Clinical trials

2,023

Search and review clinical trials. Use filters to narrow results by trial status, phase, treatment, biological sex and sponsor.

Condition / disease
Location
Status: Recruiting

A Study to Investigate the Effect of the CYP3A Inducer Phenytoin and the CYP3A Inhibitor Itraconazole on the Pharmacokinetics of BGB-58067 in Healthy Participants

This study is being done to understand how the body processes the study drug (BGB-58067) when it is taken together with other medicines. BGB-58067 is mainly broken down in the body by a liver enzyme called CYP3A. Some medicines can affect how this enzyme works. For example, certain medicines can increase the production of the enzyme (called inducers), while others can block or inhibit its activity (called inhibitors). This may change how much of the study drug is present in the bloodstream. In this study, we will give BGB-58067 together with two commonly used medicines: * Part A: Phenytoin (inducer), which can increase the production of the enzyme, and * Part B: Itraconazole (inhibitor), which can inhibit the activity of the enzyme.

Participants needed: 30
Trial details
Phase: Phase 1Age: 18-65Biological sex: AllType: InterventionalSponsor: BeOne MedicinesUpdated: Oct 9, 2026Locations: 1
Eligibility criteria

Participants must sign the Informed Consent Form (ICF) and be capable of giving... [+3]

Serious adverse reaction or serious hypersensitivity to any drug or formulation... [+6]

Status: Recruiting

Atebimetinib + GnP as a First Line Treatment in Patients With Metastatic Pancreatic Adenocarcinoma

The purpose of this study is to evaluate the safety and efficacy of atebimetinib in combination with modified GnP compared with SOC GnP alone.

Participants needed: 510
Trial details
Phase: Phase 3Age: 18+Biological sex: AllType: InterventionalSponsor: Immuneering CorporationUpdated: Oct 9, 2026Locations: 59
Eligibility criteria

Must be ≥18 years of age [+5]

Inability to swallow oral medications [+3]

Status: Recruiting

A Study to Evaluate RO7851624 in Participants With Relapsed/Refractory Multiple Myeloma (RRMM)

This study will evaluate safety, pharmacokinetics (PK), clinical activity and pharmacodynamics (PD) of RO7851624 in participants with RRMM who are triple-class exposed (treated with proteasome inhibitors \[PIs\], immunomodulators \[IMiDs\], and anti-cluster of differentiation 38 \[anti-CD38\] monoclonal antibodies), and have limited remaining standard treatment options due to refractoriness, intolerance, or multiple prior therapies.

Participants needed: 160
Trial details
Phase: Phase 1Age: 18+Biological sex: AllType: InterventionalSponsor: Genentech, Inc.Updated: Oct 9, 2026Locations: 1
Eligibility criteria

Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. [+3]

Treatment with any chemotherapeutic agent, or treatment with any other anti-canc... [+3]

Status: Recruiting

A Clinical Trial of Calderasib (MK-1084) and Durvalumab in People With Non-Small Cell Lung Cancer (MK-1084-015/KANDLELIT-015)

Researchers are looking for new ways to treat locally advanced non-small cell lung cancer (NSCLC) that is unresected and has a gene mutation called KRAS G12C. Researchers want to learn if calderasib (MK-1084) can be given with durvalumab, an immunotherapy, to treat NSCLC after chemotherapy and radiation therapy. The goal of this trial is to learn if participants who receive calderasib and durvalumab live longer without the cancer growing or spreading compared to participants who receive placebo and durvalumab.

Participants needed: 310
Trial details
Phase: Phase 3Age: 18+Biological sex: AllType: InterventionalSponsor: Merck Sharp & Dohme LLCUpdated: Oct 9, 2026Locations: 95
Eligibility criteria

Has a histological or cytological diagnosis of locally advanced, unresected Stag... [+7]

Has a diagnosis of small cell lung cancer or mixed tumors with small cell elemen... [+11]

Status: Recruiting

First-in-Human Study to Evaluate AZD8359 STEAP2 TCE in Participants With Prostate Cancer

This study is being conducted to learn more about the safety, tolerability, and effectiveness of an experimental treatment for metastatic prostate cancer called AZD8359. The study is split into different modules which will look at AZD8359 delivered by different methods. The study is also further split into 2 parts, Part A which will test different dose levels and dosing schedules of AZD8359 to determine which doses are the best in terms of safety and side effects (dose escalation), and Part B will further test at least two AZD8359 doses in a larger group of participants (dose expansion).

Participants needed: 42
Trial details
Phase: Phase 1, Phase 2Age: 18-100Biological sex: MaleType: InterventionalSponsor: AstraZenecaUpdated: Oct 9, 2026Locations: 8
Eligibility criteria

Histologically confirmed diagnosis of adenocarcinoma of the prostate or neuroend... [+7]

Any clinically relevant cardiac abnormalities such as QT prolongation or uncontr... [+4]

Status: Recruiting

A Solid Tumor Study for Long Term Treatment of Cancer Patients Who Participated in Adagrasib Studies

This is an open-label, solid tumor, continuation, rollover trial which enrolls participants from ongoing BMS parent studies that evaluated adagrasib (MRTX849, BMS-986503) either as monotherapy or in combination with other cancer therapies in patients with non-small cell lung cancer (NSCLC), colorectal cancer (CRC) and other advanced solid tumors.

Participants needed: 170
Trial details
Phase: Phase 2Age: 18+Biological sex: AllType: InterventionalSponsor: Mirati Therapeutics Inc.Updated: Oct 9, 2026Locations: 102
Eligibility criteria

Participant is eligible to receive continued study treatment as per the parent s... [+1]

Participant is not eligible for study treatment per the parent study eligibility... [+2]

Status: Recruiting

A Phase 3 Study of Pelabresib (DAK539) and Ruxolitinib in Myelofibrosis (MF)

The purpose of this trial is to evaluate whether treatment with pelabresib in combination with ruxolitinib leads to improved clinical outcomes compared to ruxolitinib alone in patients with primary myelofibrosis (PMF), post-polycythemia vera myelofibrosis (PPV-MF), or post-essential thrombocythemia myelofibrosis (PET-MF) who have not previously received Janus kinase (JAK) inhibitor therapy.

Participants needed: 460
Trial details
Phase: Phase 3Age: 18+Biological sex: AllType: InterventionalSponsor: Novartis PharmaceuticalsUpdated: Oct 9, 2026Locations: 125
Eligibility criteria

Participants have diagnosis of primary myelofibrosis (PMF) or post-polycythemia... [+6]

Prior splenectomy at any time or splenic irradiation in the previous 6 months [+5]

Status: Recruiting

Study to Evaluate the Efficacy, Safety, and Tolerability of PIPE 791 in Subjects With Idiopathic Pulmonary Fibrosis

This is a Ph 2, randomized, double-blind, placebo-controlled global multicenter study to evaluate the efficacy, safety, tolerability, and pharmacokinetics (PK) of PIPE-791 in participants with a diagnosis of Idiopathic Pulmonary Fibrosis (IPF) with or without background treatment.

Participants needed: 324
Trial details
Phase: Phase 2Age: 40+Biological sex: AllType: InterventionalSponsor: Contineum TherapeuticsUpdated: Oct 9, 2026Locations: 92
Eligibility criteria

Male or female ≥ 40 years of age at the time of Randomization. [+3]

Those with a history of interstitial lung disease (ILD) other than IPF are not e... [+4]

Status: Recruiting

A Study of OTP-01, a Dual Paratopic PD-1/VEGFR2 Antibody, in Patients With Advanced Solid Tumors

The main goals of this clinical trial are to find out what the best dose of the study drug, OTP-01, is for patients with solid tumors through understanding how it is tolerated and any side effects that it may cause. The trial will also see if OTP-01 causes tumors to shrink and how the body processes OTP-01 by measuring drug levels in the blood. The main questions this study aims to answer are: * What is the recommended dose of OTP-01 for adults with solid tumors? * Is OTP-01 safe and tolerable? * Does OTP-01 reduce tumor growth? Participants will: * Receive OTP-01 through an infusion into a vein. Doses will be spaced out and never more than once a week. * Have blood tests to evaluate safety and drug levels of OTP-01. These will be done often at first and then less frequently as treatment continues. * Have radiographic scans of their tumor at baseline and during the study at regular intervals. * Have the choice to have an optional tumor biopsy before and after treatment to help researchers understand how OTP-01 affects cancer and the immune system. These biopsies are voluntary and will not affect participation in the study.

Participants needed: 170
Trial details
Phase: Phase 1, Phase 2Age: 18+Biological sex: AllType: InterventionalSponsor: Ottimo Pharma LimitedUpdated: Oct 9, 2026Locations: 21
Eligibility criteria

Histologically or cytologically confirmed advanced (incurable, recurrent, unrese... [+9]

Receiving systemic corticosteroids at prednisone-equivalent dose of > 10 mg/day... [+8]

Status: Recruiting

A Phase Ib/II Open-label Study of AMO959 With Lutetium (177Lu) Vipivotide Tetraxetan (AAA617) in Combination With ARPI in Adult Participants With PSMA-positive mCRPC

The purpose of this phase Ib/II study is to (a) in Phase Ib evaluate the safety, tolerability, and pharmacokinetics (PK) of AMO959 when given in combination with lutetium (177Lu) vipivotide tetraxetan (also known as \[177Lu\]Lu-PSMA-617 or 177Lu-PSMA-617 and hereafter referred to as AAA617) with an androgen receptor pathway inhibitor (ARPI) in participants with metastatic castration resistant prostate cancer (mCRPC) who have failed one prior ARPI and with or without prior taxane exposure, and (b) in Phase II evaluate the preliminary efficacy of AMO959 in combination with AAA617 and ARPI in participants with mCRPC who have failed one prior ARPI, but who have not yet been exposed to taxane treatment.

Participants needed: 123
Trial details
Phase: Phase 1, Phase 2Age: 18+Biological sex: MaleType: InterventionalSponsor: Novartis PharmaceuticalsUpdated: Oct 9, 2026Locations: 23
Eligibility criteria

Signed informed consent must be obtained prior to participation in the study. [+9]

Concurrent local (radiation therapy to the prostate with curative intent or othe... [+4]

Status: Recruiting

AZD0486 1L Therapy for Elderly or Unfit Participants With LBCL

The purpose of this study is to measure the efficacy and safety of R-mini-CHOP × 2 followed by AZD0486 compared with R-mini-CHOP × 6 in elderly or unfit participants newly diagnosed with LBCL.

Participants needed: 420
Trial details
Phase: Phase 3Age: 65-130Biological sex: AllType: InterventionalSponsor: AstraZenecaUpdated: Oct 9, 2026Locations: 82
Eligibility criteria

Participants are either 80 years of age or older, OR 65 to 79 years of age or ol... [+13]

Status: Recruiting

An Open-label Dose Escalation and Expansion, Followed by a Phase II Study of Tulmimetostat (DZR123) and JSB462 (Luxdegalutamide) in Patients With Progressive Metastatic Castrate Resistant Prostate Cancer (mCRPC) (TulmiSTAR-01)

This is a two-part, Phase I/II, open-label, global, multicenter study assessing the safety and efficacy of the combination of tulmimetostat (DZR123) and JSB462 (luxdegalutamide) versus standard of care in participants with progressive metastatic castrate resistant prostate cancer (mCRPC).

Participants needed: 188
Trial details
Phase: Phase 1, Phase 2Age: 18+Biological sex: MaleType: InterventionalSponsor: Novartis PharmaceuticalsUpdated: Oct 9, 2026Locations: 35
Eligibility criteria

Participant is an adult man ≥ 18 years of age. [+9]

Previous treatment with any PRC2 inhibitor, including but not limited to EZH2 in... [+6]

Status: Recruiting

A Clinical Study to Test if an Investigational Treatment Called BNT326 is Safe and Potentially Beneficial When Used Alone or in Combination With Other Investigational Treatments Such as BNT327, for People With Advanced Malignant Tumors

This study will evaluate the safety, efficacy, optimal dose, and pharmacokinetics (PK) of BNT326 as monotherapy (Part 1) and as combination treatment with immunotherapeutic agents (Part 2) in participants with histologically or cytologically confirmed solid tumors that are advanced (i.e., either metastatic or recurrent tumors with no further definitive treatment possible) and/or have relapsed/progressed after prior therapy.

Participants needed: 1,438
Trial details
Phase: Phase 1, Phase 2Age: 18+Biological sex: AllType: InterventionalSponsor: BioNTech SEUpdated: Oct 9, 2026Locations: 77
Eligibility criteria

Aged ≥18 years at the time of giving informed consent. Local laws will be follow... [+38]

Have a history of intolerance to treatment with a topoisomerase I inhibitor or i... [+16]

Status: Recruiting

EPIK-P4: A Phase II Single-arm Study to Assess the Efficacy, Safety and Pharmacokinetics of Alpelisib (BYL719) in Pediatric and Adult Patients With PIK3CA-related Overgrowth Spectrum (PROS)

This study is designed to demonstrate the efficacy and assess safety and tolerability of oral daily alpelisib in participants with PIK3CA-related overgrowth spectrum (PROS).

Participants needed: 140
Trial details
Phase: Phase 2Age: 2-100Biological sex: AllType: InterventionalSponsor: Novartis PharmaceuticalsUpdated: Oct 9, 2026Locations: 39
Eligibility criteria

Male or female participants aged ≥2 years at the time of informed consent/assent... [+6]

Participant with only isolated macrodactyly, epidermal nevus/nevi and macroencep... [+6]

Status: Recruiting

A Study to Investigate the Efficacy and Safety of Tezepelumab in Adult Participants With Moderate to Very Severe COPD (D5241C00007)

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of Tezepelumab in Adults with Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD)

Participants needed: 990
Trial details
Phase: Phase 3Age: 40-80Biological sex: AllType: InterventionalSponsor: AstraZenecaUpdated: Oct 9, 2026Locations: 284
Eligibility criteria

≥40 to ≤80 years old [+7]

Clin. important pulmonary disease or radiological findings suggestive of a respi... [+7]

Status: Recruiting

A Clinical Study of Ifinatamab Deruxtecan Based Treatment Combinations or as Monotherapy to Treat Metastatic Castrate Resistant Prostate Cancer (mCRPC) (MK-2400-01A/IDeate-Prostate02)

The purpose of this substudy is to assess the efficacy and safety of ifinatamab deruxtecan (I-DXd), given alone or with other treatments in participants with metastatic castration-resistant prostate cancer (mCRPC). The goals of this study are to learn about: * The safety of the study treatment and if people tolerate it. * A safe dose level of I-DXd that can be used with other treatments. * Participant levels of prostate specific antigen (PSA) during treatment.

Participants needed: 360
Trial details
Phase: Phase 1, Phase 2Age: 18+Biological sex: AllType: InterventionalSponsor: Merck Sharp & Dohme LLCUpdated: Oct 9, 2026Locations: 82
Eligibility criteria

Has histologically- or cytologically-confirmed adenocarcinoma of the prostate wi... [+6]

Has any history of interstitial lung disease (ILD)/pneumonitis irrespective of s... [+12]

Status: Recruiting

Evaluate Optimization of CRS Profile for Glofit Monotherapy and Glofit+GemOx in R/R Aggressive B-NHL

This Phase II trial evaluates the optimization of the cytokine release syndrome (CRS) profile for glofitamab in combination with gemcitabine and oxaliplatin (Glofit-GemOx) followed by glofitamab monotherapy treatment regimen (Cohort A), and for glofitamab monotherapy (Cohort B) in participants with relapsed or refractory aggressive B-cell Non-Hodgkin's lymphoma. The study utilizes an optimized steroid premedication regimen and monitoring schedule specifically designed to enable the administration of the treatment regimen in an outpatient setting.

Participants needed: 130
Trial details
Phase: Phase 2Age: 18+Biological sex: AllType: InterventionalSponsor: Hoffmann-La RocheUpdated: Oct 9, 2026Locations: 53
Eligibility criteria

Life expectancy >= 12 weeks. [+10]

Prior enrollment in Studies GO41943 (NCT04313608), GO41944 (STARGLO; NCT04408638... [+29]

Status: Recruiting

Phase 3 Study of Gedatolisib as First-Line Treatment for Patients With HR-Positive, HER2-Negative Advanced Breast Cancer (VIKTORIA-2)

This is a Phase 3, open-label, randomized, clinical trial evaluating the efficacy and safety of gedatolisib and palbociclib plus endocrine therapy for the treatment of patients with locally advanced or metastatic HR+/HER2- advanced breast cancer.

Participants needed: 1,180
Trial details
Phase: Phase 3Age: 18+Biological sex: AllType: InterventionalSponsor: Celcuity IncUpdated: Oct 9, 2026Locations: 239
Eligibility criteria

Histologically or cytologically confirmed diagnosis of metastatic or locally adv... [+11]

Concurrent malignancies other than adequately treated non-melanoma skin cancer.... [+7]

Status: Recruiting

Testing the Addition of BMS-986016 (Relatlimab) to the Usual Immunotherapy After Initial Treatment for Recurrent or Metastatic Nasopharyngeal Cancer

This phase II trial tests the addition of BMS-986016 (relatlimab) to the usual immunotherapy after initial treatment for nasopharyngeal cancer that has come back after a period of improvement (recurrent) or that has spread from where it first started (primary site) to other places in the body (metastatic). Relatlimab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. The usual approach of treatment is initial treatment with chemotherapy such as the combination of cisplatin (or carboplatin) and gemcitabine, along with immunotherapy such as nivolumab. After the initial treatment is finished, patients may continue to receive additional immunotherapy. Carboplatin is in a class of medications known as platinum-containing compounds. It works in a way similar to the anticancer drug cisplatin, but may be better tolerated than cisplatin. Carboplatin works by killing, stopping or slowing the growth of tumor cells. Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Gemcitabine is a chemotherapy drug that blocks the cells from making deoxyribonucleic acid (DNA) and may kill cancer cells. Giving BMS-986016 in addition to the usual immunotherapy after initial treatment may extend the time without the tumor cells growing or spreading longer than the usual approach in patients with recurrent or metastatic nasopharyngeal cancer.

Participants needed: 156
Trial details
Phase: Phase 2Age: 18+Biological sex: AllType: InterventionalSponsor: National Cancer Institute (NCI)Updated: Oct 9, 2026Locations: 88
Eligibility criteria

Tumor showing (histological/cytological) Epstein-Barr encoded ribonucleic acid (... [+48]

Status: Recruiting

Alpelisib in Pediatric and Adult Patients With Lymphatic Malformations Associated With a PIK3CA Mutation.

The main purpose of this study in participants with PIK3CA-mutated LyM is to assess the change in radiological response and symptom severity upon treatment with alpelisib film-coated tablets (FCT) as compared to placebo.

Participants needed: 232
Trial details
Phase: Phase 2, Phase 3Age: 0-100Biological sex: AllType: InterventionalSponsor: Novartis PharmaceuticalsUpdated: Oct 9, 2026Locations: 61
Eligibility criteria

Signed informed consent and assent (when applicable) from the participant, paren... [+6]

Participant has a physician-confirmed and documented diagnosis of PROS at the ti... [+4]

Status: Recruiting

Phase IIIb Study of Ribociclib + ET in Early Breast Cancer

The purpose of this open-label, multicenter, phase IIIb, single-arm study is to characterize the efficacy and safety of the combination of ribociclib and standard adjuvant endocrine therapy (ET) on invasive breast cancer-free survival (iBCFS), in a close to clinical practice patient population with HR-positive (HR+), HER2-negative (HER2-), Anatomic Stage Group III, IIB, and a subset of Stage IIA Early Breast Cancer (EBC).

Participants needed: 1,400
Trial details
Phase: Phase 3Age: 18-100Biological sex: AllType: InterventionalSponsor: Novartis PharmaceuticalsUpdated: Oct 9, 2026Locations: 229
Eligibility criteria

Participant is an adult, male or female ≥ 18 years of age at the time of informe... [+13]

Participant with distant metastases of BC beyond regional lymph nodes (Stage IV... [+5]

Status: Recruiting

A Study Evaluating the Safety and Efficacy of Targeted Therapies in Subpopulations of Patients With Metastatic Colorectal Cancer (INTRINSIC)

This open-label, exploratory study is designed to evaluate the safety and efficacy of targeted therapies or immunotherapy as single agents or combinations, in participants with metastatic colorectal cancer (mCRC) whose tumors are biomarker positive as per treatment arm-specific definition. Eligible participants with mCRC will be enrolled into specific treatment arms based on their biomarker assay results.

Participants needed: 542
Trial details
Phase: Phase 1Age: 18+Biological sex: AllType: InterventionalSponsor: Hoffmann-La RocheUpdated: Oct 9, 2026Locations: 84
Eligibility criteria

Signed cohort-specific Informed Consent Form [+16]

Current participation or enrollment in another interventional clinical trial. Pa... [+16]

Status: Recruiting

A Study Evaluating the Efficacy and Safety of Multiple Treatment Combinations in Patients With Metastatic or Locally Advanced Breast Cancer

This is an umbrella study evaluating the efficacy and safety of multiple treatment combinations in participants with metastatic or inoperable locally advanced breast cancer. The study will be performed in two stages. During Stage 1, seven cohorts will be enrolled in parallel in this study: Cohort 1 will consist of programmed death-ligand 1 (PD-L1)-positive participants who have received no prior systemic therapy for metastatic or inoperable locally advanced triple-negative breast cancer (TNBC) (first-line \[1L\] PD-L1+ cohort). Cohort 2 will consist of participants who had disease progression during or following 1L treatment with chemotherapy for metastatic or inoperable locally-advanced TNBC and have not received cancer immunotherapy (CIT) (second-line \[2L\] CIT-naïve cohort). Cohort 3, 5, 6 and 7 will consist of participants with locally advanced or metastatic hormone receptor-positive (HR+), human epidermal growth factor receptor 2 (HER2)-negative disease with one or more PIK3CA mutations. Cohort 4 will consist of participants with locally advanced or metastatic HER2+ /HER2-low disease with one or more PIK3CA mutations who had disease progression on standard-of-care therapies (HER2+ /HER2-low cohort). In each cohort, eligible participants will initially be assigned to one of several treatment arms (Stage 1). During Stage 2, participants in the 2L CIT-naïve cohort who experience disease progression, loss of clinical benefit, or unacceptable toxicity during Stage 1 may be eligible to continue treatment with a different treatment combination, provided Stage 2 is open for enrollment and all eligibility criteria are met.

Participants needed: 1,132
Trial details
Phase: Phase 1, Phase 2Age: 18+Biological sex: AllType: InterventionalSponsor: Hoffmann-La RocheUpdated: Oct 9, 2026Locations: 55
Eligibility criteria

Age >/= 18 years at the time of signing Informed Consent Form [+10]

Prior treatment with T-cell co-stimulating or immune checkpoint blockade therapi... [+18]

Status: Not yet recruiting

A Study of KMV002 in Patients With mAPMR Prostate Cancer

This is a first-in-human (FIH) open-label, multicenter, dose-escalation and dose-expansion Phase I study of KMV002 in metastatic androgen pathway modulation-resistant (mAPMR) prostate cancer patients. This study consists of two parts: dose escalation (Part 1) and dose expansion (Part 2). Following a screening period, eligible mAPMR patients will be enrolled to receive their assigned regimen of KMV002 (a combination of SN3001C and CpG ODN adjuvant). KMV002 will be given as either a 5-dose or 6-dose regimen.

Participants needed: 24
Trial details
Phase: Phase 1Age: 18-80Biological sex: MaleType: InterventionalSponsor: Chimivac INCUpdated: Oct 8, 2026Locations: 2
Eligibility criteria

Male, age 18 to 80 years, inclusive. [+33]

The presence of known brain metastasis or leptomeningeal disease, malignant pleu... [+17]

Status: Recruiting

A Trial to Assess Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of SFL-0821 in Adults With FSHD

The purpose of this study is to evaluate the safety, tolerability, and preliminary efficacy of SFL-0821 in adult patients with Facioscapulohumeral Muscular Dystrophy (FSHD)

Participants needed: 90
Trial details
Phase: Phase 1, Phase 2Age: 18-65Biological sex: AllType: InterventionalSponsor: Soufflé Therapeutics, Inc.Updated: Oct 9, 2026Locations: 6
Eligibility criteria

Genetically confirmed diagnosis of FSHD 1 or 2 [+3]

History of any illness or any clinical condition that, in the opinion of the Inv... [+2]