- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07601243
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).
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 1
Kontakter och platser
Studiekontakt
- Namn: Gilead Clinical Study Information Center
- Telefonnummer: 1-833-445-3230 (GILEAD-0)
- E-post: GileadClinicalTrials@gilead.com
Studieorter
-
-
Michigan
-
Grand Rapids, Michigan, Förenta staterna, 49546
- Rekrytering
- START MidWest
-
-
New Jersey
-
East Brunswick, New Jersey, Förenta staterna, 08816
- Rekrytering
- START Astera, LLC
-
-
New York
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New York, New York, Förenta staterna, 10065
- Rekrytering
- Memorial Sloan Kettering Cancer Center
-
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Texas
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San Antonio, Texas, Förenta staterna, 78229
- Rekrytering
- START San Antonio, LLC
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Beskrivning
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.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Sekventiell tilldelning
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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.
|
Administered Orally
|
|
Experimentell: 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.
|
Administered Orally
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAE)
Tidsram: First dose up to 30 days post last dose (up to 105 weeks)
|
First dose up to 30 days post last dose (up to 105 weeks)
|
|
Percentage of Participants Experiencing Clinical Laboratory Abnormalities
Tidsram: First dose up to 30 days post last dose (up to 105 weeks)
|
First dose up to 30 days post last dose (up to 105 weeks)
|
|
Maximum Tolerated Dose (MTD)/Maximum Administered Dose (MAD)
Tidsram: First dose up to 21 days post first dose
|
First dose up to 21 days post first dose
|
|
Recommended Phase 2 Dose (RP2D)
Tidsram: Predose to end of study (up to 105 weeks)
|
Predose to end of study (up to 105 weeks)
|
|
Percentage of Participants Experiencing Any Dose-limiting Toxicities (DLTs)
Tidsram: First dose up to 21 days post first dose
|
First dose up to 21 days post first dose
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Plasma Concentration of GS-2426
Tidsram: Predose and postdose up to end of treatment (up to 105 weeks)
|
Predose and postdose up to end of treatment (up to 105 weeks)
|
|
|
Pharmacokinetic (PK) Parameter: AUC0-24h of GS-2426
Tidsram: Predose and postdose up to end of treatment (up to 105 weeks)
|
AUC0-24h is defined as the area under concentration versus time from 0 to 24 hours.
|
Predose and postdose up to end of treatment (up to 105 weeks)
|
|
PK Parameters: Cmax of GS-2426
Tidsram: Predose and postdose up to end of treatment (up to 105 weeks)
|
Cmax is defined as the maximum observed plasma drug concentration.
|
Predose and postdose up to end of treatment (up to 105 weeks)
|
|
PK Parameters: Tmax of GS-2426
Tidsram: Predose and postdose up to end of treatment (up to 105 weeks)
|
Tmax is defined as the time to peak plasma drug concentration of GS-2426.
|
Predose and postdose up to end of treatment (up to 105 weeks)
|
Samarbetspartners och utredare
Sponsor
Utredare
- Studierektor: Gilead Study Director, Gilead Sciences
Publikationer och användbara länkar
Användbara länkar
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- GH31C101A
Plan för individuella deltagardata (IPD)
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