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OncoMatch/Clinical Trials/NCT05803382

Testing the Addition of an Anti-Cancer Drug, ZEN003694, to the Usual Chemotherapy Treatment (Capecitabine) for Metastatic or Unresectable Cancers

Is NCT05803382 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including BET Bromodomain Inhibitor ZEN-3694 and Capecitabine for metastatic colorectal carcinoma.

Phase 1RecruitingNational Cancer Institute (NCI)NCT05803382Data as of May 2026

Treatment: BET Bromodomain Inhibitor ZEN-3694 · CapecitabineThis phase I trial tests the safety, side effects, and best dose of ZEN003694 in combination with the usual treatment with capecitabine in treating patients with cancer that has spread from where it first started (primary site) to other places in the body (metastatic) or cannot be removed by surgery (unresectable) and that it has progressed on previous standard treatment. ZEN003694 is an inhibitor of a family of proteins called the bromodomain and extra-terminal (BET). It may prevent the growth of tumor cells that over produce BET protein. Capecitabine is in a class of medications called antimetabolites. It is taken up by cancer cells and breaks down into fluorouracil, a substance that kills cancer cells. Giving ZEN003694 in combination with capecitabine may be safe in treating patients with metastatic or unresectable solid tumors.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Tumor Agnostic

Disease stage

Required: Stage IV (AJCC v8)

Metastatic disease required

metastatic or unresectable; measurable disease

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: fluoropyrimidine (fluorouracil, capecitabine, 5-FU) — standard therapies

must have progressed on standard therapies which would have included fluorouracil (5-FU) or capecitabine

Cannot have received: BET inhibitor

Previous treatment with BET inhibitors

Lab requirements

Blood counts

Absolute neutrophil count >= 1,000/mcL; Platelets >= 100,000/mcL

Kidney function

Glomerular filtration rate (GFR) >= 50 mL/min/1.73 m^2

Liver function

Total bilirubin <= 1.5 institutional ULN; AST/ALT <= 3 x institutional ULN

Cardiac function

New York Heart Association Functional Classification of class 2B or better

Absolute neutrophil count >= 1,000/mcL; Platelets >= 100,000/mcL; Total bilirubin <= 1.5 institutional ULN; AST/ALT <= 3 x institutional ULN; GFR >= 50 mL/min/1.73 m^2; New York Heart Association Functional Classification of class 2B or better

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

US trial sites

  • UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care · Irvine, California
  • UC Irvine Health/Chao Family Comprehensive Cancer Center · Orange, California
  • UF Health Cancer Institute - Gainesville · Gainesville, Florida
  • Memorial Hospital East · Shiloh, Illinois
  • University of Kansas Clinical Research Center · Fairway, Kansas

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

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