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OncoMatch/Clinical Trials/NCT04693468

Talazoparib and Palbociclib, Axitinib, or Crizotinib for the Treatment of Advanced or Metastatic Solid Tumors, TalaCom Trial

Is NCT04693468 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Axitinib and Crizotinib for advanced malignant solid neoplasm.

Phase 1RecruitingM.D. Anderson Cancer CenterNCT04693468Data as of May 2026

Treatment: Axitinib · Crizotinib · Palbociclib Isethionate · Talazoparib TosylateThis phase Ib trial is to find out the best dose, possible benefits and/or side effects of talazoparib when given in combination with palbociclib, axitinib, or crizotinib in treating patients with solid tumors that has spread to nearby tissue or lymph nodes (locally advanced) or other places in the body (metastatic). PARPs are proteins that help repair damaged DNA, the genetic material that serves as the body's instruction book. PARP inhibitors, such as talazoparib, can keep PARP from working, so tumor cells can't repair themselves, and they may stop growing. Palbociclib, axitinib, and crizotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving talazoparib in combination with palbociclib, axitinib, or crizotinib may help control locally advanced or metastatic solid tumors.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Biomarker criteria

Required: BRCA1 pathogenic mutation

Defect in DNA Damage Response (DDR) genes such as: BRCA1/2, PALB2, RAD51C/D, or other related genes

Required: BRCA2 pathogenic mutation

Defect in DNA Damage Response (DDR) genes such as: BRCA1/2, PALB2, RAD51C/D, or other related genes

Required: PALB2 pathogenic mutation

Defect in DNA Damage Response (DDR) genes such as: BRCA1/2, PALB2, RAD51C/D, or other related genes

Required: RAD51C pathogenic mutation

Defect in DNA Damage Response (DDR) genes such as: BRCA1/2, PALB2, RAD51C/D, or other related genes

Required: RAD51D pathogenic mutation

Defect in DNA Damage Response (DDR) genes such as: BRCA1/2, PALB2, RAD51C/D, or other related genes

Required: MYC aberrant (overexpression, amplification, mutation)

MYC-aberrant solid tumors (e.g. overexpression, amplification, mutation)

Required: MET mutation

Solid tumors with defects in MET, ALK or ROS1 (e.g. MET mutations or amplifications, high MET expression, ALK translocations, ROS1 translocations)

Required: MET amplification

Solid tumors with defects in MET, ALK or ROS1 (e.g. MET mutations or amplifications, high MET expression, ALK translocations, ROS1 translocations)

Required: MET high expression (high)

Solid tumors with defects in MET, ALK or ROS1 (e.g. MET mutations or amplifications, high MET expression, ALK translocations, ROS1 translocations)

Required: ALK translocation

Solid tumors with defects in MET, ALK or ROS1 (e.g. MET mutations or amplifications, high MET expression, ALK translocations, ROS1 translocations)

Required: ROS1 translocation

Solid tumors with defects in MET, ALK or ROS1 (e.g. MET mutations or amplifications, high MET expression, ALK translocations, ROS1 translocations)

Required: BRCA1 wild-type

Participants with BRCA1/2 wild-type high-grade serous ovarian cancer

Required: BRCA2 wild-type

Participants with BRCA1/2 wild-type high-grade serous ovarian cancer

Disease stage

Metastatic disease required

Have measurable disease at study enrollment as defined by RECIST v1.1 with at least 1 measurable lesion that has not previously been irradiated; or participants may have bone metastatic disease evaluable by Prostate Cancer Working Group 2 (PCWG2) for participants with metastatic castration-resistant prostate cancer (mCRPC), or according to the tumor evaluation criteria best suited and accepted for the tumor type being evaluated

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: anti-cancer therapy

Exception: Prior palliative radiotherapy to metastatic lesion(s) is permitted, provided it has been completed at least 2 days prior to study enrollment and no clinically significant toxicities are expected (e.g. mucositis, esophagitis).

Prior anti-cancer therapy within 2 weeks prior to study enrollment or prior radiation therapy within 2 weeks prior to study enrollment.

Lab requirements

Blood counts

Absolute Neutrophil Count (ANC) ≥ 1,500/mm3 or ≥ 1.5 x 10^9/L; Platelets ≥ 100,000/mm3 or ≥ 100 x 10^9/L; Hemoglobin ≥ 9 g/dL (≥ 5.6 mmol/L). Without hematopoietic growth factor or transfusion support within 14 days prior to study enrollment.

Kidney function

Estimated creatinine clearance (CRCL) ≥ 60 mL/min OR normal creatinine as assessed by 24h urine assessment (not both) required during dose-escalation phase. Patients with moderate renal impairment (30 - 59 mL/min) considered during dose expansion phase.

Liver function

Total serum bilirubin ≤ 1.5 x the upper limit of normal range (ULN); Aspartate and Alanine aminotransferase (AST and ALT) ≤ 5 x ULN.

Adequate bone marrow function... Adequate renal function... Adequate liver function...

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

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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