Comparing 4 approaches for advanced solid tumors

Exclusion

• −Known hypersensitivity or intolerance to ingredients from the study drug formulation including patients with rare genetic disorders such as galactosaemia, glucose-galactose intolerance or congenital lactase deficiency
• −Has a positive test at screeningScreeningThe checks done before joining, to see whether a study fits.Read more → for hepatitis B virus, hepatitis C virus, or for human immodeficiency virus (HIV), per local diagnostic standard and in accordance with local laws and regulations
• −Inability or unwillingness to swallow pills
• −Malabsorption syndrome or other condition that would interfere with enteral absorption
• −Known uncontrolled central nervous system (CNS) metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic controlControl groupThe group a new treatment is measured against.Read more →) and/or carcinomatous meningitis
• −Known active or uncontrolled bacterial, viral, fungal, mycobacterial (including but not limited to tuberculosis and atypical mycobacterial disease), parasitic, or other infection (excluding fungal infections of nail beds), or any major episode of infection requiring treatment with intravenous antibiotics or hospitalization within 2 weeks prior to the start of drug administration (related to the completion of the course of antibiotics, except if for tumor fever) or 6 months for any intracranial abscess
• −Uncontrolled diabetes or symptomatic hyperglycemia (i.e., well controlled defined as a screening hemoglobin A1c \<8% and no urinary ketoacidosis)
• −Significant cardiovascular/cerebrovascular disease within 6 months prior to Day 1 of study drug administration
• −Alcohol or drug dependence or abuse
• −Patients with known Werner (WRN) syndrome
• −Prior treatment with any WRN helicase inhibitor
• −Treatment with moderate or strong CYP3A4 inducers within 14 days prior to initiation of study treatment
• −Treatment with moderate or strong CYP3A4 or P-glycoprotein inhibitors within 14 days prior to initiation of study treatment
• −Additional Exclusion CriteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → for the Combination with Bevacizumab Only:
• −Deep venous thrombosis (DVT) or pulmonary embolism (PE) within 12 weeks prior to study drug administration
• −Known coagulopathy that increases the risk of bleeding
• −Patients with Grade 2+ proteinuria (exception: if 24-hour urinary protein is less than 1.0 gm/24 hours)
• −Additional Exclusion Criteria for the Combination with Pembrolizumab Only:
• −Active or history of autoimmune disease or immune deficiency with some exceptions
• −History of interstitial lung disease or pneumonitis
• −Treatment with systemic immunosuppressive medication (such as corticosteroids) within 2 weeks prior to initiation of study treatment with some exceptions
• −Treatment with organ transplant/graft tissue
• −Pregnancy, breastfeeding, or intention of becoming pregnant during the study
• −Had major surgery within 4 weeks prior to study drug administration