Recruiting
Phase 1

NKT5097

Sponsor:

NiKang Therapeutics, Inc.

Code:

NCT07029399

Conditions

HR+ Breast Cancer

Triple Negative Breast Cancer (TNBC)

CCNE1 Amplified Advanced Solid Tumors

HR+ HER2- Breast Cancer

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

NKT5097 CDK2/CDK4 dual degrader

Fulvestrant

Letrozole

Study Details

Brief summary:

The goal of this open-label dose escalation and expansion study is to evaluate the safety and tolerability of NKT5097 in adults with advanced/metastatic tumors (emphasis on breast cancer and solid tumors with CCNE1 amplification). Main questions to answer include:

  • What is the recommended dose for expansion and/or Phase 2, for both monotherapy and in combination with ET
  • What medical issues/symptoms do participants experience when taking NKT5097 as monotherapy as well as in combination with ET

Conditions

HR+ Breast Cancer

Triple Negative Breast Cancer (TNBC)

CCNE1 Amplified Advanced Solid Tumors

HR+ HER2- Breast Cancer

Study ID

NCT07029399

Start date

Mar 25, 2025

Status verified date

Aug, 2026

Completion date

Dec 31, 2027

Anticipated

Primary completion date

Jul 31, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Able to provide written informed consent
  • Advanced unresectable or metastatic solid tumor (Part 1, 2 \& 3 only)
  • Advanced unresectable or metastatic HR+/HER2- breast cancer (Part 4 \& 5 only)
  • Refractory to or unable to tolerate existing therapies (Part 1, 2 \& 4 only)
  • Measurable or evaluable disease (Part 1, 2, \& 4 only).
  • Measurable disease (Part 3 \& 5 only)
  • Eighteen years of age or older
  • ECOG status of 0 or 1
  • Adequate organ function
  • Patients with female reproductive organs must be surgically sterile, post- menopausal or willing to use effective contraception per protocol
  • Patients who are capable of insemination must be willing to use highly effective contraception and to refrain from sperm donation during treatment and for 28 days after the last dose
  • Able to swallow oral meds
  • Willing to provide tumor tissue

Exclusion Criteria:

  • Advanced solid tumor that is a candidate for curative treatment
  • History of another malignancy except for the following: adequately treated local basal cell or squamous carcinoma of the skin, in situ cervical cancer, adequately treated papillary noninvasive bladder cancer, other adequately treated Stage I or Stage II cancers currently in complete remission
  • Not recovered from the effects of prior anticancer therapy
  • Clinically significant cardiovascular event, including myocardial infarction, arterial thromboembolism, or cerebrovascular thromboembolism, within 6 months
  • Known active CNS metastases and/or carcinomatous meningitis
  • Active interstitial lung disease requiring treatment
  • History of uveitis, retinopathy, or other clinically significant retinal disease
  • Major surgery within 30 days of administration of first dose
  • Active uncontrolled infectious disease
  • Significant liver disease (Child Pugh class B or C)
  • Should not have received any prior selective investigational inhibitors or degraders (Part 5 only)

Study Design

Enrollment

361 participants

Anticipated

Allocation

Non randomized

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Part 1 Dose Escalation

Escalation of orally administered NKT5097

experimental: Part 2 Food Effect

Orally administered NKT5097 with and without meal

experimental: Part 3 Expansion

Expansion of dose levels based upon safety and PK following Part 1 escalation.

experimental: Part 4 Combination Dose Escalation

Escalation of orally administered NKT5097 in combination with Endocrine Therapy (ET)

experimental: Part 5 Combination Expansion

Expansion of dose levels based upon safety and PK following Part 4 escalation

Interventions

NKT5097 CDK2/CDK4 dual degrader

NKT5097 will be distributed in tablet form and dosed daily or twice a day

Fulvestrant

Fulvestrant will be administered as an injection and dosed on C1D1, C1D15 and Day 1 of every cycle thereafter.

Letrozole

Letrozole will be administered orally once daily.

Primary outcome measure

  • Incidence of dose-limiting toxicities as Assessed by CTCAE [ Time Frame: From enrollment through end of safety monitoring period of 28 days from first dose ]

Central Contacts and Locations

Central contacts

Locations

City of Hope

Recruiting

Duarte, California, United States, 91010

Contacts

Principal Investigator:

Hope Rugo, MD

UC San Diego Moores Cancer Center

Recruiting

La Jolla, California, United States, 92037

Contacts

Principal Investigator:

Rebecca Shatsky, MD

Sarah Cannon Research Institute at HealthONE

Recruiting

Denver, Colorado, United States, 80218

Contacts

Principal Investigator:

Gerald Falchook, MD

Yale Cancer Center

Recruiting

New Haven, Connecticut, United States, 06520

Contacts

Principal Investigator:

Adriana Kahn, MD

SCRI Florida Cancer Specialists - Sarasota

Recruiting

Sarasota, Florida, United States, 34232

Contacts

Principal Investigator:

Judy Wang, MD

University of Iowa

Recruiting

Iowa City, Iowa, United States, 52242

Contacts

Clinical Trial Inquiry Line

319-353-8155kerri-fitch@uiowa.edu

Principal Investigator:

Mark Burkard, MD

Dana-Farber Cancer Institute

Recruiting

Boston, Massachusetts, United States, 02115

Contacts

Dana Faber Institutional clinical.gov contact

877-338-7425

Principal Investigator:

Antonio Giordano, MD

South Texas Accelerated Research Therapeutics (START) Midwest

Recruiting

Grand Rapids, Michigan, United States, 49546

Contacts

Principal Investigator:

Manish Sharma

Washington University

Recruiting

St Louis, Missouri, United States, 63110

Contacts

Principal Investigator:

Faisal Fa'ak, MD

Comprehensive Cancer Centers of Nevada

Recruiting

Las Vegas, Nevada, United States, 89169

Contacts

Principal Investigator:

Fadi Braiteh, MD

Cleveland Clinic

Recruiting

Cleveland, Ohio, United States, 44195

Contacts

Principal Investigator:

Azka Ali, MD

UPMC Hillman Cancer Center

Recruiting

Pittsburgh, Pennsylvania, United States, 15232

Contacts

Principal Investigator:

Marija Balic, MD, PhD, MBA

University of Texas Southwestern Medical Center

Recruiting

Dallas, Texas, United States, 75390

Contacts

Principal Investigator:

Nisha Unni, MD

MD Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

Contacts

Principal Investigator:

Timothy Yap, MD

South Texas Accelerated Research Therapeutics (START) San Antonio

Recruiting

San Antonio, Texas, United States, 78229

Contacts

Principal Investigator:

Amita Patnaik

South Texas Accelerated Research Therapeutics (START) Mountain Region

Recruiting

West Valley City, Utah, United States, 84119

Contacts

Principal Investigator:

William McKean

NEXT Virginia

Recruiting

Fairfax, Virginia, United States, 22031

Contacts

Principal Investigator:

Alexander Spira

West Virginia University

Recruiting

Morgantown, West Virginia, United States, 26506

Contacts

Principal Investigator:

Bei Jiang, MD, PhD

More Information

Sponsor

NiKang Therapeutics, Inc.

Last update posted

Aug 28, 2026

Last verified

Aug, 2026

Keywords

  • CCNE1
  • cyclin E1
  • triple negative breast cancer
  • TNBC
  • estrogen receptor positive
  • HER2-
  • breast cancer
  • post CDK4/6i
  • HER2 expression
  • Fulvestrant
  • Letrozole
  • endocrine therapy
  • refractory
  • endocrine resistant
  • endocrine sensitivity
  • metastatic

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by NiKang Therapeutics, Inc. on 2026-08-28.