About this trial
This is a first in human study in patients with advanced or metastatic solid tumors known to have an MTAP deletion. The first part of the study is an open-label, dose escalation and the second part is an open label dose expansion in specific MTAP-deleted tumor types. The study drug, TNG462, is a selective PRMT5 inhibitor administered orally. The study is planned to treat up to 225 participants.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: ≥18 years-of-age at the time of signature of the main study ICF
Performance status: ECOG Performance Score of 0 to 1
Confirmed histologic or cytologic diagnosis of a locally advanced, metastatic, and/or unresectable solid tumor
Prior standard therapy, as available
Disqualifiers
Known allergies, hypersensitivity, or intolerance to TNG462, or its excipients or to pembrolizumab in the combination treatment arms
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
Trial design
Sequential
Treatments tested in this trial
TNG462
DrugTNG462, a selective PRMT5 inhibitor, will be administered orally
Pembrolizumab
DrugAn anti PD-1 antibody, will be administered intravenously
Treatment groups
7
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Phase 1 Maximum Tolerated Dose
To determine the maximum tolerated dose (MTD) of TNG462 when administered as a single agent and in combination with pembrolizumab
Phase 1 Dosing Schedule
To determine the dosing schedule of TNG462
Phase 2 Anti-neoplastic Activity
To assess anti-neoplastic activity of TNG462 administered single agent and in combination with pembrolizumab in patients with MTAP-deleted advanced solid tumors by RECIST v1.1, iRECIST or mRECIST v1.1
Secondary outcomes
Phase 1 Anti-neoplastic Activity
To assess preliminary evidence of anti-neoplastic activity of TNG462 as a single agent and when administered in combination with pembrolizumab in patients with MTAP-deleted advanced solid tumors by RECIST v1.1, iRECIST or mRECIST v1.1
Phase 1 and 2 Adverse Event Profile
To describe the safety and tolerability profile of TNG462 by frequency and severity of AEs
Phase 1 and 2 Concentration versus Time Curve
Measure the area under the plasma concentration versus time curve (AUC)
Phase 1 and 2 Time to Achieve Maximal Plasma Concentration
Measure the time to achieve maximal plasma concentration (Tmax)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.