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Looking for participantsPhase1/Phase2

A Study of EP0031 (Lunbotinib) in Patients With Advanced RET-altered Malignancies

Sponsor: Ellipses Pharma

NCT ID: NCT05443126

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
EP0031 (drug), Platinum chemotherapy (drug), Pemetrexed (drug)
How long the study runs
Study runs about 66 months (dates as stated)
About the drug or intervention
EP0031 — drug: EP0031 is a potent next-generation selective RET-inhibitor (SRI) · Platinum chemotherapy — drug: One of either Cisplatin or Carboplatin. · Pemetrexed — drug: Pemetrexed is a chemotherapy medication and antifolate metabolic inhibitor administered as an IV infusion according to local practice and labels.
Patient visit burden
Not specified by the sponsor

In plain English

This study is testing a drug called EP0031 (lunbotinib) in adults aged 18 and over with advanced non-small cell lung cancer (NSCLC) that has a change in a gene called RET. It is run by a company called Ellipses Pharma. Participants must have cancer that is locally advanced or has spread, and must be able to receive a type of chemotherapy.

Who can take part

  • Adults aged 18 or over with NSCLC that has a RET gene change
  • Cancer that is locally advanced or has spread, and the person is able to have platinum-based chemotherapy (a standard two-drug treatment)
  • Generally well and active (performance status score of 0 or 1) with a life expectancy of more than 3 months
  • Able to give written informed consent and take part in all study checks; measurable disease on scans
  • For first-line patients: no previous RET inhibitor drugs or chemotherapy. Earlier treatment before or after surgery is allowed if it finished at least 12 months before, and radiotherapy to ease symptoms is allowed up to 2 weeks before starting
  • Patients must have been informed about other treatment options, including approved RET-targeted therapies

Who may not be able to

  • Other known major gene changes besides RET
  • Spinal cord compression or active brain metastases (cancer spread to the brain), though stable brain metastases are allowed
  • Active infection needing antibiotic, antifungal or antiviral medicine
  • Severe or uncontrolled health or mental health conditions
  • Chronic kidney inflammation (glomerulonephritis) or a kidney transplant
  • Active hepatitis B or hepatitis C infection
  • Active HIV infection, though people living with HIV may join if their CD4+ T-cell count is good enough and they have had no AIDS-defining opportunistic infections in the past 12 months
  • Taking strong medicines that affect the CYP3A4 enzyme
  • Poor liver, kidney, bone marrow or organ function
  • Serious heart problems, such as abnormal heart rhythm, heart failure, heart attack or unstable angina in the last 6 months, or risk factors for heart rhythm problems
  • Uncontrolled high blood pressure
  • Corneal ulcer or untreated keratitis (eye problems) at screening

What taking part involves

  • • Taking the study drug EP0031 (lunbotinib) — Not stated — ask the trial team about how it is given and how often
  • • Taking part in all required evaluations and procedures for the study
  • • Having scans or other checks to measure the cancer, as measurable disease is defined by a standard set of rules (RECIST v1.1)

Time commitment: Not stated — ask the trial team about how many visits are needed, how long the study lasts, and exactly what taking part involves.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
265
Started
2022-09-30
Last checked
2026-06

Plain English Summary

What is this study?

  • • Testing a new treatment for nsclc
  • • Phase1/Phase2 - 265 participants
  • • The aim of this study is to assess the safety, side effects and effectiveness of EP0031 (Lunbotinib) in patients with advanced RET-altered non-small cell lung cancer (NSCLC) in monotherapy and in combination with standard of care (SOC) chemotherapy

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with nsclc

Where?

  • • London - University College London Hospital (UCLH)
  • • London - Guy's and St Thomas' Hospital NHSFT
  • • London - The Royal Marsden NHSFT
  • • Manchester - The Christie Hospital NHSFT
  • • +1 more UK sites

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The aim of this study is to assess the safety, side effects and effectiveness of EP0031 (Lunbotinib) in patients with advanced RET-altered non-small cell lung cancer (NSCLC) in monotherapy and in combination with standard of care (SOC) chemotherapy.

More detail

EP0031 is being investigated in this modular, interventional Phase I/II dose escalation and dose expansion study to investigate the optimal dose in adult patients with advanced RET-altered NSCLC. Currently there are no approved RET-targeted treatments for patients who progress on first-generation Selective RET Inhibitors (SRIs). However, it is proposed that EP0031 can overcome resistance mechanisms to first generation SRIs, as EP0031 is a potent and selective RET inhibitor with broad activity against common RET fusions and mutations. Phase I (dose escalation and optimization) has completed for this study and determined the Recommended Phase 2 Dose (RP2D). The study is now in Phase 2, assessing the safety, tolerability and efficacy of EP0031 given in combination with SOC chemotherapy in RET fusion positive NSCLC participants.

NSCLC

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders
  • How fit you need to be: ECOG 0 or better

Biomarkers mentioned

RETRET fusionCD4

Treatment history

Treatments you must have had:

  • ✓ evaluations and procedures

What the study is looking for

  • ✓Applicable to all participants:
  • ✓Must be ≥18 years of age, with documented RET-altered NSCLC
  • ✓Participants should be well informed and consented about alternative treatment options including approved...
  • ✓Fit enough for normal activity (ECOG 0) or 1 and life expectancy \>3 months at screening
  • ✓Ability to understand and provide written agreement to take part and able to participate in all required evaluations and...

Who cannot take part

  • ✗Participants with any of the following will not be included in the study:
  • ✗Any known major driver gene alterations other than RET.
  • ✗Spinal cord compression or brain metastases. Patients with stable brain metastases can be enrolled.
  • ✗Active infection requiring systemic antibiotic, antifungal, or antiviral medication
  • ✗Severe or uncontrolled medical condition or psychiatric condition
See the full criteria
Inclusion Criteria: Applicable to all participants: 1. Must be ≥18 years of age, with documented RET-altered NSCLC 2. Participants should be well informed and consented about alternative treatment options including approved RET-targeted therapies 3. ECOG performance status of 0 or 1 and life expectancy \>3 months at screening 4. Ability to understand and provide written informed consent and able to participate in all required evaluations and procedures 5. Measurable disease defined by RECIST v1.1 6. Must have locally advanced or metastatic NSCLC with RET fusion who are eligible to receive platinum-based doublet chemotherapy. 7. First line patients: Must not have received a Selective RET inhibitor or chemotherapy. Prior adjuvant and neo-adjuvant therapies (chemotherapy, radiotherapy, immunotherapy, biologic therapy, investigational agents), or definitive radiation/chemoradiation with or without regimens including immunotherapy, biologic therapy, investigational agents, are permitted as long as treatment was completed at least 12 months prior. Palliative radiotherapy for symptom management (eg, bone metastases) is permitted up to 2 weeks prior to treatment start. Exclusion Criteria: Participants with any of the following will not be included in the study: 1. Any known major driver gene alterations other than RET. 2. Spinal cord compression or brain metastases. Patients with stable brain metastases can be enrolled. 3. Active infection requiring systemic antibiotic, antifungal, or antiviral medication 4. Severe or uncontrolled medical condition or psychiatric condition 5. Chronic glomerulonephritis or renal transplant 6. Participants with active hepatitis B infection or active hepatitis C 7. Participants with active HIV infection. Patients living with HIV may be eligible if they have adequate CD4+ T-cell count and no history of AIDS-defining opportunistic infections in the past 12 months 8. Receipt of any strong inhibitor or inducer of CYP3A4 9. Impaired hepatic or renal function, inadequate bone marrow reserve or organ function 10. Any clinically important abnormalities in rhythm, conduction, or morphology on resting ECG or any factor that increases the risk of QTc prolongation or of arrhythmic events , or congestive heart failure Grade III-IV according to the New York Heart Association, myocardial infarction, or unstable angina within the previous 6 months 11. Uncontrolled hypertension 12. Corneal ulceration or untreated keratitis at screening

Where Is This Study? (5 UK sites)

University College London Hospital (UCLH)

London NW1 2BU, United Kingdom

Recruiting
Hospital R&D contact (matched)

Rajinder Sidhu - Associate Director, Research Governance and Operations

uclh.jro-communications@nhs.net020 3447 9825

Guy's and St Thomas' Hospital NHSFT

London SE1 9RT, United Kingdom

Recruiting
Hospital R&D contact (matched)

Main Email: gstt.research.rbhh@nhs.net

gstt.research.rbhh@nhs.netn/a

The Royal Marsden NHSFT

London SW36JJ, United Kingdom

Recruiting
Hospital R&D contact (matched)

Mark Brandon-Grove

research.development@rmh.nhs.uk020 3186 5416

The Christie Hospital NHSFT

Manchester M20 4BX, United Kingdom

Recruiting
Hospital R&D contact (matched)

Research and Innovation Office

the-christie.ri@nhs.net---

Sheffield Teaching Hospitals NHSFT

Sheffield S10 2JF, United Kingdom

WITHDRAWN
Hospital R&D contact (matched)

Alessia Dunn

STH.ResearchAdministration@nhs.net0114 2712550

How to Get in Touch

Clinical Trials Team

Sponsor contact

CONTACT

+44 20 3743 0992 Enquires@ellipses.life
Data sourced from ClinicalTrials.gov · Last verified: 2026-06