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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT06593522




Registration number
NCT06593522
Ethics application status
Date submitted
3/09/2024
Date registered
19/09/2024
Date last updated
4/07/2025

Titles & IDs
Public title
A Phase 2 Study of AMG 193 in Participants With MTAP-deleted Advanced NSCLC (MTAPESTRY 201)
Scientific title
A Phase 2 Study Evaluating the Efficacy, Safety, Tolerability, and Pharmacokinetics of AMG 193 in Subjects With Methylthioadenosine Phosphorylase (MTAP)-Deleted Previously Treated Advanced Non-Small Cell Lung Cancer (NSCLC)
Secondary ID [1] 0 0
20230153
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
MTAP-deleted NSCLC 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lung - Non small cell

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - AMG 193

Experimental: Part 1: Dose Evaluation - Participants will be randomized to receive one of 2 active dose levels of AMG 193 orally (PO) daily (QD) in 28 days cycles. Part 1 of the study will determine the recommended phase 2 dose (RP2D).

Experimental: Part 2: Dose Expansion - Participants will receive AMG 193 PO QD in 28-day cycles at the RP2D.


Treatment: Drugs: AMG 193
Film-coated tablet
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Objective Response (OR) per RECIST 1.1
Timepoint [1] 0 0
Up to 35 months
Primary outcome [2] 0 0
Objective response (OR) Measured by Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) and Assessed per Response Evaluation Criteria in Solid Tumors v1.1 (RECIST 1.1)
Timepoint [2] 0 0
Up to 35 months
Primary outcome [3] 0 0
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Timepoint [3] 0 0
Up to 35 months
Primary outcome [4] 0 0
Number of Participants Experiencing Events of Interest (EOIs)
Timepoint [4] 0 0
Up to 35 months
Primary outcome [5] 0 0
Maximum Concentration (Cmax) of AMG 193
Timepoint [5] 0 0
Cycle 1: Day 1 and Day 15 pre-dose, 0.5 hours, 1 hour, 2 hours, 4 hours, and 6 hours post-dose; Cycle 2: Day 1 and Day 15 pre-dose; Cycles 3-5: Day 1 pre-dose
Primary outcome [6] 0 0
Time to Cmax (Tmax) of AMG 193
Timepoint [6] 0 0
Cycle 1: Day 1 and Day 15 pre-dose, 0.5 hours, 1 hour, 2 hours, 4 hours, and 6 hours post-dose; Cycle 2: Day 1 and Day 15 pre-dose; Cycles 3-5: Day 1 pre-dose
Primary outcome [7] 0 0
Area Under The Concentration-time Curve (AUC) of AMG 193
Timepoint [7] 0 0
Cycle 1: Day 1 and Day 15 pre-dose, 0.5 hours, 1 hour, 2 hours, 4 hours, and 6 hours post-dose; Cycle 2: Day 1 and Day 15 pre-dose; Cycles 3-5: Day 1 pre-dose
Secondary outcome [1] 0 0
Disease Control (DC) by BICR
Timepoint [1] 0 0
Up to 35 months
Secondary outcome [2] 0 0
Duration of Response (DOR) by BICR
Timepoint [2] 0 0
Up to 35 months
Secondary outcome [3] 0 0
Time to Response (TTR) by BICR
Timepoint [3] 0 0
Up to 35 months
Secondary outcome [4] 0 0
Progression-free Survival (PFS) by BICR
Timepoint [4] 0 0
Up to 35 months
Secondary outcome [5] 0 0
OR by Investigator's Assessment
Timepoint [5] 0 0
Up to 35 months
Secondary outcome [6] 0 0
DC by Investigator's Assessment
Timepoint [6] 0 0
Up to 35 months
Secondary outcome [7] 0 0
DOR by Investigator's Assessment
Timepoint [7] 0 0
Up to 35 months
Secondary outcome [8] 0 0
TTR by Investigator's Assessment
Timepoint [8] 0 0
Up to 35 months
Secondary outcome [9] 0 0
PFS by Investigator's Assessment
Timepoint [9] 0 0
Up to 35 months
Secondary outcome [10] 0 0
Overall Survival (OS)
Timepoint [10] 0 0
Up to 35 months
Secondary outcome [11] 0 0
Number of Participants Experiencing TEAEs
Timepoint [11] 0 0
Up to 35 months
Secondary outcome [12] 0 0
Cmax of AMG 193
Timepoint [12] 0 0
Cycle 1: Day 1 and Day 15 pre-dose, 0.5 hours, 1 hour, 2 hours, 4 hours, and 6 hours post-dose; Cycle 2: Day 1 and Day 15 pre-dose; Cycles 3-5: Day 1 pre-dose
Secondary outcome [13] 0 0
Tmax of AMG 193
Timepoint [13] 0 0
Cycle 1: Day 1 and Day 15 pre-dose, 0.5 hours, 1 hour, 2 hours, 4 hours, and 6 hours post-dose; Cycle 2: Day 1 and Day 15 pre-dose; Cycles 3-5: Day 1 pre-dose
Secondary outcome [14] 0 0
AUC of AMG 193
Timepoint [14] 0 0
Cycle 1: Day 1 and Day 15 pre-dose, 0.5 hours, 1 hour, 2 hours, 4 hours, and 6 hours post-dose; Cycle 2: Day 1 and Day 15 pre-dose; Cycles 3-5: Day 1 pre-dose
Secondary outcome [15] 0 0
Change in Quality of life (QoL) per The European Organization for Research and Treatment of Cancer Quality of life Questionnaire (EORTC QLQ)-C30
Timepoint [15] 0 0
Up to 12 months
Secondary outcome [16] 0 0
Change in QoL per Quality of Life Questionnaire-Lung Cancer 13 (QLQ LC13)
Timepoint [16] 0 0
Up to 12 months
Secondary outcome [17] 0 0
Change in QoL per European Quality of Life 5 Dimensions 5 Levels (EQ-5D-5L)
Timepoint [17] 0 0
Up to 12 months
Secondary outcome [18] 0 0
Overall Health Status per Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE)
Timepoint [18] 0 0
Up to 12 months
Secondary outcome [19] 0 0
Overall Health Status per The Functional Assessment of Cancer Therapy - General (FACT-G)
Timepoint [19] 0 0
Up to 12 months

Eligibility
Key inclusion criteria
* Histologically or cytologically confirmed metastatic or unresectable locally advanced MTAP-deleted (Homozygous deletion of MTAP) NSCLC
* Participants will have received and progressed or experienced disease recurrence on or after receiving at least 1 prior systemic therapy for locally advanced and unresectable or metastatic disease.
* Either an archival tissue sample or an archival block must be available.
* Life expectancy of greater than 3 months, in the opinion of the investigator.
* Participants who have had brain metastases and have been appropriately treated with radiation therapy or surgery ending at least 14 days before study day 1 are eligible.
* Participants with untreated asymptomatic brain metastases smaller or equal to 2 cm in size (per lesion if more than one) and not requiring corticosteroid treatment are eligible.
Minimum age
18 Years
Maximum age
99 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Disease Related

• Tumors harboring the following mutations amenable to targeted therapies: epidermal growth factor receptor (EGFR), ALK receptor tyrosine kinase (ALK), ROS proto-oncogene 1 (ROS1), neurotrophic tyrosine receptor kinase (NTRK), MET proto-oncogene (MET), B-Raf proto-oncogene (BRAF), RET proto-oncogene (RET), Human epidermal growth factor receptor 2 (HER2/ERBB2), KRAS proto-oncogene G12C (KRAS G12C).

Other Medical Conditions

* Major surgery within 28 days of study day 1.
* Untreated symptomatic central nervous system (CNS) metastatic disease regardless of size or asymptomatic brain metastases greater than 2 cm per lesion.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Other
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
26/12/2024
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
11/09/2029
Actual
Sample size
Target
200
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD
Recruitment hospital [1] 0 0
GenesisCare -North Shore Oncology - St Leonards
Recruitment hospital [2] 0 0
Calvary Mater Newcastle Hospital - Waratah
Recruitment hospital [3] 0 0
Mater Hospital Brisbane - South Brisbane
Recruitment postcode(s) [1] 0 0
2065 - St Leonards
Recruitment postcode(s) [2] 0 0
2298 - Waratah
Recruitment postcode(s) [3] 0 0
4101 - South Brisbane
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Colorado
Country [3] 0 0
United States of America
State/province [3] 0 0
Connecticut
Country [4] 0 0
United States of America
State/province [4] 0 0
District of Columbia
Country [5] 0 0
United States of America
State/province [5] 0 0
Louisiana
Country [6] 0 0
United States of America
State/province [6] 0 0
Michigan
Country [7] 0 0
United States of America
State/province [7] 0 0
Tennessee
Country [8] 0 0
United States of America
State/province [8] 0 0
Texas
Country [9] 0 0
United States of America
State/province [9] 0 0
Virginia
Country [10] 0 0
Brazil
State/province [10] 0 0
Bahia
Country [11] 0 0
Brazil
State/province [11] 0 0
Rio Grande Do Norte
Country [12] 0 0
Brazil
State/province [12] 0 0
Rio Grande Do Sul
Country [13] 0 0
Brazil
State/province [13] 0 0
São Paulo
Country [14] 0 0
Brazil
State/province [14] 0 0
Rio de Janeiro
Country [15] 0 0
Canada
State/province [15] 0 0
Quebec
Country [16] 0 0
China
State/province [16] 0 0
Beijing
Country [17] 0 0
China
State/province [17] 0 0
Fujian
Country [18] 0 0
China
State/province [18] 0 0
Henan
Country [19] 0 0
China
State/province [19] 0 0
Hubei
Country [20] 0 0
China
State/province [20] 0 0
Hunan
Country [21] 0 0
China
State/province [21] 0 0
Jilin
Country [22] 0 0
China
State/province [22] 0 0
Shandong
Country [23] 0 0
China
State/province [23] 0 0
Shanghai
Country [24] 0 0
China
State/province [24] 0 0
Sichuan
Country [25] 0 0
China
State/province [25] 0 0
Zhejiang
Country [26] 0 0
Czechia
State/province [26] 0 0
Brno
Country [27] 0 0
Czechia
State/province [27] 0 0
Olomouc
Country [28] 0 0
Czechia
State/province [28] 0 0
Praha 2
Country [29] 0 0
Czechia
State/province [29] 0 0
Praha 4
Country [30] 0 0
Hong Kong
State/province [30] 0 0
Hong Kong
Country [31] 0 0
Hong Kong
State/province [31] 0 0
Shatin, New Territories
Country [32] 0 0
Japan
State/province [32] 0 0
Aichi
Country [33] 0 0
Japan
State/province [33] 0 0
Chiba
Country [34] 0 0
Japan
State/province [34] 0 0
Shizuoka
Country [35] 0 0
Japan
State/province [35] 0 0
Tokyo
Country [36] 0 0
Japan
State/province [36] 0 0
Wakayama
Country [37] 0 0
Korea, Republic of
State/province [37] 0 0
Seongnam-si, Gyeonggi-do
Country [38] 0 0
Korea, Republic of
State/province [38] 0 0
Seoul
Country [39] 0 0
Korea, Republic of
State/province [39] 0 0
Suwon-si Gyeonggi-do
Country [40] 0 0
Korea, Republic of
State/province [40] 0 0
Suwon-si, Gyeonggi-do
Country [41] 0 0
Netherlands
State/province [41] 0 0
Amsterdam
Country [42] 0 0
Netherlands
State/province [42] 0 0
Harderwijk
Country [43] 0 0
Netherlands
State/province [43] 0 0
Rotterdam
Country [44] 0 0
Portugal
State/province [44] 0 0
Braga
Country [45] 0 0
Portugal
State/province [45] 0 0
Lisboa
Country [46] 0 0
Portugal
State/province [46] 0 0
Porto
Country [47] 0 0
Singapore
State/province [47] 0 0
Singapore
Country [48] 0 0
Taiwan
State/province [48] 0 0
Taichung
Country [49] 0 0
Taiwan
State/province [49] 0 0
Tainan
Country [50] 0 0
Taiwan
State/province [50] 0 0
Taipei
Country [51] 0 0
Turkey
State/province [51] 0 0
Adana
Country [52] 0 0
Turkey
State/province [52] 0 0
Ankara
Country [53] 0 0
Turkey
State/province [53] 0 0
Istanbul

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Amgen
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
MD
Address 0 0
Amgen
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Amgen Call Center
Address 0 0
Country 0 0
Phone 0 0
866-572-6436
Fax 0 0
Email 0 0
[email protected]
Contact person for scientific queries

Data sharing statement


What supporting documents are/will be available?

No Supporting Document Provided


Results publications and other study-related documents

No documents have been uploaded by study researchers.

Results not provided in https://clinicaltrials.gov/study/NCT06593522