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

ArmDescriptionAssigned 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)
  • Drug: AMG 193
    Administered PO
  • Drug: Carboplatin
    Administered IV
  • Drug: Paclitaxel
    Administered IV
  • Drug: Pembrolizumab
    Administered 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
  • Drug: AMG 193
    Administered PO
  • Drug: Carboplatin
    Administered IV
  • Drug: Pembrolizumab
    Administered IV
  • Drug: Pemetrexed
    Administered IV
Experimental
Subprotocol A: NSCLC Arm C
Participants with MTAP-deleted NSCLC will receive a combination of AMG 193 PO and pembrolizumab IV
  • Drug: AMG 193
    Administered PO
  • Drug: Pembrolizumab
    Administered 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
  • Drug: AMG 193
    Administered PO
  • Drug: Sotorasib
    Administered PO
Experimental
Subprotocol C: NSCLC With Brain Metastases
Participants with MTAP-deleted NSCLC with brain metastases will receive AMG 193 PO
  • Drug: AMG 193
    Administered PO

Recruiting Locations

Comprehensive Blood and Cancer Center
Bakersfield, California 93309

City of Hope Orange County Lennar Foundation Cancer Center
Duarte, California 91010

Translational Research in Oncology US Inc, Trio Central Pharmacy
Los Angeles, California 90095

University of California Irvine
Orange, California 92868-3217

University of California Los Angeles
Santa Monica, California 90404

Rocky Mountain Cancer Centers
Denver, Colorado 80218

HealthPartners Institute
Saint Paul, Minnesota 55102

Roswell Park Cancer Institute
Buffalo, New York 32224

New York University Grossman School of Medicine
New York, New York 10016

Perlmutter Cancer Center at New York University Langone Hospital----Long Island
New York, New York 10016

Upstate University Hospital
Syracuse, New York 13210

Hightower Clinical
Oklahoma City, Oklahoma 73102

Fox Chase Cancer Center
Philadelphia, Pennsylvania 19111

University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania 15232

University of Tennessee Medical Center Knoxville
Knoxville, Tennessee 37920

United States Oncology Regulatory Affairs Corporate Office
Nashville, Tennessee 37203

Texas Oncology - Dallas Fort Worth
Dallas, Texas 75246

US Oncology Research Investigational Products Center
Dallas, Texas 75246

Texas Oncology Northeast Texas
Tyler, Texas 75702

Virginia Cancer Specialists PC
Fairfax, Virginia 22031

Northwest Medical Specialties, PLLC
Tacoma, Washington 98405

More Details

NCT ID
NCT06333951
Status
Recruiting
Sponsor
Amgen

Study Contact

Amgen Call Center
866-572-6436
medinfo@amgen.com