Clinical Trials

Numerous Phase 1 and Phase 2 clinical trials, sponsored by organizations including the National Cancer Institute and academic cancer centers, are evaluating ZEN-3694 across several advanced malignancies, notably metastatic castration-resistant prostate, refractory colorectal, triple-negative breast, pancreatic, and platinum-resistant ovarian cancers. These protocols, which encompass active recruiting, active not recruiting, and suspended recruitment statuses, primarily investigate ZEN-3694 combination regimens involving agents such as enzalutamide, pembrolizumab, capecitabine, and binimetinib.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05253131 RECRUITING
MPNST; NF1; Sarcoma
University of Alabama at Birmingham
2026-08-04 PHASE2
NCT06922318 RECRUITING
Metastatic Castration-resistant Prostate Cancer
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2025-08-19 PHASE2
NCT04840589 SUSPENDED
Metastatic Malignant Solid Neoplasm; Recurrent Malignant Solid Neoplasm; Recurrent Platinum-Resistant Ovarian Carcinoma; Refractory Ovarian Carcinoma
National Cancer Institute (NCI)
2022-02-02 PHASE1
NCT04471974 ACTIVE_NOT_RECRUITING
Castration-Resistant Prostate Carcinoma; Metastatic Prostate Adenocarcinoma; Metastatic Prostate Small Cell Carcinoma; Stage IV Prostate Cancer AJCC v8; Stage IVA Prostate Cancer AJCC v8; Stage IVB Prostate Cancer AJCC v8
Rahul Aggarwal
2021-01-26 PHASE2
NCT05053971 RECRUITING
Advanced Malignant Solid Neoplasm; Locally Advanced Pancreatic Carcinoma; Metastatic Pancreatic Carcinoma; Refractory Malignant Solid Neoplasm; Refractory Pancreatic Carcinoma; Stage II Pancreatic Cancer AJCC v8; Stage III Pancreatic Cancer AJCC v8; Stage IV Pancreatic Cancer AJCC v8; Unresectable Pancreatic Carcinoma
National Cancer Institute (NCI)
2022-11-16 PHASE1; PHASE2
NCT05803382 RECRUITING
Metastatic Colorectal Carcinoma; Metastatic Malignant Solid Neoplasm; Stage IV Colorectal Cancer AJCC v8; Unresectable Colorectal Carcinoma; Unresectable Malignant Solid Neoplasm
National Cancer Institute (NCI)
2023-11-08 PHASE1
NCT05950464 RECRUITING
Recurrent Endometrial Carcinoma; Recurrent Endometrial Clear Cell Adenocarcinoma; Recurrent Endometrial Endometrioid Adenocarcinoma; Recurrent Endometrial Low Grade Endometrioid Adenocarcinoma; Recurrent Ovarian Clear Cell Adenocarcinoma; Recurrent Ovarian Endometrioid Adenocarcinoma; Recurrent Ovarian High Grade Serous Adenocarcinoma; Recurrent Ovarian Low Grade Endometrioid Adenocarcinoma; Recurrent Platinum-Resistant Ovarian Carcinoma
National Cancer Institute (NCI)
2023-12-18 PHASE1
NCT05019716 RECRUITING
Advanced NUT Carcinoma; Metastatic NUT Carcinoma; Unresectable NUT Carcinoma
National Cancer Institute (NCI)
2022-07-13 PHASE1; PHASE2
NCT05372640 RECRUITING
Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IV Breast Cancer AJCC v8; Metastatic Breast Carcinoma; Metastatic Malignant Solid Neoplasm; Metastatic NUT Carcinoma; Unresectable Breast Carcinoma; Unresectable Malignant Solid Neoplasm; Unresectable NUT Carcinoma
National Cancer Institute (NCI)
2023-08-10 PHASE1
NCT05422794 RECRUITING
Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IV Breast Cancer AJCC v8; Locally Advanced Triple-Negative Breast Carcinoma; Metastatic Triple-Negative Breast Carcinoma; Unresectable Triple-Negative Breast Carcinoma
National Cancer Institute (NCI)
2023-05-18 PHASE1
NCT05111561 RECRUITING
Advanced Malignant Solid Neoplasm; Metastatic Malignant Solid Neoplasm; Refractory Malignant Solid Neoplasm; Triple-Negative Breast Carcinoma; Unresectable Malignant Solid Neoplasm
National Cancer Institute (NCI)
2022-08-02 PHASE1
NCT06102902 SUSPENDED
Metastatic Colorectal Adenocarcinoma; Recurrent Colorectal Adenocarcinoma; Refractory Colorectal Adenocarcinoma; Stage IV Colorectal Cancer AJCC v8
National Cancer Institute (NCI)
2024-06-05 PHASE1
NCT05327010 RECRUITING
Advanced Malignant Solid Neoplasm; Metastatic Malignant Solid Neoplasm; Unresectable Malignant Solid Neoplasm
National Cancer Institute (NCI)
2022-11-14 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-08-24)

Check the ZEN-3694 (BET-IN-19) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

ZEN-3694 acts as a selective bromodomain and extra-terminal inhibitor that binds to BET family proteins, thereby disrupting their interaction with acetylated lysine residues on histones and preventing downstream gene transcription machinery assembly. Consequently, chromatin accessibility is restricted and transcription of key oncogenic drivers such as androgen receptor signaling genes is downregulated, inhibiting cellular proliferation and promoting tumor regression in metastatic castration-resistant prostate cancer and solid neoplasms.

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.