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OncoMatch/Clinical Trials/NCT06923761

EMITT-1 (ERAP Mediated Immunopeptidome Targeting Trial - 1)

Is NCT06923761 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Module 1 (GRWD5769 on its own as monotherapy) and Module 2 (GRWD5769 in combination with cemiplimab, administered IV) for advanced solid malignancy.

Phase 1/2RecruitingGrey Wolf TherapeuticsNCT06923761Data as of May 2026

Treatment: Module 1 (GRWD5769 on its own as monotherapy) · Module 2 (GRWD5769 in combination with cemiplimab, administered IV)This is a Phase I/II, open-label, first-in human study of GRWD5769 alone, and in combination with another anti-cancer agent in advanced solid cancers.

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Extracted eligibility criteria

Disease stage

Required: Stage III, IV

Participant has measurable disease per RECIST 1.1/iRECIST; locally advanced or metastatic solid malignancy

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: anti-PD-1 therapy — first line

at least 3 months first line anti-PD(L)-1 therapy (± bevacizumab, chemotherapy, ADC or other immunotherapy e.g. anti-CTLA-4) and this should have included at least a 10-week period without progression

Must have received: anti-PD-1 therapy — first line

at least 3 months first line anti-PD(L)-1 containing therapy and this should have included at least a 10-week period without progression per Investigator assessment

Must have received: anti-PD-1 therapy — first line

at least ≥ 3 months first line anti-PD(L)-1 (± chemotherapy, ADC, pemetrexed or other immunotherapy e.g. anti-CTLA-4) and this should have included at least a 10-week period without progression

Must have received: — advanced/metastatic

should have received at least one line of therapy in the advanced/metastatic setting and should have received therapies according to local standard practice, unless ineligible or intolerant to the treatment

Cannot have received: ERAP1 inhibitor

Prior therapy with an ERAP1 inhibitor

Cannot have received: checkpoint inhibitor

Participants with unresectable pMMR/MSS CRC may not have had prior CPI / immunotherapy

Lab requirements

Blood counts

inadequate bone marrow reserve or organ function excluded; no prior history of persistent (> 4 weeks) severe pancytopenia due to previous therapy rather than to disease (ANC < 0.5 × 10^9/L or platelets < 50 x 10^9/L)

Kidney function

no impaired renal function

Liver function

Child-Pugh score class A liver function (for HCC); no impaired hepatic synthesis function; liver function not deteriorating per protocol

Cardiac function

cardiac dysfunction or other clinically significant cardiac pathology likely to impair participation excluded; mean QTcF > 450 ms for males or > 470 ms for females excluded; any clinically important abnormalities in rhythm, conduction, or morphology on resting ECG excluded

Participant has Child-Pugh score class A liver function; impaired hepatic or renal function; liver function deteriorating; other evidence of impaired hepatic synthesis function; inadequate bone marrow reserve or organ function; cardiac dysfunction or other clinically significant cardiac pathology; mean QTcF > 450 ms for males or > 470 ms for females; any clinically important abnormalities in rhythm, conduction, or morphology on resting ECG

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

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