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Trial Title: Study of TNG260 and an Anti-PD Antibody in STK11 Mutated Solid Tumors

NCT ID: NCT05887492

Condition: Non Small Cell Lung Cancer
Solid Tumors, Adult
Endometrial Cancer
Pancreatic Cancer
Cervical Cancer
Breast Cancer
Carcinoma of Unknown Primary

Conditions: Official terms:
Endometrial Neoplasms
Pembrolizumab

Conditions: Keywords:
STK11
KRAS
LKB1

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) and Phase 2 (Dose Expansion)

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: TNG260
Description: CoREST inhibitor, administered orally
Arm group label: Dose Escalation
Arm group label: Dose Expansion in Advanced or Metastatic Solid Tumors
Arm group label: Dose Expansion in NSCLC with KRAS Mutation
Arm group label: Dose Expansion in NSCLC with KRAS Wild type

Intervention type: Drug
Intervention name: Pembrolizumab
Description: Pembrolizumab, an anti-PD-1 antibody, administered intravenously
Arm group label: Dose Escalation
Arm group label: Dose Expansion in Advanced or Metastatic Solid Tumors
Arm group label: Dose Expansion in NSCLC with KRAS Mutation
Arm group label: Dose Expansion in NSCLC with KRAS Wild type

Other name: Keytruda

Summary: The goal of this interventional clinical trial is to learn about TNG260, a CoREST inhibitor, in combination with pembrolizumab in patients with advanced solid tumors with a known STK11 mutation. The main question[s] it aims to answer are: - the recommended dose for Phase 2 - to evaluate the safety and tolerability of the combination therapy - to determine the pharmacokinetics of TNG260 - to evaluate the initial antineoplastic activity Participants will receive study treatment until they experience an undesirable side effect, their disease progresses or until they withdraw consent.

Detailed description: This is a first-in-human Phase 1/2, open-label, multicenter, dose-escalation and expansion study designed to determine the maximum tolerated dose and recommended phase 2 dose(s) and evaluate the safety and tolerability, pharmacokinetics, and antineoplastic activity of escalating oral doses of TNG260 when administered with a standard dose of pembrolizumab in participants with locally advanced or metastatic STK11 mutated solid tumors.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Is ≥18 years of age at the time of signature of the main study ICF. - Has ECOG performance status of 0 or 1. - Has measurable disease based on RECIST v1.1. - All participants must have documented STK11 mutation in a solid tumor, which is identified through a validated analytical method - Has confirmed histologic or cytologic diagnosis of a locally advanced or metastatic solid tumor. - Adequate organ function/reserve per local labs - Adequate liver function per local labs - Adequate renal function per local labs - Negative serum pregnancy test result at screening - Written informed consent must be obtained according to local guidelines Exclusion Criteria: - Known allergies, hypersensitivity, or intolerance to TNG260, PD-1 antibody or its excipients - Uncontrolled intercurrent illness that will limit compliance with the study requirements - Active infection requiring systemic therapy - Currently participating in or has planned participation in a study of another investigational agent or device - Impairment of GI function or disease that may significantly alter the absorption of oral TNG260 - Active prior or concurrent malignancy. - Central nervous system metastases associated with progressive neurological symptoms - Current active liver disease from any cause - Clinically relevant cardiovascular disease - A female patient who is pregnant or lactating

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: UCLA Hematology/Oncology

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

Status: Recruiting

Investigator:
Last name: Jonathan Goldman, MD
Email: Principal Investigator

Facility:
Name: SCRI at HealthOne

Address:
City: Denver
Zip: 80218
Country: United States

Status: Recruiting

Investigator:
Last name: Gerald Falchook, MD
Email: Principal Investigator

Facility:
Name: Florida Cancer Specialists

Address:
City: Sarasota
Zip: 34232
Country: United States

Status: Recruiting

Investigator:
Last name: Judy Wang, MD
Email: Principal Investigator

Facility:
Name: Dana Farber Cancer Institute

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

Status: Recruiting

Investigator:
Last name: Mark Awad, MD, PhD
Email: Principal Investigator

Facility:
Name: Henry Ford Health System

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

Status: Recruiting

Investigator:
Last name: Shiresh Gadgeel, MD
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: Ferdinandos Skoulidis, MD
Email: Principal Investigator

Facility:
Name: NEXT Oncology Virginia

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

Status: Recruiting

Investigator:
Last name: Alex Spira, MD
Email: Principal Investigator

Start date: June 12, 2023

Completion date: June 2025

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/NCT05887492

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