Trial Radar AI | ||
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Clinical Trial NCT05275478 for Locally Advanced Solid Tumor is active, not recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
Safety and Tolerability of TNG908 in Patients With MTAP-deleted Solid Tumors Phase 1, Phase 2 192 First-in-Human Dose Escalation Open-Label
A Phase 1/2, Multi-Center, Open-Label Study to Evaluate the Safety, Tolerability, and Preliminary Anti-tumor Activity of TNG908 in Patients With MTAP-deleted Advanced or Metastatic Solid Tumors
- TNG908-C101
Phase 2
PRMT5
cholangiocarcinoma
NSCLC
mesothelioma
MPNST
Tango
Glioblastoma multiforme
pancreatic
GBM
sarcoma
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalDose Escalation Participants with MTAP-deleted solid tumors will receive escalating doses of TNG908 to estimate the MTD | TNG908 TNG908, a selective PRMT5 inhibitor, will be administered orally |
ExperimentalDose Expansion in NSCLC Participants with MTAP-deleted NSCLC (squamous and non squamous) will receive TNG908 at the identified RP2D | TNG908 TNG908, a selective PRMT5 inhibitor, will be administered orally |
ExperimentalDose Expansion in Mesothelioma Participants with MTAP-deleted mesothelioma will receive TNG908 at the identified RP2D | TNG908 TNG908, a selective PRMT5 inhibitor, will be administered orally |
ExperimentalDose Expansion in Pancreatic Ductal Adenocarcinoma Participants with MTAP-deleted pancreatic ductal adenocarcinoma will receive TNG908 at the identified RP2D | TNG908 TNG908, a selective PRMT5 inhibitor, will be administered orally |
ExperimentalDose Expansion in Sarcoma Participants with MTAP-deleted sarcoma (soft tissue and bone) will receive TNG908 at the identified RP2D | TNG908 TNG908, a selective PRMT5 inhibitor, will be administered orally |
ExperimentalDose Expansion in solid tumors Participants with other MTAP-deleted solid tumors will receive TNG908 at the identified RP2D | TNG908 TNG908, a selective PRMT5 inhibitor, will be administered orally |
ExperimentalDose Expansion in Glioblastoma Participants with MTAP-deleted relapsed/refractory glioblastoma will receive TNG908 at the identified RP2D | TNG908 TNG908, a selective PRMT5 inhibitor, will be administered orally |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Phase 1: | To determine the MTD and dosing schedule of TNG908 | 28 days |
Phase 2: | To assess anti-neoplastic activity of TNG908 in patients with MTAP-deleted advanced solid tumors by RECIST or mRECIST v1.1 or modified RANO criteria | 16 weeks |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Phase 1: | To assess preliminary evidence of anti-neoplastic activity of TNG908 in patients with MTAP-deleted advanced solid tumors by RECIST or mRECIST v1.1or modified RANO criteria | 16 weeks |
Phase 1 and 2: | To describe the safety and tolerability profile of TNG908 by frequency and severity of AEs | 28 days |
Phase 1 and 2: | Area under the plasma concentration versus time curve (AUC) | 16 days |
Phase 1 and 2: | Time to achieve maximal plasma concentration (Tmax) | 16 days |
Phase 1 and 2: | Maximum observed plasma concentration (Cmax) | 16 days |
Phase 1 and 2: | Terminal elimination half-life (t1/2) | 16 days |
Phase 1 and 2: | Apparent total plasma clearance when dosed orally (CL/F) | 16 days |
Phase 1 and 2: | Apparent volume of distribution when dosed orally (Vz/F) | 16 days |
Phase 1 and 2: | SDMA levels in tumor tissue will be assessed pre-treatment and post treatment with TNG908 | 28 days |
- Age: ≥18 years-of-age at the time of signature of the main study ICF
- Performance status: ECOG Performance Score of 0 to 1 or Karnofsky performance status score ≥70.
- Confirmed histologic or cytologic diagnosis of a locally advanced, metastatic, and/or unresectable solid tumor or for GBM, have R/R disease.
- Prior standard therapy, as available
- 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.
- 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
Known allergies, hypersensitivity, or intolerance to TNG908 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 TNG908
Active prior or concurrent malignancy.
Central nervous system metastases associated with progressive neurological symptoms
Current active liver disease from any cause
Known to be HIV positive, unless all of the following criteria are met:
- CD4+ count ≥300/μL
- Undetectable viral load
- Receiving highly active antiretroviral therapy
Clinically relevant cardiovascular disease
A female patient who is pregnant or lactating
Patient is unwilling or unable to comply with the scheduled visits, drug administration plan, laboratory tests, biopsy, or other study procedures and study restrictions
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
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