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MTAP-deleted Solid Tumors

A first-in-human study to learn how safe BAY 3713372 is and how it works in participants with MTAP-deleted solid tumors

Trial purpose

The study treatment, BAY 3713372, is under development to treat MTAP (methylthioadenosine phosphorylase)-deleted solid tumors. It is thought to work by blocking the protein arginine N-methyltransferase 5 (PRMT5). This may kill the MTAP-deleted cancer cells while sparing the normal cells.

The main objective of this first-in-human study is to learn how safe BAY 3713372 is, how the body processes it, and how well it works in people with MTAP-deleted solid tumors.

For this, the researchers will study and analyze:
- the number of participants who have adverse events (AEs) after receiving different doses of BAY 3713372 and the AE's severity.
- the number of participants who experience dose-limiting toxicities (DLTs) after receiving different doses of BAY 3713372, the DLT's severity and how often they happened. A DLT is a pre-defined medical problem caused by a specific dose of a drug that is too severe to continue using that dose.
- the total amount of BAY 3713372 in participants’ blood (also called AUC) over time after single and multiple doses.
- the highest level of BAY 3713372 in participants’ blood (also called Cmax) after single and multiple doses.

Other than the main objective, researchers will also check for the number of participants who show a response to treatment and how long they live without the cancer getting worse.

The study participants will take part in one of the seven distinct groups or “intervention cohorts” of the study. The study will start with a dose escalation phase where distinct groups of participants will receive different doses of BAY 3713372 alone to find the dose that is deemed safe and works best for the participants. When this dose has been found, a larger number of participants will receive BAY 3713372 alone or with other treatments in a dose expansion phase.

Participants may take the study treatment as long as they benefit from the treatment without any severe medical problems.

Participants will visit the study site:
- at least twice before the treatment starts
- multiple times when they start taking the treatment
- once after 30 days of receiving the last dose and every 9 weeks after that until the cancer worsens, or the participant stops for any other reason

During the study, the doctors and their study team will:
- check participants’ health by performing tests such as blood and urine tests, and checking heart health using an electrocardiogram
- check if the participants’ cancer has grown and/or spread using computed tomography (CT) or magnetic resonance imaging (MRI) and, if needed, bone scan
- take tumor samples

The study doctors and their team will contact the participants every 3 months until 2 years after the last participant’s last dose or the end of the study to learn about the participant’s health.

Key Participants Requirements

Sex

All

Age

18 - N/A
    - Participant must be ≥ 18 years old of age, or the legal age of consent in the jurisdiction of the country in which the study takes place, at the time of signing the informed consent.
    - At least one measurable lesion that would qualify as target lesion by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1).
    - Homozygous MTAP-deletion identified through molecular testing from a locally certified laboratory.
    - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
    - Previous additional cancer else than the one evaluated in this study within the past 2 years except for basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, superficial bladder tumors, localized prostate cancer or other tumors that in the opinion of the investigator, are considered cured or not immediately life-threatening, and will not interfere with the scientific goals of this study.
    - A marked prolongation of QT/QTc interval at screening (e.g., repeated demonstration of a QTc interval >450 ms). Participants with permanent pacemakers (i.e., a paced rhythm) may be eligible based on the investigator’s clinical assessment and discretion.
    - Cardiac history comprising:
    • History of congestive heart failure Class >II according to the New York Heart Association Functional Classification.
     • Myocardial infarction less than 6 months before the start of study intervention.
     • Serious cardiac arrhythmias requiring treatment or any clinically important abnormalities in rhythm, conduction or morphology on resting ECG with the exception of atrial fibrillation which is well-controlled and requires only digoxin or beta blockers.
    - Unstable angina within 4 weeks before start of study intervention.

Trial summary

Enrollment Goal
370
Trial Dates
March 2025 - June 2029
Phase
Phase 1/Phase 2
Could I Receive a placebo
No
Products
BAY3713372
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Recruiting
National Cancer Center Singapore - Oncology DepartmentSingapore, 168583, Singapore
Recruiting
National University Hospital Medical CentreSingapore, 119074, Singapore
Recruiting
START | San AntonioSan Antonio, 78229, United States
Recruiting
Chris O'Brien LifehouseCamperdown, 2050, Australia
Not yet recruiting
Concord Repatriation General Hospital (CRGH) (Concord Hospital) - Concord Cancer CentreConcord, 2139, Australia
Recruiting
SCRI Oncology PartnersNashville, 37203, United States
Recruiting
Sarah Cannon Research Institute at HCA HealthONE Presbyterian St. Luke'sDenver, 80218, United States
Recruiting
Sarah Cannon Research Institute at Florida Cancer Specialists- Lake NonaOrlando, 32827, United States
Not yet recruiting
The Christie NHS Foundation Trust | Christie Hospital - Experimental Cancer Medicine TeamManchester, M20 5BX, United Kingdom
Not yet recruiting
The Royal Marsden NHS Foundation Trust | Sutton - Oak Foundation Drug Development UnitLondon, SW3 6JJ, United Kingdom
Recruiting
START | MidwestGrand Rapids, 49546, United States
Recruiting
NEXT Dallas - Oncology DepartmentIrving, 75039, United States
Not yet recruiting
Masarykova Univerzita - Masarykuv Onkologicky Ustav (MOU) - Klinika Komplexni Onkologicke Pece (KKOP)Brno, 602 00, Czech Republic
Not yet recruiting
Nederlands Kanker InstituutAMSTERDAM, 1066 CX, Netherlands
Not yet recruiting
Erasmus Medisch CentrumROTTERDAM, 3015 CE, Netherlands
Recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Fase IRoma, 00128, Italy
Not yet recruiting
Ghent University Hospital | Drug Research Unit DepartmentGent, 9000, Belgium
Not yet recruiting
Centre Hospitalier Universitaire (CHU) de Liege - Domaine Universitaire du Sart Tilman - Medical OncologyLiege, 4000, Belgium
Recruiting
Hospital Hm Nou Delfos | OncologiaBarcelona, 08023, Spain
Not yet recruiting
Hospital Universitario Fundacion Jimenez Diaz | OncologiaMadrid, 28040, Spain
Not yet recruiting
Fakultní nemocnice Olomouc - Onkologická klinikaOlomouc, 779 00, Czech Republic
Not yet recruiting
Hospital Universitari Vall D Hebron | OncologiaBarcelona, 08035, Spain
Not yet recruiting
Hospital Universitario Virgen De La Victoria | OncologiaMálaga, 29010, Spain
Not yet recruiting
NEXT - Hospital Universitario Quironsalud Madrid | OncologiaPozuelo de Alarcón, 28223, Spain
Not yet recruiting
Humanitas Mirasole S.p.A. - Oncologia Medica ed EmatologiaRozzano, 20089, Italy
Not yet recruiting
Beijing Cancer Hospital - Oncology DepartmentBeijing, 100142, China
Not yet recruiting
Rigshospitalet - KræftbehandlingCopenhagen, 2100, Denmark
Not yet recruiting
Odense University Hospital - Oncology DepartmentOdense C, 5000, Denmark
Not yet recruiting
Fondazione IRCCS Istituto Nazionale dei Tumori - S. C. Oncologia Medica 1Milano, 20133, Italy
Not yet recruiting
Karolinska Universitetssjukhuset - Fas I-enheten Solna CKCStockholm, 17176, Sweden
Not yet recruiting
Sahlgrenska Universitetssjukhuset - Klinisk prövningsenhet Fas I/FIHGöteborg, 41346, Sweden
Not yet recruiting
Tongji Hosp. of Tongji Med Coll, Huazhong Uni of Sci & Tech.Wuhan, 430075, China
Recruiting
National Cancer Center HospitalChuo-ku, 104-0045, Japan
Not yet recruiting
The Cancer Institute Hospital of JFCRKoto-ku, 135-8550, Japan
Not yet recruiting
Shizuoka Cancer CenterSunto, 411-8777, Japan
Not yet recruiting
Northern HospitalEpping, 3076, Australia
Not yet recruiting
Calvary Mater Hospital Newcastle - OncologyWaratah, 2298, Australia
Not yet recruiting
Hospital San Pedro | OncologiaLogroño, 26006, Spain
Not yet recruiting
Hospital Clinico Universitario De Valencia | OncologiaValencia, 46010, Spain
Not yet recruiting
Universitair Medisch Centrum Groningen (UMCG) - UMC Groningen Comprehensive Cancer CenterGroningen, 9713 GZ, Netherlands
Not yet recruiting
Antwerp University Hospital | Oncology DepartmentAntwerpen, 2650, Belgium
Not yet recruiting
UZ Leuven Gasthuisberg - Pneumology DepartmentLeuven, 3000, Belgium
Not yet recruiting
Clinica Universidad De Navarra | OncologiaMadrid, 28027, Spain
Not yet recruiting
Icon Cancer CentreSingapore, 217562, Singapore

Primary Outcome

  • Dose Escalation (Master and Intervention Cohort 1): Number of participants with treatment-emergent adverse events (TEAEs)
    TEAEs will be graded according to NCI-CTCAE v.5.0 and will be reported using the latest version of MedDRA coding dictionary
    date_rangeTime Frame:
    From the first administration of study intervention up to 30 days after the last dose of study intervention
  • Dose Escalation (Master and Intervention Cohort 1): Number of participants with treatment-emergent serious adverse events (TESAEs)
    TESAEs will be graded according to NCI-CTCAE v.5.0 and will be reported using the latest version of MedDRA coding dictionary
    date_rangeTime Frame:
    From the first administration of study intervention up to 30 days after the last dose of study intervention
  • Dose Escalation (Master and Intervention Cohort 1): Severity of treatment-emergent adverse events (TEAEs) and treatment-emergent serious adverse events (TESAEs)
    TEAEs and TESAEs will be graded according to NCI-CTCAE v.5.0 and will be reported using the latest version of MedDRA coding dictionary
    date_rangeTime Frame:
    From the first administration of study intervention up to 30 days after the last dose of study intervention
  • Dose Escalation (Master and Intervention Cohort 1): Incidence of dose-limiting toxicities (DLTs)
    DLTs per participants. DLTs will be graded according to NCI-CTCAE v.5.0
    date_rangeTime Frame:
    From the first dose of study intervention to the end of Cycle 1 (each cycle is 21 days)
  • Dose Escalation (Master and Intervention Cohort 1): Number of participants with DLTs
    Number of participants with at least one DLT
    date_rangeTime Frame:
    From the first dose of study intervention to the end of Cycle 1 (each cycle is 21 days)
  • Dose Escalation (Master and Intervention Cohort 1): Maximum concentration (Cmax) of the respective dosing interval of BAY 3713372
    date_rangeTime Frame:
    From the first dose of study intervention up to Cycle 2 Day 1 (each cycle is 21 days)
  • Dose Escalation (Master and Intervention Cohort 1): Area under the curve (AUC) of the respective dosing interval of BAY 3713372
    date_rangeTime Frame:
    From the first dose of study intervention up to Cycle 2 Day 1 (each cycle is 21 days)
  • Dose Expansion (Master, Intervention Cohorts 1 – 6): Objective response rate (ORR)
    Determined by the investigator according to Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)
    date_rangeTime Frame:
    Approximately 1.5 years
  • Dose Expansion (Intervention Cohorts 3, 4 and 6): Number of participants with DLTs
    Number of participants with at least one DLT
    date_rangeTime Frame:
    From the first dose of study intervention to the end of Cycle 1 (each cycle is 21 days, except for Intervention Cohort 6, which has a cycle length of 28 days)

Secondary Outcome

  • Dose Escalation (Master and Intervention Cohort 1): Objective response rate (ORR)
    Determined by the investigator according to Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)
    date_rangeTime Frame:
    Approximately 1.5 years
  • Dose Escalation (Master and Intervention Cohort 1): Duration of response (DOR)
    Determined by the investigator according to RECIST v1.1
    date_rangeTime Frame:
    Approximately 3 years
  • Dose Escalation (Master and Intervention Cohort 1): Progression-free survival (PFS)
    Determined by the investigator according to RECIST v1.1
    date_rangeTime Frame:
    Approximately 3 years
  • Dose Escalation (Master and Intervention Cohort 1): Time to response (TTR)
    date_rangeTime Frame:
    Approximately 1.5 years
  • Dose Expansion (Master, Intervention Cohorts 1 – 6): Number of participants with treatment-emergent adverse events (TEAEs)
    TEAEs will be graded according to NCI-CTCAE v.5.0 and will be reported using the latest version of MedDRA coding dictionary
    date_rangeTime Frame:
    From the first administration of study intervention up to 30 days after the last dose of study intervention
  • Dose Expansion (Master, Intervention Cohorts 1 – 6): Number of participants with treatment-emergent serious adverse events (TESAEs)
    TESAEs will be graded according to NCI-CTCAE v.5.0 and will be reported using the latest version of MedDRA coding dictionary
    date_rangeTime Frame:
    From the first administration of study intervention up to 30 days after the last dose of study intervention
  • Dose Expansion (Master, Intervention Cohorts 1 – 6): Severity of treatment-emergent adverse events (TEAEs) and treatment-emergent serious adverse events (TESAEs)
    TEAEs and TESAEs will be graded according to NCI-CTCAE v.5.0 and will be reported using the latest version of MedDRA coding dictionary
    date_rangeTime Frame:
    From the first administration of study intervention up to 30 days after the last dose of study intervention
  • Dose Expansion (Master, Intervention Cohorts 1, 3, 4, and 6): Incidence of dose-limiting toxicities (DLTs)
    DLTs per participants. DLTs will be graded according to NCI-CTCAE v.5.0
    date_rangeTime Frame:
    From the first dose of study intervention to the end of Cycle 1 (each cycle is 21 days, except for Intervention Cohort 6, which has a cycle length of 28 days)
  • Dose Expansion (Master, Intervention Cohorts 1 – 6): Duration of response (DOR)
    Determined by the investigator according to RECIST v1.1
    date_rangeTime Frame:
    Approximately 3 years
  • Dose Expansion (Master, Intervention Cohorts 1 – 6): Progression-free survival (PFS)
    Determined by the investigator according to RECIST v1.1
    date_rangeTime Frame:
    Approximately 3 years
  • Dose Expansion (Master, Intervention Cohorts 1 – 6): Time to response (TTR)
    date_rangeTime Frame:
    Approximately 1.5 years
  • Dose Expansion (Master, Intervention Cohorts 1 – 4, and 6): Maximum concentration (Cmax) of the respective dosing interval of BAY 3713372
    date_rangeTime Frame:
    From the first dose of study intervention up to Cycle 2 Day 1 (each cycle is 21 days, except for Intervention Cohort 6, which has a cycle length of 28 days)
  • Dose Expansion (Master, Intervention Cohorts 1 – 4, and 6): Area under the curve (AUC) of the respective dosing interval of BAY 3713372
    date_rangeTime Frame:
    From the first dose of study intervention up to Cycle 2 Day 1 (each cycle is 21 days, except for Intervention Cohort 6, which has a cycle length of 28 days)

Trial design

A first-in-human study to evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics and preliminary clinical activity of BAY 3713372, a novel 2nd generation PRMT5 inhibitor, in participants with MTAP-deleted solid tumors.
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Non-randomized
Blinding
N/A
Assignment
Sequential Assignment
Trial Arms
8