499 Participants NeededMy employer runs this trial

ARV-6723 + Pembrolizumab for Advanced Solid Tumors

Recruiting at 3 trial locations
AI
Overseen ByArvinas Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new drug, ARV-6723, to determine if it can help the immune system combat advanced solid tumors, a type of cancer. The study will assess the safety of ARV-6723 when used alone or with pembrolizumab, an immunotherapy that helps the immune system recognize and attack cancer cells. Individuals with advanced solid tumors who have not responded to other treatments or cannot tolerate standard treatments might be suitable for this trial. Participants will receive ARV-6723 as a tablet, with some also receiving pembrolizumab through injection or infusion. The trial will explore different doses to identify the most effective and safe treatment combination. As a Phase 1/Phase 2 trial, it offers participants the opportunity to be among the first to receive this new treatment and help determine its effectiveness and safety.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

In a previous study, researchers began testing ARV-6723 to determine its safety for humans. This marks the first time it has been tried in people, so clear safety information is not yet available. As this trial is in its early stages, the main goal is to assess how well people tolerate this new treatment.

The study will also examine how ARV-6723 interacts with pembrolizumab. Pembrolizumab, a drug that helps the immune system fight cancer, has been shown to be safe for many people with various types of cancer. However, the safety of ARV-6723 when used with pembrolizumab remains unknown, as this combination is being tested for the first time.

The trial will gradually increase the dose to find the safest and most effective amount, helping to identify any side effects. The safety of both ARV-6723 alone and in combination with pembrolizumab is still under investigation. Researchers will closely monitor for any side effects or adverse events.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about ARV-6723 combined with pembrolizumab for advanced solid tumors because it offers a unique approach compared to standard treatments. Most current treatments focus on traditional chemotherapy or targeted therapies. However, ARV-6723 works differently by potentially degrading specific proteins that contribute to tumor growth, offering a novel mechanism of action. When combined with pembrolizumab, an immune checkpoint inhibitor, it may enhance the body’s immune response against cancer cells. This innovative combination could lead to more effective treatment outcomes for patients with advanced solid tumors.

What evidence suggests that this trial's treatments could be effective for advanced solid tumors?

Research has shown that ARV-6723 is designed to break down HPK1, a protein that weakens the immune system's ability to fight tumors. In early lab studies, ARV-6723 effectively reactivated tired T-cells and boosted the immune system's power to attack cancer cells. It also controlled tumor growth better than some current treatments. In this trial, some participants will receive ARV-6723 alone, while others will receive it in combination with pembrolizumab, a current cancer drug. This combination might help overcome resistance to treatments that block cancer's defenses. While these results are encouraging, it's important to remember that ARV-6723 is still being tested in humans for the first time.12678

Are You a Good Fit for This Trial?

This trial is for adults with advanced solid tumors, such as lung, breast, ovarian, kidney, skin melanoma, and others. Participants must have cancer that has spread or not responded to standard treatments. Specific tumor types may be selected in later parts of the study.

Inclusion Criteria

I have an unresectable or metastatic solid tumor confirmed by biopsy or cell analysis.
My organs are working well enough for treatment.
I have been treated with at least one immune checkpoint inhibitor before.
See 3 more

Exclusion Criteria

I have cancer that has spread to the lining of my brain or spinal cord.
I am currently taking medications or supplements that I cannot stop for the study.
Baseline standard 12-lead ECG showing clinically relevant abnormalities affecting safety or study result interpretation
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment - Part A1 (Phase 1a)

Participants receive lower to higher doses of ARV-6723 as monotherapy or in combination with pembrolizumab

21 days per cycle
1 visit every 3 weeks

Treatment - Part A2 (Phase 1b)

Participants receive one of two doses selected based on information from Part A1

21 days per cycle
1 visit every 3 weeks

Treatment - Part B (Phase 2)

Participants receive the assigned dose of ARV-6723, selected based on Part A, in combination with pembrolizumab or standard of care

21 days per cycle
1 visit every 3 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

28 days after the last dose

What Are the Treatments Tested in This Trial?

Interventions

  • ARV-6723
  • Pembrolizumab

Trial Overview

The study tests a new oral drug called ARV-6723 alone and together with pembrolizumab (an immune therapy) in people with advanced cancers. The trial will use different doses to find out how safe it is and if it helps shrink tumors.

How Is the Trial Designed?

7

Treatment groups

Experimental Treatment

Group I: Part B: Phase 2 Standard of care (SOC)Experimental Treatment1 Intervention
Group II: Part B: Phase 2 Monotherapy dose expansionExperimental Treatment1 Intervention
Group III: Part B: Phase 2 Combination dose expansionExperimental Treatment2 Interventions
Group IV: Part A2b: Phase 1 Monotherapy dose optimizationExperimental Treatment1 Intervention
Group V: Part A2b: Phase 1 Combination therapy dose optimizationExperimental Treatment2 Interventions
Group VI: Part A1b: Phase 1 Combination therapy dose escalationExperimental Treatment2 Interventions
Group VII: Part A1a: Phase 1 Monotherapy dose escalationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Arvinas Inc.

Lead Sponsor

Trials
4
Recruited
730+

Citations

Arvinas Announces First Patient Dosed in Phase 1/2 ...

ARV-6723 is an investigational, oral PROTAC designed to degrade HPK1, a negative regulator of immune activation, in advanced solid tumors –.

Arvinas Reports Second Quarter 2026 Financial Results ...

Unlike an inhibitor and ICIs, ARV-6723 reversed T-cell exhaustion, reversed the immunosuppressive tumor microenvironment, and boosted innate ...

Arvinas doses first patient with oral HPK1 PROTAC ...

In preclinical studies, ARV-6723 (search)Search drug demonstrated potent and selective HPK1 (search)Search target degradation, enhanced immune ...

ARV-6723 / Arvinas

These data highlight the potential for ARV-6723 to overcome ICI resistance, supporting its future investigation alone or in combination with ICIs in patients

Arvinas Reports Second Quarter 2026 Financial Results and

Preclinically, ARV-6723 has shown potent, selective HPK1 degradation and strong anti-tumor immune responses with superior tumor control in low- ...

ARV-6723 - Drug Targets, Indications, Patents

A Phase 1/2 Open-label Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-tumor Activity of ARV-6723 ...

Arvinas has begun clinical testing of ARV-6723, ...

ARV-6723 is investigational, and its safety and efficacy have not been established.

A Phase 1/2 Open-label Study to Evaluate Safety, Tolerability ...

This is a study to evaluate the safety and potential anti-tumor activity of an investigational drug called ARV-6723, in participants with advanced solid tumors.