This is a Phase 1, open-label, multicenter, dose escalation and expansion study of the safety, PK, PD, and preliminary anti-tumor activity of IDE397 as a single agent and in combination with sacituzumab govitecan (SG), in adult patients with selected advanced or metastatic MTAP-deleted advanced solid tumors who are unresponsive to standard of care therapy. IDE397 is a small molecule inhibitor of methionine adenosyltransferase 2 alpha (MAT2A).
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Participant must be at least 18 years of age
* Advanced or metastatic solid tumor that has progressed on at least one prior line of treatment or is intolerant to additional effective standard therapy
* Have evidence of homozygous loss of MTAP or MTAP deletion
* Willing to undergo paired fresh biopsy (pre- and post-treatment) procedure. Exceptions may be made for feasibility and safety concerns
* Measurable disease
* ECOG performance status \<= 1
* Adequate organ function
* Able to swallow and retain orally administered study treatment
* Recovery from acute effects of prior therapy
* Able to comply with contraceptive/barrier requirements
Exclusion Criteria:
* Known symptomatic brain metastases
* Known primary CNS malignancy
* Current active liver or biliary disease
* Impairment of gastrointestinal (GI) function
* Active uncontrolled infection
* Clinically significant cardiac abnormalities
* Active second malignancy or history of another malignancy in the past 2 years
* Previous treatment with a MAT2A inhibitor and / or PRMT inhibitor or sacituzumab govitecan
* Systemic anti-cancer therapy, therapeutic antibody treatment, or major surgery within 4 weeks prior to study entry
* Current radiation-related toxicity or radiation therapy within 2 weeks prior to study entry
* Small molecule anti-cancer treatment within 2 weeks prior to study entry
* Prior irradiation to \>25% of the bone marrow
* Current use or anticipated need for food or drugs that are known strong CYP3A4/5 inhibitors or inducers
* Require concomitant use of proton pump inhibitor
* Currently receiving another investigational study drug.
* Known or suspected hypersensitivity to IDE397/excipients or components
Primary outcome measure(s)
Dose-limiting Toxicities (DLTs) of IDE397 — 21 days following the first dose of IDE397 Incidence of DLTs of IDE397 will be determined
Dose-limiting Toxicities (DLTs) of IDE397 in combination with sacituzumab govitecan — 21 - 28 days following the first dose of IDE397 Incidence of DLTs of IDE397 in a combination setting will be determined
Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of IDE397 — Approximately 2 years MTD and RP2D of IDE397 will be determined
Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of IDE397 in combination with sacituzumab govitecan — Approximately 2 years MTD and RP2D of IDE397 in a combination setting will be determined
To evaluate preliminary anti-tumor activity of IDE397 as monotherapy and in combination with sacituzumab govitecan-hziy in expansion arms — Approximately 2 years Objective Response Rate (ORR) and Duration of Response (DoR)
Trial sites (37)
Facility
City
Region
Status
Honor Health Research Institute
Scottsdale
Arizona
Rockefeller Cancer Institute
Little Rock
Arkansas
City of Hope
Duarte
California
Orlando Health Cancer Institute
Orlando
Florida
Indiana University Health Hospital
Indianapolis
Indiana
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore
Maryland
Dana Farber Cancer Institute
Boston
Massachusetts
Columbia University Medical Center - Herbert Irving Pavilion
New York
New York
Weill Cornell Medical College
New York
New York
Stephenson Cancer Center
Oklahoma City
Oklahoma
LifeSpan - Brown University
Providence
Rhode Island
Sarah Cannon Research Institute
Nashville
Tennessee
MD Anderson
Houston
Texas
Next Oncology
San Antonio
Texas
Swedish Cancer Institute
Seattle
Washington
The Kinghorn Cancer Centre, St Vincent's Health Network Sydney
Darlinghurst
New South Wales
Southern Oncology Clinical Research Unit
Bedford Park
South Australia
Institut Bergonie
Bordeaux
Bordeaux Cedex
Institut Claudius Regaud - IUCT-Oncopole
Toulouse
Cedex 9
Hôpital Timone
Marseille
Marseille
Centre Georges Francois LeClerc
Dijon
France
Centre Eugène Marquis
Rennes
France
Gustave Roussy
Villejuif
France
Universitaetsklinikum Hamburg-Eppendorf (UKE)
Hamburg
Germany
National Cancer Center
Goyang-si
Gyeonggi-do
CHA University - Bundang Medical Center
Seongnam-si
Gyeonggi-do
Chungbuk National University Hospital
Cheongju-si
North Chungcheong
Sevrance Hospital
Seoul
South Korea
Asan Medical Center
Seoul
South Korea
Samsung Medical Center
Seoul
South Korea
Seoul National University Hospital
Seoul
South Korea
Hospital Universitario 12 de Octubre (H12O)
Madrid
Spain
START Madrid-HM - Centro Integral Oncológico Clara Campal (CIOCC)
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.