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Trial Title: PRT3789 Monotherapy and in Combo w/Docetaxel in Participants w/Advanced or Metastatic Solid Tumors w/SMARCA4 Mutation

NCT ID: NCT05639751

Condition: Advanced Solid Tumor
Metastatic Solid Tumor
Non-small Cell Lung Cancers
SMARCA4 Gene Mutation

Conditions: Official terms:
Neoplasms
Carcinoma, Non-Small-Cell Lung
Docetaxel

Conditions: Keywords:
Advanced Solid Tumors
BRG1
BRM
Metastatic Solid Tumors
Non-Small Cell Lung Cancers
NSCLC
PRT3789
SMARCA2 Degrader
SMARCA4
Docetaxel

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: PRT3789
Description: PRT3789 will be administered by intravenous infusion
Arm group label: PRT3789 Monotherapy
Arm group label: PRT3789/Docetaxel Combination

Intervention type: Drug
Intervention name: Docetaxel
Description: Docetaxel will be administered by intravenous infusion
Arm group label: PRT3789/Docetaxel Combination

Summary: This is a Phase 1 dose-escalation study of PRT3789, a SMARCA2 degrader, in participants with advanced or metastatic solid tumors with loss of SMARCA4 due to truncating mutation and/or deletion. The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic (PK), and pharmacodynamic (PD) of PRT3789 monotherapy and in combination with docetaxel, describe any dose limiting toxicities (DLTs), define the dosing schedule, and to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) to be used in subsequent development of PRT3789.

Detailed description: This is an open-label, multi-center, dose-escalation, first in human, Phase 1 study of PRT3789 as monotherapy and in combination with docetaxel, a SMARCA2 degrader, evaluating participants with advanced or metastatic solid tumors with loss of SMARCA4 due to truncating mutation and/or deletion. The study will evaluate escalating doses of PRT3789 until the MTD or RP2D is determined. Taking into account pharmacokinetic and pharmacodynamic data from the preceding dose levels, the dose may be escalated until a dose limiting toxicity is identified. Approximately 186 participants will be enrolled in monotherapy, dose escalation, backfill, and combination cohorts.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations (including contraception requirements), and other study procedures - Histologically confirmed advanced, recurrent, or metastatic solid tumor malignancy with any mutation of SMARCA4 (dose escalation and combination cohorts) and loss of function mutation of SMARCA4 (backfill cohorts) by local testing that have either progress on or ineligible for standard of care therapy - Must have measurable or non-measureable (but evaluable) disease per RECIST v1.1 for dose escalation and combination cohorts - Must have measureable diseases per RECIST v1.1 for backfill cohort - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 - Willing to provide either archival or fresh tumor tissue sample - Adequate organ function (hematology, renal, and hepatic) Exclusion Criteria: - Participants with solid tumors with known concomitant SMARCA2 mutation or loss of protein expression - Clinically significant or uncontrolled cardiac disease, uncontrolled electrolyte disorders, uncontrolled or symptomatic central nervous system (CNS) metastases or leptomeningeal disease - History of another malignancy within 3 years except for adequately treated basal cell or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancies, or malignancies previously treated with curative intent and not on active therapy or expected to require treatment or recurrence during the study - Concurrent treatment with strong or moderate CYP3A4 inhibitor or inducer

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of California, Davis Comprehensive Cancer Center

Address:
City: Sacramento
Zip: 95817
Country: United States

Status: Recruiting

Facility:
Name: UCLA Hematology/Oncology - Santa Monica

Address:
City: Santa Monica
Zip: 90404
Country: United States

Status: Recruiting

Facility:
Name: Smilow Cancer Hospital Phase 1 Unit

Address:
City: New Haven
Zip: 06511
Country: United States

Status: Recruiting

Facility:
Name: AdventHealth Medical Group Oncology Research at Celebration

Address:
City: Celebration
Zip: 34747
Country: United States

Status: Recruiting

Facility:
Name: Winship Cancer Institute

Address:
City: Atlanta
Zip: 30322
Country: United States

Status: Recruiting

Facility:
Name: Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Address:
City: Baltimore
Zip: 21287
Country: United States

Status: Recruiting

Facility:
Name: Massachusetts General Hospital

Address:
City: Boston
Zip: 02114
Country: United States

Status: Recruiting

Facility:
Name: Dana Farber Cancer Institute

Address:
City: Boston
Zip: 02215
Country: United States

Status: Recruiting

Facility:
Name: Washington University School of Medicine - Siteman Cancer Center

Address:
City: Saint Louis
Zip: 63110
Country: United States

Status: Recruiting

Facility:
Name: Laura & Isaac Perlmutter Cancer Center at NYU Langone Health

Address:
City: New York
Zip: 10016
Country: United States

Status: Recruiting

Facility:
Name: New York Presbyterian Hospital - Columbia University Medical Center

Address:
City: New York
Zip: 10032
Country: United States

Status: Recruiting

Facility:
Name: Memorial Sloan Kettering Cancer Center

Address:
City: New York
Zip: 10065
Country: United States

Status: Recruiting

Facility:
Name: University Hospitals Cleveland Medical Center

Address:
City: Cleveland
Zip: 44106
Country: United States

Status: Recruiting

Facility:
Name: Cleveland Clinic

Address:
City: Cleveland
Zip: 44195
Country: United States

Status: Recruiting

Facility:
Name: Providence Cancer Institute Franz Clinic

Address:
City: Portland
Zip: 97213
Country: United States

Status: Recruiting

Facility:
Name: The University of Texas MD Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Facility:
Name: NEXT Virginia

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Recruiting

Facility:
Name: lnstitut Bergonie Centre Regionale de Lutte Contre le cancer, Service Oncologie-Medicale

Address:
City: Bordeaux
Zip: 33000
Country: France

Status: Recruiting

Facility:
Name: Centre Leon Berard

Address:
City: Lyon Cedex 08
Zip: 69373
Country: France

Status: Recruiting

Facility:
Name: lnstitut Paoli Calmettes

Address:
City: Marseille
Zip: 13009
Country: France

Status: Recruiting

Facility:
Name: Institut Gustave Roussy

Address:
City: Villejuif Cedex
Zip: 94805
Country: France

Status: Recruiting

Facility:
Name: Leids Universitair Medisch Centrum

Address:
City: Leiden
Zip: 2333 ZA
Country: Netherlands

Status: Recruiting

Facility:
Name: National University Hospital

Address:
City: Singapore
Zip: 119074
Country: Singapore

Status: Recruiting

Facility:
Name: National Cancer Centre Singapore

Address:
City: Singapore
Zip: 168583
Country: Singapore

Status: Recruiting

Facility:
Name: START Barcelona - HM Nou Delfos

Address:
City: Barcelona
Zip: 08023
Country: Spain

Status: Recruiting

Facility:
Name: START MADRID - FJD Hospital Universitario Fundacion Jimenez Diaz

Address:
City: Madrid
Zip: 28040
Country: Spain

Status: Recruiting

Facility:
Name: Hospital Universitario HM Sanchinarro

Address:
City: Madrid
Zip: 28050
Country: Spain

Status: Recruiting

Start date: May 2, 2023

Completion date: March 2026

Lead sponsor:
Agency: Prelude Therapeutics
Agency class: Industry

Source: Prelude Therapeutics

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05639751

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