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Trial Title: Safety and Tolerability of TNG462 in Patients With MTAP-deleted Solid Tumors

NCT ID: NCT05732831

Condition: Locally Advanced Solid Tumor

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
MTAP deletion
PRMT5
cholangiocarcinoma
NSCLC
mesothelioma
MPNST
Tango
pancreatic
sarcoma

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Intervention model description: Phase 1 dose escalation (sequential) followed by phase 2 dose expansion in 5 arms (parallel)

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: TNG462
Description: TNG462, a selective PRMT5 inhibitor, will be administered orally
Arm group label: Dose Escalation
Arm group label: Dose Expansion in Mesothelioma
Arm group label: Dose Expansion in NSCLC
Arm group label: Dose Expansion in Pancreatic Ductal Adenocarcinoma
Arm group label: Dose Expansion in Sarcoma
Arm group label: Dose Expansion in Solid Tumors

Summary: This is a first in human study in patients with advanced or metastatic solid tumors known to have an MTAP deletion. The first part of the study is an open-label, dose escalation and the second part is an open label dose expansion in specific MTAP-deleted tumor types. The study drug, TNG462, is a selective PRMT5 inhibitor administered orally. The study is planned to treat up to 159 participants.

Detailed description: This is a Phase 1/2 multi-center, open label study in solid tumor patients who have a confirmed homozygous MTAP deletion in their tumor. The Phase 1 portion is a dose escalation study of oral TNG462 in patients with confirmed MTAP-deleted solid tumors. In Phase 2, 5 expansion arms defined by confirmed MTAP-deleted tumor types will enroll in parallel at the RP2D of TNG462. In both parts of the study participants who tolerate the drug may continue treatment until disease progression.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age: ≥18 years-of-age at the time of signature of the main study ICF 2. Performance status: ECOG Performance Score of 0 to 1 3. Confirmed histologic or cytologic diagnosis of a locally advanced, metastatic, and/or unresectable solid tumor 4. Prior standard therapy, as available 5. Documented bi-allelic (homozygous) deletion of MTAP in a tumor detected by next- generation sequencing or absence of MTAP protein in a tumor detected by IHC. 6. Adequate organ function/reserve per local labs 7. Adequate liver function per local labs 8. Adequate renal function per local labs 9. Negative serum pregnancy test result at screening 10. Written informed consent must be obtained according to local guidelines Exclusion Criteria: 1. Known allergies, hypersensitivity, or intolerance to TNG462 or its excipients 2. Uncontrolled intercurrent illness that will limit compliance with the study requirements 3. Active infection requiring systemic therapy 4. Currently participating in or has planned participation in a study of another investigational agent or device 5. Impairment of GI function or disease that may significantly alter the absorption of oral TNG462 6. Active prior or concurrent malignancy. 7. Central nervous system metastases associated with progressive neurological symptoms 8. Current active liver disease from any cause 9. Known to be HIV positive, unless all of the following criteria are met: 1. CD4+ count ≥300/μL 2. Undetectable viral load 3. Receiving highly active antiretroviral therapy 10. Clinically relevant cardiovascular disease 11. A female patient who is pregnant or lactating 12. Patient is unwilling or unable to comply with the scheduled visits, drug administration plan, laboratory tests, biopsy, or other study procedures and study restrictions 13. Patient has a prior or ongoing clinically significant illness, medical condition, surgical history, physical finding, or laboratory abnormality that, in the investigator's opinion, may affect the safety of the patient or impair the assessment of study results

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Stanford University

Address:
City: Palo Alto
Zip: 94304
Country: United States

Status: Recruiting

Investigator:
Last name: Christopher Chen
Email: Principal Investigator

Facility:
Name: Sylvester Comprehensive Cancer Center

Address:
City: Miami
Zip: 33136
Country: United States

Status: Recruiting

Investigator:
Last name: Jose Lutzky, MD
Email: Principal Investigator

Facility:
Name: University Chicago Medicine

Address:
City: Chicago
Zip: 60637
Country: United States

Status: Recruiting

Investigator:
Last name: Hedy Kindler, MD
Email: Principal Investigator

Facility:
Name: Dana Farber Cancer Institute

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

Status: Recruiting

Investigator:
Last name: Candace Haddox, MD
Email: Principal Investigator

Facility:
Name: Henry Ford Cancer Center

Address:
City: Detroit
Zip: 48202
Country: United States

Status: Recruiting

Investigator:
Last name: Amy Weise, DO
Email: Principal Investigator

Facility:
Name: New York University Langone Health

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

Status: Recruiting

Investigator:
Last name: Salman Punekar, MD
Email: Principal Investigator

Facility:
Name: Sarah Cannon Tennessee Oncology

Address:
City: Nashville
Zip: 37203
Country: United States

Status: Recruiting

Investigator:
Last name: David Spigel, MD
Email: Principal Investigator

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

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

Status: Recruiting

Investigator:
Last name: Jordi Rodon Ahnert, MD
Email: Principal Investigator

Facility:
Name: Huntsman Cancer Institute, University of Utah

Address:
City: Salt Lake City
Zip: 84112
Country: United States

Status: Recruiting

Investigator:
Last name: Ignacio Garrido-Iaguna, MD, PhD
Email: Principal Investigator

Facility:
Name: CHU de Brest

Address:
City: Brest
Zip: 29200
Country: France

Status: Recruiting

Investigator:
Last name: Jean-Philippe Metges, MD
Email: Principal Investigator

Facility:
Name: Centre Berard Leon

Address:
City: Lyon
Zip: 69373
Country: France

Status: Recruiting

Investigator:
Last name: Philippe Cassier, MD
Email: Principal Investigator

Facility:
Name: Institute Gustav Roussy

Address:
City: Villejuif
Zip: 94805
Country: France

Status: Recruiting

Investigator:
Last name: Capucine Baldini, MD
Email: Principal Investigator

Facility:
Name: Vall d'Hebron Barcelona Hospital

Address:
City: Barcelona
Country: Spain

Status: Recruiting

Investigator:
Last name: Irene Brana, MD
Email: Principal Investigator

Facility:
Name: Hospital HM Nou Delfos

Address:
City: Barcelona
Zip: 08023
Country: Spain

Status: Recruiting

Investigator:
Last name: Tatiana Hernandez Guerrero, MD
Email: Principal Investigator

Facility:
Name: Hospital Universitario Fundacion Jimenez Diaz

Address:
City: Madrid
Zip: 28040
Country: Spain

Status: Recruiting

Investigator:
Last name: Victor Moreno Garcia, MD
Email: Principal Investigator

Facility:
Name: Hospital de Sanchinarro

Address:
City: Madrid
Zip: 28050
Country: Spain

Status: Recruiting

Investigator:
Last name: Emiliano Calvo Aller, MD
Email: Principal Investigator

Facility:
Name: Hospital Universitario Virgen de la Victoria

Address:
City: Málaga
Zip: 29010
Country: Spain

Status: Recruiting

Investigator:
Last name: Javier Garcia-Corbacho, MD
Email: Principal Investigator

Facility:
Name: Hospital Universitario Virgen del Rocio

Address:
City: Sevilla
Zip: 41013
Country: Spain

Status: Recruiting

Investigator:
Last name: Alejandro Falcon, MD
Email: Principal Investigator

Start date: May 26, 2023

Completion date: September 2026

Lead sponsor:
Agency: Tango Therapeutics, Inc.
Agency class: Industry

Source: Tango Therapeutics, Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05732831

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