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

Last Updated: 2025-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2026-04-01

Brief Summary

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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).

Detailed Description

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Conditions

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

Keywords

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Oncology AMG 193 IDE397

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1: Dose Exploration of AMG 193 Combined With IDE397

Participants will receive escalating doses of AMG 193 and IDE397 administered orally (PO) in cycles of 21 days.

Group Type EXPERIMENTAL

AMG 193

Intervention Type DRUG

Administered PO

IDE397

Intervention Type DRUG

Administered PO

Part 2: Dose Expansion of AMG 193 Combined With IDE397

AMG 193 and IDE397 will be administered PO in cycles of 21 days.

Group Type EXPERIMENTAL

AMG 193

Intervention Type DRUG

Administered PO

IDE397

Intervention Type DRUG

Administered PO

Interventions

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AMG 193

Administered PO

Intervention Type DRUG

IDE397

Administered PO

Intervention Type DRUG

Eligibility Criteria

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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.
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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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City of Hope National Medical Center

Duarte, California, United States

Site Status

Sarah Cannon Research Institute

Denver, Colorado, United States

Site Status

Community Health Network MD Anderson Cancer Center - North

Indianapolis, Indiana, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Health Partners Cancer Center at Regions Hospital

Saint Paul, Minnesota, United States

Site Status

Astera Cancer Care

East Brunswick, New Jersey, United States

Site Status

New York University Grossman School of Medicine and New York University Langone Hospitals

New York, New York, United States

Site Status

Columbia University Irving Medical Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Prisma Health Upstate

Greenville, South Carolina, United States

Site Status

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Next Oncology

Irving, Texas, United States

Site Status

The Queen Elizabeth Hospital

Woodville South, South Australia, Australia

Site Status

Monash Medical Centre

Clayton, Victoria, Australia

Site Status

Cross Cancer Institute

Edmonton, Alberta, Canada

Site Status

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital Yonsei University Health System

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Hospital Universitari Vall d Hebron

Barcelona, Catalonia, Spain

Site Status

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status

National Cheng Kung University Hospital

Tainan, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Countries

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United States Australia Canada Denmark South Korea Spain Taiwan

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20220127

Identifier Type: -

Identifier Source: org_study_id