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Study of GS-2426 in Participants With Advanced Solid Tumors
A Phase 1, Multicenter, Open-Label Clinical Study to Evaluate the Safety and Tolerability of GS-2426 in Participants With Advanced MTAP-Deleted Solid Tumors
The goal of this clinical study is to learn more about the study drug GS-2426, and how safe and tolerable it is in participants with advanced methylthioadenosine phosphorylase (MTAP)-deleted solid tumors.
The primary objective of this study is to evaluate the safety and tolerability of GS-2426 in participants with MTAP-deleted advanced solid tumors and to determine the maximum tolerated dose (MTD)/maximum administered dose (MAD) and the recommended phase II dose (RP2D).
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Gilead Clinical Study Information Center
- Telefoonnummer: 1-833-445-3230 (GILEAD-0)
- E-mail: GileadClinicalTrials@gilead.com
Studie Locaties
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Michigan
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Grand Rapids, Michigan, Verenigde Staten, 49546
- Werving
- START MidWest
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New Jersey
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East Brunswick, New Jersey, Verenigde Staten, 08816
- Werving
- START Astera, LLC
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New York
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New York, New York, Verenigde Staten, 10065
- Werving
- Memorial Sloan Kettering Cancer Center
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Texas
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San Antonio, Texas, Verenigde Staten, 78229
- Werving
- START San Antonio, LLC
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Key Inclusion Criteria:
- Participants 18 years of age or older (≥ 19 years old for participants in South Korea).
- Histologically or cytologically confirmed advanced malignant solid tumors, who have progressed on, are intolerant to or are ineligible for standard therapy, or have no standard treatment options.
- Participant tumors are methylthioadenosine phosphorylase (MTAP)-deficient.
- Adequate organ function
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- All participants must provide a pretreatment tumor tissue sample.
Key Exclusion Criteria:
- Participants with plans to breastfeed during the study period or within 7 days following the last dose of study intervention.
- Have not recovered (ie, returned to Grade 1 or baseline) from clinically significant adverse events (AEs) due to a previously administered agent or a previous intervention as assessed by the investigator.
- Active second malignancy. Individuals with a history of malignancy who have been completely treated with no evidence of active cancer for 5 years prior to enrollment, or individuals with surgically cured tumors with low risk of recurrence may be enrolled.
- Requirement for ongoing therapy with any prohibited medications .
- Prior therapy with a protein arginine methyltransferase 5 (PRMT5) inhibitor or methionine adenosine transferase 2a (MAT2A) inhibitor.
- Have serious infection requiring antibiotics within 14 days prior to the first dose.
- Uncontrolled concurrent diseases
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Phase 1a: Monotherapy Dose Escalation
Participants will receive escalating doses of GS-2426 monotherapy, until disease progression, or until the participant meets other study drug discontinuation criteria as specified in protocol, or up to a maximum of 105 week, whichever occurs first.
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Administered Orally
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Experimenteel: Phase 1b: Monotherapy Dose Expansion
Participants will be enrolled in different indication-specific cohorts.
Participants will receive GS-2426 monotherapy at the recommended dose until disease progression, or until the participant meets other study drug discontinuation criteria as specified in protocol, or up to a maximum of 105 weeks, whichever occurs first.
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Administered Orally
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAE)
Tijdsspanne: First dose up to 30 days post last dose (up to 105 weeks)
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First dose up to 30 days post last dose (up to 105 weeks)
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Percentage of Participants Experiencing Clinical Laboratory Abnormalities
Tijdsspanne: First dose up to 30 days post last dose (up to 105 weeks)
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First dose up to 30 days post last dose (up to 105 weeks)
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Maximum Tolerated Dose (MTD)/Maximum Administered Dose (MAD)
Tijdsspanne: First dose up to 21 days post first dose
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First dose up to 21 days post first dose
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Recommended Phase 2 Dose (RP2D)
Tijdsspanne: Predose to end of study (up to 105 weeks)
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Predose to end of study (up to 105 weeks)
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Percentage of Participants Experiencing Any Dose-limiting Toxicities (DLTs)
Tijdsspanne: First dose up to 21 days post first dose
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First dose up to 21 days post first dose
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Plasma Concentration of GS-2426
Tijdsspanne: Predose and postdose up to end of treatment (up to 105 weeks)
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Predose and postdose up to end of treatment (up to 105 weeks)
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Pharmacokinetic (PK) Parameter: AUC0-24h of GS-2426
Tijdsspanne: Predose and postdose up to end of treatment (up to 105 weeks)
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AUC0-24h is defined as the area under concentration versus time from 0 to 24 hours.
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Predose and postdose up to end of treatment (up to 105 weeks)
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PK Parameters: Cmax of GS-2426
Tijdsspanne: Predose and postdose up to end of treatment (up to 105 weeks)
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Cmax is defined as the maximum observed plasma drug concentration.
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Predose and postdose up to end of treatment (up to 105 weeks)
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PK Parameters: Tmax of GS-2426
Tijdsspanne: Predose and postdose up to end of treatment (up to 105 weeks)
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Tmax is defined as the time to peak plasma drug concentration of GS-2426.
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Predose and postdose up to end of treatment (up to 105 weeks)
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie directeur: Gilead Study Director, Gilead Sciences
Publicaties en nuttige links
Nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- GH31C101A
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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