PRT3789 Monotherapy and in Combo w/Docetaxel in Participants w/Advanced or Metastatic Solid Tumors w/SMARCA4 Mutation

Last updated: June 26, 2025
Sponsor: Prelude Therapeutics
Overall Status: Active - Not Recruiting

Phase

1

Condition

Neoplasms

Treatment

Docetaxel

PRT3789

Clinical Study ID

NCT05639751
PRT3789-01
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1 dose-escalation study of PRT3789, a SMARCA2 degrader, in participants with advanced or metastatic solid tumors with loss of SMARCA4 due to truncating mutation and/or deletion. The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic (PK), and pharmacodynamic (PD) of PRT3789 monotherapy and in combination with docetaxel, describe any dose limiting toxicities (DLTs), define the dosing schedule, and to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) to be used in subsequent development of PRT3789.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Willing and able to comply with all scheduled visits, treatment plan, laboratorytests, lifestyle considerations (including contraception requirements), and otherstudy procedures

  • Histologically confirmed advanced, recurrent, or metastatic solid tumor malignancywith any mutation of SMARCA4 (dose escalation and combination cohorts) and loss offunction mutation of SMARCA4 (backfill cohorts) by local testing that have eitherprogress on or ineligible for standard of care therapy

  • Must have measurable or non-measureable (but evaluable) disease per RECIST v1.1 fordose escalation and combination cohorts

  • Must have measureable diseases per RECIST v1.1 for backfill cohort

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

  • Willing to provide either archival or fresh tumor tissue sample

  • Adequate organ function (hematology, renal, and hepatic)

Exclusion

Exclusion Criteria:

  • Participants with solid tumors with known concomitant SMARCA2 mutation or loss ofprotein expression

  • Clinically significant or uncontrolled cardiac disease, uncontrolled electrolytedisorders, uncontrolled or symptomatic central nervous system (CNS) metastases orleptomeningeal disease

  • History of another malignancy within 3 years except for adequately treated basalcell or squamous cell skin cancer, superficial bladder cancer, prostateintraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive orindolent malignancies, or malignancies previously treated with curative intent andnot on active therapy or expected to require treatment or recurrence during thestudy

  • Concurrent treatment with strong or moderate CYP3A4 inhibitor or inducer

Study Design

Total Participants: 135
Treatment Group(s): 2
Primary Treatment: Docetaxel
Phase: 1
Study Start date:
May 02, 2023
Estimated Completion Date:
March 31, 2026

Study Description

This is an open-label, multi-center, dose-escalation, first in human, Phase 1 study of PRT3789 as monotherapy and in combination with docetaxel, a SMARCA2 degrader, evaluating participants with advanced or metastatic solid tumors with loss of SMARCA4 due to truncating mutation and/or deletion. The study will evaluate escalating doses of PRT3789 until the MTD or RP2D is determined. Taking into account pharmacokinetic and pharmacodynamic data from the preceding dose levels, the dose may be escalated until a dose limiting toxicity is identified. Approximately 186 participants will be enrolled in monotherapy, dose escalation, backfill, and combination cohorts.

Connect with a study center

  • lnstitut Bergonie Centre Regionale de Lutte Contre le cancer, Service Oncologie-Medicale

    Bordeaux, 33000
    France

    Site Not Available

  • Centre Leon Berard

    Lyon Cedex 08, 69373
    France

    Site Not Available

  • lnstitut Paoli Calmettes

    Marseille, 13009
    France

    Site Not Available

  • Oncopole Claudius Regaud IUCT ONCOPOLE

    Toulouse, 31059
    France

    Site Not Available

  • Institut Gustave Roussy

    Villejuif Cedex, 94805
    France

    Site Not Available

  • Leids Universitair Medisch Centrum

    Leiden, 2333 ZA
    Netherlands

    Site Not Available

  • National Cancer Centre Singapore

    Singapore, 168583
    Singapore

    Site Not Available

  • National University Hospital

    Singapore, 119074
    Singapore

    Site Not Available

  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • START Barcelona - HM Nou Delfos

    Barcelona, 08023
    Spain

    Site Not Available

  • Hospital Universitario HM Sanchinarro

    Madrid, 28050
    Spain

    Site Not Available

  • START MADRID - FJD Hospital Universitario Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Site Not Available

  • University of California, Davis Comprehensive Cancer Center

    Sacramento, California 95817
    United States

    Site Not Available

  • UCLA Hematology/Oncology - Santa Monica

    Santa Monica, California 90404
    United States

    Site Not Available

  • Smilow Cancer Hospital Phase 1 Unit

    New Haven, Connecticut 06511
    United States

    Site Not Available

  • AdventHealth Medical Group Oncology Research at Celebration

    Celebration, Florida 34747
    United States

    Site Not Available

  • Mayo Clinic, Jacksonville

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • Winship Cancer Institute

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Northwestern Memorial Hospital

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Mayo Clinic, Rochester

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Washington University School of Medicine - Siteman Cancer Center

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Laura & Isaac Perlmutter Cancer Center at NYU Langone Health

    New York, New York 10016
    United States

    Site Not Available

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10065
    United States

    Site Not Available

  • New York Presbyterian Hospital - Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Providence Cancer Institute Franz Clinic

    Portland, Oregon 97213
    United States

    Site Not Available

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • NEXT Virginia

    Fairfax, Virginia 22031
    United States

    Site Not Available

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