Clinical Trials

Nirogacestat (PF-03084014) has been evaluated across numerous clinical trials spanning Phase 1 through Phase 4, primarily focusing on desmoid tumors, triple-negative breast cancer, metastatic pancreatic cancer, and relapsed or refractory multiple myeloma. Sponsored by pharmaceutical entities including Pfizer, Janssen, GlaxoSmithKline, and SpringWorks Therapeutics alongside academic groups such as the Children's Oncology Group, these studies range in recruitment status from active and recruiting to completed or terminated. Specific protocols have assessed nirogacestat in combination with cryoablation for desmoid fibromatosis and alongside targeted therapies for multiple myeloma.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07176689 RECRUITING
Desmoid Tumor; Aggressive Fibromatosis
SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
2025-09-17 PHASE4
NCT07539454 NOT_YET_RECRUITING
AIDS-Related Kaposi Sarcoma; Skin Kaposi Sarcoma
AIDS Malignancy Consortium
2026-09-17 PHASE2
NCT05137054 RECRUITING
Multiple Myeloma
Regeneron Pharmaceuticals
2022-08-17 PHASE1
NCT05949099 RECRUITING
Desmoid Tumor
Nam Bui
2023-08-15 PHASE2
NCT05556798 ACTIVE_NOT_RECRUITING
Multiple Myeloma
Memorial Sloan Kettering Cancer Center
2022-10-04 PHASE1
NCT07170644 ACTIVE_NOT_RECRUITING
Desmoid Tumor; Aggressive Fibromatosis
SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
2025-08-08 PHASE2
NCT05879146 RECRUITING
Tumor
M.D. Anderson Cancer Center
2024-11-26 PHASE2
NCT05573802 RECRUITING
Multiple Myeloma; Neoplasms; Neoplasm, Plasma Cell; Gammopathy, Monoclonal; Paraproteinemias; Blood Protein Disorders; Haematologic Disease; Corneal Disease
Hellenic Society of Hematology
2023-07-14 PHASE1; PHASE2
NCT04195399 ACTIVE_NOT_RECRUITING
Desmoid Fibromatosis; Recurrent Desmoid Fibromatosis; Unresectable Desmoid Fibromatosis
Children's Oncology Group
2020-10-07 PHASE2
NCT07259330 COMPLETED
Healthy
SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
2025-10-27 PHASE1
NCT07171619 COMPLETED
Healthy
SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
2025-08-21 PHASE1
NCT04722146 ACTIVE_NOT_RECRUITING
Multiple Myeloma
Janssen Research & Development, LLC
2021-03-12 PHASE1
NCT05348356 COMPLETED
Ovarian Granulosa-Stromal Tumor; Ovarian Granulosa Cell Tumor; Ovarian Cancer
SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
2022-08-30 PHASE2
NCT07084896 ACTIVE_NOT_RECRUITING
Multiple Myeloma
GlaxoSmithKline
2020-06-08 PHASE1; PHASE2
NCT07150091 ACTIVE_NOT_RECRUITING
Multiple Myeloma
GlaxoSmithKline
2022-07-19 PHASE1; PHASE2
NCT07150104 ACTIVE_NOT_RECRUITING
Multiple Myeloma
GlaxoSmithKline
2022-08-31 PHASE1; PHASE2
NCT04126200 ACTIVE_NOT_RECRUITING
Multiple Myeloma
GlaxoSmithKline
2019-10-07 PHASE1; PHASE2
NCT05090566 TERMINATED
Multiple Myeloma
Pfizer
2021-10-27 PHASE2
NCT04093596 COMPLETED
Relapsed/Refractory Multiple Myeloma
Allogene Therapeutics
2019-09-23 PHASE1
NCT04171843 TERMINATED
Relapsed/Refractory Multiple Myeloma
Precision BioSciences, Inc.
2020-04-30 PHASE1
NCT03785964 COMPLETED
Desmoid Tumor; Aggressive Fibromatosis
SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
2019-04-17 PHASE3
NCT01981551 COMPLETED
Desmoid Tumors; Aggressive Fibromatosis
National Cancer Institute (NCI)
2013-10-31 PHASE2
NCT02338531 WITHDRAWN
Breast Cancer
Jules Bordet Institute
2015-06 PHASE2
NCT02462707 WITHDRAWN
Advanced Solid Tumors
Pfizer
2015-07 PHASE1
NCT02299635 TERMINATED
Triple Negative Breast Neoplasms
Pfizer
2015-02-03 PHASE2
NCT01876251 TERMINATED
Breast Cancer Metastatic
Pfizer
2013-11-04 PHASE1
NCT02137564 WITHDRAWN
AIDS-related Kaposi Sarcoma; HIV Infection; Recurrent Kaposi Sarcoma
AIDS Malignancy Consortium
2015-07 PHASE2
NCT02338531 Withdrawn
Breast Cancer
Jules Bordet Institute
2015-06 Phase 2
NCT02299635 Terminated
Triple Negative Breast Neoplasms
Pfizer
2015-02-03 Phase 2
NCT02109445 TERMINATED
Metastatic Cancer Pancreas
Pfizer
2014-09-03 PHASE2
NCT02109445 Terminated
Metastatic Cancer Pancreas
Pfizer|Academic GI Cancer Consortium (AGICC)
2014-09-03 Phase 2
NCT01876251 Terminated
Breast Cancer Metastatic
Pfizer
2013-11-04 Phase 1
NCT00878189 COMPLETED
Neoplasms by Histologic Type
Pfizer
2009-06-25 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-17)

Check the Nirogacestat (PF-03084014) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Nirogacestat is a selective gamma-secretase inhibitor that binds to the gamma-secretase enzyme complex, thereby blocking the proteolytic cleavage and downstream signaling of Notch receptors to induce programmed cell death. By disrupting Notch-mediated cell proliferation and survival pathways, this compound suppresses tumor expansion, demonstrating clinical relevance in the treatment of desmoid tumors, triple-negative breast cancer, and multiple myeloma.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.