Phase
Condition
Digestive System Neoplasms
Gall Bladder Cancer
Neoplasms
Treatment
TNG462
S095035
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Estimated life expectancy ≥3 months.
ECOG PS 0-1
Participants able to comply with highly effective method of birth controlrequirements.
Participants with histologically confirmed advanced or metastatic solid tumor's (excluding central nervous system tumors other than IDHwt glioblastoma), withmeasurable disease as per RECIST 1.1 or RANO 2.0 criteria for participants withIDHwt glioblastoma, that have progressed after at least one prior treatment regimengiven for advanced/metastatic disease, and for whom additional effective standardtherapy is not available. Patients in China with IDHwt glioblastoma will not beincluded.
Participants with pre-existing documented MTAP homozygous gene deletion in theirtumor tissue, determined using a next generation sequencing in vitro diagnostic testprior to screening.
Phase 1 only - Participants (except IDHwt glioblastoma) willing to undergo pairedfresh biopsy (pre-treatment and on-treatment) procedure. Exceptions may be made forfeasibility and safety concerns. IDHwt glioblastoma must provide archival tissuefrom most recent surgery or biopsy.
Adequate organ functions.
Phase 2 only - Participants in dose expansion, except those with IDHwt glioblastoma,must provide newly collected tumor biopsies at screening. If not medically feasiblearchival tissue may be used, provided it was collected within 3 months before studyentry and no treatment has been received since the most recent biopsy.
Phase 2 only - Participants with IDHwt glioblastoma must provide archival tissuefrom their most recent surgery or biopsy, collected before screening.
Phase 2 only - Participants in China who are to be considered for enrollment in thesingle agent dose expansion Arms and who have a pre-existing, documentedcyclin-dependent kinase inhibitor 2A (CDKN2A) homozygous gene deletion in theirtumor tissue (confirmed by an NGS IVD test), but do not have homozygous MTAPdeletion reported, will need to be pre-screened to confirm homozygous MTAP deletion.Pre screening for homozygous MTAP deletion will be conducted using a central NGS IVDtest using an archival tumor tissue, preferably the most recent and not older than 3years.
Phase 2 Arm 1a only - Participants with histologically or cytologically confirmedmetastatic or unresectable locally advanced NSCLC with homozygous deletion of MTAP,with measurable disease as per RECIST version 1.1, who have progressed orexperienced disease recurrence during or after at least 1 prior line ofstandard-of-care systemic therapy in the advanced/metastatic setting.
Phase 2 Arm 1b only - Participants with histologically or cytologically confirmedmetastatic or unresectable locally advanced BTC with homozygous deletion of MTAP,who have progressed or experienced disease recurrence during or after at least 1prior line of standard-of-care systemic therapy in the advanced/metastatic setting.
Phase 2 Arm 1c only - Participants with histologically or cytologically confirmedmetastatic or unresectable locally advanced PDAC with homozygous deletion of MTAP,who have progressed or experienced disease recurrence during or after at least 1prior line of standard-of-care systemic therapy in the advanced/metastatic setting.
Phase 2 Arm 1d only - Participants with any other locally advanced or metastaticmalignancies with homozygous deletion of MTAP, who have received and progressed ofexperienced recurrence during or after receiving at least 1 prior line ofstandard-of-care systemic therapy in the advanced/metastatic setting.
Phase 2 Arm 2a only - Participants with histologically or cytologically confirmedmetastatic or unresectable locally advanced BTC with homozygous deletion of MTAP,who have progressed or experienced disease recurrence during or after receiving atleast 1 prior line of standard-of care systemic therapy in the advanced/metastaticsetting.
Phase 2 Arm 2b only - Participants with histologically or cytologically confirmedmetastatic or unresectable locally advanced gastroesophageal cancer with homozygousdeletion of MTAP, who have progressed or experienced disease recurrence during orafter receiving at least 1 prior line of standard-of-care systemic therapy in theadvanced/metastatic setting.
Phase 2 Arm 2c only - Participants with histologically or cytologically confirmedmetastatic or unresectable locally advanced PDAC with homozygous deletion of MTAP,who have progressed or experienced disease recurrence during or after receiving atleast 1 prior line of standard-of-care systemic therapy in the advanced/metastaticsetting.
Exclusion
Exclusion Criteria:
Inability to take an orally administered drug, or medical disorder or prior surgicalresection that may affect the absorption of the study drug.
Active second primary malignancy other than non-melanoma skin cancers, nonmetastaticprostate cancer, in situ cervical cancer, ductal or lobular carcinoma in situ of thebreast, or other malignancy that the Sponsor's Medical monitor and investigatoragree and document that it should not be exclusionary.
Known prior severe hypersensitivity to any component of the study drug formulation.
Major surgery within 4 weeks prior to the first study drug administration orparticipants who have not recovered from side effects of the surgery.
Have a known history of Gilbert's syndrome.
Participants with a known clinically significant cardiovascular disease orcondition.
Participants with thrombosis, or a history of deep vein thrombosis or pulmonaryembolism, within 4 weeks prior to first IMP administration.
Active brain metastases.
Participants who have received systemic anticancer treatment or radiotherapy lessthan 2 weeks before the first dose of study drug
Pregnant or lactating women.
Women of childbearing potential who have a positive pregnancy test within 7 daysprior to the first day of study drug administration.
History of gastrointestinal perforation and /or fistula or aorto-esophageal fistulawithin 6 months prior to first study drug intake.
Severe or uncontrolled active acute or chronic infection.
Participants who have already received a MAT2A or PRMT5 inhibitor.
A medical condition that results in increased clinically significantphotosensitivity (e.g., solar urticaria, lupus erythematosus, etc.).
Participants who are scheduled to receive the S095035-TNG462 combination, with aknown clinically significant ophthalmologic disease, including:
Prior history of drug-induced or toxic retinopathy or optic neuropathy
Uncontrolled glaucoma
Pre-existing macular degeneration
Ongoing Grade ≥2 retinopathy, optic neuropathy, or optic neuritis
Other known active retinal pathology
Study Design
Connect with a study center
Scientia Clinical Research
Randwick, New South Wales 2031
AustraliaActive - Recruiting
Scientia Clinical Research
Randwick 2208285, New South Wales 2155400 2031
AustraliaSite Not Available
The Alfred
Prahran, Victoria 3004
AustraliaActive - Recruiting
The Alfred
Prahran 2152593, Victoria 2145234 3004
AustraliaSite Not Available
Townsville University Hospital
Douglas, 4812
AustraliaActive - Recruiting
Townsville University Hospital
Douglas 8348255, 4812
AustraliaSite Not Available
Townsville University Hospital
Douglas, QLS, 4812
AustraliaSite Not Available
Royal Hobart Hospital
Hobart, 7000
AustraliaSuspended
Royal Hobart Hospital
Hobart 2163355, 7000
AustraliaSite Not Available
University Hospital Rigshospitalet
Copenhagen, 2100
DenmarkSite Not Available
University Hospital Rigshospitalet
Copenhagen 2618425, 2100
DenmarkSite Not Available
Odense Universitets Hospital
Odense, 5000
DenmarkActive - Recruiting
Odense Universitets Hospital
Odense 2615876, 5000
DenmarkSite Not Available
Institut Bergonié
Bordeaux, 33076
FranceActive - Recruiting
Institut Bergonié
Bordeaux 3031582, 33076
FranceSite Not Available
Centre Georges-François Leclerc
Dijon, 21079
FranceActive - Recruiting
Centre Georges-François Leclerc
Dijon 3021372, 21079
FranceSite Not Available
Hôpital de la Timone (Marseille)
Marseille, 13385
FranceActive - Recruiting
Institut Gustave Roussy
Paris, 94805
FranceActive - Recruiting
Institut Oncopole Claudius Regaud
Toulouse, 31059
FranceSite Not Available
Charite Universitatsmedizin
Berlin, 13353
GermanySite Not Available
Charite Universitatsmedizin
Berlin 2950159, 13353
GermanySite Not Available
Universitätsklinikum Düsseldorf
Düsseldorf, 40225
GermanyActive - Recruiting
Universitätsklinikum Düsseldorf
Düsseldorf 2934246, 40225
GermanySite Not Available
Med Fakultaet Heidelberg
Heidelberg, 69120
GermanySite Not Available
Med Fakultaet Heidelberg
Heidelberg 2907911, 69120
GermanySite Not Available
Universitätsklinikum Ulm
Ulm, 89081
GermanyActive - Recruiting
Universitätsklinikum Ulm
Ulm 2820256, 89081
GermanySite Not Available
Istituto Europeo Di Oncologia
Milan, 20141
ItalySite Not Available
Istituto Europeo Di Oncologia
Milan 6951411, 20141
ItalySite Not Available
Istituto Europeo Di Oncologia
Milano, 20141
ItalySite Not Available
A.O.U. Seconda Università Degli Studi Di Napoli
Naples, 80131
ItalyActive - Recruiting
Ist. Nazionale Tumori Irccs Fondazione G Pascale
Naples, 80131
ItalyActive - Recruiting
A.O.U. Seconda Università Degli Studi Di Napoli
Napoli, 80131
ItalySite Not Available
Ist. Nazionale Tumori Irccs Fondazione G Pascale
Napoli, 80131
ItalySite Not Available
A.O.U. Seconda Università Degli Studi Di Napoli
Napoli 9031661, 80131
ItalySite Not Available
Ist. Nazionale Tumori Irccs Fondazione G Pascale
Napoli 9031661, 80131
ItalySite Not Available
Instituto Clinico Humanitas Irccs
Rozzano, 20098
ItalyActive - Recruiting
Instituto Clinico Humanitas Irccs
Rozzano 3168837, 20098
ItalySite Not Available
Policlinico G.B. Rossi A.O.U.I. Di Verona
Verona, 37134
ItalyActive - Recruiting
Policlinico G.B. Rossi A.O.U.I. Di Verona
Verona 3164527, 37134
ItalySite Not Available
Aichi Cancer Center
Aichi, 4648681
JapanActive - Recruiting
Aichi Cancer Center
Aichi 11192139, 4648681
JapanSite Not Available
National Hospital Organization Shikoku Cancer Center
Ehime, 7910280
JapanActive - Recruiting
The Cancer Institute Hospital of JFCR
Tokyo, 1358550
JapanActive - Recruiting
The Cancer Institute Hospital of JFCR
Tokyo 1850147, 1358550
JapanSite Not Available
Hospital Vall D'Hebron
Barcelona, 8035
SpainActive - Recruiting
Next Oncology-Hospital Quironsalud Barcelona
Barcelona, 8023
SpainActive - Recruiting
Hospital Vall D'Hebron
Barcelona 3128760, 8035
SpainSite Not Available
Next Oncology-Hospital Quironsalud Barcelona
Barcelona 3128760, 8023
SpainSite Not Available
Hospital Universitario Fundación Jiménez Díaz
Madrid, 28040
SpainActive - Recruiting
Start Madrid Group - Hm Ciocc
Madrid, 28050
SpainActive - Recruiting
Hospital Universitario Fundación Jiménez Díaz
Madrid 3117735, 28040
SpainSite Not Available
Start Madrid Group - Hm Ciocc
Madrid 3117735, 28050
SpainActive - Recruiting
University of California Los Angeles
Los Angeles, California 90095
United StatesSite Not Available
University of California, San Francisco (Ucsf) School of Medicine
San Francisco, California 94143
United StatesSite Not Available
University of California Los Angeles
Los Angeles 5368361, California 5332921 90095
United StatesSite Not Available
University of California, San Francisco (Ucsf) School of Medicine
San Francisco 5391959, California 5332921 94143
United StatesSite Not Available
Lake Mary Cancer Center - Florida Cancer Specialists & Research Institute
Lake Mary, Florida 32746
United StatesTerminated
Lake Mary Cancer Center - Florida Cancer Specialists & Research Institute
Lake Mary 4161373, Florida 4155751 32746
United StatesSite Not Available
Community Health Network
Indianapolis, Indiana 46250
United StatesActive - Recruiting
Community Health Network
Indianapolis 4259418, Indiana 4921868 46250
United StatesSite Not Available
Dana Farber Cancer Institue
Boston, Massachusetts 02215
United StatesSite Not Available
Dana Farber Cancer Institue
Boston 4930956, Massachusetts 6254926 02215
United StatesSite Not Available
Duke University School of Medicine
Durham, North Carolina 27710
United StatesSite Not Available
Duke University School of Medicine
Durham 4464368, North Carolina 4482348 27710
United StatesSite Not Available
Taylor Cancer Research Center
Maumee, Ohio 43537
United StatesActive - Recruiting
Taylor Cancer Research Center
Maumee 5162137, Ohio 5165418 43537
United StatesSite Not Available
SCRI Oncology Partners
Nashville, Tennessee 37203
United StatesActive - Recruiting
SCRI Oncology Partners
Nashville 4644585, Tennessee 4662168 37203
United StatesSite Not Available
NEXT Oncology
Austin, Texas 78758
United StatesActive - Recruiting
NEXT Oncology
Austin 4671654, Texas 4736286 78758
United StatesSite Not Available

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