Clinical trial · Interventional
A Phase 1/2 Trial of SRA737 in Subjects With Advanced Cancer
A Phase 1/2 Trial of SRA737 (a Chk1 Inhibitor) Administered Orally in Subjects With Advanced Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The purpose of this clinical study is to establish the safety profile, determine the maximum tolerated dose (MTD) and recommend a Phase 2 dose and schedule of SRA737; and to evaluate the efficacy of SRA737 in prospectively-selected subjects with genetically-defined tumors that harbor genomic alterations linked to increased replication stress and that are hypothesized to be more sensitive to checkpoint kinase 1 (Chk1) inhibition via synthetic lethality. Specific cancer indications that frequently harbor these genetic mutations will be studied.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Advanced Solid Tumors or Non-Hodgkin's Lymphoma (NHL) | Non-Hodgkin Lymphoma | ALIAS | 0.85 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| SRA737 | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Open label
- interventionNames
- Drug: SRA737
Primary outcomes (7)
- measure
- Number of Subjects With Adverse Events as Assessed by CTCAE 4.03
- timeFrame
- Up to 30 days after last dose of SRA737
- description
- Treatment-emergent adverse events (TEAEs) were reported until the safety Follow up (SFU) visit, 30 days after the last dose of SRA737 or prior to the initiation of a new anticancer treatment, whichever came first.
- measure
- Maximum Tolerated Dose of SRA737
- timeFrame
- Cycle 1 (28 days) in the Dose Escalation Phase
- description
- The highest dose at which ≤ 33% of subjects have a dose limiting toxicity (DLT) in a cohort of up to 6 subjects.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Key Inclusion Criteria: 1. For Dose Escalation Only: any locally advanced or metastatic, histologically or cytologically proven solid tumor or NHL, relapsed after or progressing despite conventional treatment 2. Life expectancy of at least 12 weeks 3. World Health Organization (WHO) performance status of 0-1 4. Must meet select hematological and biochemical laboratory indices 5. Archival tumor tissue or accessible tumor and willingness to consent to a biopsy Expansion Only: 1. Any locally advanced or metastatic malignancy of the following types for which no other conventional therapy is considered appropriate: * Metastatic Colorectal Cancer (CRC) * Platinum-resistant or intolerant High Grade Serious Ovarian Cancer (HGSOC) * Advanced Non-Small Cell Lung Cancer (NSCLC) * Metastatic Castration-Resistant Prostate Cancer (mCRPC) * Head and Neck Squamous Cell Carcinoma (HNSCC) or squamous cell carcinoma of the anus (SCCA). * Eligibility may be further restricted by the select number of prior regimens specific to each indication 2. Measurable disease per RECIST v1.1, or for mCRPC, evaluable disease per any of the following: * Measurable disease per RECIST v1.1 * Increasing PSA * Circulating tumor cell (CTC) count of 5 or more cells per 7.5 ml of blood 3. Tumor tissue or ctDNA evidence that subject's tumor harbors a combination of mutations which are expected to confer sensitivity to Chk1 inhibition. Eligibility will be determined by the Sponsor's review of genetic abnormalities detected in genes in the following categories: * Oncogenic drivers such as MYC, CCNE1, etc. * Key tumor suppressor genes regulating G1 cell cycle progression/arrest such as RAD50, TP53, etc. For patients with NHSCC or SCCA, positive HPV status is also considered for eligibility. * The DDR pathway including BRCA1, BRCA2 and FANC. For patients with CRC, MMR genetic alterations and/or high microsatellite instability are also considered for eligibility. * Genetic indicators of replicative stress such as gain of function/amplification of Chk1 or ATR or other related gene. Key Exclusion Criteria: 1. Received the following prior or current anticancer therapy: * Radiotherapy within the last 6 weeks * Endocrine therapy during the previous 4 weeks * Chemotherapy during the previous 4 weeks * Immunotherapy during the previous 6 weeks * Nitrosoureas or Mitomycin C during the previous 6 weeks * Other Investigational Medicinal Product during the 4 weeks before treatment * Any prior treatment with a Chk1 inhibitor or prior treatment with an ATR inhibitor within 6 months prior to receiving SRA737 2. Other malignancy within the past 2 years, except for adequately treated tumors 3. Ongoing toxic manifestations of previous treatments greater than NCI-CTCAE Grade 1 4. For Dose Escalation: new or progressing brain metastases. For Cohort Expansion: present or prior brain metastases 5. High medical risk because of nonmalignant systemic disease 6. Serologically positive for hepatitis B, hepatitis C or HIV 7. Serious cardiac condition, left ventricular ejection fraction \< 45% at baseline, history of cardiac ischemia within the past 6 months, or prior history of cardiac arrhythmia requiring treatment 8. Prior bone marrow transplant or extensive radiotherapy to greater than 25% of bone marrow within 8 weeks 9. Peanut allergy 10. QTcF\> 450 msec in adult males and \> 470 msec in adult females 11. Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of SRA737 12. Inability to swallow capsules without chewing or crushing 13. Is a participant or plans to participate in another interventional clinical trial 14. Any other condition which in the Investigator's opinion would not make the subject a good candidate
References
Publications (2)
- DERIVEDKristeleit R, Plummer R, Jones R, Carter L, Blagden S, Sarker D, Arkenau T, Evans TRJ, Danson S, Symeonides SN, Veal GJ, Klencke BJ, Kowalski MM, Banerji U. A Phase 1/2 trial of SRA737 (a Chk1 inhibitor) administered orally in patients with advanced cancer. Br J Cancer. 2023 Jul;129(1):38-45. doi: 10.1038/s41416-023-02279-x. Epub 2023 Apr 29. PMID 37120671
- DERIVEDJin T, Xu L, Wang P, Hu X, Zhang R, Wu Z, Du W, Kan W, Li K, Wang C, Zhou Y, Li J, Liu T. Discovery and Development of a Potent, Selective, and Orally Bioavailable CHK1 Inhibitor Candidate: 5-((4-((3-Amino-3-methylbutyl)amino)-5-(trifluoromethyl)pyrimidin-2-yl)amino)picolinonitrile. J Med Chem. 2021 Oct 28;64(20):15069-15090. doi: 10.1021/acs.jmedchem.1c00994. Epub 2021 Oct 19. PMID 34665631