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MTAP-deleted Solid TumorsPhase 1/2NCT06188702

S095035 as a Single Agent and in Combination in Adult Participants With Advanced or Metastatic Solid Tumors With Deletion of MTAP

A Phase 1/2 study testing S095035 and TNG462 in people with MTAP-deleted Solid Tumors, run by Servier Bio-Innovation LLC at 20 sites in 7 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a first-in-human Phase 1/2, multicenter, open-label study of S095035 as single-agent, or in combination with TNG462 in adult participants with advanced or metastatic solid tumors with homozygous deletion of MTAP who have failed to respond to or have progressed after at least 1 prior treatment regimen, and for… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
MTAP-deleted Solid Tumors
What is being tested?
S095035 and TNG462
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
61 participants
Where
20 sitesin 7 countries
Study dates
29 Apr 2024to 1 May 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Estimated life expectancy ≥3 months.
  • ECOG PS 0-1
  • Participants able to comply with highly effective method of birth control requirements.
  • Participants with histologically confirmed advanced or metastatic solid tumor's (excluding central nervous system tumors other than IDHwt glioblastoma), with measurable disease as per RECIST 1.1 or RANO 2.0 criteria for participants with IDHwt glioblastoma, that have progressed after at least one prior treatment regimen given for advanced/metastatic disease, and for whom additional effective standard therapy is not available. Patients in China with IDHwt glioblastoma will not be included.
  • Participants with pre-existing documented MTAP homozygous gene deletion in their tumor tissue, determined using a next generation sequencing in vitro diagnostic test prior to screening.
  • Phase 1 only - Participants (except IDHwt glioblastoma) willing to undergo paired fresh biopsy (pre-treatment and on-treatment) procedure. Exceptions may be made for feasibility and safety concerns. IDHwt glioblastoma must provide archival tissue from most recent surgery or biopsy.
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  • Adequate organ functions.
  • Phase 2 only - Participants in dose expansion, except those with IDHwt glioblastoma, must provide newly collected tumor biopsies at screening. If not medically feasible archival tissue may be used, provided it was collected within 3 months before study entry and no treatment has been received since the most recent biopsy.
  • Phase 2 only - Participants with IDHwt glioblastoma must provide archival tissue from their most recent surgery or biopsy, collected before screening.
  • Phase 2 only - Participants in China who are to be considered for enrollment in the single agent dose expansion Arms and who have a pre-existing, documented cyclin-dependent kinase inhibitor 2A (CDKN2A) homozygous gene deletion in their tumor tissue (confirmed by an NGS IVD test), but do not have homozygous MTAP deletion reported, will need to be pre-screened to confirm homozygous MTAP deletion. Pre screening for homozygous MTAP deletion will be conducted using a central NGS IVD test using an archival tumor tissue, preferably the most recent and not older than 3 years.
  • Phase 2 Arm 1a only - Participants with histologically or cytologically confirmed metastatic or unresectable locally advanced NSCLC with homozygous deletion of MTAP, with measurable disease as per RECIST version 1.1, who have progressed or experienced disease recurrence during or after at least 1 prior line of standard-of-care systemic therapy in the advanced/metastatic setting.
  • Phase 2 Arm 1b only - Participants with histologically or cytologically confirmed metastatic or unresectable locally advanced BTC with homozygous deletion of MTAP, who have progressed or experienced disease recurrence during or after at least 1 prior line of standard-of-care systemic therapy in the advanced/metastatic setting.
  • Phase 2 Arm 1c only - Participants with histologically or cytologically confirmed metastatic or unresectable locally advanced PDAC with homozygous deletion of MTAP, who have progressed or experienced disease recurrence during or after at least 1 prior line of standard-of-care systemic therapy in the advanced/metastatic setting.
  • Phase 2 Arm 1d only - Participants with any other locally advanced or metastatic malignancies with homozygous deletion of MTAP, who have received and progressed of experienced recurrence during or after receiving at least 1 prior line of standard-of-care systemic therapy in the advanced/metastatic setting.
  • Phase 2 Arm 2a only - Participants with histologically or cytologically confirmed metastatic or unresectable locally advanced BTC with homozygous deletion of MTAP, who have progressed or experienced disease recurrence during or after receiving at least 1 prior line of standard-of care systemic therapy in the advanced/metastatic setting.
  • Phase 2 Arm 2b only - Participants with histologically or cytologically confirmed metastatic or unresectable locally advanced gastroesophageal cancer with homozygous deletion of MTAP, who have progressed or experienced disease recurrence during or after receiving at least 1 prior line of standard-of-care systemic therapy in the advanced/metastatic setting.
  • Phase 2 Arm 2c only - Participants with histologically or cytologically confirmed metastatic or unresectable locally advanced PDAC with homozygous deletion of MTAP, who have progressed or experienced disease recurrence during or after receiving at least 1 prior line of standard-of-care systemic therapy in the advanced/metastatic setting.

Who cannot join

  • Inability to take an orally administered drug, or medical disorder or prior surgical resection that may affect the absorption of the study drug.
  • Active second primary malignancy other than non-melanoma skin cancers, nonmetastatic prostate cancer, in situ cervical cancer, ductal or lobular carcinoma in situ of the breast, or other malignancy that the Sponsor's Medical monitor and investigator agree and document that it should not be exclusionary.
  • Known prior severe hypersensitivity to any component of the study drug formulation.
  • Major surgery within 4 weeks prior to the first study drug administration or participants who have not recovered from side effects of the surgery.
  • Have a known history of Gilbert's syndrome.
  • Participants with a known clinically significant cardiovascular disease or condition.
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  • Participants with thrombosis, or a history of deep vein thrombosis or pulmonary embolism, within 4 weeks prior to first IMP administration.
  • Active brain metastases.
  • Participants who have received systemic anticancer treatment or radiotherapy less than 2 weeks before the first dose of study drug
  • Pregnant or lactating women.
  • Women of childbearing potential who have a positive pregnancy test within 7 days prior to the first day of study drug administration.
  • History of gastrointestinal perforation and /or fistula or aorto-esophageal fistula within 6 months prior to first study drug intake.
  • Severe or uncontrolled active acute or chronic infection.
  • Participants who have already received a MAT2A or PRMT5 inhibitor.
  • A medical condition that results in increased clinically significant photosensitivity (e.g., solar urticaria, lupus erythematosus, etc.).
  • Participants who are scheduled to receive the S095035-TNG462 combination, with a known clinically significant ophthalmologic disease, including:
  • Prior history of drug-induced or toxic retinopathy or optic neuropathy
  • Uncontrolled glaucoma
  • Pre-existing macular degeneration
  • Ongoing Grade ≥2 retinopathy, optic neuropathy, or optic neuritis
  • Other known active retinal pathology

Trial locations and contacts

20 sites in 7 countries.

20 sites in 7 countries

United States5 sites
  • NEXT Oncology

    Austin, Texas, 78758

  • Community Health Network

    Indianapolis, Indiana, 46250

  • Lake Mary Cancer Center - Florida Cancer Specialists & Research Institute

    Lake Mary, Florida, 32746

  • Taylor Cancer Research Center

    Maumee, Ohio, 43537

  • SCRI Oncology Partners

    Nashville, Tennessee, 37203

Other trials in United States

Australia4 sites
  • Townsville University Hospital

    Douglas, 4812

  • Royal Hobart Hospital

    Hobart, 7000

  • The Alfred

    Prahran, Victoria, 3004

  • Scientia Clinical Research

    Randwick, New South Wales, 2031

Other trials in Australia

Italy3 sites
  • Istituto Europeo Di Oncologia

    Milan, 20141

  • Instituto Clinico Humanitas Irccs

    Rozzano, 20098

  • Policlinico G.B. Rossi A.O.U.I. Di Verona

    Verona, 37134

Other trials in Italy

Japan3 sites
  • Aichi Cancer Center

    Aichi, 4648681

  • National Hospital Organization Shikoku Cancer Center

    Ehime, 7910280

  • The Cancer Institute Hospital of JFCR

    Tokyo, 1358550

Other trials in Japan

France2 sites
  • Institut Bergonié

    Bordeaux, 33076

  • Centre Georges-François Leclerc

    Dijon, 21079

Other trials in France

Spain2 sites
  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040

  • Start Madrid Group - Hm Ciocc

    Madrid, 28050

Other trials in Spain

Germany1 site
  • Universitätsklinikum Ulm

    Ulm, 89081

Other trials in Germany

About this study

Official title: A Phase 1/2, Open-label, Multicenter Clinical Trial Investigating the Safety, Tolerability, Pharmacokinetics, and Antineoplastic Activity of S095035 (MAT2A Inhibitor) as a Single Agent and in Combination in Adult Participants With Advanced or Metastatic Solid Tumors With Homozygous Deletion of MTAP

This is a first-in-human Phase 1/2, multicenter, open-label study of S095035 as single-agent, or in combination with TNG462 in adult participants with advanced or metastatic solid tumors with homozygous deletion of MTAP who have failed to respond to or have progressed after at least 1 prior treatment regimen, and for whom additional effective standard treatment is not available. S095035 is an oral methionine adenosyltransferase 2A [MAT2A] inhibitor. TNG462 is a protein arginine N-methyltransferase 5 [PRMT5] inhibitor.

Being tested
S095035, TNG462
Keywords
MAT2A, MTAP, Solid Tumors, PRMT5, SAM, Synthetic Lethality, MTAP deletion, MAT2A Inhibitor, Advanced Solid Tumors, Biliary Tract Cancer, Non-small Cell Lung Cancer, Pancreatic Adenocarcinoma, Gastroesophageal Cancer
Medical subject headings
Biliary Tract Neoplasms, Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • S095035Drug

    S095035 will be taken orally every day in 28-day cycles.

  • TNG462Drug

    TNG462 will be taken orally every day in 28-day cycles.

Study groups in NCT06188702
Study groupRoleWhat they receive
Phase 1 Arm 1 - S095035 single-agent dose escalationExperimentalNot described
Receives: Drug: S095035
Phase 1 Arm 2 - S095035-TNG462 combination dose escalationExperimentalNot described
Receives: Drug: S095035; Drug: TNG462
Phase 2 Arm 1a NSCLC - S095035 single-agent dose expansionExperimentalNon-Small Cell Lung Cancer
Receives: Drug: S095035
Phase 2 Arm 1b BTC - S095035 single-agent dose expansionExperimentalBiliary Tract Cancer
Receives: Drug: S095035
Phase 2 Arm 1c PDAC - S095035 single-agent dose expansionExperimentalPancreatic Ductal Adenocarcinoma
Receives: Drug: S095035
Phase 2 Arm 1d Basket arm - S095035 single-agent dose expansionExperimentalNot described
Receives: Drug: S095035
Phase 2 Arm 2a BTC - S095035-TNG462 combination dose expansionExperimentalBiliary Tract Cancer
Receives: Drug: S095035; Drug: TNG462
Phase 2 Arm 2b Gastroesophageal - S095035-TNG462 combination dose expansionExperimentalNot described
Receives: Drug: S095035; Drug: TNG462
Phase 2 Arm 2c PDAC - S095035-TNG462 combination dose expansionExperimentalPancreatic Ductal Adenocarcinoma
Receives: Drug: S095035; Drug: TNG462

What is being measured

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

  1. Dose limiting toxicities (DLTs)

    Phase 1 only

    Measured: Through cycle 1 (each cycle is 28 days)

  2. Total number of adverse events (AEs)

    Phase 1 only

    Measured: Through the Safety Follow-up Visit (until 30 days after the last dose of study treatment) approximately 5 years

  3. Total number of serious adverse events (SAEs)

    Phase 1 only

    Measured: Through the Safety Follow-up Visit (until 30 days after the last dose of study treatment) approximately 5 years

  4. Objective response rate (ORR)

    Phase 2 only; Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as per the investigator's assessment and by blinded independent central review (BICR)

    Measured: Through the end of the study (approximately 5 years)

Secondary outcomes (22)
  1. Area under the concentration-vs-time curve (AUC) from 0 to time of last measurable concentration (AUC0-t)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  2. AUC from 0 to infinity (AUC0-∞)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  3. AUC over 1 dosing interval at steady state (AUCtau,ss)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  4. Time to maximum concentration (Tmax)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  5. Maximum concentration (Cmax)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  6. Trough concentration (Ctrough)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  7. Half-life (t½)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  8. Apparent volume of distribution (Vd/F)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  9. Apparent clearance (CL/F)

    Phase 1 and 2

    Measured: Through the last dose of study treatment (approximately 5 years)

  10. Change from baseline in plasma concentrations of S-adenosylmethionine (SAM) and/or tumor symmetric dimethylarginine (SDMA) residues during treatment

    Phase 1 only

    Measured: Through the last dose of study treatment (approximately 5 years)

  11. Objective response rate (ORR)

    Phase 1 only; Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as per the investigator's assessment

    Measured: Through the end of the study (approximately 5 years)

  12. Best overall response (BOR)

    Phase 1 and 2; Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as per the investigator's assessment for Phase 1 and 2, and by BICR only for Phase 2.

    Measured: Through the end of the study (approximately 5 years)

  13. Clinical benefit rate (CBR)

    Phase 1 and 2; CBR=complete response [CR]+partial response [PR]+stable disease [SD] ) ≥6 months, Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as per the investigator's assessment for Phase 1 and 2, and by BICR only for Phase 2

    Measured: Through the end of the study (approximately 5 years)

  14. Duration of response (DOR)

    Phase 1 and 2; Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as per the investigator's assessment for Phase 1 and 2, and by BICR only for Phase 2. The time from date of first documented confirmed CR or confirmed PR to date of first documented disease progression or death due to any cause.

    Measured: Through the end of the study (approximately 5 years)

  15. Time to response (TTR)

    Phase 1 and 2; Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as per the investigator's assessment for Phase 1 and 2, and by BICR only for Phase 2. The time from the date of randomization to date of first documented confirmed complete response (CR) or confirmed partial response (PR).

    Measured: Through the end of the study (approximately 5 years)

  16. Progression-free Survival (PFS)

    Phase 2 Only; Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as assessed by investigator and by BICR

    Measured: Through the end of the study (approximately 5 years)

  17. Overall Survival (OS)

    Phase 2 Only; Per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or Response Assessment in Neuro-oncology (RANO) 2.0 criteria as assessed by investigator and by BICR

    Measured: Through the end of the study (approximately 5 years)

  18. Total number of adverse events (AEs)

    Phase 2 Only

    Measured: Through the Safety Follow-up Visit (until 30 days after the last dose of study treatment) approximately 5 years

  19. Total number of serious adverse events (SAEs)

    Phase 2 Only

    Measured: Through the Safety Follow-up Visit (until 30 days after the last dose of study treatment) approximately 5 years

  20. Number of dose interruptions

    Phase 2 Only

    Measured: Through the last dose of study treatment (approximately 5 years)

  21. Number of dose reductions

    Phase 2 Only

    Measured: Through the last dose of study treatment (approximately 5 years)

  22. Dose intensity

    Phase 2 Only

    Measured: Through the last dose of study treatment (approximately 5 years)

Timeline

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

  1. First posted3 Jan 2024
  2. Study start29 Apr 2024
  3. Primary completion1 May 2027 (estimated)
  4. Study completion1 May 2027 (estimated)

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
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06188702
Sponsor's protocol ID
CL1-95035-001
Other IDs
2025-521249-25-00, 2025
Status last verified
Oct 2026
First submitted
18 Dec 2023
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: * used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). * where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: * sponsored by Servier * with a first patient enrolled as of 1 January 2004 onwards * for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing S095035 and TNG462 in people with MTAP-deleted Solid Tumors, run by Servier Bio-Innovation LLC at 20 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 17 inclusion and 21 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: under way, not looking for participants, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States, Australia, Italy, Japan, France 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?

This study is still under way. Results are not available in the source record yet.

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?

Dose limiting toxicities (DLTs) (time frame: Through cycle 1 (each cycle is 28 days)). 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 13 Oct 2026.

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