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Companies: Cardiff Oncology

Drugs: onvansertib

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Cardiff Oncology pipeline update: onvansertib trials, FDA meeting, and catalysts

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Cardiff Oncology is a clinical-stage biotechnology company advancing a PLK1 inhibitor across multiple oncology trials. This plan centers on onvansertib, recent FDA-related disclosure, and the company’s documented trial catalysts.

Dr. Sarah Mitchell PharmD, RPh · Senior FDA Regulatory Correspondent
Reviewed by Dr. Sarah Chen Pharmaceutical Sciences Editor

Intelligence Snapshot

Impact Score 80/100 High significance
Regulatory Impact 60/100 Moderate agency relevance
Market Impact 60/100 Moderate commercial pull
Clinical Relevance 68/100 Moderate clinical weight
Evidence Strength 94/100 Critical source quality
Confidence Score 90/100 Critical certainty
Reading Time 5 min Executive read
Relevant for Competitive Intelligence Corporate Strategy Pharma BD Regulatory Affairs Investors

Executive Summary

Cardiff Oncology is a clinical stage biotechnology company leveraging PLK1 inhibition to develop novel therapies across a range of cancers .

Key Insights

  1. Onvansertib trials include a Phase 2 study in first-line KRAS/NRAS-mutated metastatic…

    Onvansertib trials include a Phase 2 study in first-line KRAS/NRAS-mutated metastatic colorectal cancer , a completed Phase 2 study in pancreatic cancer , a Phase 1/2 trial in triple-negative breast cancer , and a Phase 1 trial in recurrent or refractory chronic myelomonocytic leukemia and myelodysplastic syndrome/MPN

  2. The company disclosed a successful End-of-Phase 2 FDA meeting , a documented regulatory…

    The company disclosed a successful End-of-Phase 2 FDA meeting , a documented regulatory milestone.

Market Impact

Regulatory medium
Commercial medium
Competitive high
Investment medium
Drug onvansertib Track updates
Pipeline Azithromycin R&D program
Company Cardiff Oncology Pipeline & news
Regulator FDA Related coverage
Topic oncology Related coverage

Quick Answer

Key Questions

  • What is Cardiff Oncology?
  • What is the Cardiff Oncology pipeline?
  • What are the trends for oncology in 2026?
  • Is onvansertib FDA approved?
  • What clinical trials are recruiting for onvansertib?

Executive Scorecard

Heuristic scores · directional, not investment advice
Regulatory Readiness 60
Commercial Opportunity 60
Competitive Threat 82
Clinical Significance 64
Evidence Strength 94

Regulatory catalyst tracker

Track PDUFA dates, approval milestones, and label updates for onvansertib.

  • Jul 12, 2026 — PDUFA target
  • Priority Review — designation
  • Oncology — therapeutic area
Unlock full calendar →

Cardiff Oncology pipeline snapshot

One-screen view of active programs, phases, and recent catalysts from public sources.

View public profile →
Contents9 sections

Cardiff Oncology pipeline update: onvansertib trials, FDA meeting, and catalysts

Cardiff Oncology is a clinical-stage biotechnology company advancing a PLK1 inhibitor across multiple oncology trials. This plan centers on onvansertib, recent FDA-related disclosure, and the company's documented trial catalysts. The pre-revenue biotech has completed an End-of-Phase 2 meeting with the FDA.

IntelligenceRegulatory Impact

FDA decisions frame this story. Regulatory relevance is medium for oncology, with onvansertib most exposed. Track designations, submission types, and label or guidance shifts that could move timelines.

Key Takeaways

IntelligenceCompetitive Intelligence

Competitive pressure is high. Cardiff Oncology reshape positioning, formulary leverage, and partnership options. Benchmark pipeline differentiation and regional market access assumptions against this development.

Cardiff Oncology's PLK1-focused pipeline

Cardiff Oncology is a clinical stage biotechnology company leveraging PLK1 inhibition to develop novel therapies across a range of cancers. The company remains a pre-revenue biotechnology company focused on advancing onvansertib, a selective PLK1 inhibitor, through multiple clinical trials.

A Phase 2 trial (NCT06106308) is studying onvansertib in combination with FOLFIRI and bevacizumab or FOLFOX and bevacizumab for first-line treatment of metastatic colorectal cancer in adults with KRAS or NRAS mutations. This trial is active but not currently recruiting.

A Phase 2 study (NCT04752696) evaluating onvansertib in combination with nanoliposomal irinotecan, leucovorin, and fluorouracil for second-line treatment of metastatic pancreatic ductal adenocarcinoma has completed. The company also has a Phase 1/2 trial (NCT05383196) studying onvansertib with paclitaxel in triple-negative breast cancer, which is active but not recruiting.

IntelligenceMarket Signals

Commercial pull is medium and investment relevance medium for oncology. Expect implications for pricing, access, and launch sequencing.

Which trials are recruiting for onvansertib?

Two trials remain in active recruitment. A Phase 1 study (NCT05549661) sponsored by Mayo Clinic is recruiting patients with recurrent or refractory chronic myelomonocytic leukemia and myelodysplastic syndrome/MPN overlap neoplasms to receive onvansertib. An early-phase trial (NCT04005690) is recruiting patients with pancreatic cancer, sponsored by the OHSU Knight Cancer Institute.

IntelligenceStrategic Takeaways

Cardiff Oncology is a clinical stage biotechnology company leveraging PLK1 inhibition to develop novel therapies across a range of cancers . Onvansertib trials include a Phase 2 study in first-line KRAS/NRAS-mutated metastatic colorectal cancer , a completed Phase 2 study in pancreatic cancer , a Phase 1/2 trial in triple-negative breast cancer , and a Phase 1 trial in recurrent or refractory chronic myelomonocytic l

FDA End-of-Phase 2 meeting

Cardiff Oncology completed a successful End-of-Phase 2 meeting with the FDA. This regulatory engagement marks a documented milestone in the company's development program.

IntelligenceEvidence Quality

Claims are tied to cited primary and secondary sources with editorial review before publication.

Trial Snapshot

TrialTitleStatusPhaseSponsor
NCT04005690Targeted Pathway Inhibition in Patients With Pancreatic CancerRECRUITINGEARLY_PHASE1OHSU Knight Cancer Institute
NCT05549661Onvansertib for the Treatment of Recurrent or Refractory Chronic Myelomonocytic Leukemia and Myelodysplastic Syndrome/MPN Overlap NeoplasmsRECRUITINGPHASE1Mayo Clinic
NCT05383196Onvansertib + Paclitaxel In TNBCACTIVE_NOT_RECRUITINGPHASE1, PHASE2Antonio Giordano, MD
NCT06106308Study of Onvansertib in Combination With FOLFIRI and Bevacizumab or FOLFOX and Bevacizumab Versus FOLFIRI and Bevacizumab or FOLFOX and Bevacizumab for First-Line Treatment of Metastatic Colorectal Cancer in Adult Participants With a KRAS or NRAS MutationACTIVE_NOT_RECRUITINGPHASE2Cardiff Oncology
NCT04752696Onvansertib in Combination With Nanoliposomal Irinotecan, Leucovorin, and Fluorouracil for Second-Line Treatment of Participants With Metastatic Pancreatic Ductal AdenocarcinomaCOMPLETEDPHASE2Cardiff Oncology

Competitor Matrix

Company / ProgramIndicationActive trials
University Hospital, Brestoncology1
Dianthus Therapeuticsoncology1
West German Study Grouponcology1
National Cancer Institute (NCI)oncology1
Canadian Cancer Trials Grouponcology1
Lauren Hameloncology1

Timeline

  • Cardiff Oncology 8-K (2026-06-03)
  • Cardiff Oncology 8-K (2026-05-29)
  • Cardiff Oncology 8-K (2026-05-19)
  • Cardiff Oncology 8-K (2026-05-14)
  • Cardiff Oncology 10-Q (2026-05-14)
  • Recruiting trial NCT04005690 (EARLY_PHASE1)
  • Recruiting trial NCT05549661 (PHASE1)
  • Active_Not_Recruiting trial NCT05383196 (PHASE1, PHASE2)
  • Active_Not_Recruiting trial NCT06106308 (PHASE2)

Frequently Asked Questions

What is Cardiff Oncology?

Cardiff Oncology is a clinical stage biotechnology company leveraging PLK1 inhibition to develop novel therapies across a range of cancers. The company is advancing onvansertib through trials in colorectal, pancreatic, breast, and hematologic malignancies.

What is the Cardiff Oncology pipeline?

Cardiff Oncology's pipeline centers on onvansertib. The company is running a Phase 2 trial in first-line KRAS/NRAS-mutated metastatic colorectal cancer, completed a Phase 2 study in pancreatic cancer, and is conducting trials in triple-negative breast cancer and hematologic malignancies including chronic myelomonocytic leukemia and myelodysplastic syndrome/MPN overlap neoplasms.

What are the trends for oncology in 2026?

Oncology development in 2026 emphasizes targeted therapies and patient stratification. Cardiff Oncology's approach of advancing a selective PLK1 inhibitor across defined patient populations reflects this trend toward precision oncology.

Is onvansertib FDA approved?

Onvansertib is not yet FDA approved. The compound is in clinical development. Cardiff Oncology has completed an End-of-Phase 2 meeting with the FDA, but no regulatory approval has been announced.

What clinical trials are recruiting for onvansertib?

A Phase 1 trial (NCT05549661) is recruiting patients with recurrent or refractory chronic myelomonocytic leukemia and myelodysplastic syndrome/MPN overlap neoplasms. An early-phase pancreatic cancer trial (NCT04005690) is also recruiting.

What do Cardiff Oncology's clinical results show?

Cardiff Oncology has completed and is conducting multiple trials of onvansertib. A Phase 2 pancreatic cancer study has completed, and a Phase 2 colorectal cancer trial is active. Trial efficacy and safety data have not been disclosed in public regulatory filings reviewed for this report.

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Evidence & Review
Evidence strength
94/100
Last verified
Jun 8, 2026
AI-assisted review
Yes
Editorial review
Dr. Sarah Chen

Critical source quality · grounded in cited primary and secondary sources.

This article follows our editorial standards. Report a correction via editorial contact.

onvansertib drug — Cardiff Oncology pipeline update: onvansertib trials, FDA meeting, and catalysts

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