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Table 1 NUT midline carcinoma clinical trials available at Clinicaltrials.gov

From: The first report of molecular characterized BRD4-NUT carcinoma in Brazil: a case report

Trial

Type of study/ population

Regimen

Mechanism of action

Status

NCT01587703

Phase I/II – Diagnosis of NMC determined by IHC and/or detection of NUT gene translocation by FISH, treatment naïve or with prior therapy

GSK525762

BET protein inhibitor

Active, not recruiting

NCT03702036

Compassionate use – Diagnosis of NMC determined by IHC and/or detection of NUT gene translocation by FISH, with no other satisfactory alternative treatment

GSK525762 (molibresib)

Inhibitor of the binding of BET proteins to acetylated histones

Available

NCT02307240

Phase I – Diagnosis of an advanced solid tumor such as breast cancer or NMC, that has progressed despite standard therapy, or for which no standard therapy exists

CUDC-907

HDAC and PI3K Inhibitor

Active, not recruiting

NCT02698176

Phase IB – Diagnosis of one of the following advanced solid tumors for which standard therapy either does not exist or has proven ineffective, intolerable, or inacceptable for the participant: NMC;TNBC; NSCLC; or CRPC

MK-8628

BET protein inhibitor

Terminated due to limited efficacy

NCT02516553

Phase I – Diagnosis of advanced unresectable and/or metastatic solid tumor, refractory to conventional treatment or for whom no therapy of proven efficacy exists, or who are not amenable to standard therapies.

Part Ib includes patients with SCLC, CRPC, CRC or NMC

BI 894999

BET protein inhibitor

Recruiting

NCT02259114

Phase I – Advanced or metastatic: TNBC, NSCLC, CRPC, pancreatic ductal adenocarcinoma, NMC, for which standard therapy either does not exist or has proven ineffective, intolerable or inacceptable for the patient

OTX015/MK-8628 (birabresib)

BET protein inhibitor

3/10 patients with NMC with PR with duration of 1.4 to 8.4 months

NCT02711137

Phase 1/2 – Histologically or cytologically confirmed diagnosis of relapsed or refractory advanced or metastatic malignancies (solid or hematologic)

INCB057643

BET protein inhibitor

Terminated due to safety issues

NCT02431260

Phase 1/2 – Any advanced solid tumor or lymphoma; acute leukemia, myelodysplastic syndrome, myelodysplastic /myeloproliferative neoplasms, myelofibrosis, and multiple myeloma

INCB054329

BET protein inhibitor

Terminated by the sponsor due to pharmacokinetics variability [20]

NCT02369029

Phase 1 – Patients with advanced tumors refractory to any standard treatment, with no standard therapy available or in whom standard therapy is not a therapeutic option

BAY1238097

BET protein inhibitor

Terminated because of dose-limiting toxicities at a dose below targeted drug exposure [21]

  1. BET bromodomain and extraterminal, CRPC castration-resistant prostate cancer, CRC colorectal cancer, FISH fluorescence in situ hybridization, HDAC histone deacetylase, IHC immunohistochemistry, NMC NUT midline carcinoma, NSCLC non-small cell lung cancer, PI3K phosphoinositide 3-kinase, PR partial response, SCLC small cell lung cancer, TNBC triple negative breast cancer