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Trial Title: A Phase 1/2 Study of AMG 193 in Combination With IDE397 in Participants With Advanced Methylthioadenosine Phosphorylase (MTAP)-Null Solid Tumors

NCT ID: NCT05975073

Condition: MTAP-null Non-Small-Cell Lung Cancer
MTAP-null Solid Tumors

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

Conditions: Keywords:
Oncology
AMG 193
IDE397

Study type: Interventional

Study phase: Phase 1/Phase 2

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: AMG 193
Description: Administered PO
Arm group label: Part 1: Dose Exploration of AMG 193 Combined With IDE397
Arm group label: Part 2: Dose Expansion of AMG 193 Combined With IDE397

Intervention type: Drug
Intervention name: IDE397
Description: Administered PO
Arm group label: Part 1: Dose Exploration of AMG 193 Combined With IDE397
Arm group label: Part 2: Dose Expansion of AMG 193 Combined With IDE397

Summary: The main aims of this study are to evaluate the safety and tolerability, and to determine the maximum tolerated dose (MTD) or the recommended combination dose of AMG 193 in combination with IDE397 in adult participants with metastatic or locally advanced MTAP-null solid tumors, and to evaluate the preliminary anti-tumor activity of AMG 193 in combination with IDE397 in adult participants with metastatic or locally advanced MTAP-null Non-Small-Cell Lung Cancer (NSCLC).

Criteria for eligibility:
Criteria:
Inclusion Criteria 1. Evidence of homozygous loss of MTAP (null) and/or MTAP deletion. 2. Presence of advanced/metastatic solid tumor not amenable to curative treatment 1. Part 1: MTAP-null or lost MTAP expression solid tumor for which no standard therapy exists 2. Part 2: MTAP-null or lost MTAP expression NSCLC with progression after 1 to 2 prior lines of systemic therapy. 3. Able to swallow and retain PO administered study treatment and willing to record adherence to investigational product 4. Disease measurable as defined by RECIST v1.1 5. Adequate organ function as defined in the protocol. 6. Archived tumor tissue. Participants without archived tumor tissue available may be allowed to enroll by undergoing tumor biopsy before cycle 1 day 1 dosing. Exclusion Criteria 1. Prior treatment with an MAT2A inhibitor or a PRMT5 inhibitor. 2. Radiologic or clinical evidence of spinal cord compression, untreated or symptomatic brain metastases or leptomeningeal disease. 3. Cardiovascular and pulmonary exclusion criteria as defined in the protocol. 4. Gastrointestinal tract disease causing the inability to take PO medication, malabsorption syndrome, requirement for IV alimentation, gastric/jejunal tube feeds, uncontrolled inflammatory gastrointestinal disease (eg, Crohn's disease, ulcerative colitis) 5. History of bowel obstruction, abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months of study entry. 6. Prior irradiation to > 25% of the bone marrow 7. Use of prescription medications that are known strong CYP3A4/5 inducers or strong CYP3A4/5 inhibitors within 7 days for CYP3A4/5 inhibitors, 14 days for CYP3A4/5 inducers or 5 half-lives, whichever is longer, prior to any dose of investigational medical product.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: City of Hope National Medical Center

Address:
City: Duarte
Zip: 91090
Country: United States

Status: Recruiting

Facility:
Name: Sarah Cannon Research Institute

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

Status: Recruiting

Facility:
Name: Community Health Network MD Anderson Cancer Center - North

Address:
City: Indianapolis
Zip: 46250
Country: United States

Status: Recruiting

Facility:
Name: Dana Farber Cancer Institute

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

Status: Recruiting

Facility:
Name: University of Michigan

Address:
City: Ann Arbor
Zip: 48109
Country: United States

Status: Recruiting

Facility:
Name: Health Partners Cancer Center at Regions Hospital

Address:
City: Saint Paul
Zip: 55102
Country: United States

Status: Recruiting

Facility:
Name: Astera Cancer Care

Address:
City: East Brunswick
Zip: 08816
Country: United States

Status: Recruiting

Facility:
Name: New York University Grossman School of Medicine and New York University Langone Hospitals

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

Status: Recruiting

Facility:
Name: Columbia University Irving 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: Duke University

Address:
City: Durham
Zip: 27710
Country: United States

Status: Recruiting

Facility:
Name: Prisma Health Upstate

Address:
City: Greenville
Zip: 29605
Country: United States

Status: Recruiting

Facility:
Name: University of Texas MD Anderson Cancer Center

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

Status: Recruiting

Facility:
Name: Next Oncology

Address:
City: Irving
Zip: 75039
Country: United States

Status: Recruiting

Facility:
Name: The Queen Elizabeth Hospital

Address:
City: Woodville South
Zip: 5011
Country: Australia

Status: Recruiting

Facility:
Name: Monash Medical Centre

Address:
City: Clayton
Zip: 3168
Country: Australia

Status: Recruiting

Facility:
Name: Cross Cancer Institute

Address:
City: Edmonton
Zip: T6G 1Z2
Country: Canada

Status: Recruiting

Facility:
Name: Princess Margaret Cancer Centre

Address:
City: Toronto
Zip: M5G 2M9
Country: Canada

Status: Recruiting

Facility:
Name: Rigshospitalet

Address:
City: Copenhagen
Zip: 2100
Country: Denmark

Status: Recruiting

Facility:
Name: Seoul National University Hospital

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Severance Hospital Yonsei University Health System

Address:
City: Seoul
Zip: 03722
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Asan Medical Center

Address:
City: Seoul
Zip: 05505
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Hospital Universitari Vall d Hebron

Address:
City: Barcelona
Zip: 08035
Country: Spain

Status: Recruiting

Facility:
Name: Hospital Universitario Ramon y Cajal

Address:
City: Madrid
Zip: 28034
Country: Spain

Status: Recruiting

Facility:
Name: National Cheng Kung University Hospital

Address:
City: Tainan
Zip: 70403
Country: Taiwan

Status: Recruiting

Facility:
Name: National Taiwan University Hospital

Address:
City: Taipei
Zip: 10002
Country: Taiwan

Status: Recruiting

Start date: August 1, 2023

Completion date: September 8, 2027

Lead sponsor:
Agency: Amgen
Agency class: Industry

Source: Amgen

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05975073
http://www.amgentrials.com

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