S095035 as a Single Agent and in Combination in Adult Participants With Advanced or Metastatic Solid Tumors With Deletion of MTAP

Last updated: April 2, 2026
Sponsor: Servier Bio-Innovation LLC
Overall Status: Active - Recruiting

Phase

1/2

Condition

Digestive System Neoplasms

Gall Bladder Cancer

Neoplasms

Treatment

TNG462

S095035

Clinical Study ID

NCT06188702
CL1-95035-001
2025-521249-25-00
  • Ages > 18
  • All Genders

Study Summary

This is a first-in-human Phase 1/2, multicenter, open-label study of S095035 as single-agent, or in combination with TNG462 in adult participants with advanced or metastatic solid tumors with homozygous deletion of MTAP who have failed to respond to or have progressed after at least 1 prior treatment regimen, and for whom additional effective standard treatment is not available. S095035 is an oral methionine adenosyltransferase 2A [MAT2A] inhibitor. TNG462 is a protein arginine N-methyltransferase 5 [PRMT5] inhibitor.

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

Total Participants: 342
Treatment Group(s): 2
Primary Treatment: TNG462
Phase: 1/2
Study Start date:
April 29, 2024
Estimated Completion Date:
October 31, 2031

Connect with a study center

  • Scientia Clinical Research

    Randwick, New South Wales 2031
    Australia

    Active - Recruiting

  • Scientia Clinical Research

    Randwick 2208285, New South Wales 2155400 2031
    Australia

    Site Not Available

  • The Alfred

    Prahran, Victoria 3004
    Australia

    Active - Recruiting

  • The Alfred

    Prahran 2152593, Victoria 2145234 3004
    Australia

    Site Not Available

  • Townsville University Hospital

    Douglas, 4812
    Australia

    Active - Recruiting

  • Townsville University Hospital

    Douglas 8348255, 4812
    Australia

    Site Not Available

  • Townsville University Hospital

    Douglas, QLS, 4812
    Australia

    Site Not Available

  • Royal Hobart Hospital

    Hobart, 7000
    Australia

    Suspended

  • Royal Hobart Hospital

    Hobart 2163355, 7000
    Australia

    Site Not Available

  • University Hospital Rigshospitalet

    Copenhagen, 2100
    Denmark

    Site Not Available

  • University Hospital Rigshospitalet

    Copenhagen 2618425, 2100
    Denmark

    Site Not Available

  • Odense Universitets Hospital

    Odense, 5000
    Denmark

    Active - Recruiting

  • Odense Universitets Hospital

    Odense 2615876, 5000
    Denmark

    Site Not Available

  • Institut Bergonié

    Bordeaux, 33076
    France

    Active - Recruiting

  • Institut Bergonié

    Bordeaux 3031582, 33076
    France

    Site Not Available

  • Centre Georges-François Leclerc

    Dijon, 21079
    France

    Active - Recruiting

  • Centre Georges-François Leclerc

    Dijon 3021372, 21079
    France

    Site Not Available

  • Hôpital de la Timone (Marseille)

    Marseille, 13385
    France

    Active - Recruiting

  • Institut Gustave Roussy

    Paris, 94805
    France

    Active - Recruiting

  • Institut Oncopole Claudius Regaud

    Toulouse, 31059
    France

    Site Not Available

  • Charite Universitatsmedizin

    Berlin, 13353
    Germany

    Site Not Available

  • Charite Universitatsmedizin

    Berlin 2950159, 13353
    Germany

    Site Not Available

  • Universitätsklinikum Düsseldorf

    Düsseldorf, 40225
    Germany

    Active - Recruiting

  • Universitätsklinikum Düsseldorf

    Düsseldorf 2934246, 40225
    Germany

    Site Not Available

  • Med Fakultaet Heidelberg

    Heidelberg, 69120
    Germany

    Site Not Available

  • Med Fakultaet Heidelberg

    Heidelberg 2907911, 69120
    Germany

    Site Not Available

  • Universitätsklinikum Ulm

    Ulm, 89081
    Germany

    Active - Recruiting

  • Universitätsklinikum Ulm

    Ulm 2820256, 89081
    Germany

    Site Not Available

  • Istituto Europeo Di Oncologia

    Milan, 20141
    Italy

    Site Not Available

  • Istituto Europeo Di Oncologia

    Milan 6951411, 20141
    Italy

    Site Not Available

  • Istituto Europeo Di Oncologia

    Milano, 20141
    Italy

    Site Not Available

  • A.O.U. Seconda Università Degli Studi Di Napoli

    Naples, 80131
    Italy

    Active - Recruiting

  • Ist. Nazionale Tumori Irccs Fondazione G Pascale

    Naples, 80131
    Italy

    Active - Recruiting

  • A.O.U. Seconda Università Degli Studi Di Napoli

    Napoli, 80131
    Italy

    Site Not Available

  • Ist. Nazionale Tumori Irccs Fondazione G Pascale

    Napoli, 80131
    Italy

    Site Not Available

  • A.O.U. Seconda Università Degli Studi Di Napoli

    Napoli 9031661, 80131
    Italy

    Site Not Available

  • Ist. Nazionale Tumori Irccs Fondazione G Pascale

    Napoli 9031661, 80131
    Italy

    Site Not Available

  • Instituto Clinico Humanitas Irccs

    Rozzano, 20098
    Italy

    Active - Recruiting

  • Instituto Clinico Humanitas Irccs

    Rozzano 3168837, 20098
    Italy

    Site Not Available

  • Policlinico G.B. Rossi A.O.U.I. Di Verona

    Verona, 37134
    Italy

    Active - Recruiting

  • Policlinico G.B. Rossi A.O.U.I. Di Verona

    Verona 3164527, 37134
    Italy

    Site Not Available

  • Aichi Cancer Center

    Aichi, 4648681
    Japan

    Active - Recruiting

  • Aichi Cancer Center

    Aichi 11192139, 4648681
    Japan

    Site Not Available

  • National Hospital Organization Shikoku Cancer Center

    Ehime, 7910280
    Japan

    Active - Recruiting

  • The Cancer Institute Hospital of JFCR

    Tokyo, 1358550
    Japan

    Active - Recruiting

  • The Cancer Institute Hospital of JFCR

    Tokyo 1850147, 1358550
    Japan

    Site Not Available

  • Hospital Vall D'Hebron

    Barcelona, 8035
    Spain

    Active - Recruiting

  • Next Oncology-Hospital Quironsalud Barcelona

    Barcelona, 8023
    Spain

    Active - Recruiting

  • Hospital Vall D'Hebron

    Barcelona 3128760, 8035
    Spain

    Site Not Available

  • Next Oncology-Hospital Quironsalud Barcelona

    Barcelona 3128760, 8023
    Spain

    Site Not Available

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040
    Spain

    Active - Recruiting

  • Start Madrid Group - Hm Ciocc

    Madrid, 28050
    Spain

    Active - Recruiting

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid 3117735, 28040
    Spain

    Site Not Available

  • Start Madrid Group - Hm Ciocc

    Madrid 3117735, 28050
    Spain

    Active - Recruiting

  • University of California Los Angeles

    Los Angeles, California 90095
    United States

    Site Not Available

  • University of California, San Francisco (Ucsf) School of Medicine

    San Francisco, California 94143
    United States

    Site Not Available

  • University of California Los Angeles

    Los Angeles 5368361, California 5332921 90095
    United States

    Site Not Available

  • University of California, San Francisco (Ucsf) School of Medicine

    San Francisco 5391959, California 5332921 94143
    United States

    Site Not Available

  • Lake Mary Cancer Center - Florida Cancer Specialists & Research Institute

    Lake Mary, Florida 32746
    United States

    Terminated

  • Lake Mary Cancer Center - Florida Cancer Specialists & Research Institute

    Lake Mary 4161373, Florida 4155751 32746
    United States

    Site Not Available

  • Community Health Network

    Indianapolis, Indiana 46250
    United States

    Active - Recruiting

  • Community Health Network

    Indianapolis 4259418, Indiana 4921868 46250
    United States

    Site Not Available

  • Dana Farber Cancer Institue

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Dana Farber Cancer Institue

    Boston 4930956, Massachusetts 6254926 02215
    United States

    Site Not Available

  • Duke University School of Medicine

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Duke University School of Medicine

    Durham 4464368, North Carolina 4482348 27710
    United States

    Site Not Available

  • Taylor Cancer Research Center

    Maumee, Ohio 43537
    United States

    Active - Recruiting

  • Taylor Cancer Research Center

    Maumee 5162137, Ohio 5165418 43537
    United States

    Site Not Available

  • SCRI Oncology Partners

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • SCRI Oncology Partners

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Site Not Available

  • NEXT Oncology

    Austin, Texas 78758
    United States

    Active - Recruiting

  • NEXT Oncology

    Austin 4671654, Texas 4736286 78758
    United States

    Site Not Available

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