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NT219

Phase 1

Solid Tumor, Adult | Small molecule | Oncology |Purple Biotech Ltd.|Trials Updated: Jul 2, 2026

NT219 development status

Highest phase Phase 1
Registered trials 2 across 2 sponsors since Jul 2020

NT219 target and mechanism

Molecular targetIRS1/2 and STAT3
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials2
Total Enrollment81

FDA Designations

No designations recorded

NT219 clinical trials

NT219 · 2 trials · 7 indications

Phase 1 2
NCT06919666NT219 Combined With Standard of Care Biologic Therapy in Recurrent/Metastatic Head and Neck Squamous Cell CarcinomaHead and Neck Cancer
ACTIVE NOT_RECRUITING29 Analytics
NCT04474470A Study to Evaluate NT219 Alone and in Combination with ERBITUX® (Cetuximab) in Adults with Advanced Solid Tumors and Head and Neck CancerSolid Tumor, Adult
COMPLETED52 Analytics
PHASE1ACTIVE NOT_RECRUITING
NT219 Combined With Standard of Care Biologic Therapy in Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma
Head and Neck CancerUnlock trial analytics
PHASE1COMPLETED
A Study to Evaluate NT219 Alone and in Combination with ERBITUX® (Cetuximab) in Adults with Advanced Solid Tumors and Head and Neck Cancer
Solid Tumor, AdultUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective Response Rate following treatment with NT219 plus pembrolizumab (cohort 1) or cetuximab (cohort 2).
Tumor assessments will be completed every 9 weeks from enrollment/baseline until the final study visit. Additional imaging can occur at 60 days post-treatment +/- 7 days at the discretion of the investigator.

Objective response rate is defined as the percentage of participants who have confirmed best response of complete response or partial response as determined by the investigator. Response will be assessed by RECIST 1.1 or iRECIST (when applicable, cohort 1 only) at baseline (within 28 days of C1D1) and every 9 weeks +/- 10 days while on treatment. All scans during study intervention will be repeated using the same method (CT, PET-CT, or MRI).

Part 1: Incidence of treatment emergent adverse events
Up to 24 months

Incidence of treatment emergent adverse events with single agent NT219

Part 2: Incidence of treatment emergent adverse events
Up to 24 months

Incidence of treatment emergent adverse events with NT219 administered in combination with ERBITUX®

Part 3: Objective Response Rate
Up to 24 months

Objective Response Rate when phase 2 dose of NT219 is used in combination with ERBITUX® in adults with recurrent and/or metastatic SCCHN

Secondary Endpoints

Rate of occurence of dose-limiting toxicity (DLT) within the first 21-day cycle of NT219 plus pembrolizumab (Cohort 1 only)
DLTs will be collected from C1D1 to C1D21 of NT219 plus pembrolizumab
Occurence of treatment-emergent and treatment-related adverse events (AEs) in patients treated with NT219 plus pembrolizumab (cohort 1) or cetuximab (cohort 2).
AEs will be collected from C1D1 until the final study visit
Progression-free survival (PFS) in patients treated with NT219 plus pembrolizumab (Cohort 1) or cetuximab (Cohort 2)
First dose of NT219 plus pembrolizumab (Cohort 1) or cetuximab (Cohort 2) until progressive disease, death, or loss of follow-up.
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1 NT219 plus pembrolizumabEXPERIMENTALCohort 1 will enroll patients who have not received PD-1 inhibition in the relapsed/metastatic setting or have received and derived significant clinical benefit from PD-1 inhibition as their first line of therapy. Patients will be treated with NT219 75 mg/kg IV once weekly plus pembrolizumab 200 mg once every three weeks. The first 6 patients will be required to clear a DLT window of 21 days as an abbreviated safety lead-in.
Cohort 2 NT219 plus cetuximabEXPERIMENTALCohort 2 will enroll patients who had progression of disease without clinical benefit from PD-1 inhibition or have received ≥2 prior lines of therapy and are good candidates for cetuximab. Patients will be treated with NT219 75mg/kg IV once weekly plus cetuximab given as an initial loading dose of 400 mg/m2 followed by maintenance dosing of 250 mg/m2 once weekly.
Dose escalation of NT219 as a single agentEXPERIMENTAL -
Dose escalation of NT219 in combination with ERBITUX®EXPERIMENTAL -
Expansion cohort of NT219 in combination with ERBITUX®EXPERIMENTAL -

Interventions

NameTypeDescription
NT219DRUGNT219 is a first-in-class small molecule targeting IRS 1/2 and STAT3. Preclinical studies in melanoma have shown NT219 induces PD-L1 expression in vitro and in vivo, resulting in increased efficacy of PD-1 inhibition via synergistic antitumor effect in PD-1 sensitive models and restoration of sensitivity in resistant models. NT219 also synergized with cetuximab in vitro and reversed cetuximab resistance in a head and neck cancer xenograft platform.
NT219 and ERBITUX® - Dose EscalationDRUGDose escalation of NT219 in combination with standard dose ERBITUX® in adult subjects with recurrent and/or metastatic squamous cell carcinoma of the head and neck and colorectal adenocarcinoma
NT219 and ERBITUX® - ExpansionDRUGExpansion cohort of NT219 at its RP2D in combination with standard dose ERBITUX® in adult patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Age 18 and over. * ECOG PS 0-2. * Incurable head and neck squamous cell carcinoma of mucosal origin (oral cavity, tongue, oropharynx, pharynx, larynx, sinonasal and non-EBV-driven NPC). * Adequate organ and marrow function as defined by routine lab testing including calculated...

Countries:United StatesIsrael
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Frequently asked questions about NT219

What is NT219 used for?

NT219 is an investigational small molecule being studied for head and neck cancer and advanced solid tumors in adults. It is being developed by Purple Biotech Ltd. for recurrent or metastatic head and neck squamous cell carcinoma and other solid tumor types, including colorectal adenocarcinoma. It is not yet approved for any indication.

What does NT219 target?

NT219 targets IRS1/2 and STAT3, two proteins involved in tumor cell signaling. By acting on these targets, NT219 is designed to interfere with pathways that support cancer cell growth and survival. It is a small molecule therapeutic being evaluated in oncology indications.

Who is developing NT219?

NT219 is being developed by Purple Biotech Ltd., which trades under the ticker PPBT. The company is advancing the drug as a small molecule candidate in oncology, with clinical studies conducted in the United States and Israel.

What phase is NT219 in?

NT219 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any regulatory authority. The Phase 1 program includes studies evaluating NT219 alone and in combination with standard therapies in adults with advanced solid tumors and head and neck cancer.

What clinical trials is NT219 in?

NT219 has been evaluated in two Phase 1 trials. NCT04474470 studied NT219 alone and with cetuximab (ERBITUX) in adults with advanced solid tumors and head and neck cancer, and has completed. NCT06919666 is evaluating NT219 combined with standard of care biologic therapy in recurrent or metastatic head and neck squamous cell carcinoma and is active but not recruiting.