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OncoMatch/Clinical Trials/NCT03919292

Neratinib + Valproate in Advanced Solid Tumors, w/Expansion Cohort in Ras-Mutated Ca

Is NCT03919292 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Neratinib and Divalproex Sodium for solid tumor, adult.

Phase 1/2RecruitingVirginia Commonwealth UniversityNCT03919292Data as of May 2026

Treatment: Neratinib · Divalproex SodiumTo determine the recommended phase 2 dose (RP2D) of the combination of neratinib and sodium valproate when given to patients with advanced solid tumors. Then to explore the antitumor effects of the neratinib and sodium valproate combination in advanced solid tumors with attention to RAS-mutated tumors, EGFR-altered GBM, and ocular melanoma, as part of the phase 2 expansion cohort.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Biomarker criteria

Required: GNA11 mutation

Required: GNAQ mutation

Required: HRAS mutation

Required: KRAS mutation

Required: NRAS mutation

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: approved therapy

has progressed during or after treatment with at least one approved therapy or for which there is no standard effective therapy available

Cannot have received: neratinib (neratinib)

Previous therapy with neratinib

Cannot have received: investigational agent

Any investigational agent within 4 weeks prior to initiating study treatment

Lab requirements

Blood counts

ANC ≥ 1500/mm3; platelets ≥ 100,000/mm3; hemoglobin > 9 g/dL (untransfused)

Kidney function

Creatinine ≤ 1.5 x ULN or calculated/actual creatinine clearance ≥ 60 mL/min

Liver function

Total bilirubin ≤ 1.5 x ULN (exception: Gilbert's syndrome if direct bilirubin WNL); AST/ALT ≤ 3.0 x ULN (≤ 5 x ULN with liver metastasis)

Cardiac function

No unstable angina, recent MI (within 6 months), arrhythmias requiring anti-arrhythmic therapy (other than beta blockers), or NYHA class III/IV CHF; resting systolic BP ≥ 100 mmHg

Adequate bone marrow function...Adequate renal function...Adequate hepatic function...Active or clinically significant cardiac disease including any of the following: Unstable angina...Myocardial infarction diagnosed within 6 months...Cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers...NYHA class III or IV congestive heart failure...Resting systolic blood pressure (BP) < 100 mmHg [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Virginia Commonwealth University Massey Cancer Center · Richmond, Virginia

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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