First‑in‑Human Study Tests Gamitrinib Designed to Disrupt Cancer Cells’ Energy Systems

Olszanski
Anthony Olszanski, MD, RPh, Vice Chair of Clinical Research in the Department of Hematology/Oncology and Director of the Early Clinical Drug Development Phase 1 Program at Fox Chase Cancer Center.
  • Researchers at Fox Chase Cancer Center are testing anew experimental cancer drug, gamitrinib, designed to attack cancer cells from the inside. 
  • This ongoing phase 1 clinical trial marks the first time gamitrinib has been tested in people. 
  • The study suggests the drug can besafely given to patients with advanced cancersin an earlystage clinical trial. 
  • The research lays the groundwork for further testing of anew approach to targeting cancer cells with the goal of limiting effects on healthy tissue. 

PHILADELPHIA (June 1, 2026) — Cancer cells need large amounts of energy to survive and multiply. To produce that energy, they rely on structures inside the cell called mitochondria, often described as the cell’s “powerhouse.” Unlike healthy cells, cancer cells rely heavily on specialized helper proteins to keep mitochondria functioning under the high stress of rapid growth. 

“This dependency creates an opportunity,” said Anthony Olszanski, MD, RPh, Vice Chair of Clinical Research in the Department of Hematology/Oncology and Director of the Early Clinical Drug Development Phase 1 Program at Fox Chase Cancer Center. “If we can interfere with that process in a targeted way, we may be able to harm cancer cells while potentially sparing healthy tissue.” 

In a new study presented at the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting, Olszanski and colleagues evaluated gamitrinib, an experimental therapy designed to exploit this vulnerability. Gamitrinib is a first-in-class therapy engineered to act inside cancer cell mitochondria, disrupting key survival functions tumors use to grow and resist treatment. 

What Makes Gamitrinib Different 

Many earlier drugs aimed at similar targets caused serious side effects because they acted broadly throughout cells. Gamitrinib was designed to concentrate within mitochondria, where cancer cells may be especially vulnerable.  

Gamitrinib: 

  • Targets the mitochondria that help power cancer cells. 
  • Disrupts key survival functions tumors use to grow and resist stress. 
  • Targets a cellular compartment that may be especially important for cancer cell survival. 

Pre-clinical work done in collaboration with the Wistar Institute in Philadelphia, previously showed that gamitrinib could slow or stop tumor growth in multiple cancer types, leading researchers to move forward with human testing. 

About the Clinical Trial 

This ongoingphase 1 clinical trialis the first time gamitrinib has been tested in people. 

The study includes adults withadvanced solid tumors or lymphomawhose cancer has stopped responding to standard treatments. Patients receive gamitrinib as aweekly intravenous infusion, with doses gradually increased to evaluate safety. 

So far: 

  • 18 patientshave been treated across multiple dose levels. 
  • No doselimiting side effectshave been observed. 
  • Blood samples show the drug behaves as expected in the body. 

The trial remains open, and patient enrollment is continuing. 

Why This Matters for Patients 

Early‑phase trials are designed primarily to answer one question:Can the drug be given safely? 

“These early findings suggest the drug can be administered safely at the dose levels tested to date,” said Olszanski. “That’s a critical first step in developing a completely new approach to cancer treatment.” 

If future studies confirm effectiveness, this strategy could offer anew option for patients with hardtotreat cancers

Looking Ahead 

Researchers are continuing to enroll patients to determine the best dose for future studies and to look for early signs that the drug may help slow or shrink tumors. The findings will help guidelaterstage clinical trialsdesigned to test how well gamitrinib works against specific cancer types.  

The study, “A phase 1, first-in-human, open-label, dose escalation and expansion study of Gamitrinib, a first-in-class, mitochondria-directed inhibitor of the molecular chaperone Heat Shock Protein-90 (Hsp90) in patients with advanced cancer,” was presented at the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting, held May 29-June 2 in Chicago, Illinois.