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OncoMatch/Clinical Trials/NCT07369505

Sapu003 in Advanced mTOR-sensitive Solid Tumors

Is NCT07369505 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Sapu003 and Exemestane 25 MG for breast cancer metastatic.

Phase 1RecruitingSAPU NANO (US) LLCNCT07369505Data as of May 2026

Treatment: Sapu003 · Exemestane 25 MGThis is a phase 1b, open-label, dose-escalation study to evaluate the safety, tolerability, pharmacokinetics of Sapu003 in combination with Exemestane in in patients with advanced mTOR-sensitive solid tumors (HR+/HER2-negative breast cancer, renal cell carcinoma \[RCC\], neuroendocrine tumors \[NETs\], tuberous sclerosis complex \[TSC\]-associated tumors, and hepatocellular carcinoma \[HCC\]).

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Renal Cell Carcinoma

Neuroendocrine Tumor

Hepatocellular Carcinoma

Disease stage

Required: Stage IV, III

Performance status

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

Prior therapy

Min 1 prior line

Must have received: endocrine therapy (non-steroidal aromatase inhibitor)

Has failed any combination endocrine therapy or relapse within 6 months of adjuvant chemotherapy for metastatic or locally advanced disease. Prior therapy should have included a non-steroidal aromatase inhibitor unless clinically contraindicated

Must have received: standard therapy

Has progressed on or is intolerant to at least one prior line of standard therapy appropriate for the specific tumor type, unless no effective standard therapy exists

Cannot have received: chemotherapy (mitomycin C, nitrosoureas)

Prior chemotherapy within 30 days prior to screening (42 days for mitomycin C or nitrosoureas)

Cannot have received: immunotherapy

Prior immunotherapy...within 30 days prior to screening

Cannot have received: anti-tumor hormonal therapy

prior anti-tumor hormonal therapy (for breast cancer patients)...within 30 days prior to screening

Cannot have received: radiation therapy

prior radiotherapy within 30 days prior to screening. Radiotherapy is not allowed during study.

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥ 2,000 cells/mm3; Platelet count ≥ 100,000 cells/mm3; Hemoglobin ≥ 9 g/dL

Kidney function

Serum creatinine ≤ 1.5 x ULN; GFR ≥ 50 mL/min/1.73m2 by the CKD-EPI or MDRD formulas.

Liver function

Total bilirubin ≤1.5 x ULN or direct bilirubin ≤1 x ULN for patients with total bilirubin levels > 1.5 ULN; AST (SGOT) / ALT (SGPT) ≤ 2.5 x ULN (≤5 x ULN for patients with metastases.)

Patient has adequate hematological, renal, and hepatic function as defined by the following Screening laboratory values obtained within 7 days prior to randomization and assessed based on local labs

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

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