> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/a-study-to-learn-about-study-medicine-alta3263-in-adults-cebf4407-2cb9-41e1-b239-fe31bc450ce0
> Record changed: 2026-10-13

# A Study to Learn About Study Medicine ALTA3263 in Adults With Advanced Solid Tumors With KRAS Mutations

NCT06835569

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

Participants

448

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

Lead sponsor

Alterome Therapeutics, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

Start date

2025-03-05

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

Number of sites

12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Title and summary

**Summary**

The purpose of this study is to characterize the safety and tolerability of ALTA3263 in adults with advanced solid tumors with KRAS mutations.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Short title**

A Study to Learn About Study Medicine ALTA3263 in Adults With Advanced Solid Tumors With KRAS Mutations

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Official title**

A Phase 1/1b Multiple Cohort Trial of ALTA3263 in Patients With Advanced Solid Tumors With KRAS Mutations

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Dates

**Completion date**

2029-08-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**First posted**

2025-02-19

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Registry last updated**

2026-06-10

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Primary completion date**

2029-05-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Start date**

2025-03-05

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Size and sites

**Participants**

448

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Planned participants**

448

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Protocol amendments**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Number of sites**

12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Lead sponsor**

Alterome Therapeutics, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Identifiers

**Registry ID**

NCT06835569

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**ClinicalTrials.gov ID**

NCT06835569

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Study design

**Allocation**

Not randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Outcomes

### Primary outcomes

1. Adverse Events  
Timeframe: Up to 39 months  
Number of participants that experience treatment-emergent adverse events (TEAEs).
2. Dose Limiting Toxicities  
Timeframe: 21 days  
Number of participants with Dose Limiting Toxicities (DLTs).

### Secondary outcomes

1. Maximum Observed Plasma Concentration (Cmax)  
Timeframe: Cycle 1 (each cycle is 21 days) Day 1 (or Lead-in) and Day 15: Predose and up to 24 hours postdose  
Cmax
2. Time to Reach Maximum Observed Plasma Concentration (Tmax)  
Timeframe: Cycle 1 (each cycle is 21 days) Day 1 (or Lead-in) and Day 15: Predose and up to 24 hours postdose  
Tmax
3. Area Under Plasma Concentration Time Curve During the Dosing Interval (AUCt)  
Timeframe: Cycle 1 (each cycle is 21 days) Day 1 (or Lead-in) and Day 15: Predose and up to 24 hours postdose  
AUCt
4. Terminal Half-Life (t1/2)  
Timeframe: Cycle 1 (each cycle is 21 days) Lead-in phase: Predose and up to 48 hours postdose  
t1/2
5. Objective Response Rate (ORR)  
Timeframe: Up to 39 months  
Assess per RECIST 1.1
6. Duration of Response (DOR)  
Timeframe: Up to 39 months  
Assess per RECIST 1.1
7. Progression-Free Survival (PFS)  
Timeframe: Up to 39 months  
Assess per RECIST 1.1
8. Overall Survival (OS)  
Timeframe: Up to 39 months  
Assess per RECIST 1.1

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- Histologically confirmed diagnosis of a solid tumor malignancy harboring a KRAS mutation identified through molecular testing (NGS- or PCR-based) with a Clinical Laboratory Improvement Amendments-certified (or equivalent) diagnostic test.
- Unresectable or metastatic disease.
- Progressed on, intolerant to, or declined prior standard-of-care therapy (including targeted therapy, if applicable) appropriate to tumor type and stage
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Adequate organ function

### Exclusion criteria

- Prior treatment with a KRAS inhibitor, certain exceptions are described in the full study protocol
- Known condition that prohibits the ability to swallow or absorb an oral medication.

Other inclusion/exclusion criteria may apply.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Sites

- Research SiteOrlando, United StatesRecruiting
- Research SiteBoston, United StatesRecruiting
- Research SiteBoston, United StatesRecruiting
- Research SiteSt Louis, United StatesRecruiting
- Research SiteNew York, United StatesRecruiting
- Research SiteNew York, United StatesRecruiting
- Research SiteDurham, United StatesRecruiting
- Research SiteNashville, United StatesRecruiting
- Research SiteHouston, United StatesRecruiting
- Research Site #2San Antonio, United StatesRecruiting
- Research SiteSan Antonio, United StatesRecruiting
- Research SiteFairfax, United StatesRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06835569)

## Related records

### Drugs (7)

- [Carboplatin](https://trialight.com/data/asset/carboplatin-91aa6947-1cbb-486a-b5c6-aaaa6868e24e.md)
- [Cetuximab](https://trialight.com/data/asset/cetuximab-a1f8c65c-bae1-4b77-9491-dca37aeeaa3c.md)
- [Cisplatin](https://trialight.com/data/asset/cisplatin-e039621a-d679-4740-88ac-94842bf4a91e.md)
- [Fluorouracil](https://trialight.com/data/asset/fluorouracil-f8444d73-5c73-4f35-aa71-67d578277450.md)
- [Midazolam](https://trialight.com/data/asset/midazolam-1bd7ce5f-a598-4c40-a36b-e990c47207ef.md)
- [Pembrolizumab](https://trialight.com/data/asset/pembrolizumab-f9ac1934-47a5-4a53-ae55-20b7d53d8815.md)
- [Pemetrexed](https://trialight.com/data/asset/pemetrexed-2221859e-676b-4d76-97df-e11f3f9664a1.md)

### Lead sponsors (1)

- [Alterome Therapeutics, Inc.](https://trialight.com/data/company/alterome-therapeutics-inc-94bc3fa2-c380-42b3-bea3-3d60f17a0a09.md)

### Conditions (7)

- [Carcinoma](https://trialight.com/data/condition/carcinoma-575e4c82-5fa5-5455-b1b7-30972eca1a2f.md)
- [Colonic neoplasm](https://trialight.com/data/condition/colonic-neoplasm-be61bc3a-c82f-5b84-a20f-3f9931cfcc77.md)
- [Colorectal carcinoma](https://trialight.com/data/condition/colorectal-carcinoma-51401c02-7884-5c5c-bb91-90106e7d0d4a.md)
- [Colorectal neoplasm](https://trialight.com/data/condition/colorectal-neoplasm-31f0a633-3abe-5df4-9d3a-9292c6541f1d.md)
- [Lung neoplasm](https://trialight.com/data/condition/lung-neoplasm-d4ce75ac-7517-5ab7-9f47-34c0f7b81786.md)
- [Non-small cell lung carcinoma](https://trialight.com/data/condition/non-small-cell-lung-carcinoma-a86c1d60-523f-5ea7-a5e1-39ed4a2296f8.md)
- [Pancreatic neoplasm](https://trialight.com/data/condition/pancreatic-neoplasm-de300cc3-339a-5c06-97d8-2d9155fc3a7b.md)

### Targets (21)

- [DHFR](https://trialight.com/data/target/dhfr-e77e5dcd-f4e0-5e26-b456-0a5b230a72b3.md)
- [EGFR](https://trialight.com/data/target/egfr-5c134fbe-bf90-5792-81e3-542be53c2be7.md)
- [GABRA1](https://trialight.com/data/target/gabra1-4391585d-ccfe-5231-89a4-e911338239fd.md)
- [GABRA2](https://trialight.com/data/target/gabra2-8ad0509c-0869-5fa3-9f64-f2f16bbd75f7.md)
- [GABRA3](https://trialight.com/data/target/gabra3-8295df29-4a16-5015-8651-ab3340e0de12.md)
- [GABRA4](https://trialight.com/data/target/gabra4-8db035f5-598b-561c-bccf-339883590a0d.md)
- [GABRA5](https://trialight.com/data/target/gabra5-b7313ea4-035e-5ccf-8477-4e09fa235563.md)
- [GABRA6](https://trialight.com/data/target/gabra6-217bacdc-dfe0-5560-a2f5-7921b78e7abf.md)
- [GABRB1](https://trialight.com/data/target/gabrb1-0f970126-9041-5d32-87ac-02bd10cef557.md)
- [GABRB2](https://trialight.com/data/target/gabrb2-1a519e10-d490-5760-9751-7cc901cac6eb.md)
- [GABRB3](https://trialight.com/data/target/gabrb3-d3c48a04-fd9e-59c1-9c06-5a36bbd7ce2a.md)
- [GABRD](https://trialight.com/data/target/gabrd-9320aad1-3e84-5d9b-9702-43d3de2273dc.md)
- [GABRE](https://trialight.com/data/target/gabre-38203809-e856-5ed9-b0df-ad994e506211.md)
- [GABRG1](https://trialight.com/data/target/gabrg1-9fce5825-56bf-57ff-b57f-213bcd9cc866.md)
- [GABRG2](https://trialight.com/data/target/gabrg2-36dc590b-0fa0-5d0f-bbb6-e831ae83d791.md)
- [GABRG3](https://trialight.com/data/target/gabrg3-e56da4b8-b4dd-5273-ac25-9cb3b1e98de6.md)
- [GABRP](https://trialight.com/data/target/gabrp-1815637f-6695-5cdf-917f-29b7c1596d44.md)
- [GABRQ](https://trialight.com/data/target/gabrq-441cdc7f-1c46-5673-9300-cc381ae42f30.md)
- [GART](https://trialight.com/data/target/gart-01a731ec-9c88-556f-8fc6-2217fab015bc.md)
- [PDCD1](https://trialight.com/data/target/pdcd1-a7b9a076-9fdd-55c9-9ce8-e558e5c7503f.md)

---

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