Advanced Solid TumorPhase 1/2TRESRNCT04497116
Study of RP-3500, Camonsertib, in Advanced Solid Tumors
A Phase 1/2 study testing RP-3500 (camonsertib), Talazoparib and Gemcitabine Injection in people with Advanced Solid Tumor, run by Repare Therapeutics at 13 sites in 4 countries.
Trial summary
The primary purpose of this study is to define the maximum tolerated dose (MTD) and determine a recommended Phase 2 dose (RP2D) and schedule of orally-administered RP-3500 (camonsertib) alone or in combination with talazoparib, a PARP inhibitor, or Gemcitabine in patients with advanced solid tumors with ATR… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Tumor
- What is being tested?
- RP-3500 (camonsertib), Talazoparib and Gemcitabine Injection
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 276 participants
- Where
- 13 sitesin 4 countries
- Study dates
- 22 Jul 2020to 13 Jun 2025
- Phase
- Phase 1/2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent, according to local guidelines, signed and dated by the patient or legal guardian prior to the performance of any study-specific procedures, sampling, or analyses.
- Male or female and ≥ 18 years-of-age at the time of signature of the consent.
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
- Histologically confirmed solid tumors resistant or refractory to standard treatment and/or patients who are intolerant to standard therapy.
- Measurable disease as per RECIST v1.1
- Existing biomarker profile (tumor tissue or plasma) reported from a local test obtained in a certified lab per institutional guidelines:
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- Available tumor tissue
- Ability to comply with the protocol and study procedures detailed in the Schedule of Assessments.
- Ability to swallow and retain oral medications.
- Acceptable organ function at screening
- Acceptable blood counts at screening
- Negative pregnancy test (serum) for females of childbearing potential at Screening and prior to first study drug.
- Resolution of all toxicities of prior treatment or surgery.
- Male patients with female partners of childbearing potential and females of childbearing potential must follow a contraception method (oral contraceptives allowed) during their participation in the study and for at least 6 months following last dose of study drug. Male patients must also refrain from donating sperm during their participation in the study and for 6 months following last dose of study drug.
- Life expectancy ≥12 weeks after the start of the treatment according to the investigator's judgment.
- Module 1c only: Ability to consume a high-fat meal and fast for 12 hours.
Who cannot join
- Chemotherapy, small molecule anticancer or biologic anticancer therapy given within 14 days prior to first dose of study drug.
- History or current condition (such as transfusion dependent anemia or thrombocytopenia), therapy, or laboratory abnormality that might confound the study results, or interfere with the patient's participation for the full duration of the study treatment.
- Prior therapy with an ATR or DNA-dependent protein kinase (DNA-PK) inhibitor.
- Known hypersensitivity to any of the ingredients of RP-3500 (camonsertib).
- Life-threatening illness, medical condition, active uncontrolled infection, or organ system dysfunction or other reasons which, in the investigator's opinion, could compromise the patient's safety.
- Uncontrolled, symptomatic brain metastases.
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- Uncontrolled high blood pressure
- Patients with active, uncontrolled bacterial, fungal, or viral infection, including hepatitis B virus (HBV), hepatitis C virus (HCV), known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) related illness.
- Moderate or severe hepatic impairment (ie, Child-Pugh class B or C).
- History or presence of an abnormal ECG that is clinically significant in the investigator's opinion.
- History of ventricular dysrhythmias or risk factors such as structural heart disease, coronary heart disease (clinically significant electrolyte abnormalities or family history of sudden unexplained death or long QT syndrome
- Current treatment with medications that are well-known to prolong the QT interval
- History of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) diagnosis
- Module 3 only: Known sensitivity to any of the ingredients of talazoparib.
Trial locations and contacts
13 sites in 4 countries.
13 sites in 4 countries
United States8 sites
#1006, Massachusetts General Hospital
Boston, Massachusetts, 02114
#1002, Dana Farber Cancer Institute
Boston, Massachusetts, 02215
#1014, Northwestern University
Chicago, Illinois, 60611
#1005, Duke Cancer Institute
Durham, North Carolina, 27710
#1001, The University of Texas M.D. Anderson Cancer Center
Houston, Texas, 77030
#1003, Sarah Cannon Research Institute
Nashville, Tennessee, 37203
#1004, Memorial Sloan Kettering Cancer Institute
New York, New York, 10065
#1007, Rhode Island Hospital
Providence, Rhode Island, 02903
United Kingdom3 sites
#3003, Sarah Cannon Research Institute
London, W1G 6AD
#3001, The Christie NHS Foundation Trust
Manchester, M20 4BX
#3002, Freeman Hospital Newcastle
Newcastle upon Tyne, NE7 7DN
Denmark1 site
#4001, Copenhagen University Hospital Rigshospitalet - Blegdamsvej
Copenhagen, DK, 2100 Ø
About this study
Official title: Phase 1/2a Study of the Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Clinical Activity of RP-3500 Alone or in Combination With Talazoparib or Gemcitabine in Advanced Solid Tumors With ATR Inhibitor Sensitizing Mutations (TRESR Study)
The primary purpose of this study is to define the maximum tolerated dose (MTD) and determine a recommended Phase 2 dose (RP2D) and schedule of orally-administered RP-3500 (camonsertib) alone or in combination with talazoparib, a PARP inhibitor, or Gemcitabine in patients with advanced solid tumors with ATR inhibitor-sensitizing mutations. This study will also evaluate the safety and tolerability of RP-3500 (camonsertib) alone or in combination with talazoparib or gemcitabine, examine both the pharmacokinetics (PK)and pharmacodynamics (PD)and investigate its anti-tumor activity in solid tumors.
Read the detailed description
This is a first-in-human, Phase 1/2a, multi-center, open-label, dose-escalation and expansion study to:
- Evaluate the safety profile and MTD of RP-3500 (camonsertib) when administered orally, alone and in combination with talazoparib or gemcitabine, to establish the dose and schedule recommended for the Phase 2
- Characterize the PK profile of RP-3500 (camonsertib) alone or in combination with talazoparib or gemcitabine
- Identify anti-tumor activity associated with RP-3500 (camonsertib) given alone or in combination with talazoparib or gemcitabine
The initial cohorts will test RP-3500 (camonsertib) as monotherapy. Additional cohorts will enroll with RP-3500 (camonsertib) in combination with talazoparib or gemcitabine.
After the RP2D and schedule is determined, expansion cohort(s) for RP-3500 (camonsertib) will be enrolled to study the anti-tumor effect, and further examine the safety and PK of RP-3500 (camonsertib) at the RP2D
- Conditions
- Advanced Solid Tumor
- Being tested
- RP-3500 (camonsertib), Talazoparib, Gemcitabine Injection
- Keywords
- Adult
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RP-3500 (camonsertib)Drug
Oral ATR inhibitor
TalazoparibDrug
Oral PARP inhibitor
Gemcitabine InjectionDrug
Gemcitabine
| Study group | Role | What they receive |
|---|---|---|
| RP-3500 (camonsertib) alone | Experimental | Phase 1:
Multiple doses of RP-3500 (camonsertib) for oral administration alone Receives: Drug: RP-3500 (camonsertib) |
| Expansion cohorts with RP-3500 (camonsertib) | Experimental | Phase 2:
Expansion cohorts with RP-3500 (camonsertib) Receives: Drug: RP-3500 (camonsertib) |
| RP-3500 (camonsertib) with Talazoparib or Gemcitabine | Experimental | Phase 1:
Multiple doses of RP-3500 (camonsertib) for oral administration in combination with talazoparib or gemcitabine Receives: Drug: RP-3500 (camonsertib); Drug: Talazoparib; Drug: Gemcitabine Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency of Treatment-Related Adverse Event of CTCAE Grade 3 and Above
Treatment-emergent adverse events (TEAEs) are those events that occur or worsen on or after the first dose of study drug up through 30 days post the last dose (or cross over to a different module) or the start of subsequent anticancer therapy. AEs are considered related to treatment if the relationship to camonsertib or the other combination drug (in the study regimen) is "Related" (include unknown relationship) as indicated on the AE eCRF page based on investigator's assessment.
Measured: Start of treatment to 30 days post last dose, up to 1 year
Frequency of Dose Limiting Toxicity (DLT)
Toxicity were assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. A toxicity was considered dose-limiting if it occurred during the first cycle and was deemed at least possibly related to study treatment. If multiple toxicities occurred, the most severe toxicity was used in the assessment. The DLT Evaluable population consists of patients who received at least 80% of planned total doses of camonsertib , 80% of planned total doses of camonsertib and talazoparib, or 80% of planned total doses of camonsertib and 100% of gemcitabine; complete all required safety evaluations and are observed through the end of Cycle 1; or patients who experience a DLT qualifying event in the first cycle of treatment.
Measured: Either 21 days or 28 days (1 cycle) from the initiation of the study treatment.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Aug 2020
- Study start22 Jul 2020
- Primary completion13 Jun 2025
- Study completion13 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Advanced Solid TumorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Model description
- Dose Escalation, expansion and phase 2
- Masking
- None (open label)
- Enrolment
- 276 participants (actual)
Sponsor and investigators
- Lead sponsor
- Repare Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Timothy A Yap, MBBS PhD FRCP, Principal investigator, M.D. Anderson Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04497116
- Sponsor's protocol ID
- RP-3500-01
- Other IDs
- 2020-000301-87
- Acronym
- TRESR
- Status last verified
- Oct 2025
- First submitted
- 21 Jul 2020
- Last updated
- 21 Oct 2025
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Fontana E, Rosen E, Lee EK, Hojgaard M, Mettu NB, Lheureux S, Carneiro BA, Cote GM, Carter L, Plummer R, Mahalingam D, Fretland AJ, Schonhoft JD, Silverman IM, Wainszelbaum M, Xu Y, Ulanet D, Koehler M, Yap TA. Ataxia telangiectasia and Rad3-related (ATR) inhibitor camonsertib dose optimization in patients with biomarker-selected advanced solid tumors (TRESR study). J Natl Cancer Inst. 2024 Sep 1;116(9):1439-1449. doi: 10.1093/jnci/djae098.
PubMed 38710487Yap TA, Fontana E, Lee EK, Spigel DR, Hojgaard M, Lheureux S, Mettu NB, Carneiro BA, Carter L, Plummer R, Cote GM, Meric-Bernstam F, O'Connell J, Schonhoft JD, Wainszelbaum M, Fretland AJ, Manley P, Xu Y, Ulanet D, Rimkunas V, Zinda M, Koehler M, Silverman IM, Reis-Filho JS, Rosen E. Camonsertib in DNA damage response-deficient advanced solid tumors: phase 1 trial results. Nat Med. 2023 Jun;29(6):1400-1411. doi: 10.1038/s41591-023-02399-0. Epub 2023 Jun 5.
PubMed 37277454
Study at a glance
From the registry record, last updated by the sponsor on 21 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 1/2a Study of the Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Clinical Activity of RP-3500 Alone or in Combination With Talazoparib or Gemcitabine in Advanced Solid Tumors With ATR Inhibitor Sensitizing Mutations (TRESR Study)
- ClinicalTrials.gov ID
- NCT04497116
- Acronym / sponsor ID
- TRESR / RP-3500-01
- Conditions
- Advanced Solid Tumor
- Keywords
- Adult
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 276 participants (actual)
- Lead sponsor
- Repare TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 22 Jul 2020 (actual)
- Primary completion
- 13 Jun 2025 (actual)
- Study completion
- 13 Jun 2025 (actual)
- First posted
- 4 Aug 2020 (actual)
- Results
- Posted 21 Oct 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of this study is to define the maximum tolerated dose (MTD) and determine a recommended Phase 2 dose (RP2D) and schedule of orally-administered RP-3500 (camonsertib) alone or in combination with talazoparib, a PARP inhibitor, or Gemcitabine in patients with advanced solid tumors with ATR inhibitor-sensitizing mutations. This study will also evaluate the safety and tolerability of RP-3500 (camonsertib) alone or in combination with talazoparib or gemcitabine, examine both the pharmacokinetics (PK)and pharmacodynamics (PD)and investigate its anti-tumor activity in solid tumors.
Detailed description
This is a first-in-human, Phase 1/2a, multi-center, open-label, dose-escalation and expansion study to:
- Evaluate the safety profile and MTD of RP-3500 (camonsertib) when administered orally, alone and in combination with talazoparib or gemcitabine, to establish the dose and schedule recommended for the Phase 2
- Characterize the PK profile of RP-3500 (camonsertib) alone or in combination with talazoparib or gemcitabine
- Identify anti-tumor activity associated with RP-3500 (camonsertib) given alone or in combination with talazoparib or gemcitabine
The initial cohorts will test RP-3500 (camonsertib) as monotherapy. Additional cohorts will enroll with RP-3500 (camonsertib) in combination with talazoparib or gemcitabine.
After the RP2D and schedule is determined, expansion cohort(s) for RP-3500 (camonsertib) will be enrolled to study the anti-tumor effect, and further examine the safety and PK of RP-3500 (camonsertib) at the RP2D
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Dose Escalation, expansion and phase 2
| Arm | Type | Receives |
|---|---|---|
| RP-3500 (camonsertib) alone | Experimental | Drug: RP-3500 (camonsertib)Phase 1: Multiple doses of RP-3500 (camonsertib) for oral administration alone |
| Expansion cohorts with RP-3500 (camonsertib) | Experimental | Drug: RP-3500 (camonsertib)Phase 2: Expansion cohorts with RP-3500 (camonsertib) |
| RP-3500 (camonsertib) with Talazoparib or Gemcitabine | Experimental | Drug: RP-3500 (camonsertib), Drug: Talazoparib, Drug: Gemcitabine InjectionPhase 1: Multiple doses of RP-3500 (camonsertib) for oral administration in combination with talazoparib or gemcitabine |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Written informed consent, according to local guidelines, signed and dated by the patient or legal guardian prior to the performance of any study-specific procedures, sampling, or analyses.
- Male or female and ≥ 18 years-of-age at the time of signature of the consent.
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
- Histologically confirmed solid tumors resistant or refractory to standard treatment and/or patients who are intolerant to standard therapy.
- Measurable disease as per RECIST v1.1
Key exclusion criteria (14 listed)
- Chemotherapy, small molecule anticancer or biologic anticancer therapy given within 14 days prior to first dose of study drug.
- History or current condition (such as transfusion dependent anemia or thrombocytopenia), therapy, or laboratory abnormality that might confound the study results, or interfere with the patient's participation for the full duration of the study treatment.
- Prior therapy with an ATR or DNA-dependent protein kinase (DNA-PK) inhibitor.
- Known hypersensitivity to any of the ingredients of RP-3500 (camonsertib).
- Life-threatening illness, medical condition, active uncontrolled infection, or organ system dysfunction or other reasons which, in the investigator's opinion, could compromise the patient's safety.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RP-3500 (camonsertib)Oral ATR inhibitor | Drug | Expansion cohorts with RP-3500 (camonsertib), RP-3500 (camonsertib) alone, RP-3500 (camonsertib) with Talazoparib or Gemcitabine |
| TalazoparibOral PARP inhibitor | Drug | RP-3500 (camonsertib) with Talazoparib or Gemcitabine |
| Gemcitabine InjectionGemcitabine | Drug | RP-3500 (camonsertib) with Talazoparib or Gemcitabine |
Primary outcome
Frequency of Treatment-Related Adverse Event of CTCAE Grade 3 and Above
Time frame: Start of treatment to 30 days post last dose, up to 1 year
Treatment-emergent adverse events (TEAEs) are those events that occur or worsen on or after the first dose of study drug up through 30 days post the last dose (or cross over to a different module) or the start of subsequent anticancer therapy. AEs are considered related to treatment if the relationship to camonsertib or the other combination drug (in the study regimen) is "Related" (include unknown relationship) as indicated on the AE eCRF page based on investigator's assessment.
Frequency of Dose Limiting Toxicity (DLT)
Time frame: Either 21 days or 28 days (1 cycle) from the initiation of the study treatment.
Toxicity were assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. A toxicity was considered dose-limiting if it occurred during the first cycle and was deemed at least possibly related to study treatment. If multiple toxicities occurred, the most severe toxicity was used in the assessment. The DLT Evaluable population consists of patients who received at least 80% of planned total doses of camonsertib , 80% of planned total doses of camonsertib and talazoparib, or 80% of planned total doses of camonsertib and 100% of gemcitabine; complete all required safety evaluations and are observed through the end of Cycle 1; or patients who experience a DLT qualifying event in the first cycle of treatment.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Oct 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38710487Fontana E, Rosen E, Lee EK, Hojgaard M, Mettu NB, Lheureux S, Carneiro BA, Cote GM, Carter L, Plummer R, Mahalingam D, Fretland AJ, Schonhoft JD, Silverman IM, Wainszelbaum M, Xu Y, Ulanet D, Koehler M, Yap TA. Ataxia telangiectasia and Rad3-related (ATR) inhibitor camonsertib dose optimization in patients with biomarker-selected advanced solid tumors (TRESR study). J Natl Cancer Inst. 2024 Sep 1;116(9):1439-1449. doi: 10.1093/jnci/djae098.
- Derived from this study: PubMed 37277454Yap TA, Fontana E, Lee EK, Spigel DR, Hojgaard M, Lheureux S, Mettu NB, Carneiro BA, Carter L, Plummer R, Cote GM, Meric-Bernstam F, O'Connell J, Schonhoft JD, Wainszelbaum M, Fretland AJ, Manley P, Xu Y, Ulanet D, Rimkunas V, Zinda M, Koehler M, Silverman IM, Reis-Filho JS, Rosen E. Camonsertib in DNA damage response-deficient advanced solid tumors: phase 1 trial results. Nat Med. 2023 Jun;29(6):1400-1411. doi: 10.1038/s41591-023-02399-0. Epub 2023 Jun 5.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Timothy A Yap, MBBS PhD FRCP principal investigator
M.D. Anderson Cancer Center
13 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing RP-3500 (camonsertib), Talazoparib and Gemcitabine Injection in people with Advanced Solid Tumor, run by Repare Therapeutics at 13 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in United States, United Kingdom, Canada, Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 21 Oct 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency of Treatment-Related Adverse Event of CTCAE Grade 3 and Above (time frame: Start of treatment to 30 days post last dose, up to 1 year). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04497116, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2025.