This study will evaluate the safety, tolerability, and preliminary effectiveness of AMXT 1501 and DFMO when combined with standard treatments for advanced solid tumors. The trial includes two groups: * Cohort 1: Patients with ER+ / HER2- breast cancer receiving fulvestrant and capivasertib * Cohort 2: Patients with unresectable or metastatic cutaneous melanoma receiving pembrolizumab The Phase 1b portion will find the recommended Phase 2 dose (RP2D). The Phase 2 portion will further evaluate clinical activity at the RP2D using response criteria for solid tumors (RECIST 1.1). The study will also evaluate pharmacokinetics, pharmacodynamics, disease control, and overall safety.
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Incidence of Dose-Limiting Toxicities (DLTs)
Timeframe: Within 24 months of last patient enrolled
Incidence, Frequency, and Severity of Adverse Events (AEs)
Timeframe: Within 24 months of last patient enrolled
Objective Response Rate (ORR) (Phase 2)
Timeframe: Within 24 months of last patient enrolled
Duration of Response (DOR) (Phase 2)
Timeframe: Within 24 months of last patient enrolled