A Study of Anvumetostat in Participants With Advanced MTA... | NCT05094336 | Trialant
NCT05094336
Sponsor
Amgen
Status
Active, not recruiting
Last Update Posted
May 28, 2026Actual
Enrollment
329Actual
Phase
Phase 1Phase 2
Conditions
Advanced MTAP-null Solid Tumors
Interventions
Anvumetostat
Docetaxel
Comparator Anvumetostat Test Tablet
Countries
United States
Australia
Austria
Belgium
Canada
China
France
Germany
Hong Kong
Japan
South Korea
Switzerland
Taiwan
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT05094336
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
20210023
Secondary IDs
ID
Type
Description
Link
2023-504363-17
Other Identifier
EU CT Number
Brief Title
A Study of Anvumetostat in Participants With Advanced MTAP-null Solid Tumors (MTAPESTRY 101)
Official Title
A Phase 1/1b/2 Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Anvumetostat Alone and in Combination With Docetaxel in Subjects With Advanced MTAP-null Solid Tumors
Acronym
MTAPESTRY 101
Organization
AmgenINDUSTRY
Status Module
Record Verification Date
May 2026
Overall Recruitment Status or Expanded Access Status
Active, not recruiting
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Feb 1, 2022Actual
Primary Completion Date
Nov 30, 2026Estimated
Completion Date
Nov 30, 2026Estimated
First Submitted Date
Oct 14, 2021
First Submission Date that Met QC Criteria
Oct 14, 2021
First Posted Date
Oct 26, 2021Actual
Results Waived
Not provided
Results First Submitted Date
Not provided
Results First Submitted that Met QC Criteria
Not provided
Results First Posted Date
Not provided
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
May 27, 2026
Last Update Posted Date
May 28, 2026Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
AmgenINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Not provided
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The primary objective of Parts 1 and 2 of this study is to evaluate the safety, tolerability, and to determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D) of Anvumetostat alone and in combination with docetaxel in adult participants with metastatic or locally advanced methylthioadenosine phosphorylase (MTAP)-null solid tumors.
The primary objective of Part 3 of this study is to evaluate the efficacy of Anvumetostat in adult participants with metastatic or locally advanced MTAP-null solid tumors.
Detailed Description
Not provided
Conditions Module
Conditions
Advanced MTAP-null Solid Tumors
Keywords
Metastatic MTAP-null solid tumors
Advanced MTAP-null solid tumors
Non-small cell lung cancer
Biliary Tract Cancer (BTC)
Head and neck squamous cell carcinoma
Pancreatic adenocarcinoma
Esophageal cancer
Gastric cancer
Glioma
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 1Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
329Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Part 1a, Phase 1: Anvumetostat Monotherapy Dose Exploration
Experimental
Participants with MTAP-null solid tumors will receive escalating doses of Anvumetostat to estimate the MTD and/or the RP2D.
Drug: Anvumetostat
Part 1c, Phase 1: Anvumetostat Monotherapy Dose Expansion
Experimental
Participants will receive the identified MTD/RP2D of Anvumetostat in the following cohort: MTAP-null NSCLC.
Drug: Anvumetostat
Part 2a, Phase 1: Anvumetostat Dose Exploration + Docetaxel
Experimental
Participants with MTAP-null NSCLC will receive escalating doses of Anvumetostat + a fixed dose of docetaxel to estimate the MTD/RP2D of the combination.
Drug: Anvumetostat
Drug: Docetaxel
Part 2b, Phase 1: Anvumetostat + Docetaxel Dose Expansion
Experimental
Participants with MTAP-null NSCLC will receive the identified MTD/RP2D of Anvumetostat + docetaxel.
Drug: Anvumetostat
Drug: Docetaxel
Part 3: Anvumetostat Phase 2
Experimental
Participants with MTAP-null solid tumors will receive Anvumetostat.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Anvumetostat
Drug
Anvumetostat: Orally via tablet
Part 1a, Phase 1: Anvumetostat Monotherapy Dose Exploration
Part 1c, Phase 1: Anvumetostat Monotherapy Dose Expansion
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Parts 1 and 2: Number of Participants Who Experience a Dose-Limiting Toxicity (DLT)
28 days
Parts 1 and 2: Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE)
Adverse events (AEs) are defined as any untoward medical occurrence in clinical study participant irrespective of a causal relationship with the study treatment. TEAEs are any event that occurs after the participant has received study treatment. Any clinically significant changes in vital signs, electrocardiograms (ECGs) and clinical laboratory tests will be recorded as TEAEs.
Serious AEs (SAEs) are defined as any event that meets at least 1 of the following serious criteria:
Results in death (fatal)
Requires in-patient hospitalization or prolongation of existing hospitalization
Results in persistent or significant disability/incapacity
Is a congenital anomaly/birth defect
Other medically important serious event
Up to approximately 3 years
Part 3: Objective Response Rate (ORR)
Up to approximately 3 years
Secondary Outcomes
Measure
Description
Time Frame
Parts 1 and 2: Maximal Plasma Concentration (Cmax) of Anvumetostat
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
Parts 1 and 2: Time to Achieve Maximal Plasma Concentration (Tmax) of Anvumetostat
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Participant has provided informed consent/assent before initiation of any study specific activities/procedures.
Age ≥ 18 years.
Evidence of homozygous loss of cyclin dependent kinase inhibitor 2A (CDKN2A) (null) (Parts 1a, 1j, 1k, and 2a only) and/or methylthioadenosine phosphorylase (MTAP) (null) in the tumor tissue or blood (Parts 1a to 1k, Parts 2a and 2b) or lost MTAP expression in the tumor tissue (Parts 1a to 1k, Parts 2a and 2b).
Histologically confirmed metastatic or locally advanced solid tumor not amenable to curative treatment with surgery and/or radiation.
Able to swallow and retain orally (PO) administered study treatment and willing to record daily adherence to investigational product.
Disease measurable as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1). Note: except participants enrolling to Part 1m.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
Adequate hematopoietic function per local laboratory
Adequate renal function per local laboratory
Adequate glucose control per local laboratory (Part 1 only)
Adequate liver function per local laboratory
Adequate coagulation parameters
Adequate pulmonary function
Adequate cardiac function
Minimum life expectancy of 12 weeks as per investigator judgement.
Archived tumor tissue (formalin-fixed, paraffin-embedded [FFPE] sample collected within 5 years) or an archival block must be available.
For Part 1f (MTAP-null or lost MTAP expression HNSCC): Must be willing to undergo tumor biopsy.
For Part 1a: Must be willing to undergo tumor biopsy, before start of treatment (archival sample acceptable if obtained with 6 months of enrollment and subject has not received any other treatment since sample was obtained) and while on treatment.
For DSPS study (Part 1j): Must be willing to participate in DSPS substudy (US sites only).
Food Effect Substudy (Part 1k): Specific Inclusion Criteria
Subject able and willing to eat a standardized high-fat, high-caloric meal
Subject able and willing to fast for ≥ 6 hours
Specific Inclusion Criteria for subjects with glioma (Part 1m only)
- Disease measurable as defined per Modified Response Assessment in Neuro-Oncology Criteria 2.0 (mRANO 2.0)
Exclusion Criteria:
Spinal cord compression or untreated brain metastases or leptomeningeal disease.
History of other malignancy within the past 2 years
Any evidence of current interstitial lung disease
Active infection
Evidence of active severe acute respiratory syndrome coronavirus 2 (SARS-COV2) infection.
History of bowel obstruction, abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess
History of solid organ transplant.
Diagnosis of Congenital Short QT Syndrome.
Major surgery
Anti-tumor therapy within 28 days of study day 1.
Prior treatment with an methionine adenosyltransferase 2α (MAT2A) inhibitor or a protein arginine methyltransferase 5 (PRMT5) inhibitor.
Prior treatment with docetaxel (Part 2 only)
Prior irradiation to 25% of the bone marrow.
Therapeutic or palliative radiation therapy within 2 weeks of study day 1.
Live vaccine therapy within 4 weeks before study drug administration.
Use of therapeutic anti-coagulation for treatment of active thromboembolic events.
Use of prescription medications that are known strong inducers of cytochrome P450 3A4 (CYP3A4) within 14 days or 5 half-lives (whichever is longer) before study day 1
Unresolved toxicity from prior anti-cancer therapy
Currently receiving treatment in another investigational device or drug study.
Known positive test for Human Immunodeficiency Virus (HIV).
Positive hepatitis B surface antigen
positive hepatitis C virus ribonucleic acid (RNA) by polymerase chain reaction (PCR)
Female participants of childbearing potential unwilling to use protocol specified method of contraception
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Types
Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Clinical Study Report (CSR)
Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
Part 1e, Phase 1: Anvumetostat Monotherapy Dose Expansion
Experimental
Participants will receive the identified selected dose/MTD of Anvumetostat in the following cohort: MTAP-null BTC.
Drug: Anvumetostat
Part 1f, Phase 1: Anvumetostat Monotherapy Dose Expansion
Experimental
Participants will receive the identified selected dose/MTD of Anvumetostat in the following cohort:
MTAP-null head and neck squamous cell carcinoma (HNSCC).
Drug: Anvumetostat
Part 1g, Phase 1: Anvumetostat Monotherapy Dose Expansion
Experimental
Participants will receive the identified selected dose/MTD of Anvumetostat in the following cohort:
MTAP-null pancreatic adenocarcinoma.
Drug: Anvumetostat
Part 1h, Phase 1: Anvumetostat Monotherapy Dose Expansion
Experimental
Participants will receive the identified selected dose/MTD of Anvumetostat in the following cohort: MTAP-null or lost MTAP expression solid tumors (other than lymphoma or primary brain tumor).
Drug: Anvumetostat
Part 1i, Phase 1: Anvumetostat Dose Optimization
Experimental
Participants will receive a randomized dose optimization evaluation of Anvumetostat.
Drug: Anvumetostat
Part 1j, Phase 1: Anvumetostat DSPS Substudy (US Sites Only)
Experimental
Participants will receive doses of Anvumetostat and comparator Anvumetostat test tables at different times in a fasted state.
Part 1l, Phase 1: Anvumetostat Monotherapy Dose Expansion
Part 1m, Phase 1: Anvumetostat Monotherapy Dose Expansion
Part 2a, Phase 1: Anvumetostat Dose Exploration + Docetaxel
Part 2b, Phase 1: Anvumetostat + Docetaxel Dose Expansion
Part 3: Anvumetostat Phase 2
MTA Cooperative PRMT5 inhibitor
AMG 193
Docetaxel
Drug
Docetaxel: Intravenous infusion
Part 2a, Phase 1: Anvumetostat Dose Exploration + Docetaxel
Part 2b, Phase 1: Anvumetostat + Docetaxel Dose Expansion
Comparator Anvumetostat Test Tablet
Drug
Comparator Anvumetostat test tablet: Orally via tablet. Only participants in the DSPS group of the Part 1a, Phase 1: Anvumetostat Monotherapy Dose Exploration, and Part 1j, Phase 1 arms will receive comparator Anvumetostat test tablet.
Part 1j, Phase 1: Anvumetostat DSPS Substudy (US Sites Only)
Parts 1 and 2: Area Under the Plasma Concentration Versus Time Curve (AUC) of Anvumetostat
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Part 1 Cycle = 28 days, Part 2 Cycle =21 days)
Part 2 Only: Maximal Plasma Concentration (Cmax) of Docetaxel
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
Part 2 Only: Time to Achieve Maximal Plasma Concentration (Tmax) of Docetaxel
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
Part 2 Only: Area Under the Plasma Concentration Versus Time Curve (AUC) of Docetaxel
Cycle 1 Day 1 to Pre-Dose Cycle 5 Day 1 (Cycle =21 days)
Parts 1 and 2: ORR
Up to approximately 3 years
Parts 1, 2 and 3: Disease Control Rate (DCR)
Up to approximately 3 years
Parts 1, 2 and 3: Duration of Response (DoR)
Up to approximately 3 years
Parts 1, 2 and 3: Time to Response (TTR)
Up to approximately 3 years
Parts 1, 2 and 3: Duration of Disease Control (DC)
Up to approximately 3 years
Parts 1, 2 and 3: Progression-Free Survival (PFS)
Up to approximately 3 years
Parts 1, 2 and 3: Overall Survival (OS)
Up to approximately 5 years
Part 3 Only: Number of Participants Who Experience TEAE
AEs are defined as any untoward medical occurrence in clinical study participant irrespective of a causal relationship with the study treatment. TEAEs are any event that occurs after the participant has received study treatment. Any clinically significant changes in vital signs, ECGs and clinical laboratory tests will be recorded as TEAEs.
SAEs are defined as any event that meets at least 1 of the following serious criteria:
Results in death (fatal)
Requires in-patient hospitalization or prolongation of existing hospitalization
Results in persistent or significant disability/incapacity
Is a congenital anomaly/birth defect
Other medically important serious event
Up to approximately 3 years
Part 1a Only: Maximal Plasma Concentration (Cmax) of Anvumetostat
Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
Part 1a Only: Time to Achieve Maximal Plasma Concentration (Tmax) of Anvumetostat
Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
Part 1a Only: Area Under the Plasma Concentration Versus Time Curve (AUC) of Anvumetostat
Cycle 2 Day 1 to pre-dose on Cycle 2 Day 2 (Cycle = 28 days)
Part 1a Only: Maximal Plasma Concentration (Cmax) of Comparator Anvumetostat Test Tablet
Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
Part 1a Only: Time to Achieve Maximal Plasma Concentration (Tmax) of Comparator Anvumetostat Test Tablet
Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
Part 1a Only: Area Under the Plasma Concentration Versus Time Curve (AUC) of Comparator Anvumetostat Test Tablet
Cycle 2 Day 2 to pre-dose on Cycle 2 Day 3 (Cycle = 28 days)
Part 1k Only: Cmax of Anvumetostat during fasted state
Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
Part 1k Only: Tmax of Anvumetostat during fasted state
Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
Part 1k Only: AUC of Anvumetostat during fasted state
Cycle 2 day 1 pre-dose up to 24 hours post-dose (Cycle = 28 days)
Part 1k Only: Cmax of Anvumetostat during fed state
Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
Part 1k Only: Tmax of Anvumetostat during fed state
Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
Part 1k Only: AUC of Anvumetostat during fed state
Cycle 2 day 2 pre-dose up to 24 hours post-dose (Cycle = 28 days)
Glendale
California
91204
United States
Fomat Medical Research
Oxnard
California
93030
United States
University of California at SF
San Francisco
California
94158
United States
D and H Cancer Research Center
Margate
Florida
33063
United States
Boca Raton Clinical Research Medical Center Inc
Tamarac
Florida
33321
United States
Goshen Health Systems
Goshen
Indiana
46526
United States
Indiana University
Indianapolis
Indiana
46202
United States
Community Health Network MD Anderson Cancer Center - North
Indianapolis
Indiana
46250
United States
University of Maryland Medical Center
Baltimore
Maryland
21201
United States
American Oncology Partners, PA
Bethesda
Maryland
20817
United States
Henry Ford Cancer Detroit (Brigitte Harris Cancer Pavilion)
Detroit
Michigan
48202
United States
Washington University
St Louis
Missouri
63110
United States
Rutgers Cancer Institute of New Jersey
New Brunswick
New Jersey
08903
United States
Roswell Park Cancer Institute
Buffalo
New York
32224
United States
Northwell Health Monter Cancer Center
Lake Success
New York
11042
United States
New York University Grossman School of Medicine and New York University Langone Hospitals
New York
New York
10016
United States
Duke University
Durham
North Carolina
27710
United States
University Hospitals Cleveland Medical Center
Cleveland
Ohio
44106
United States
University of Pennsylvania
Philadelphia
Pennsylvania
19106
United States
Thomas Jefferson University
Philadelphia
Pennsylvania
19107
United States
University of Pittsburgh Medical Center
Pittsburgh
Pennsylvania
15232
United States
Sanford Oncology Clinic and Pharmacy
Sioux Falls
South Dakota
54104
United States
Sarah Cannon Research Institute
Dallas
Texas
75230
United States
Center for Oncology and Blood Disorders
Houston
Texas
77030
United States
University of Texas MD Anderson Cancer Center
Houston
Texas
77030
United States
Lumi Research
Kingwood
Texas
77339
United States
South Texas Accelerated Research Therapeutics
San Antonio
Texas
78229
United States
University of Virginia Cancer Center
Charlottesville
Virginia
22908
United States
Virginia Cancer Specialists PC
Fairfax
Virginia
22031
United States
Chris OBrien Lifehouse
Camperdown
New South Wales
2050
Australia
Epworth Healthcare
East Melbourne
Victoria
3002
Australia
Peter MacCallum Cancer Centre
Parkville
Victoria
3050
Australia
Medizinische Universitaet Graz
Graz
8036
Austria
Landeskrankenhaus Salzburg
Salzburg
5020
Austria
Universite Catholique de Louvain Cliniques Universitaires Saint Luc