RecruitingRecruiting
A Phase 1/2 Study of TRI-611 in ALK-Positive NSCLC
NCT07491497 · TRIANA Biomedicines, Inc.
In plain English
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Official title
A Phase 1/2, Dose Escalation and Expansion Study of TRI-611, an Oral ALK Molecular Glue Degrader in Participants With Advanced ALK-Positive NSCLC
About this study
This is a Phase 1/2 dose escalation and dose expansion study designed to evaluate the safety and tolerability of TRI-611, identify the maximum tolerated dose (MTD) and/or the recommended phase 2 dose (RP2D), and evaluate the antitumor activity in participants with ALK-positive NSCLC.
Part 1 of the study consists of a dose escalation to determine the MTD and/or recommended dose(s) of TRI-611 for further exploration in two backfill cohorts.
Following completion of Part 1 of the study, Part 2 of the study will be initiated. The second part of the study is comprised of three cohorts (M1, M2, M3) of participants differentiated based on their previous treatment with ALK TKIs (tyrosine kinase inhibitors). During this part of the study the antitumor activity of TRI-611 will be further explored. See eligibility criteria for more details.
Eligibility criteria
Inclusion Criteria:
* Pathologically confirmed diagnosis of ALK-positive non-small cell lung cancer (NSCLC)
* Measurable disease per RECIST v1.1
* Adequate bone marrow reserve and organ function
* Part 1: prior treatment with 2 to 3 ALK TKIs, prior treatment with lorlatinib is required but must not have been in the first line
* Part 2 Cohort M1: prior treatment with 2 to 3 ALK TKIs, prior treatment with lorlatinib is required but must not have been in the first line, prior treatment with neladalkib is excluded
* Part 2 Cohort M2: prior treatment with more than 3 ALK TKIs, prior treatment with lorlatinib and neladalkib is required but neither may have been in the first line
* Part 2 Cohort M3: participants without prior ALK TKI treatment
Exclusion Criteria:
* Participant's cancer has any additional driver alterations known to be a mechanism of resistance to ALK TKIs
* For participants with central nervous system (CNS) metastases or spinal cord compression, they must not be associated with progressive neurological symptoms or require increasing doses of corticosteroids to control the CNS disease
* Ongoing treatment with another anticancer treatment or investigational agent
* Known allergy/hypersensitivity to TRI-611 or any of its ingredients
* Major surgery within 4 weeks of receiving the first dose of TRI-611
Study design
Enrollment target: 160 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2026-03-11
Estimated completion: 2034-01-30
Last updated: 2026-07-14
Interventions
Drug: TRI-611
Primary outcomes
- • Part 1: Treatment emergent adverse events (Within 28 days of the first TRI-611 dose)
- • Part 2: Objective response rate (ORR) (Approximately 16 weeks after the last participant dosed in Part 2)
- • Part 2: Depth of response (DofR) (Approximately 16 weeks after the last participant dosed in Part 2)
Sponsor
TRIANA Biomedicines, Inc. · industry
Contacts & investigators
ContactTRIANA Clinical Trials · contact · medical@trianabio.com
All locations (11)
UCSFRecruiting
San Francisco, California, United States
University of Colorado Cancer CenterRecruiting
Aurora, Colorado, United States
Massachusetts General HospitalRecruiting
Boston, Massachusetts, United States
Dana Farber Cancer CenterRecruiting
Boston, Massachusetts, United States
Washington University Medical CenterRecruiting
St Louis, Missouri, United States
Memorial Sloan-Kettering Cancer CenterRecruiting
New York, New York, United States
Taylor Cancer Research CenterRecruiting
Maumee, Ohio, United States
SCRI Oncology PartnersRecruiting
Nashville, Tennessee, United States
Oncology Consultants Research (P1 Trials)Recruiting
Houston, Texas, United States
START Mountain RegionRecruiting
West Valley City, Utah, United States
NEXT VirginiaRecruiting
Fairfax, Virginia, United States