AMG 193 Alone or in Combination With Other Therapies in Subjects With Advanced Thoracic Tumors With Homozygous MTAP-deletion (Master Protocol) (MTAPESTRY 104).
Purpose
The study aims to determine maximum tolerated dose (MTD) or recommended combination dose of the MTA-cooperative PRMT5 inhibitor AMG 193 administered in combination with other therapies in adult participants with metastatic or locally advanced methylthioadenosine phosphorylase (MTAP)-deleted thoracic tumors. The study also aims to determine the safety profile of AMG 193 administered in combination with other therapies in adult participants with metastatic or locally advanced MTAP-deleted thoracic tumors.
Conditions
- Thoracic Tumors
- Non-small Cell Lung Cancer
Eligibility
- Eligible Ages
- Between 18 Years and 100 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
Subprotocol A, B, and C - Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years). - Tumor tissue (formalin-fixed, paraffin-embedded sample) or an archival block must be available. Participants without archived tumor tissue available may be allowed to enroll by undergoing tumor biopsy before AMG 193 dosing. - Homozygous MTAP-deletion - Able to swallow and retain PO administered study treatment. - Disease measurable as defined by RECIST v1.1. Subprotocol A - Histologically or cytologically confirmed diagnosis of NSCLC. Arm A (AMG 193 + carboplatin + paclitaxel + pembrolizumab): - Predominantly squamous histology. Arm B (AMG 193 + carboplatin + pemetrexed + pembrolizumab): - Predominantly non-squamous histology. Arm C (AMG 193 + pembrolizumab): - PD-L1 positive. Subprotocol B - Histologically confirmed NSCLC with homozygous MTAP-deletion and KRAS p.G12C mutation. Subprotocol C - Histologically or cytologically confirmed diagnosis of NSCLC with brain metastases. - Brain lesion meeting RANO-BM criteria for measurable disease.
Exclusion Criteria
Subprotocol A, B, and C - Cardiovascular and pulmonary exclusion criteria as defined in the protocol. - Gastrointestinal tract disease causing the inability to take PO medication, malabsorption syndrome, requirement for IV alimentation, gastric/jejunal tube feeds, uncontrolled inflammatory gastrointestinal disease (eg, Crohn's disease, ulcerative colitis). - History of solid organ transplant. - Major surgery within 28 days of first dose of AMG 193. - Prior treatment with a MAT2A inhibitor or a PRMT5 inhibitor. - Radiation therapy within 28 days of first dose. Subprotocol A - Autoimmune disease or immunodeficiency disease as defined in the protocol'
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Subprotocol A: Non-Small Cell Lung Cancer (NSCLC) Arm A |
Participants with MTAP-deleted NSCLC will receive a regimen of AMG 193 orally (PO) and carboplatin, paclitaxel, and pembrolizumab intravenously (IV) |
|
|
Experimental Subprotocol A: NSCLC Arm B |
Participants with MTAP-deleted NSCLC will receive a regimen of AMG 193 PO and carboplatin, pemetrexed, and pembrolizumab IV |
|
|
Experimental Subprotocol A: NSCLC Arm C |
Participants with MTAP-deleted NSCLC will receive a combination of AMG 193 PO and pembrolizumab IV |
|
|
Experimental Subprotocol B: NSCLC With KRasG12C Mutation |
Participants with MTAP-deleted NSCLC and KRasG12C mutation will receive a combination of AMG 193 and sotorasib PO |
|
|
Experimental Subprotocol C: NSCLC With Brain Metastases |
Participants with MTAP-deleted NSCLC with brain metastases will receive AMG 193 PO |
|
Recruiting Locations
Bakersfield, California 93309
Duarte, California 91010
Los Angeles, California 90095
Orange, California 92868-3217
Santa Monica, California 90404
Denver, Colorado 80218
Saint Paul, Minnesota 55102
Buffalo, New York 32224
New York, New York 10016
New York, New York 10016
Syracuse, New York 13210
Oklahoma City, Oklahoma 73102
Philadelphia, Pennsylvania 19111
Pittsburgh, Pennsylvania 15232
Knoxville, Tennessee 37920
Nashville, Tennessee 37203
Dallas, Texas 75246
Dallas, Texas 75246
Tyler, Texas 75702
Fairfax, Virginia 22031
Tacoma, Washington 98405
More Details
- NCT ID
- NCT06333951
- Status
- Recruiting
- Sponsor
- Amgen