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Advanced Solid Tumors CancerPhase 1/2NCT06898450

A Study to Assess the Safety, Tolerability, and Efficacy of NDI-219216 in Patients With Advanced Solid Tumors.

A Phase 1/2 study testing NDI-219216 in people with Advanced Solid Tumors Cancer and MSI-H Cancer, run by Nimbus Wadjet, Inc. at 22 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to learn if NDI-219216 is safe for patients, and if NDI-219216 might be a possible treatment for advanced solid tumors in the later phases of the study. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Advanced Solid Tumors Cancer, MSI-H Cancer
What is being tested?
NDI-219216
Could I receive a placebo?
No, everyone receives an active treatment
How many people
134 participants
Where
22 sitesin 8 countries
Study dates
31 Mar 2025to Dec 2031
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
  • Have unresectable and/or metastatic solid tumors (with or without MSI-H/dMMR) refractory to or intolerant to previous SoC therapy or for which no SoC therapy exists
  • Presence of measurable disease according to RECIST version 1.1 except for Part A (Dose Escalation)
  • Adequate bone marrow / hematologic, end-organ, and cardiovascular function
  • Resolution of all acute (or toxic) adverse effects of prior therapies, radiation therapy, or surgical procedures to Grade ≤ 1 (except fatigue, alopecia, and peripheral neuropathy).

Who cannot join

  • Clinically significant cardiovascular disease.
  • Patients with known WRN syndrome.
  • Pregnancy, breastfeeding, or intention of becoming pregnant during the study.

Trial locations and contacts

22 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

22 sites in 8 countries

United States11 sites, 10 recruiting
  • Levine Cancer Center

    Charlotte, North Carolina, 28204

    R. Wendel Naumann, MD

    Recruiting
  • University of Virginia Emily Couric Clinical Cancer Center

    Charlottesville, Virginia, 22908

    Matthew Reilley, MD

    Recruiting
  • University of Chicago Medicine

    Chicago, Illinois, 60637

    John Moroney, MD

    Recruiting
  • Virginia Cancer Specialists, P.C. - Fairfax

    Fairfax, Virginia, 22031

    Alexander Spira, MD;PhD;FACP

    Recruiting
  • Prisma Health Cancer Institute - Multidisciplinary Center

    Greenville, South Carolina, 29605

    William Edenfield, MD

    Recruiting
  • Cayuga Cancer Center

    Ithaca, New York, 14850

    Terminated
  • USC Norris Comprehensive Cancer Center

    Los Angeles, California, 90089

    Josef Lenz, MD; FACP

    Recruiting
  • University of Louisville James Graham Brown Cancer Center

    Louisville, Kentucky, 40202

    Rebecca Redman, MD

    Recruiting
  • Taylor Cancer Research Center

    Maumee, Ohio, 43537

    John Nemunaitis, MD

    Recruiting
  • Brown University Health

    Providence, Rhode Island, 02901

    Benedito Carneiro Filho, MD; MS; PhD

    Recruiting
  • Atrium Health Wake Forest Baptist Center

    Winston-Salem, North Carolina, 27157

    R. Wendel Naumann, MD

    Recruiting

Other trials in United States

Australia2 sites, 2 recruiting
  • Southern Oncology Clinical Research Unit

    Bedford Park, South Australia, 5042

    Ganessan Kichenadasse, MD; PHD

    Recruiting
  • Liverpool Hospital

    Liverpool, New South Wales, 2170

    Aflah Roohullah, MD; PHD

    Recruiting

Other trials in Australia

France2 sites, 2 recruiting
  • Hôpital Saint-Antoine - Assistance Publique-Hopitaux de Paris (AP-HP)

    Paris, 75012

    Thierry Andre, MD

    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Poitiers

    Poitiers, 86021

    David Tougeron, MD

    Recruiting

Other trials in France

Spain2 sites, 2 recruiting
  • START Barcelona

    Barcelona, 08023

    Roberto Martin Huertas, MD

    Recruiting
  • Hospital Clinico San Carlos

    Madrid, 28040

    Jorge Bartolome, MD

    Recruiting

Other trials in Spain

United Kingdom2 sites, 2 recruiting
  • Sarah Cannon Research Institute UK

    London, W1G 6AD

    Elisa Fontana, MD

    Recruiting
  • The Christie NHS Foundation Trust UK

    Manchester, M20 4BX

    Donna Graham, MD

    Recruiting

Other trials in United Kingdom

Canada1 site, 1 recruiting
  • Princess Margaret Cancer Center

    Toronto, Ontario, M5G2C4

    Eric Chen, MD; PHD

    Recruiting

Other trials in Canada

Ireland1 site, 1 recruiting
  • START Dublin

    Dublin, D07 R2WY

    Austin Duffy, MD

    Recruiting

Other trials in Ireland

Portugal1 site, 1 recruiting
  • START Lisbon

    Lisbon, 1649-028

    Andre Mansinho, MD

    Recruiting

Other trials in Portugal

About this study

Official title: A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of NDI-219216 in Patients With Advanced Solid Tumors With/Without Microsatellite Instability and/or Deficient Mismatch Repair

The goal of this clinical trial is to learn if NDI-219216 is safe for patients, and if NDI-219216 might be a possible treatment for advanced solid tumors in the later phases of the study.

The main questions it aims to answer are:

Read more

Is NDI-219216 safe and what kinds of side effects might it cause? What kind of effects does NDI-219216 have on the body? Does NDI-219216 have any impact on tumor size?

Participants will:

Take NDI-219216 every day by mouth. Visit the clinic 6 times during Cycle 1, 2 times during Cycle 2, once a month thereafter for checkups and tests while on the study, then one time for an end of treatment visit. After the End of Study, a follow up will occur but can be done on the phone.

Keep a diary of their tablet consumption and symptoms experienced.

Read the detailed description

Study 9216-101 is a first-in-human (FIH), Phase 1/2, open-label, dose escalation, dose optimization, and dose expansion study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of NDI-219216 in patients with advanced solid tumors.

Being tested
NDI-219216
Keywords
Advanced Solid Tumors, Microsatellite Instability, Deficient Mismatch Repair, Werner syndrome helicase
Medical subject headings
Microsatellite Instability, Werner Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NDI-219216Drug

    NDI-219216 is a highly selective small molecule inhibitor of WRN helicase activity.

Study groups in NCT06898450
Study groupRoleWhat they receive
Part A dose escalationExperimentalPart A Dose Escalation will involve enrolling sequential cohorts with increasing doses of NDI-219216 administered daily in repeating 28-day treatment cycles. The Dose Limiting Toxicity review period for each cohort will be 21 days for each patient enrolled, with review by a Safety Review Committee prior to escalation to the next dose level.
Receives: Drug: NDI-219216
Part B Project OptimusExperimentalPart B will enroll up to 3 cohorts of patients randomized between up to 3 dose levels determined from Part A Dose Escalation. NDI-219216 will be administered daily in repeating 28-day treatment cycles.
Receives: Drug: NDI-219216
Part C Dose ExpansionExperimentalPart C will enroll 2 groups of patients with dMMR/MSI-h status and other select criteria, utilizing the optimal dose identified from Part B. NDI-219216 will be administered daily in 28-day repeating cycles.
Receives: Drug: NDI-219216

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part A Primary Objective: Incidence of dose limiting toxicities (DLTs)

    Assessments will include electrocardiograms (ECGs), echocardiogram, cardiac biomarker troponin I, physical examination, vital signs (including blood pressure, pulse), and evaluation of laboratory parameters (clinical chemistry, hematology, and coagulation)

    Measured: The first 21 days of Cycle 1 (Cycle 1 is 28 days).

  2. Part A Primary Outcome: • Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs), according to NCI CTCAE v5.0

    Assessments will include standard electrocardiograms (ECGs), echocardiogram, cardiac biomarker troponin I, physical examination, vital signs (including blood pressure, pulse), and evaluation of laboratory parameters (clinical chemistry, hematology, and coagulation.

    Measured: From first dose of study drug until 30 days after last dose of study drug; up to approximately 11-12 months. Each Cycle is 28 days.

  3. Part A Primary Outcome: Incidence and severity of Treatment Emergent Adverse Events (TEAEs) and Treatment Related Adverse Events (TRAEs) as assessed by the Investigator

    Assessments will include standard electrocardiograms (ECGs), echocardiogram, cardiac biomarker troponin I, physical examination, vital signs (including blood pressure, pulse), and evaluation of laboratory parameters (clinical chemistry, hematology, and coagulation).

    Measured: From first dose of study drug until 30 days after last dose of study drug; up to approximately 11-12 months. Each Cycle is 28 days.

  4. Part B Primary Objective: Overall Response Rate (ORR) per RECIST v1.1.

    Measured: From start of study treatment until end of follow-up, up to approximately 18 months. Each Cycle is 28 days.

  5. Part B Primary Outcome: Duration of Response (DOR) per RECIST v1.1

    Measured: From the time of first occurrence of a documented response until the time of documented disease progression or death from any cause, whichever occurs first; up to approximately 18 months. Each Cycle is 28 days.

  6. Part B Primary Outcome: Incidence and severity of AEs according to NCI CTCAE v5.0.

    Assessments will include standard electrocardiograms (ECGs), echocardiogram, cardiac biomarker troponin I, physical examination, vital signs (including blood pressure, pulse), and evaluation of laboratory parameters (clinical chemistry, hematology, and coagulation).

    Measured: From first dose of study drug until 30 days after last dose of study drug; up to approximately 18 months. Each Cycle is 28 days.

  7. Part C Primary Objective: Overall Response Rate (ORR) per RECIST v1.1.

    Measured: From start of study treatment until end of follow-up, up to approximately 17 months. Each Cycle is 28 days.

  8. Part C Primary Outcome: Duration of Response (DOR) per RECIST v1.1.

    Measured: From the time of first occurrence of a documented response until the time of documented disease progression or death from any cause, whichever occurs first, up to approximately 17 months. Each Cycle is 28 days.

Secondary outcomes (13)
  1. Part A Secondary Objective: Plasma concentrations of NDI-219216 will be measured using a validated liquid chromatography-tandem mass spectrometry (LC-MS) assay.

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  2. Part A Secondary Outcome: Maximum Plasma Concentration Observed (Cmax) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  3. Part A Secondary Outcome: Time of Maximum Plasma Concentration Observed (Tmax) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  4. Part A Secondary Outcome: Area Under the Plasma Concentration-Time Curve (AUC0-last) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1 from time zero to the last observable concentration. Cycle 1 is 28 days in length.

  5. Part B Secondary Objective: Plasma concentrations of NDI-219216 will be measured using a validated liquid chromatography-tandem mass spectrometry (LC-MS) assay.

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  6. Part B Secondary Outcome: Maximum Plasma Concentration Observed (Cmax) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  7. Part B Secondary Outcome: Time of Maximum Plasma Concentration Observed (Tmax) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  8. Part B Secondary Outcome: Area Under the Plasma Concentration-Time Curve (AUC0-last) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1 from time zero to the last observable concentration. Cycle 1 is 28 days in length.

  9. Part C Secondary Objective: Incidence and severity of AEs according to NCI CTCAE v5.0.

    Assessments will include standard electrocardiograms (ECGs), echocardiogram, cardiac biomarker troponin I, physical examination, vital signs (including blood pressure, pulse), and evaluation of laboratory parameters (clinical chemistry, hematology, and coagulation).

    Measured: From first dose of study drug until 30 days after last dose of study drug; up to approximately 17 months. Each Cycle is 28 days.

  10. Part C Secondary Objective: Plasma concentrations of NDI-219216 will be measured using a validated liquid chromatography-tandem mass spectrometry (LC-MS) assay.

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  11. Part C Secondary Objective: Maximum Plasma Concentration Observed (Cmax) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  12. Part C Secondary Outcome: Time of Maximum Plasma Concentration Observed (Tmax) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

  13. Part C Secondary Outcome: Area Under the Plasma Concentration-Time Curve (AUC0-last) of NDI-219216

    Measured: At pre-specified timepoints on Day 1, Day 2, Day 8, Day 21, and Day 22 of Cycle 1. Cycle 1 is 28 days in length.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Mar 2025
  2. Study start31 Mar 2025
  3. Primary completionOct 2031 (estimated)
  4. Study completionDec 2031 (estimated)

Resources

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
Masking
None (open label)
Enrolment
134 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06898450
Sponsor's protocol ID
9216-101
Status last verified
May 2026
First submitted
10 Mar 2025
Last updated
6 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: It is not yet known if there will be a plan to make IPD available.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing NDI-219216 in people with Advanced Solid Tumors Cancer and MSI-H Cancer, run by Nimbus Wadjet, Inc. at 22 sites in 8 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 5 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 6 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Australia, France, Spain, United Kingdom and 3 more countries. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sean Rossi (857-600-8779, sean.rossi@nimbustx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part A Primary Objective: Incidence of dose limiting toxicities (DLTs) (time frame: The first 21 days of Cycle 1 (Cycle 1 is 28 days).). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 6 May 2026.

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