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Active, not recruitingNCT07129252BRAVESST2Updated Oct 13, 2026

A Study to Investigate Safety and Effectiveness of CRN09682 in Participants With SST2-Expressing NENs and Other Solid Tumors

A Phase 1/2 interventional study of CRN09682 in SST2-positive Neuroendocrine Neoplasms, Neuroendocrine Tumors and Neuroendocrine Neoplasm, sponsored by Crinetics Pharmaceuticals Inc.. Active, not recruiting at 27 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Crinetics Pharmaceuticals Inc. (part of Vertex Pharmaceuticals Incorporated) · Phase 1/2, Interventional, and Treatment

Updated Oct 13, 2026Now Active, not recruitingGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
150
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This Phase 1/2, multicenter, open-label, FIH study aims to evaluate the safety, tolerability, PK, and preliminary antitumor activity of CRN09682 in participants with SST2-expressing NENs and other solid tumors. The study includes a Dose Escalation Phase to determine the MTD and DLTs. Following MTD identification, additional participants will be enrolled at the expansion dose to further assess safety, tolerability, PK, and antitumor activity.

02

Conditions studied

  • SST2-positive Neuroendocrine Neoplasms
  • Neuroendocrine Tumors
  • Neuroendocrine Neoplasm

Keywords

  • CRN09682
  • Crinetics
  • Neuroendocrine Neoplasm
  • NEN
  • Neuroendocrine Tumor
  • NET
  • MMAE
  • SST2
  • Somatostatin
  • Metastatic
  • Solid Tumor
  • Dose Escalation
  • Dose Expansion
  • Phase 1
  • SSTR+
  • Phase 2
  • Phase 1/2
  • Neuroendocrine Carcinoma
  • NEC
03

In context

Neuroendocrine Tumors

542 studies on the registry are indexed under Neuroendocrine Tumors; 135 are open to participants now.

This study's planned enrollment of 150 is above the median of 41 across 387 interventional studies indexed under Neuroendocrine Tumors.

Browse Neuroendocrine Tumors studies →

Lead sponsor

Crinetics Pharmaceuticals Inc. is the lead sponsor of 19 studies on the registry; 3 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 6 (50%) have results posted.

First submitted before Crinetics Pharmaceuticals Inc. became part of Vertex Pharmaceuticals Incorporated.

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

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

  • Have a histological diagnosis of or locally advanced inoperable NET, NEC, or other solid tumors that have confirmed radiological progression.
  • Have one or more location per version 1.1.
  • Have a tumor that expresses SSR confirmed by SSR imaging.
  • Have an performance status of 0, 1, or 2.

Exclusion criteria

Exclusion Criteria:

  • Have tumor progression while undergoing a course of PRRT or within 6 months of completing PRRT.
  • Have unless asymptomatic and stable for at least one month for participants with SCLC or LCLC or at least 3 months for participants with other non-NET solid tumors.
  • Use of anticancer agents within specified intervals prior to the first dose of study drug.
  • Had surgery, chemoembolization, or radiofrequency ablation within 90 days prior to first dose of study drug.
  • Prior participation in any intervention clinical study within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study drug.
  • Participants with carcinoid syndrome.
  • Secondary : participants who have any other malignancy known to be active or treated within 3 years of the start of screening, with the exception of treated cervical intraepithelial neoplasia, superficial (noninvasive) bladder cancer, and non-melanoma skin cancer.
  • Have prior treatment with MMAE.
  • Have or history of anaphylactic reaction to octreotide, other SSAs, and/or MMAE.
Terms in these criteria, in plain language(7)

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.

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Dose Escalation

    Multiple Dose Levels administered Q3W

    Drug: CRN09682

  • Experimental
    Dose Expansion: Cohort 1

    Pancreatic Neuroendocrine Tumor (NET)

    Drug: CRN09682

  • Experimental
    Dose Expansion: Cohort 2

    Non-Pancreatic NET

    Drug: CRN09682

  • Experimental
    Dose Expansion: Cohort 3

    Neuroendocrine Carcinoma (NEC)

    Drug: CRN09682

  • Experimental
    Dose Expansion: Cohort 4

    Other Solid Tumors

    Drug: CRN09682

Interventions

  • DrugCRN09682

    Study drug CRN09682 intravenously

06

What researchers measure

Primary outcomes

  1. (Dose Escalation) Incidence and severity of DLTs.

    Time frame: From first dose through Day 21.

  2. (Dose Escalation) Incidence and severity of AEs and SAEs at each dose level and incidence of AEs leading to discontinuation from study drug.

    Time frame: From first dose of study drug to 30 days after the last dose.

  3. (Dose Expansion) Nature, incidence, and severity of AEs and SAEs at the Expansion Dose.

    Time frame: From first dose of study drug to 30 days after the last dose.

  4. (Dose Expansion) Interruptions at the Expansion Dose.

    Time frame: At Day 1 of each cycle through study completion, approximately 2 years.

Secondary outcomes

  1. (Dose Escalation) Maximum Plasma Concentration (Cmax) of CRN09682 and MMAE .

    Time frame: Day 1 of each cycle (each cycle is 21 days) for the duration of the study, from baseline to safety follow-up visit, up to 2 years.

  2. (Dose Escalation) Time to Maximum Concentration (Tmax) of CRN09682 and MMAE.

    Time frame: Day 1 of each cycle (each cycle is 21 days) for the duration of the study, from baseline to safety follow-up visit, up to 2 years.

  3. (Dose Escalation) Measure of CRN09682 and MMAE exposure in the body from initial dose to the last measurable concentration (AUC0-last).

    Time frame: Day 1 of each cycle (each cycle is 21 days) for the duration of the study, from baseline to safety follow-up visit, up to 2 years.

  4. (Dose Escalation) Measure of total CRN09682 exposure in the body across time (AUC0-inf).

    Time frame: Day 1 of each cycle (each cycle is 21 days) for the duration of the study, from baseline to safety follow-up visit, up to 2 years.

  5. (Dose Escalation) The amount of time required for CRN09682 to be reduced to half of its initial concentration in the blood (t1/2).

    Time frame: Day 1 of each cycle (each cycle is 21 days) for the duration of the study, from baseline to safety follow-up visit, up to 2 years.

  6. (Dose Escalation & Expansion) Objective response rate (ORR): The percentage of patients with best overall response of complete response or partial response according to RECIST 1.1

    Time frame: Throughout the study until disease progression or the last evaluable assessment in the absence of progression whichever occurs first, approximately 2 years.

  7. (Dose Escalation & Expansion) Disease control rate (DCR): The percentage of patients with best overall response of complete response, partial response, or stable disease according to RECIST 1.1

    Time frame: Throughout the study until disease progression or the last evaluable assessment in the absence of progression whichever occurs first , approximately 2 years.

  8. (Dose Escalation & Expansion) Duration of response (DOR): The time from the date of first objective response until date of disease progression or death in the absence of disease progression, according to RECIST 1.1.

    Time frame: From the first documented objective response to disease progression or death whichever occurs first, approximately 2 years.

  9. (Dose Expansion) Changes in somatostatin receptor imaging: Evaluate changes in SSR tracer uptake over time, based on whether uptake is greater than or less than liver uptake.

    Time frame: Throughout the study at predefined intervals, approximately 2 years.

  10. (Dose Expansion) Radiographic PFS: The time from the start of study drug until RECIST 1.1 defined disease progression or death in the absence of disease progression.

    Time frame: Throughout the study until disease progression or death whichever occurs first, approximately 2 years.

07

Study locations

27 sites
  • Crinetics Study Site
    Phoenix, Arizona 85054, United States
  • Crinetics Study Site
    Duarte, California 91010, United States
  • Crinetics Study Site
    Newport Beach, California 92663, United States
  • Crinetics Study Site
    Orange, California 92868, United States
  • Crinetics Study Site
    San Francisco, California 60637, United States
  • Crinetics Study Site
    Aurora, Colorado 80045, United States
  • Crinetics Study Site
    Denver, Colorado 80218, United States
  • Crinetics Study Site
    New Haven, Connecticut 48201, United States
  • Crinetics Study Site
    Atlanta, Georgia 30322, United States
  • Crinetics Study Site
    Lexington, Kentucky 40536, United States
  • Crinetics Study Site
    Metairie, Louisiana 70006, United States
  • Crinetics Study Site
    Detroit, Michigan 48201, United States
  • Crinetics Study Site
    Grand Rapids, Michigan 49503, United States
  • Crinetics Study Site
    Rochester, Minnesota 53905, United States
  • Crinetics Study Site
    New York, New York 10016, United States
  • Crinetics Study Site
    Philadelphia, Pennsylvania 19104, United States
  • Crinetics Study Site
    Philadelphia, Pennsylvania 19111, United States
  • Crinetics Study Site
    Austin, Texas 78758, United States
  • Crinetics Study Site
    Houston, Texas 70030, United States
  • Crinetics Study Site
    Irving, Texas 75039, United States
  • Crinetics Study Site
    Salt Lake City, Utah 84112, United States
  • Crinetics Study Site
    Charlottesville, Virginia 22908, United States
  • Crinetics Study Site
    Fairfax, Virginia 22031, United States
  • Crinetics Study Site
    Barcelona, 08023, Spain
  • Crinetics Study Site
    Barcelona, 08035, Spain
  • Crinetics Study Site
    Madrid, 28040, Spain
  • Crinetics Study Site
    Madrid, 28041, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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 Nov 2025 (actual). Primary completion is estimated for Aug 2027, 21 months after the start.

Of 29 phase 1/2 interventional studies under Neuroendocrine Tumors, half reached primary completion within 84 months of starting (the median), counting those still running; a quarter within 52 and three quarters within 122. This study's planned 21 months is below that.

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

Registered
Jul 1, 2025
First posted
Aug 19, 2025
StartActual
Nov 26, 2025
Primary completionEst.
Aug 2027
CompletionEst.
Aug 2029
Last update
Oct 13, 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.
Status
Recruiting→Active, not recruiting
changed Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Recruiting→Active, not recruiting
    + 3 other changes: verification date, contact details and site details

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
NCT07129252
Responsible party
Sponsor
First posted
Aug 19, 2025
Start date
Nov 26, 2025
Primary completion
Aug 2027 (estimated)
Completion
Aug 2029 (estimated)
Last update
Oct 13, 2026

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 active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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