OncoMatch

OncoMatch/Clinical Trials/NCT05694715

Combination Therapy in Cancers With Mutations in DNA Repair Genes

Is NCT05694715 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Niraparib and Irinotecan for metastatic solid tumor.

Phase 1RecruitingUniversity of California, San FranciscoNCT05694715Data as of May 2026

Treatment: Niraparib · IrinotecanThe purpose of this phase 1 clinical trials is to determine whether niraparib (a Poly (ADP-ribose) polymerase inhibitor (PARPi)) can be safely combined with irinotecan with manageable toxicity and reasonable efficacy. Emerging evidence suggest that PARPi is an effective therapeutic strategy in a wider subset of solid tumors that may have defective homologous recombination (HR) or DNA repair gene mutations. BReast CAncer gene (BRCA), partner and localizer of BRCA2 (PALB2), and various other DNA repair germline mutations predispose carriers to cancers of the breast, ovaries, pancreas, prostate and melanoma. A number of preclinical studies have demonstrated that PARP inhibitors can work as chemopotentiators. There is significant interest in this combination, and the recommended phase II dose will be used in the upcoming NCI ComboMatch trial.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Biomarker criteria

Required: BRCA1 mutation

BRCA1 (based upon archival tumor tissue or germ line testing from any Clinical Laboratory Improvement Amendments (CLIA) approved lab)

Required: BRCA2 mutation

BRCA2 (based upon archival tumor tissue or germ line testing from any Clinical Laboratory Improvement Amendments (CLIA) approved lab)

Required: ATM mutation

ATM (based upon archival tumor tissue or germ line testing from any Clinical Laboratory Improvement Amendments (CLIA) approved lab)

Required: PALB2 mutation

PALB2 (based upon archival tumor tissue or germ line testing from any Clinical Laboratory Improvement Amendments (CLIA) approved lab)

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Lab requirements

Blood counts

ANC >= 1.5 x 10^9/L (no growth factors allowed within 14 days of enrollment); Hemoglobin >=10 g/dL (no transfusion allowed within 7 days of enrollment); Platelets >= 100 x 10^9/L

Kidney function

Creatinine <1.5 x ULN, or Estimated GFR >= 50ml/min by Cockcroft-Gault

Liver function

AST and ALT <=2.5 x ULN, or <5 x ULN in patients with known liver metastases or known primary liver tumor(s); Serum total bilirubin <= 1.5 x ULN

Adequate organ function: ANC >= 1.5 X 10^9/L (no growth factors allowed within 14 days of enrollment); Hemoglobin (Hgb) ≥10 g/dL (no transfusion allowed within 7 days of enrollment); Platelets (plt) >= 100 x 10^9/L; AST and ALT <=2.5 x ULN, or <5 x ULN in patients with known liver metastases or known primary liver tumor(s); Serum total bilirubin <= 1.5 x ULN; Creatinine <1.5 x ULN, or Estimated GFR >= 50ml/min by Cockcroft-Gault

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

US trial sites

  • University of California, San Francisco · San Francisco, California

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