Study of IDE397 in Participants With Solid Tumors Harboring MTAP Deletion
Purpose
This is a Phase 1, open-label, multicenter, dose escalation and expansion study of the safety, PK, PD, and preliminary anti-tumor activity of IDE397 as a single agent and in combination with other anticancer agents including taxanes (docetaxel, paclitaxel), or sacituzumab govitecan (SG), in adult patients with selected advanced or metastatic MTAP-deleted advanced solid tumors who are unresponsive to standard of care therapy. IDE397 is a small molecule inhibitor of methionine adenosyltransferase 2 alpha (MAT2A).
Condition
- Solid Tumor
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Participant must be at least 18 years of age - Advanced or metastatic solid tumor that has progressed on at least one prior line of treatment or is intolerant to additional effective standard therapy - Have evidence of homozygous loss of MTAP or MTAP deletion - Willing to undergo paired fresh biopsy (pre- and post-treatment) procedure. Exceptions may be made for feasibility and safety concerns - Measurable disease - ECOG performance status <= 1 - Adequate organ function - Able to swallow and retain orally administered study treatment - Recovery from acute effects of prior therapy - Able to comply with contraceptive/barrier requirements
Exclusion Criteria
- Known symptomatic brain metastases - Known primary CNS malignancy - Current active liver or biliary disease - Impairment of gastrointestinal (GI) function - Active uncontrolled infection - Clinically significant cardiac abnormalities - Previous treatment with a MAT2A inhibitor and / or PRMT inhibitor or sacituzumab govitecan - Systemic anti-cancer therapy or major surgery within 4 weeks prior to study entry - Radiation therapy within 2 weeks prior to study entry - Prior irradiation to >25% of the bone marrow - Current use or anticipated need for food or drugs that are known strong CYP3A4/5 inhibitors or inducers - Currently receiving another investigational study drug. - Known or suspected hypersensitivity to IDE397/excipients or components
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Part 1: Dose Escalation Monotherapy (Solid Tumors) |
|
|
Experimental Part 2: Monotherapy Dose Expansion (NSCLC, EG and Urothelial) |
|
|
Experimental Part 3: Combination Dose Escalation with docetaxel or paclitaxel (NSCLC, EG and Urothelial) |
|
|
Experimental Part 4: Combination Dose Expansion with docetaxel or paclitaxel (NSCLC, EG and Urothelial) |
|
|
Experimental Part 5: Combination Dose Escalation with sacituzumab govitecan (SG) (Urothelial) |
|
|
Experimental Part 6: Combination Dose Expansion with sacituzumab govitecan (SG) (Urothelial) |
|
Recruiting Locations
UK Center for Clinical and Translational Science and nearby locations
Markey Cancer Center
Lexington, Kentucky 40536
Lexington, Kentucky 40536
More Details
- NCT ID
- NCT04794699
- Status
- Recruiting
- Sponsor
- IDEAYA Biosciences