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OncoMatch/Clinical Trials/NCT04585750

The Evaluation of PC14586 in Patients With Advanced Solid Tumors Harboring a TP53 Y220C Mutation (PYNNACLE)

Is NCT04585750 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including rezatapopt and pembrolizumab for advanced solid tumor.

Phase 1/2RecruitingPMV Pharmaceuticals, IncNCT04585750Data as of May 2026

Treatment: rezatapopt · pembrolizumabThe Phase 2 monotherapy portion of this study is currently enrolling and will evaluate the efficacy and safety of PC14586 (INN rezatapopt) in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation. The Phase 1 portion of the study will assess the safety, tolerability and preliminary efficacy of multiple dose levels of rezatapopt as monotherapy and in Phase 1b in combination with pembrolizumab.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Non-Small Cell Lung Carcinoma

Ovarian Cancer

Endometrial Cancer

Prostate Cancer

Colorectal Cancer

Breast Carcinoma

Head and Neck Squamous Cell Carcinoma

Urothelial Carcinoma

Small Cell Lung Cancer

Triple-Negative Breast Cancer

Biomarker criteria

Required: TP53 Y220C

Locally advanced or metastatic solid malignancy with a TP53 Y220C mutation

Excluded: KRAS any SNV

Known KRAS mutation, defined as a single nucleotide variant (SNV) (Phase 2)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: anticancer therapy

Previously treated with one or more lines of anticancer therapy and progressive disease

Cannot have received: anti-PD-1/PD-L1/PD-L2 or other stimulatory/co-inhibitory T-cell receptor agent

Exception: only if discontinued due to Grade 3 or higher immune-related AE (irAE) (Phase 1b combination)

Received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor and discontinued from that treatment due to a Grade 3 or higher immune-related AE (irAE)

Cannot have received: rezatapopt (rezatapopt)

Has previously received rezatapopt

Lab requirements

Blood counts

Adequate organ function

Kidney function

Adequate organ function

Liver function

Adequate organ function

Adequate organ function

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

US trial sites

  • University of California Irvine Chao Family Comprehensive Cancer Center · Irvine, California
  • University of San Diego Moores Cancer Center · La Jolla, California
  • UCLA Jonsson Comprehensive Cancer Center · Los Angeles, California
  • USC Norris Comprehensive Cancer Center · Los Angeles, California
  • Rocky Mountain Cancer Center · Denver, Colorado

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

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