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HRO761

Phase 1

MSIhi or dMMR Advanced Unresectable or Metastatic Solid Tumors, Including Colorectal Cancers | Small molecule | Oncology |Novartis AG|Trials Updated: Mar 24, 2026

HRO761 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since May 2023

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment123

FDA Designations

No designations recorded

HRO761 clinical trials

HRO761 · 1 trial · 1 indication

Phase 1 1
NCT05838768Study of HRO761 Alone or in Combination in Cancer Patients With Specific DNA Alterations Called Microsatellite Instability or Mismatch Repair Deficiency.MSIhi or dMMR Advanced Unresectable or Metastatic Solid Tumors, Including Colorectal Cancers
ACTIVE NOT_RECRUITING123 Analytics
PHASE1ACTIVE NOT_RECRUITING
Study of HRO761 Alone or in Combination in Cancer Patients With Specific DNA Alterations Called Microsatellite Instability or Mismatch Repair Deficiency.
MSIhi or dMMR Advanced Unresectable or Metastatic Solid Tumors, Including Colorectal CancersUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
at month 36

Month 36 is assumed to be study end. Incidence and severity of AEs and SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs) and laboratory results qualifying and reported as AEs.

Incidence of dose limiting toxicities (DLTs) of treatment (Escalation only)
at Day 28

A DLT is defined as an adverse event or abnormal laboratory value that is not primarily related to disease, disease progression, intercurrent illness/injury, or concomitant medications that occurs within the first 28 days of study treatment and meets a defined criteria.

Frequency of dose interuptions as a measure of tolerability
at month 36

Month 36 is assumed to be study end Number of dose interruptions by treatment group/arm as a measure of tolerability.

Frequency of dose discontinuations as a measure of tolerability
at month 36

Month 36 is assumed to be study end Number of dose discontinuations by treatment group/arm as a measure of tolerability.

Frequency of dose reductions as a measure of tolerability
at month 36

Month 36 is assumed to be study end Number of dose reductions by treatment group/arm as a measure of tolerability.

Secondary Endpoints

Overall Response Rate (ORR) per RECIST v1.1
at month 36
Disease Control Rate (DCR) per RECIST v1.1
at month 36
Progression Free Survival (PFS) per RECIST v1.1
at month 36
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
A: HRO761 single agentEXPERIMENTALphase Ib (Dose finding (Escalation and Optimization) and expansion)
B: HRO761 + pembrolizumabEXPERIMENTALphase Ib (Dose escalation and expansion)
C: HRO761 + irinotecanEXPERIMENTALphase Ib (Dose escalation and expansion)

Interventions

NameTypeDescription
HRO761DRUGTablet
pembrolizumabBIOLOGICALConcentrate for solution for infusion
irinotecanDRUGConcentrate for solution for infusion
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Eligibility Criteria

Age Range18 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites28

Key Inclusion criteria: * Patients with advanced unresectable or metastatic MSIhi or MMR deficient (dMMR) solid tumors who have progressed after or are intolerant to prior standard therapy. * Arm A and C: Patients must have progressed on the most recent therapy for advanced disease including one...

Countries:United StatesBelgiumChinaFranceGermanyIsraelItalyJapanNorwaySingaporeSouth KoreaSpainSwedenTaiwanUnited Kingdom
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Frequently asked questions about HRO761

What is HRO761 used for?

HRO761 is being studied for the treatment of advanced unresectable or metastatic solid tumors that have high microsatellite instability (MSIhi) or mismatch repair deficiency (dMMR), including colorectal cancers. It is an investigational therapy and has not been approved for any indication. Treatment is limited to adults 18 years and older in the clinical program.

Who is developing HRO761?

HRO761 is being developed by Novartis AG, which trades on the New York Stock Exchange under the ticker NVS. Novartis is the sponsor of the clinical program evaluating the compound in biomarker-selected solid tumors.

What phase is HRO761 in?

HRO761 is in Phase 1 clinical development. It is an investigational small molecule and is not FDA approved. The single ongoing Phase 1 trial is currently active but not recruiting new participants, and no trials of the drug have been completed.

What clinical trials is HRO761 in?

HRO761 is being evaluated in one clinical trial, NCT05838768, titled a study of HRO761 alone or in combination in cancer patients with microsatellite instability or mismatch repair deficiency. The trial is a controlled Phase 1 study with an estimated enrollment of 123 patients, and it is active but not recruiting.

Where is the HRO761 trial running?

The Phase 1 trial of HRO761, NCT05838768, is enrolling or has enrolled patients across the United States, Belgium, China, France, Germany, Israel, Italy, Japan, Norway, Singapore, South Korea, Spain, Sweden, Taiwan, and the United Kingdom. Participants must be 18 years or older, and healthy volunteers are not included.

Is HRO761 a biomarker-selected therapy?

Yes. HRO761 is being studied only in patients whose tumors show specific DNA alterations, namely high microsatellite instability (MSIhi) or mismatch repair deficiency (dMMR). The Phase 1 trial NCT05838768 enrolls adults with advanced unresectable or metastatic solid tumors, including colorectal cancers, that carry these biomarkers.