About this trial
This Phase 1, multi-center, open-label, dose escalation and dose optimization study is designed to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PDx), and preliminary clinical activity of MOMA-341 administered orally as a single agent or combination therapy in patients with microsatellite instability high (MSI-H) or DNA mismatch repair deficiency (dMMR) solid tumors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Participants have unresectable advanced or metastatic solid tumors with MSI-H or dMMR alterations and histologically confirmed disease. Participants must have previously received and progressed on an anti-PD-(L)1-based regimen, unless ineligible or in a region without access to anti-PD-(L)1 therapies
Have at least 1 lesion at baseline (measurable or non-measurable) suitable for repeat imaging evaluation by RECIST and/or PCWG-3
ECOG PS ≤ 2
Disqualifiers
Known Werner Syndrome
Active prior or concurrent advanced-stage malignancy (some exceptions allowed including early-stage cancers)
Clinically relevant cardiovascular disease
Known CNS metastasis associated with progressive neurological symptoms (stable doses of corticosteroids allowed)
Trial design
Parallel
Treatments tested in this trial
MOMA-341
DrugMOMA-341 administered orally
Irinotecan
DrugIrinotecan administered by IV infusion
Immunotherapy
DrugImmunotherapy administered by IV infusion
Treatment groups
Trial outcomes
Primary outcomes
Number of participants with AEs, dose-limiting toxicities (DLTs), serious AEs (SAEs), and/or AEs leading to discontinuation
To assess the safety and tolerability of MOMA-341 given as a single-agent, and in combination with irinotecan, and in combination with immunotherapy
Secondary outcomes
Identify the recommended phase 2 dose (RP2D)
Determine the RP2D of MOMA-341 as a single-agent, and in combination with irinotecan, and in combination with immunotherapy
PK parameter; area under curve (AUC) of MOMA-341
Determine the AUC of MOMA-341 as a single-agent, and in combination with irinotecan, and in combination with immunotherapy
PK parameter; maximum concentration (Cmax) of MOMA-341
Determine the Cmax of MOMA-341 as a single-agent, and in combination with irinotecan, and in combination with immunotherapy
PK parameter; time to maximum concentration (Tmax) of MOMA-341
Determine the Tmax of MOMA-341 as a single-agent, and in combination with irinotecan, and in combination with immunotherapy
Sponsors and contacts
Click on the lead sponsor to view all of their trials.