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ELVN-002

Phase 1

HER2-positive Breast Cancer | Small molecule | Oncology |Enliven Therapeutics, Inc.|Last Updated: Nov 19, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment275
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06328738ELVN-002 With Trastuzumab +/- Chemotherapy in HER2+ Solid Tumors, Colorectal and Breast CancerPHASE1 ACTIVE NOT_RECRUITING 275May 30, 2024Jul 1, 2028Nov 19, 202531 United States, Belgium +5
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Study Endpoints
Primary Endpoints
Incidence of dose limiting toxicities (DLTs; Phase 1a only)
21 days

DLTs will be used to support that the recommended doses for expansion are \</= maximum tolerated dose (MTD)

Incidence of adverse events (AEs)
24 months

AEs will be used to support that the recommended doses for expansion are likely to be tolerable

Incidence of laboratory abnormalities
24 months

Clinically significant laboratory abnormalities will be used to support that the recommended doses for expansion are likely to be tolerable

Incidence of electrocardiogram abnormalities
24 months

Clinically significant electrocardiogram abnormalities will be used to support that the recommended doses for expansion are likely to be tolerable

Secondary Endpoints
PK parameter of area under the curve of ELVN-002 (Phase 1a only)
24 months
PK parameter of maximum concentration of ELVN-002 (Phase 1a only)
24 months
PK parameter of minimum concentration of ELVN-002 (Phase 1a only)
24 months
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: ELVN-002 + trastuzumab dose escalationEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+.
Part 2A: ELVN-002 + trastuzumab + CAPEOX dose escalation in colorectal cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+. Capecitabine will be administered orally twice daily at 1000 mg/m2 on days 1 - 14 of a 21-day cycle. Oxaliplatin will be administered intravenously at 130 mg/m2 on day 1 of a 21-day cycle.
Part 2B: ELVN-002 + trastuzumab + mFOLFOX6 dose escalation in colorectal cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered intravenously at 6 mg/kg IV cycle 1, day 2 followed by 4 mg/kg IV cycle 1, day 15, and then one dose at 4mg/kg IV every 14 days. Fluorouracil (5-FU) will be administered intravenously as a 400 mg/m2 IV bolus on days 1 and 15 followed by 2400 mg/m2 over 46-48 hours of continuous infusion on days 1-3 and days 15-17 of a 28-day cycle. Leucovorin will be administered intravenously at 400 mg/m2 concurrently with oxaliplatin on days 1 and 15 of a 28-day cycle. Oxaliplatin will be administered intravenously at 85 mg/m2 IV on day 1 and 15 of a 28-day cycle.
Part 2C: ELVN-002 + trastuzumab + capecitabine dose escalation in breast cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+. Capecitabine will be administered orally twice daily at 1000 mg/m2 on days 1 - 14 of a 21-day cycle.
Part 2D: ELVN-002 + trastuzumab + paclitaxel dose escalation in solid tumorsEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+. Paclitaxel will be administered intravenously at 80 mg/m2 on days 1, 8, and 15 of a 21-day cycle.
Part 2E: ELVN-002 + trastuzumab + eribulin dose escalation in breast cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+. Eribulin will be administered intravenously at 1.4 mg/m2 on days 1 and 8 of a 21-day cycle.
Part 3A: ELVN-002 + trastuzumab dose expansion in colorectal cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+
Part 3B: ELVN-002 + trastuzumab dose expansion in breast cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+.
Part 3C: ELVN-002 + trastuzumab dose expansion in other solid tumor type 1EXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+.
Part 3D: ELVN-002 + trastuzumab dose expansion in other solid tumor type 2EXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+.
Part 3E: ELVN-002 + trastuzumab dose expansion in other solid tumor type 3EXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+.
Part 4A: ELVN-002 + trastuzumab + CAPEOX dose expansion in colorectal cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered IV (intravenously) in 21-day cycles, at 8mg/kg on cycle 1 day 2 followed by a dose of 6mg/kg on day 1 of cycles 2+. Capecitabine will be administered orally twice daily at 1000 mg/m2 on Days 1 - 14 of a 21-day cycle. Oxaliplatin: will be administered intravenously at 130 mg/m2 on Day 1 of a 21-day cycle.
Part 4B: ELVN-002 + trastuzumab + mFOLFOX6 dose expansion in colorectal cancerEXPERIMENTALELVN-002 will be administered by mouth (orally) once or twice a day from cycle 1 day 1 onwards. Trastuzumab will be administered intravenously at 6 mg/kg IV cycle 1, day 2 followed by 4 mg/kg IV cycle 1, day 15, and then one dose at 4mg/kg IV every 14 days. Fluorouracil (5-FU) will be administered intravenously as a 400 mg/m2 IV bolus on days 1 and 15 followed by 2400 mg/m2 over 46-48 hours of continuous infusion on days 1-3 and days 15-17 of a 28-day cycle. Leucovorin will be administered intravenously at 400 mg/m2 concurrently with oxaliplatin on days 1 and 15 of a 28-day cycle. Oxaliplatin will be administered intravenously at 85 mg/m2 IV on days 1 and 15 of a 28-day cycle.
Interventions
NameTypeDescription
ELVN-002DRUGcapsule
TrastuzumabDRUGintravenous
5-FluorouracilDRUGintravenous
OxaliplatinDRUGintravenous
CapecitabineDRUGcapsule
EribulinDRUGintravenous
paclitaxelDRUGintravenous
LeucovorinDRUGintravenous
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: * Pathologically or histologically documented solid tumor. * Locally advanced or relapsed/refractory disease or unresectable metastatic disease. * HER2-positive disease based on the following local testing: * Colorectal cancer: IHC3+, IHC2+/ISH+, NGS amplification by tissue (...

Countries:United StatesBelgiumFranceItalyNetherlandsSouth KoreaSpain
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06328738primaryCompletionDate: changed
LOWMay 24, 2026NCT06328738studyFirstPostDate: changed