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Recruiting Phase 1 NCT06458712

NCT06458712 Study to Assess Safety, Tolerability and Activity of DSB2455 in Participants With Advanced Malignancies

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Clinical Trial Summary
NCT ID NCT06458712
Status Recruiting
Phase Phase 1
Sponsor Duke Street Bio Ltd
Condition Advanced Cancers (Breast, Ovarian, mCRPC, Pancreatic Ductal Adenocarcinoma (PDAC), Brain Mets) With Specific Mutations (Homologous Recombination Deficiency)
Study Type INTERVENTIONAL
Enrollment 180 participants
Start Date 2024-11-21
Primary Completion 2028-08

Eligibility & Interventions

Sex All sexes
Min Age 18 Years
Max Age N/A
Study Type INTERVENTIONAL
Interventions
DSB2455

Eligibility Fast-Check

Enter your details for a quick preliminary check. This does not replace medical advice.

What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

Phase 1 is the earliest stage of human testing — safety and dosage are the primary focus. Visits are frequent and medical supervision is intensive. You will be among the first people to receive this treatment.

This trial targets 180 participants in total. It began in 2024-11-21 with a primary completion date of 2028-08.

⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.

Brief Summary

Open label, multi-centre, Phase Ia/b adaptive design study with an initial 2-stage Dose Escalation Phase followed by a Dose Expansion Phase.

Eligibility Criteria

Inclusion Criteria: * The participant (or legally acceptable representative, if applicable) provides written informed consent for the study. * Aged ≥18 years of age on the day of signing the informed consent. * Histologically confirmed diagnosis of locally advanced and/or metastatic breast cancer, prostate cancer (mCRPC), ovarian cancer, or pancreatic ductal adenocarcinoma (PDAC) with confirmed gene alterations/ mutations as defined in the protocol * Has received prior cancer treatment as outlined in the protocol * Has measurable disease per RECIST v1.1, or non-measurable disease as defined in the protocol. * ECOG performance status of 0 to 1. * Life expectancy \>12 weeks. * Adequate organ function as defined in the protocol. * Willing and able to comply with scheduled visits (including follow-up visits), and protocol procedures. * Willing and able to undergo imaging procedures as per protocol. * Willing to provide blood samples for correlative research purposes. * Able to swallow oral medication as an intact dosage form. * Prior intervention with an approved non-selective PARP inhibitor is permitted in Dose Escalation only. * Has received prior cancer treatment as outlined in the protocol, dependent on disease type. * Known asymptomatic or symptomatic brain metastasis, as confirmed by an MRI brain scan, from a primary tumour and meeting the eligibility for the disease types noted above (Dose Expansion only, specific Cohort). Exclusion Criteria: * Myelodysplastic syndrome (MDS), acute myeloid leukaemia (AML) or features suggestive of MDS/AML. * Has received a prior PARP1-selective inhibitor. * Has received prior systemic anti-cancer therapy including investigational agents or device within 2 or 4 weeks prior to study intervention, dependent on the treatment. * Received prior radiotherapy within 2 weeks of the start of study intervention or has a history of radiation pneumonitis. * Diagnosis of immunodeficiency or receiving chronic systemic steroid therapy (exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study drug. * Has received a live or live-attenuated vaccine within 30 days prior to the first dose of study intervention. Note: administration of killed vaccines are allowed. * Has had an allogeneic tissue/solid organ transplant. * Has an active autoimmune disease that has required systemic intervention in the past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). * History of (non-infectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease. * Refractory nausea and vomiting, impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drugs. * Undergone major surgery, open biopsy or significant traumatic injury ≤28 days prior to starting study intervention. * Has an active infection requiring systemic therapy or an uncontrolled concurrent illness. * Known history of human immunodeficiency virus (HIV) infection. No HIV testing is required unless mandated by the local health authority. * Known history of Hepatitis B or known active Hepatitis C virus (HCV) * Cirrhosis of the liver. * Clinically significant pulmonary illness. * Impaired cardiac function or clinically significant cardiac disease. * Participants with a healing, serious or open wound, ulcer, or bone fracture within 28 days prior to first dose of study intervention. * History or current evidence of any condition, therapy, or laboratory abnormality, or other circumstance that might confound the results of the study or interfere with the participants involvement for the full duration of the study. * A WOCBP who has a positive urine pregnancy test (within 72 hours) prior to starting the study intervention. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required. * Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study. * Weight loss of \>5% in the 8-week period prior to starting study intervention. * Known allergy or hypersensitivity to any of the formulation components of DSB2455. * Has received radiation therapy to the lung that is \>30Gy within 6 months of the first dose of study intervention. * Other disease-specific criteria as outlined in the protocol.

Contact & Investigator

Central Contact

Duke Street Bio

✉ clinicaltrials@dukesb.com

📞 +44 (0)203 890 8710

Frequently Asked Questions

Who can join the NCT06458712 clinical trial?

This trial is open to participants of all sexes, aged 18 Years or older, studying Advanced Cancers (Breast, Ovarian, mCRPC, Pancreatic Ductal Adenocarcinoma (PDAC), Brain Mets) With Specific Mutations (Homologous Recombination Deficiency). Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.

What phase is the NCT06458712 trial and what does that mean for participants?

Phase 1 trials are the first stage of human testing. The primary goal is to assess safety and determine appropriate dosage levels. Participants are closely monitored. These trials typically involve a small number of volunteers.

Is NCT06458712 currently recruiting?

Yes, NCT06458712 is actively recruiting participants. Contact the research team at clinicaltrials@dukesb.com for enrollment information.

Where is the NCT06458712 trial being conducted?

This trial is being conducted at New Haven, United States, New York, United States, Houston, United States, Bordeaux, France and 11 additional locations.

Who is sponsoring the NCT06458712 clinical trial?

NCT06458712 is sponsored by Duke Street Bio Ltd. The trial plans to enroll 180 participants.

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ClinicalMetric — Independent clinical trial intelligence platform. Not affiliated with NIH, ClinicalTrials.gov, the U.S. FDA, or any pharmaceutical company, hospital, or clinical research organization. Trial data is sourced from ClinicalTrials.gov for informational purposes only and does not constitute medical advice. Do not make any treatment, enrollment, or health decisions based solely on information found here — always consult a qualified healthcare professional. Full Disclaimer  ·  Last Reviewed: July 2026  ·  Data Methodology