AMG 193 Alone or in Combination With Other Therapies in Subjects With Advanced Thoracic Tumors With Homozygous MTAP-deletion (Master Protocol) (MTAPESTRY 104).

NCT ID: NCT06333951

Last Updated: 2026-01-15

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-17

Study Completion Date

2031-10-27

Brief Summary

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The study aims to determine maximum tolerated dose (MTD) or recommended combination dose of the MTA-cooperative PRMT5 inhibitor AMG 193 administered in combination with other therapies in adult participants with metastatic or locally advanced methylthioadenosine phosphorylase (MTAP)-deleted thoracic tumors. The study also aims to determine the safety profile of AMG 193 administered in combination with other therapies in adult participants with metastatic or locally advanced MTAP-deleted thoracic tumors.

Detailed Description

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Conditions

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Thoracic Tumors Non-small Cell Lung Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Subprotocol A: Non-Small Cell Lung Cancer (NSCLC) Arm A

Participants with MTAP-deleted NSCLC will receive a regimen of AMG 193 orally (PO) and carboplatin, paclitaxel, and pembrolizumab intravenously (IV)

Group Type EXPERIMENTAL

AMG 193

Intervention Type DRUG

Administered PO

Carboplatin

Intervention Type DRUG

Administered IV

Paclitaxel

Intervention Type DRUG

Administered IV

Pembrolizumab

Intervention Type DRUG

Administered IV

Subprotocol A: NSCLC Arm B

Participants with MTAP-deleted NSCLC will receive a regimen of AMG 193 PO and carboplatin, pemetrexed, and pembrolizumab IV

Group Type EXPERIMENTAL

AMG 193

Intervention Type DRUG

Administered PO

Carboplatin

Intervention Type DRUG

Administered IV

Pembrolizumab

Intervention Type DRUG

Administered IV

Pemetrexed

Intervention Type DRUG

Administered IV

Subprotocol A: NSCLC Arm C

Participants with MTAP-deleted NSCLC will receive a combination of AMG 193 PO and pembrolizumab IV

Group Type EXPERIMENTAL

AMG 193

Intervention Type DRUG

Administered PO

Pembrolizumab

Intervention Type DRUG

Administered IV

Subprotocol B: NSCLC With KRasG12C Mutation

Participants with MTAP-deleted NSCLC and KRasG12C mutation will receive a combination of AMG 193 and sotorasib PO

Group Type EXPERIMENTAL

AMG 193

Intervention Type DRUG

Administered PO

Sotorasib

Intervention Type DRUG

Administered PO

Subprotocol C: NSCLC With Brain Metastases

Participants with MTAP-deleted NSCLC with brain metastases will receive AMG 193 PO

Group Type EXPERIMENTAL

AMG 193

Intervention Type DRUG

Administered PO

Interventions

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AMG 193

Administered PO

Intervention Type DRUG

Carboplatin

Administered IV

Intervention Type DRUG

Paclitaxel

Administered IV

Intervention Type DRUG

Pembrolizumab

Administered IV

Intervention Type DRUG

Pemetrexed

Administered IV

Intervention Type DRUG

Sotorasib

Administered PO

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Subprotocol A, B, and C

* Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years).
* Tumor tissue (formalin-fixed, paraffin-embedded sample) or an archival block must be available. Participants without archived tumor tissue available may be allowed to enroll by undergoing tumor biopsy before AMG 193 dosing.
* Homozygous MTAP-deletion
* Able to swallow and retain PO administered study treatment.
* Disease measurable as defined by RECIST v1.1.

Subprotocol A - Histologically or cytologically confirmed diagnosis of NSCLC.

Arm A (AMG 193 + carboplatin + paclitaxel + pembrolizumab):

\- Predominantly squamous histology.

Arm B (AMG 193 + carboplatin + pemetrexed + pembrolizumab):

\- Predominantly non-squamous histology.

Arm C (AMG 193 + pembrolizumab):

\- PD-L1 positive.

Subprotocol B - Histologically confirmed NSCLC with homozygous MTAP-deletion and KRAS p.G12C mutation.

Subprotocol C

* Histologically or cytologically confirmed diagnosis of NSCLC with brain metastases.
* Brain lesion meeting RANO-BM criteria for measurable disease.

Exclusion Criteria

Subprotocol A, B, and C

* 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).
* History of solid organ transplant.
* Major surgery within 28 days of first dose of AMG 193.
* Prior treatment with a MAT2A inhibitor or a PRMT5 inhibitor.
* Radiation therapy within 28 days of first dose.

Subprotocol A

\- Autoimmune disease or immunodeficiency disease as defined in the protocol'
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 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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Comprehensive Blood and Cancer Center

Bakersfield, California, United States

Site Status RECRUITING

City of Hope National Medical Center

Duarte, California, United States

Site Status RECRUITING

City of Hope Orange County Lennar Foundation Cancer Center

Duarte, California, United States

Site Status RECRUITING

Translational Research in Oncology US Inc, Trio Central Pharmacy

Los Angeles, California, United States

Site Status RECRUITING

University of California Irvine

Orange, California, United States

Site Status RECRUITING

University of California Los Angeles

Santa Monica, California, United States

Site Status RECRUITING

Rocky Mountain Cancer Centers

Denver, Colorado, United States

Site Status RECRUITING

Eastern Connecticut Hematology and Oncology Associates

Norwich, Connecticut, United States

Site Status RECRUITING

HealthPartners Institute

Saint Paul, Minnesota, United States

Site Status RECRUITING

Saint Lukes Hospital of Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status TERMINATED

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status RECRUITING

New York University Grossman School of Medicine

New York, New York, United States

Site Status RECRUITING

Perlmutter Cancer Center at New York University Langone Hospital----Long Island

New York, New York, United States

Site Status RECRUITING

Upstate University Hospital

Syracuse, New York, United States

Site Status RECRUITING

Hightower Clinical

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

University of Tennessee Medical Center Knoxville

Knoxville, Tennessee, United States

Site Status RECRUITING

United States Oncology Regulatory Affairs Corporate Office

Nashville, Tennessee, United States

Site Status RECRUITING

Texas Oncology - Dallas Fort Worth

Dallas, Texas, United States

Site Status RECRUITING

US Oncology Research Investigational Products Center

Dallas, Texas, United States

Site Status RECRUITING

Oncology Consultants Cancer Center

Houston, Texas, United States

Site Status TERMINATED

Texas Oncology Northeast Texas

Tyler, Texas, United States

Site Status RECRUITING

Virginia Cancer Specialists PC

Fairfax, Virginia, United States

Site Status RECRUITING

Northwest Medical Specialties, PLLC

Tacoma, Washington, United States

Site Status RECRUITING

Instituto Argentino de Diagnóstico y Tratamiento

Ciudad Automona de Buenos Aires, Buenos Aires, Argentina

Site Status RECRUITING

Hospital Universitario Austral

Pilar, Buenos Aires, Argentina

Site Status RECRUITING

Cemic

Ciudad Autonoma Buenos Aires, , Argentina

Site Status RECRUITING

Orange Health Service

Orange, New South Wales, Australia

Site Status RECRUITING

The Queen Elizabeth Hospital

Woodville South, South Australia, Australia

Site Status RECRUITING

Medizinische Universitaet Graz

Graz, , Austria

Site Status RECRUITING

Medizinische Universitaet Innsbruck

Innsbruck, , Austria

Site Status RECRUITING

Centre Hospitalier Universitaire de Liege - Sart Tilman

Liège, , Belgium

Site Status RECRUITING

Oncosite Centro de Pesquisa Clinica Em Oncologia Ltda

Ijuí, Rio Grande do Sul, Brazil

Site Status RECRUITING

Cipo - Centro Integrado de Pesquisa em Oncologia

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Fund Faculdade Regional Med Sao Jose Rio Preto

São José do Rio Preto, São Paulo, Brazil

Site Status RECRUITING

Beneficencia Portuguesa de Sao Paulo - Bp

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Instituto Cancer Sao Paulo Icesp

São Paulo, , Brazil

Site Status RECRUITING

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status RECRUITING

Mengchao Hepatobiliary Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status RECRUITING

Guangdong Provincial Peoples Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Union Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status RECRUITING

West China Hospital Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

Beijing Cancer Hospital

Beijing, , China

Site Status RECRUITING

Institut Bergonie

Bordeaux, , France

Site Status RECRUITING

Hopital de la Timone

Marseille, , France

Site Status RECRUITING

Institut de Cancerologie de l Ouest Rene Gauducheau

Saint-Herblain, , France

Site Status RECRUITING

Gustave Roussy

Villejuif, , France

Site Status RECRUITING

Universitaetsklinikum Essen

Essen, , Germany

Site Status RECRUITING

Universitaetsklinikum Heidelberg

Heidelberg, , Germany

Site Status RECRUITING

Universitaetsklinikum Wuerzburg

Würzburg, , Germany

Site Status RECRUITING

Alexandra Hospital

Athens, , Greece

Site Status RECRUITING

Saint Luke Hospital

Thessaloniki, , Greece

Site Status RECRUITING

General Hospital Of Thessaloniki Papageorgiou

Thessaloniki, , Greece

Site Status RECRUITING

Queen Mary Hospital, The University of Hong Kong

Hong Kong, , Hong Kong

Site Status RECRUITING

Prince of Wales Hospital, Chinese University of Hong Kong

Shatin, New Territories, , Hong Kong

Site Status RECRUITING

Fondazione IRCCS Istituto Nazionale dei Tumori

Alessandria, , Italy

Site Status RECRUITING

Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

Milan, , Italy

Site Status RECRUITING

IRCCS Istituto Clinico Humanitas

Rozzano (MI), , Italy

Site Status RECRUITING

Centro Ricerche Cliniche Di Verona Societa responsabilita limitata

Verona, , Italy

Site Status RECRUITING

Aichi Cancer Center

Nagoya, Aichi-ken, Japan

Site Status RECRUITING

National Cancer Center Hospital East

Kashiwa-shi, Chiba, Japan

Site Status RECRUITING

Shizuoka Cancer Center

Sunto-gun, Shizuoka, Japan

Site Status RECRUITING

Wakayama Medical University Hospital

Wakayama, Wakayama, Japan

Site Status RECRUITING

Radboud Universitair Medisch Centrum

Nijmegen, , Netherlands

Site Status RECRUITING

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status RECRUITING

Narodowy Instytut Onkologii im Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy

Gliwice, , Poland

Site Status RECRUITING

Futuremeds spolka z ograniczona odpowiedzialnoscia

Krakow, , Poland

Site Status RECRUITING

Instytut Centrum Zdrowia Matki Polki

Lodz, , Poland

Site Status RECRUITING

Centrum Medyczne Hope Clinic Sebastian Szklener

Lublin, , Poland

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Hospital Universitari Vall d Hebron

Barcelona, Catalonia, Spain

Site Status RECRUITING

Hospital Clinic i Provincial de Barcelona

Barcelona, Catalonia, Spain

Site Status RECRUITING

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status RECRUITING

National Cheng Kung University Hospital

Tainan, , Taiwan

Site Status RECRUITING

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status RECRUITING

Adana Sehir Egitim ve Arastirma Hastanesi

Adana, , Turkey (Türkiye)

Site Status RECRUITING

Hacettepe Universitesi Tip Fakultesi Hastanesi

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Ankara Bilkent Sehir Hastanesi

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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United States Argentina Australia Austria Belgium Brazil Canada China France Germany Greece Hong Kong Italy Japan Netherlands Poland South Korea Spain Taiwan Turkey (Türkiye)

Central Contacts

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Amgen Call Center

Role: CONTACT

866-572-6436

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20230167

Identifier Type: -

Identifier Source: org_study_id

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