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MTAP-null Non-Small-Cell Lung CancerPhase 1/2NCT05975073

A Phase 1/2 Study of Anvumetostat in Combination With IDE397 in Participants With Advanced Methylthioadenosine Phosphorylase (MTAP)-Null Solid Tumors

A Phase 1/2 study testing Anvumetostat and IDE397 in people with MTAP-null Non-Small-Cell Lung Cancer and MTAP-null Solid Tumors, run by Amgen at 27 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main aims of this study are to evaluate the safety and tolerability, and to determine the maximum tolerated dose (MTD) or the recommended combination dose of Anvumetostat in combination with IDE397 in adult participants with metastatic or locally advanced MTAP-null solid tumors, and to evaluate the preliminary… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Anvumetostat and IDE397
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
27 sitesin 7 countries
Study dates
1 Aug 2023to 26 Mar 2026
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Evidence of homozygous loss of MTAP (null) and/or MTAP deletion.
  • Presence of advanced/metastatic solid tumor not amenable to curative treatment
  • Part 1: MTAP-null or lost MTAP expression solid tumor for which no standard therapy exists
  • Part 2: MTAP-null or lost MTAP expression NSCLC with progression after 1 to 2 prior lines of systemic therapy.
  • Able to swallow and retain PO administered study treatment and willing to record adherence to investigational product
  • Disease measurable as defined by RECIST v1.1
  • Adequate organ function as defined in the protocol.
  • Archived tumor tissue. Participants without archived tumor tissue available may be allowed to enroll by undergoing tumor biopsy before cycle 1 day 1 dosing.

Who cannot join

  • Prior treatment with an MAT2A inhibitor or a PRMT5 inhibitor.
  • Radiologic or clinical evidence of spinal cord compression, untreated or symptomatic brain metastases or leptomeningeal disease.
  • 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 bowel obstruction, abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months of study entry.
  • Prior irradiation to > 25% of the bone marrow
  • Use of prescription medications that are known strong CYP3A4/5 inducers or strong CYP3A4/5 inhibitors within 7 days for CYP3A4/5 inhibitors, 14 days for CYP3A4/5 inducers or 5 half-lives, whichever is longer, prior to any dose of investigational medical product.

Trial locations and contacts

27 sites in 7 countries.

27 sites in 7 countries

United States14 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Sarah Cannon Research Institute

    Denver, Colorado, 80218

  • City of Hope National Medical Center

    Duarte, California, 91090

  • Duke University

    Durham, North Carolina, 27710

  • Astera Cancer Care

    East Brunswick, New Jersey, 08816

  • Prisma Health Upstate

    Greenville, South Carolina, 29605

  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Community Health Network MD Anderson Cancer Center - North

    Indianapolis, Indiana, 46250

  • Next Oncology

    Irving, Texas, 75039

  • New York University Grossman School of Medicine and New York University Langone Hospitals

    New York, New York, 10016

  • Columbia University Irving Medical Center

    New York, New York, 10032

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Health Partners Cancer Center at Regions Hospital

    Saint Paul, Minnesota, 55102

Other trials in United States

South Korea4 sites
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 13620

  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital Yonsei University Health System

    Seoul, 03722

  • Asan Medical Center

    Seoul, 05505

Other trials in South Korea

Australia2 sites
  • Monash Medical Centre

    Clayton, Victoria, 3168

  • The Queen Elizabeth Hospital

    Woodville South, South Australia, 5011

Other trials in Australia

Canada2 sites
  • Cross Cancer Institute

    Edmonton, Alberta, T6G 1Z2

  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Spain2 sites
  • Hospital Universitari Vall d Hebron

    Barcelona, Catalonia, 08035

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

Other trials in Spain

Taiwan2 sites
  • National Cheng Kung University Hospital

    Tainan, 70403

  • National Taiwan University Hospital

    Taipei, 10002

Other trials in Taiwan

Denmark1 site
  • Rigshospitalet

    Copenhagen, 2100

Other trials in Denmark

About this study

Official title: A Phase 1/2 Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Anvumetostat in Combination With IDE397 in Subjects With Advanced MTAP-null Solid Tumors

The main aims of this study are to evaluate the safety and tolerability, and to determine the maximum tolerated dose (MTD) or the recommended combination dose of Anvumetostat in combination with IDE397 in adult participants with metastatic or locally advanced MTAP-null solid tumors, and to evaluate the preliminary anti-tumor activity of anvumetostat in combination with IDE397 in adult participants with metastatic or locally advanced MTAP-null Non-Small-Cell Lung Cancer (NSCLC).

Being tested
Anvumetostat, IDE397
Keywords
Oncology, AMG 193, IDE397, anvumetostat
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AnvumetostatDrug

    Also called AMG 193

    Administered PO

  • IDE397Drug

    Administered PO

Study groups in NCT05975073
Study groupRoleWhat they receive
Part 1: Dose Exploration of Anvumetostat Combined With IDE397ExperimentalParticipants will receive escalating doses of Anvumetostat and IDE397 administered orally (PO) in cycles of 21 days.
Receives: Drug: Anvumetostat; Drug: IDE397
Part 2: Dose Expansion of Anvumetostat Combined With IDE397ExperimentalAnvumetostat and IDE397 will be administered PO in cycles of 21 days.
Receives: Drug: Anvumetostat; Drug: IDE397

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1: Number of Participants Experiencing Dose Limiting Toxicities (DLTs)

    Measured: Day 1 up to Day 21

  2. Part 1: Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)

    Any clinically significant changes in vital signs, electrocardiogram (ECG), or clinical laboratory test results will be recorded as adverse events

    Measured: Day 1 up to approximately 2.5 years

  3. Part 1: Number of Participants Experiencing Serious Adverse Events (SAEs)

    Measured: Day 1 up to approximately 2.5 years

  4. Part 2: Objective Response (OR) per modified Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

    Measured: Day 1 up to approximately 2.5 years

Secondary outcomes (18)
  1. Part 1 and 2: Maximal Plasma Concentration (Cmax) of Anvumetostat

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  2. Part 1 and 2: Cmax of IDE397

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  3. Part 1 and 2: Time to Achieve Maximal Plasma Concentration (Tmax) of Anvumetostat

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  4. Part 1 and 2: Tmax of IDE397

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  5. Parts 1 and 2: Area Under The Curve (AUC) After Single Dose of Anvumetostat

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  6. Parts 1 and 2: Area Under The Curve (AUC) After Multiple Doses of Anvumetostat

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  7. Parts 1 and 2: AUC After Single Dose of IDE397

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  8. Parts 1 and 2: AUC After Multiple Doses of IDE397

    Measured: Day 1 pre-dose up to Cycle 5 (Cycle= 21 days)

  9. Parts 1: Overall Response per RECIST 1.1

    Measured: Day 1 up to end-of-study (EOS) (approximately 2.5 years)

  10. Parts 1 and 2: Disease Control Rate

    Measured: Day 1 up to EOS (approximately 2.5 years)

  11. Parts 1 and 2: Time to Response (TTR)

    Measured: Day 1 up to EOS (approximately 2.5 years)

  12. Parts 1 and 2: Duration of Response (DOR)

    Measured: Day 1 up to EOS (approximately 2.5 years)

  13. Parts 1 and 2: Duration of Stable Disease

    Measured: Day 1 up to EOT (approximately 6 months)

  14. Parts 1 and 2: Progression-free Survival (PFS)

    Measured: Day 1 up to EOS (approximately 2.5 years)

  15. Parts 1 and 2: Overall Survival (OS)

    Measured: Day 1 up to EOS (approximately 2.5 years)

  16. Part 2: Number of Participants Experiencing TEAEs

    Any clinically significant changes in vital signs, electrocardiogram (ECG), or clinical laboratory test results will be recorded as adverse events

    Measured: Day 1 up to approximately 2.5 years

  17. Part 2: Number of Participants Experiencing SAEs

    Measured: Day 1 up to approximately 2.5 years

  18. Parts 1 and 2: Change From Baseline in Symmetric Dimethylation of Arginine (SDMA) in Blood

    Measured: Baseline (Day 1) to EOT plus 30 days (approximately 7 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Aug 2023
  2. Study start1 Aug 2023
  3. Primary completion25 Feb 2026
  4. Study completion26 Mar 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05975073
Sponsor's protocol ID
20220127
Status last verified
Apr 2026
First submitted
19 Jul 2023
Last updated
22 Apr 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Anvumetostat and IDE397 in people with MTAP-null Non-Small-Cell Lung Cancer and MTAP-null Solid Tumors, run by Amgen at 27 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States, South Korea, Australia, Canada, Spain and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1: Number of Participants Experiencing Dose Limiting Toxicities (DLTs) (time frame: Day 1 up to Day 21). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Apr 2026.

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