- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05094336
AMG 193, Methylthioadenosine (MTA) Cooperative Protein Arginine Methyltransferase 5 (PRMT5) Inhibitor, Alone and in Combination With Docetaxel in Advanced Methylthioadenosine Phosphorylase (MTAP)-Null Solid Tumors (MTAP)
A Phase 1/1b/2 Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of AMG 193 Alone and in Combination With Docetaxel in Subjects With Advanced MTAP-null Solid Tumors
The primary objective of Parts 1 and 2 of this study is to evaluate the safety, tolerability, and to determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D) of AMG 193 alone and in combination with docetaxel in adult participants with metastatic or locally advanced methylthioadenosine phosphorylase (MTAP)-null solid tumors.
The primary objective of Part 3 of this study is to evaluate the objective response rate (ORR) of AMG 193 in adult participants with metastatic or locally advanced MTAP-null solid tumors.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Amgen Call Center
- Phone Number: 866-572-6436
- Email: medinfo@amgen.com
Study Locations
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New South Wales
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Camperdown, New South Wales, Australia, 2050
- Recruiting
- Chris OBrien Lifehouse
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Graz, Austria, 8036
- Recruiting
- Medizinische Universitaet Graz
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Salzburg, Austria, 5020
- Recruiting
- Landeskrankenhaus Salzburg
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Bruxelles, Belgium, 1200
- Recruiting
- Universite Catholique de Louvain Cliniques Universitaires Saint Luc
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Edegem, Belgium, 2650
- Recruiting
- Universitair Ziekenhuis Antwerpen
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Gent, Belgium, 9000
- Recruiting
- Universitair Ziekenhuis Gent
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Hasselt, Belgium, 3500
- Recruiting
- Jessa Ziekenhuis - Campus Virga Jesse
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Leuven, Belgium, 3000
- Recruiting
- Universitair Ziekenhuis Leuven - Campus Gasthuisberg
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Recruiting
- Cross Cancer Institute
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Ontario
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Toronto, Ontario, Canada, M5G 2M9
- Recruiting
- Princess Margaret Cancer Centre
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Dijon cedex, France, 21079
- Recruiting
- Centre Georges Francois Leclerc
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Lille, France, 59000
- Recruiting
- Centre Oscar Lambret
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Villejuif, France, 94805
- Recruiting
- Gustave Roussy
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Halle (Saale), Germany, 06120
- Recruiting
- Universitaetsklinikum Halle - Saale
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Heidelberg, Germany, 69120
- Recruiting
- Universitaetsklinikum Heidelberg
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Ulm, Germany, 89081
- Recruiting
- Universitaetsklinikum Ulm
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Wuerzburg, Germany, 97078
- Recruiting
- Universitaetsklinikum Wuerzburg
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Hong Kong, Hong Kong
- Recruiting
- University of Hong Kong, Queen Mary Hospital
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Shatin, New Territories, Hong Kong
- Recruiting
- Prince of Wales Hospital
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Aichi
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Nagoya-shi, Aichi, Japan, 464-8681
- Recruiting
- Aichi Cancer Center
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Chiba
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Kashiwa-shi, Chiba, Japan, 277-8577
- Recruiting
- National Cancer Center Hospital East
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Tokyo
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Chuo-ku, Tokyo, Japan, 104-0045
- Recruiting
- National Cancer Center Hospital
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Seongnam-si, Gyeonggi-do, Korea, Republic of, 13620
- Recruiting
- Seoul National University Bundang Hospital
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Seoul, Korea, Republic of, 05505
- Recruiting
- Asan Medical Center
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Seoul, Korea, Republic of, 03722
- Recruiting
- Severance Hospital Yonsei University Health System
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Bellinzona, Switzerland, 6500
- Recruiting
- Istituto Oncologico della Svizzera Italiana
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Bern, Switzerland, 3010
- Recruiting
- Inselspital Bern
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Geneve 14, Switzerland, 1211
- Recruiting
- Hopitaux Universitaires de Geneve
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Tainan, Taiwan, 70403
- Recruiting
- National Cheng Kung University Hospital
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Taipei, Taiwan, 10002
- Recruiting
- National Taiwan University Hospital
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Taipei, Taiwan, 11217
- Recruiting
- Taipei Veterans General Hospital
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Taoyuan, Taiwan, 33305
- Recruiting
- Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation
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London, United Kingdom, W1G 6AD
- Recruiting
- Sarah Cannon Research Institute UK
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California
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Duarte, California, United States, 91010
- Recruiting
- City of Hope National Medical Center
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San Francisco, California, United States, 94158
- Recruiting
- University of California at SF
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Indiana
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Goshen, Indiana, United States, 46526
- Recruiting
- Goshen Health Systems
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Indianapolis, Indiana, United States, 46202
- Recruiting
- Indiana University
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Indianapolis, Indiana, United States, 46250
- Recruiting
- Community Health Network MD Anderson Cancer Center - North
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Maryland
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Baltimore, Maryland, United States, 21201
- Recruiting
- University of Maryland Medical Center
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Bethesda, Maryland, United States, 20817
- Recruiting
- American Oncology Partners, PA
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Missouri
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Saint Louis, Missouri, United States, 63110
- Recruiting
- Washington University
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New York
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Bronx, New York, United States, 10461
- Recruiting
- Rutgers Cancer Institute of New Jersey
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Lake Success, New York, United States, 11042
- Recruiting
- Northwell Health Monter Cancer Center
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New York, New York, United States, 10016
- Recruiting
- New York University Langone Health
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North Carolina
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Durham, North Carolina, United States, 27710
- Recruiting
- Duke University Medical Center
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Ohio
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Cleveland, Ohio, United States, 44106
- Recruiting
- University Hospitals Cleveland Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19106
- Recruiting
- University of Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- Recruiting
- University of Pittsburgh Medical Center Cancer Pavillion
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Texas
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Dallas, Texas, United States, 75230
- Recruiting
- Mary Crowley Cancer Research
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Houston, Texas, United States, 77030
- Recruiting
- University of Texas MD Anderson Cancer Center
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Houston, Texas, United States, 77030
- Recruiting
- Center for Oncology and Blood Disorders
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Kingwood, Texas, United States, 77339
- Recruiting
- Lumi Research
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San Antonio, Texas, United States, 78229
- Recruiting
- South Texas Accelerated Research Therapeutics
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant has provided informed consent/assent before initiation of any study specific activities/procedures.
- Age ≥ 18 years.
- Evidence of homozygous loss of cyclin dependent kinase inhibitor 2A (CDKN2A) (null) (Parts 1a, 1j, 1k, and 2a only) and/or methylthioadenosine phosphorylase (MTAP) (null) in the tumor tissue or blood (Parts 1a to 1k, Parts 2a and 2b) or lost MTAP expression in the tumor tissue (Parts 1a to 1k, Parts 2a and 2b).
- Histologically confirmed metastatic or locally advanced solid tumor not amenable to curative treatment with surgery and/or radiation.
- Able to swallow and retain orally (PO) administered study treatment and willing to record daily adherence to investigational product.
- Disease measurable as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1).
Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
- Adequate hematopoietic function per local laboratory
- Adequate renal function per local laboratory
- Adequate glucose control per local laboratory (Part 1 only)
- Adequate liver function per local laboratory
- Adequate coagulation parameters
- Adequate pulmonary function
- Adequate cardiac function
- Minimum life expectancy of 12 weeks as per investigator judgement.
- A total of 25 slides of archived tumor tissue (formalin-fixed, paraffin-embedded [FFPE] sample collected within 5 years) or an archival block must be available.
- For Part 1f (MTAP-null or lost MTAP expression HNSCC): Must be willing to undergo tumor biopsy.
- For Part 1a: Must be willing to undergo tumor biopsy, before start of treatment (archival sample acceptable if obtained with 6 months of enrollment and subject has not received any other treatment since sample was obtained) and while on treatment.
- Part 1i: Enrollment criteria for Part 1i are to match the criteria of the expansion arm from which the indication was selected.
- For DSPS study (Part 1j): Must be willing to participate in DSPS substudy (US sites only).
Food Effect Substudy (Part 1k): Specific Inclusion Criteria
- Subject able and willing to eat a standardized high-fat, high-caloric meal
- Subject able and willing to fast for ≥ 6 hours
Exclusion Criteria:
- Spinal cord compression or untreated brain metastases or leptomeningeal disease.
- History of other malignancy within the past 2 years
- Any evidence of current interstitial lung disease
- Active infection
- Evidence of active severe acute respiratory syndrome coronavirus 2 (SARS-COV2) infection.
- History of arterial thrombosis
- Myocardial infarction and/or symptomatic congestive heart failure.
- Gastrointestinal tract disease
- History of bowel obstruction, abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess
- History of solid organ transplant.
- Diagnosis of Congenital Short QT Syndrome.
- Major surgery
- Anti-tumor therapy within 28 days of study day 1, unless anti-tumor therapy is a therapy with 5 times the half-life being shorter than 28 days
- Prior treatment with an methionine adenosyltransferase 2α (MAT2A) inhibitor or a protein arginine methyltransferase 5 (PRMT5) inhibitor.
- Prior treatment with docetaxel (Part 2 only)
- Prior irradiation to 25% of the bone marrow.
- Therapeutic or palliative radiation therapy within 2 weeks of study day 1.
- Live vaccine therapy within 4 weeks before study drug administration.
- Use of therapeutic anti-coagulation for treatment of active thromboembolic events.
- Use of prescription medications that are known strong inducers of cytochrome P450 3A4 (CYP3A4) within 14 days or 5 half-lives (whichever is longer) before study day 1
- Unresolved toxicity from prior anti-cancer therapy
- Currently receiving treatment in another investigational device or drug study
- Known positive test for Human Immunodeficiency Virus (HIV).
- Positive hepatitis B surface antigen
- positive hepatitis C virus ribonucleic acid (RNA) by polymerase chain reaction (PCR)
- Female participants of childbearing potential unwilling to use protocol specified method of contraception
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Part 2a, Phase 1: AMG 193 Dose Exploration + Docetaxel
Participants with MTAP-null NSCLC will receive escalating doses of AMG 193 + a fixed dose of docetaxel to estimate the MTD/RP2D of the combination.
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AMG 193: Orally via tablet
Other Names:
Docetaxel: Intravenous infusion
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Experimental: Part 2b, Phase 1: AMG 193 + Docetaxel Dose Expansion
Participants with MTAP-null NSCLC will receive the identified MTD/RP2D of AMG 193 + docetaxel.
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AMG 193: Orally via tablet
Other Names:
Docetaxel: Intravenous infusion
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Experimental: Part 1a, Phase 1: AMG 193 Monotherapy Dose Exploration
Participants with MTAP-null solid tumors will receive escalating doses of AMG 193 to estimate the MTD and/or the RP2D. A group of these participants in the United States (US) will have the option to take part in a Drug Substance Particle Size (DSPS) assessment. These participants will receive escalating doses of AMG 193 and a dose of a comparator AMG 193 test tablet. |
AMG 193: Orally via tablet
Other Names:
Comparator AMG 193 test tablet: Orally via tablet.
Only participants in the DSPS group of the Part 1a, Phase 1: AMG 193 Monotherapy Dose Exploration, and Part 1j, Phase 1 arms will receive comparator AMG 193 test tablet.
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Experimental: Part 1c, Phase 1: AMG 193 Monotherapy Dose Expansion
Participants will receive the identified MTD/RP2D of AMG 193 in the following cohort: MTAP-null or lost MTAP expression NSCLC.
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AMG 193: Orally via tablet
Other Names:
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Experimental: Part 3: AMG 193 Phase 2
Participants with MTAP-null solid tumors will receive AMG 193.
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AMG 193: Orally via tablet
Other Names:
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Experimental: Part 1e, Phase 1: AMG 193 Monotherapy Dose Expansion
Participants will receive the identified selected dose/MTD of AMG 193 in the following cohort: MTAP-null BTC.
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AMG 193: Orally via tablet
Other Names:
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Experimental: Part 1f, Phase 1: AMG 193 Monotherapy Dose Expansion
Participants will receive the identified selected dose/MTD of AMG 193 in the following cohort: MTAP-null head and neck squamous cell carcinoma (HNSCC) |
AMG 193: Orally via tablet
Other Names:
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Experimental: Part 1g, Phase 1: AMG 193 Monotherapy Dose Expansion
Participants will receive the identified selected dose/MTD of AMG 193 in the following cohort: MTAP-null pancreatic adenocarcinoma |
AMG 193: Orally via tablet
Other Names:
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Experimental: Part 1h, Phase 1: AMG 193 Monotherapy Dose Expansion
Participants will receive the identified selected dose/MTD of AMG 193 in the following cohort: MTAP-null or lost MTAP expression solid tumors (other than lymphoma or primary brain tumor).
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AMG 193: Orally via tablet
Other Names:
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Experimental: Part 1i, Phase 1: AMG 193 Dose Optimization
Participants will receive a randomized dose optimization evaluation of AMG 193.
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AMG 193: Orally via tablet
Other Names:
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Experimental: Part 1j, Phase 1: AMG 193 DSPS Substudy (US Sites Only)
Participants will receive doses of AMG 193 and comparator AMG 193 test tables at different times in a fasted state.
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AMG 193: Orally via tablet
Other Names:
Comparator AMG 193 test tablet: Orally via tablet.
Only participants in the DSPS group of the Part 1a, Phase 1: AMG 193 Monotherapy Dose Exploration, and Part 1j, Phase 1 arms will receive comparator AMG 193 test tablet.
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Experimental: Part 1k, Phase 1: AMG 193 Food Effect Substudy (US Sites Only)
Participants will receive AMG 193 once on a fasted state and once after eating a standardized high-fat, high calorie meal.
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AMG 193: Orally via tablet
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parts 1 and 2: Number of Participants Who Experience a Dose-Limiting Toxicity (DLT)
Time Frame: 28 days
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28 days
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Parts 1 and 2: Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE)
Time Frame: Up to approximately 2 years
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Adverse events (AEs) are defined as any untoward medical occurrence in clinical study participant irrespective of a causal relationship with the study treatment. TEAEs are any event that occurs after the participant has received study treatment. Any clinically significant changes in vital signs, electrocardiograms (ECGs) and clinical laboratory tests will be recorded as TEAEs. Serious AEs (SAEs) are defined as any event that meets at least 1 of the following serious criteria:
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Up to approximately 2 years
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Part 3: Objective Response Rate (ORR)
Time Frame: Up to approximately 2 years
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Up to approximately 2 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parts 1 and 2: Maximal Plasma Concentration (Cmax) of AMG 193
Time Frame: Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
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Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
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Parts 1 and 2: Time to Achieve Maximal Plasma Concentration (Tmax) of AMG 193
Time Frame: Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
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Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
|
|
Parts 1 and 2: Area Under the Plasma Concentration Versus Time Curve (AUC) of AMG 193
Time Frame: Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
|
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
|
|
Part 2 Only: Maximal Plasma Concentration (Cmax) of Docetaxel
Time Frame: Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
|
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
|
|
Part 2 Only: Time to Achieve Maximal Plasma Concentration (Tmax) of Docetaxel
Time Frame: Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
|
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
|
|
Part 2 Only: Area Under the Plasma Concentration Versus Time Curve (AUC) of Docetaxel
Time Frame: Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
|
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
|
|
Parts 1, 2 and 3: Disease Control Rate (DCR)
Time Frame: Up to approximately 2 years
|
Up to approximately 2 years
|
|
Parts 1, 2 and 3: Duration of Response (DoR)
Time Frame: Up to approximately 2 years
|
Up to approximately 2 years
|
|
Parts 1, 2 and 3: Time to Response (TTR)
Time Frame: Up to approximately 2 years
|
Up to approximately 2 years
|
|
Parts 1, 2 and 3: Duration of Stable Disease (SD)
Time Frame: Up to approximately 2 years
|
Up to approximately 2 years
|
|
Parts 1, 2 and 3: Progression-Free Survival (PFS)
Time Frame: Up to approximately 2 years
|
Up to approximately 2 years
|
|
Parts 1, 2 and 3: Overall Survival (OS)
Time Frame: Up to approximately 2 years
|
Up to approximately 2 years
|
|
Parts 1 and 2: ORR
Time Frame: Up to approximately 2 years
|
Up to approximately 2 years
|
|
Part 3 Only: Number of Participants Who Experience TEAE
Time Frame: Up to approximately 2 years
|
AEs are defined as any untoward medical occurrence in clinical study participant irrespective of a causal relationship with the study treatment. TEAEs are any event that occurs after the participant has received study treatment. Any clinically significant changes in vital signs, ECGs and clinical laboratory tests will be recorded as TEAEs. SAEs are defined as any event that meets at least 1 of the following serious criteria:
|
Up to approximately 2 years
|
Part 1a Only: Maximal Plasma Concentration (Cmax) of AMG 193
Time Frame: Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
|
Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
|
|
Part 1a Only: Time to Achieve Maximal Plasma Concentration (Tmax) of AMG 193
Time Frame: Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
|
Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
|
|
Part 1a Only: Area Under the Plasma Concentration Versus Time Curve (AUC) of AMG 193
Time Frame: Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
|
Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
|
|
Part 1a Only: Maximal Plasma Concentration (Cmax) of Comparator AMG 193 Test Tablet
Time Frame: Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
|
Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
|
|
Part 1a Only: Time to Achieve Maximal Plasma Concentration (Tmax) of Comparator AMG 193 Test Tablet
Time Frame: Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
|
Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
|
|
Part 1a Only: Area Under the Plasma Concentration Versus Time Curve (AUC) of Comparator AMG 193 Test Tablet
Time Frame: Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
|
Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
|
|
Part 1k Only: Cmax of AMG 193 during fasted state
Time Frame: Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
|
Part 1k Only: Tmax of AMG 193 during fasted state
Time Frame: Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
|
Part 1k Only: AUC of AMG 193 during fasted state
Time Frame: Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
|
Part 1k Only: Cmax of AMG 193 during fed state
Time Frame: Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
|
Part 1k Only: Tmax of AMG 193 during fed state
Time Frame: Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
|
Part 1k Only: AUC of AMG 193 during fed state
Time Frame: Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: MD, Amgen
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20210023
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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