Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  • Able to swallow oral medications.

Exclusion criteria

Exclusion Criteria:

  • Locally advanced solid tumor that is a candidate for curative treatment through radical surgery and/or radiotherapy, or chemotherapy.
  • History of another malignancy with exceptions
  • Visceral crisis with life-threatening complications, lymphangitic spread, CNS metastasis and/or carcinomatous meningitis
  • Failed to recover from effects of prior anticancer treatment therapy to baseline or Grade ≤ 1 severity (per CTCAE)
  • Clinically active interstitial lung disease
  • History of uveitis, retinopathy or other clinically significant retinal disease
  • Has known human immunodeficiency virus (HIV), active hepatitis B or C infection
  • Prior CDK2 inhibitor
  • Major surgery within 2 months or minor surgery within 10 days before the first dose of NKT3447
04

Study design

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

Study arms

  • Experimental
    Dose Escalation

    Dose escalation will assess the safety, efficacy, and PK/PD data of oral dosing NKT3447 at increasing dosage levels to determine the MTD and/or preliminary RDEs.

    Drug: NKT3447

  • Experimental
    Dose Expansion

    Dose expansion will include 2 RDEs selected to determine the preliminary antitumor activity and the RP2D.

    Drug: NKT3447

Interventions

  • DrugNKT3447

    Oral CDK2 inhibitor

05

What researchers measure

Primary outcomes

  1. Number of Participants with Dose Limiting Toxicity (DLT) events

    DLTs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5 .0.

    Time frame: 28 days

  2. Objective Response Rate (ORR)

    ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as determined by the Investigator

    Time frame: 1 year

Secondary outcomes

  1. Progression-free survival (PFS)

    PFS defined as the time from the date the participant started study drug to the date the participant experiences an event of disease progression or death.

    Time frame: 2 years

  2. Duration of Response (DOR)

    Duration of overall response is defined as the time from the date of first documented CR or PR, assessed by investigator and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first.

    Time frame: 2 years

  3. Disease control rate

    Disease control rate defined as CR + PR + stable disease \[SD\]

    Time frame: 1 year

  4. Overall Survival (OS)

    OS defined as the time from the date the participant started study drug to death for any reason.

    Time frame: 2 years

  5. Time to Response (TTR)

    TTR is defined as the time from first dose to the first documented CR or PR which is subsequently confirmed.

    Time frame: 1 year

  6. Number of Participants with Adverse Events

    An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related.

    Time frame: 2 years

  7. Maximum observed plasma concentration (Cmax) of NKT3447

    Maximum observed plasma concentration (Cmax) of NKT3447

    Time frame: 1 month

  8. Time to maximum observed plasma concentration of NKT3447 (Tmax)

    Time to maximum observed plasma concentration of NKT3447 (Tmax)

    Time frame: 1 month

  9. Observed trough concentration of NKT3447 (Ctrough)

    Observed trough concentration of NKT3447 (Ctrough)

    Time frame: 88 weeks

  10. Area under the plasma concentration-time curve (AUC0-t) of NKT3447

    Area under the plasma concentration-time curve (AUC0-t) of NKT3447

    Time frame: 1 month

  11. Apparent clearance (CL/F)

    Apparent clearance (CL/F)

    Time frame: 1 month

  12. Apparent volume of distribution (V/F)

    Apparent volume of distribution (V/F)

    Time frame: 1 month

  13. Half-life (t1/2)

    Half-life (t1/2)

    Time frame: 1 month

  14. Accumulation ratio (AR)

    Accumulation ratio (AR)

    Time frame: 1 month

06

Study locations

8 sites
  • University of California San Francisco (UCSF) - Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94158, United States
  • Sarah Cannon Research Institute at HealthONE
    Denver, Colorado 80218, United States
  • AdventHealth Cancer Institute
    Celebration, Florida 34747, United States
  • Augusta University Georgia Cancer Center
    Augusta, Georgia 30909, United States
  • Norton Cancer Institute - Broadway
    Louisville, Kentucky 40202, United States
  • The Gabrail Pharmacology Phase 1 Research Center
    Canton, Ohio 44718, United States
  • Texas Oncology-Austin Midtown NEXT Oncology
    Austin, Texas 78758, United States
  • START Mountain Region
    West Valley City, Utah 84119, United States
07

References and documents

Individual participant data

Plan to share: No — IPD are not planned to be shared at this time

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06264921
Lead sponsor
NiKang Therapeutics, Inc.
Responsible party
Sponsor
First posted
Feb 20, 2024
Start date
Feb 23, 2024
Primary completion
Apr 7, 2025
Completion
Apr 16, 2025
Last update
Sep 25, 2025

Oversight

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

Not currently enrolling

This study is terminated, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion