ClinicalTrials.gg
RecruitingNCT07197554Updated Oct 27, 2026

A Phase 1/1B Study of ST-01156, a Small Molecule RBM39 Degrader, in Patients With Advanced Solid Malignancies

A Phase 1 interventional study of ST-01156 in Advanced Solid Tumors, Ewing Sarcoma and Hepatocellular Carcinoma (HCC), sponsored by SEED Therapeutics, Inc.. Recruiting at 6 sites in United States. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

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

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
171
Allocation
Not applicable
Ages
16 Years and older
Sex
All
01

Study summary

A Phase 1/1B Study of ST-01156 in Patients with Advanced Solid Malignancies

Read the detailed description

This Phase 1/1b study is evaluating the safety, tolerability, and preliminary anticancer activity of ST-01156 in participants with advanced solid malignancies. The study will be conducted in 2 parts. Part 1 (Dose Escalation) will assess the safety, tolerability, pharmacokinetics (PK) and preliminary anticancer activity of SD-01156 in participants with advanced solid malignancies, many of whom have a biological rationale to be targeted with an inhibitor of RBM39. Part 1 will also seek to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of ST-01156.

02

Conditions studied

  • Advanced Solid Tumors
  • Ewing Sarcoma
  • Hepatocellular Carcinoma (HCC)
  • Biliary Tract Cancer (BTC)

Keywords

  • cancer
  • solid tumors
  • RBM39
  • RBM39 degrader
  • metastatic solid malignancies
  • Ewing sarcoma
  • Hepatocellular carcinoma
  • HCC
  • Biliary tract carcinoma
  • endometrial carcinoma
  • Adolescents
03

In context

Sarcoma, Ewing

250 studies on the registry are indexed under Sarcoma, Ewing; 69 are open to participants now.

This study's planned enrollment of 171 is above the median of 36 across 204 interventional studies indexed under Sarcoma, Ewing.

Browse Sarcoma, Ewing studies →

Lead sponsor

This is the only study on the registry with SEED Therapeutics, Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
16 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

  • Age ≥ 18 years on the day of signing the consent form, except for adolescents with Ewing Sarcoma or other for which there is a biological rationale to support participation, in which case the participant is ≥ 16 years old.
  • Has a or locally advanced and unresectable solid tumor.
  • Has at least 1 or evaluable disease per v1.1.
  • Has an performance status ≤ 2 at screening.
  • Has adequate organ function as defined in the protocol.

Exclusion criteria

Exclusion Criteria:

  • Has received prior radiotherapy within 2 weeks of treatment.
  • Has known active and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate, provided they are radiologically stable
  • Has received treatment with any local or systemic anticancer therapy or anticancer agent within 14 days or 5 half-lives, whichever is shorter.
  • Had major surgery within 28 days before study therapy administration
  • Has toxicities from previous anticancer therapies that have not resolved to baseline levels, with the exception of alopecia and peripheral neuropathy.
  • Has previously received a RBM39 inhibitor/degrader.
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.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
171 participants (estimated)

Study arms

  • Experimental
    Dose Escalation

    ST-01156, administered orally once daily for 5 consecutive days followed by 2 days without study drug administration every 7 days

    Drug: ST-01156

Interventions

  • DrugST-01156

    ST-01156 is an orally administered degrader of RBM39, a protein frequently upregulated in cancer

06

What researchers measure

Primary outcomes

  1. Part 1: Dose Escalation

    To characterize the safety, tolerability, and adverse event (AE) profile of escalating doses of ST-01156 administered for 5 consecutive days followed by 2 days without study drug administration every 7 days, with a cycle defined as 28 days (4 weeks).

    Time frame: First 28 days of treatment

  2. Part 1: Dose Escalation

    To identify the maximum tolerated dose (MTD) or maximum administered dose (MAD), and to recommend a dose for subsequent studies (recommended Phase 2 dose \[ RP2D\]) of ST-01156 on a daily oral schedule for 5 consecutive days out of every 7 days with a cycle defined as 28 days (4 weeks).

    Time frame: Duration of treatment period

Secondary outcomes

  1. Part 1: Dose Escalation

    To characterize the pharmacokinetics (PK) of ST-01156 administered on a daily oral schedule for 5 consecutive days every 7 days with cycle defined as 28 days (4 weeks). PK parameters will include area under the concentration-time curve (AUC), maximum observed concentration (Cmax), and time to observe maximum observed concentration (Tmax).

    Time frame: First 28 days of treatment

  2. Part 1: Dose Escalation

    To detect preliminary evidence of antitumor activity in select advanced cancers where strong preclinical evidence of the anticancer activity of RBM39 degradation is strongest including: * Adults or adolescents with ES following disease progression or intolerance to therapeutics of reasonable likelihood of conferring clinical benefit. * aHCC following disease progression or intolerance to appropriate standard therapy for advanced disease. * KRASm solid malignancy of any type - locally advanced or unresectable solid malignancy following disease progression or intolerance to therapeutics or reasonable likelihood of conferring clinical benefit. * BTC, endometrial carcinoma, solid malignancies with pathogenic somatic or germline mutations in BCRA1/2 or HRR genes (BRCA1/2, PALB2, RAD51C, RAD51D, ATM, BARD1, BLM, BRIP 1, CDK12,FANCA, FANCC, FANCD2, FANCE, FANCF, FANCM, MRE11A, NBN (NBS1), RAD50, RAD51B and others as confirmed by a Clinical Laboratory Improvement Amendments \[CLIA\]-certified m

    Time frame: Baseline and every 6 weeks thereafter until disease progression

Other outcomes

  1. Part 1: Dose Escalation

    To evaluate the relationship between RBM39 degradation in peripheral blood mononuclear cells (PBMC) \[and potentially other cells or tissues\], to various safety and efficacy endpoints.

    Time frame: Days 1, 2, 3, 4, 5, 8, 15, and 16 of the first two 28-day cycles of treatment, and days 1 of subsequent cycles, until permanent discontinuation of study treatment.

07

Study locations

6 of 6 sites recruiting
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 Dec 2025 (actual). Primary completion is estimated for Dec 2029, 48 months after the start.

Of 41 phase 1 interventional studies under Sarcoma, Ewing, half reached primary completion within 89 months of starting (the median), counting those still running; a quarter within 65 and three quarters within 134. This study's planned 48 months is below that.

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

Registered
Aug 28, 2025
First posted
Sep 29, 2025
StartActual
Dec 1, 2025
Primary completionEst.
Dec 31, 2029
CompletionEst.
Dec 31, 2029
Last update
Oct 27, 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.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Minor edits only
    + 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
NCT07197554
Lead sponsor
SEED Therapeutics, Inc.
Responsible party
Sponsor
First posted
Sep 29, 2025
Start date
Dec 1, 2025
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Oct 27, 2026

Study contacts

Dr. Eric Rowinsky Chief Medical Officer
Contact
erowinsky@oncodrugs.com
(908) 883-0647

Oversight

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

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