Phase 1 Dose Escalation Study for VIP236 in Patients With Advanced Cancer

Inclusion Criteria:

• Adult patients aged >/=18 years, able to provide informed consent and willing tocomply with all study procedures.

• Histologically confirmed advanced or metastatic solid tumors that are relapsed orrefractory to standard of care. Subjects must have exhausted all available standardtherapies or be deemed ineligible for potential available therapies. Refer to NCCNguidelines of each respective histology for guidance. Starting with Amendment 3,this study will focus enrollment on the following cancers:

Biliary tract cancers Breast cancer Cervical cancer Endometrial carcinoma Gastric cancer/gastroesophageal junction adenocarcinoma Nonsmall cell lung cancer Ovarian cancer/fallopian tube cancer/primary peritoneal cancer Pancreatic adenocarcinoma Small cell lung cancer Urothelial cancer

• Adequate bone marrow, liver, and renal functions.

• Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.

Exclusion Criteria:

• Subjects who have new or progressive brain or meningeal or spinal metastases.

• Clinically significant cardiac disease including congestive heart failure > New YorkHeart Association (NYHA) Class II), evidence for coronary artery disease (eg,unstable angina (anginal symptoms at rest) or new-onset angina (within the last 6months or myocardial infarction within the past 6 months before first dose.

• Major surgery or significant trauma within 4 weeks before the first dose of studydrug.

• Medical history of chronic obstructive pulmonary disease (COPD) and otherrespiratory disorders.