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PDACPhase 1/2NCT06922591

Study to Evaluate the Safety, Tolerability & Efficacy of TNG462 in Combination in PDAC & NSCLC Patients

A Phase 1/2 study testing TNG462, RMC-9805 and RMC-6236 in people with PDAC and PDAC - Pancreatic Ductal Adenocarcinoma, run by Tango Therapeutics, Inc. at 18 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

TNG462-C102 is a Phase 1/2, open-label, multicenter study designed to determine the safety, tolerability, PK, PD, and preliminary antineoplastic activity of oral TNG462 in combination with RMC-6236, RMC-9805, mFOLFIRINOX or gemcitabine/nab-paclitaxel. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TNG462, RMC-9805 and RMC-6236
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
183 participants
Where
18 sitesUnited States
Study dates
31 May 2025to Dec 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

  • Is ≥18 years of age at the time of signature of the main study ICF.
  • Has an ECOG PS of 0 or 1.
  • Has a tumor with loss of MTAP protein or bi-allelic deletion of the MTAP gene
  • Arms A and B only: Has a tumor with a RAS mutation
  • Pathologically documented metastatic PDAC or locally advanced, recurrent or metastatic NSCLC
  • Has received prior standard therapy
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  • Arms A and B only: Must not have received prior RAS-targeted therapy
  • Has evidence of measurable disease based on RECIST v1.1.
  • Adequate organ function
  • Must be able to swallow tablets.
  • Negative pregnancy test at screening
  • Written informed consent must be obtained according to local guidelines

Who cannot join

  • Has received prior treatment with a PRMT5 inhibitor, or MAT2A inhibitor
  • Arms A and B only: Prior enrollment in any phase 3 clinical trial of RMC-6236 or RMC-9805
  • Known allergy, hypersensitivity or intolerance to TNG462 (all arms), RMC-6236 Arm A), RMC-9805 (Arm B), mFOLFIRINOX (Arm C), gemcitabine/nab-paclitaxel (Arm D) or their excipients
  • Has uncontrolled intercurrent illness that will limit compliance with the study requirements.
  • Has an active infection requiring systemic therapy.
  • Is currently participating in or has planned concurrent participation in a study of another investigational agent or device.
Show all 18Show fewer
  • Has impairment of GI function or disease that may significantly alter the absorption of the oral medications
  • Has known or suspected active or untreated CNS metastases associated with progressive neurological symptoms
  • Has current active liver disease from any cause
  • Is known to be HIV positive, unless all the following criteria are met:
  • CD4+ count ≥300/µL.
  • Undetectable viral load.
  • Receiving highly active antiretroviral therapy
  • Has clinically relevant cardiovascular disease
  • History of or presence of active interstitial lung disease
  • Is a female patient who is pregnant or lactating
  • Is unwilling or unable to comply with the scheduled visits, study treatment administration plan, laboratory tests or other study procedures and study restrictions.
  • Has a prior or ongoing clinically significant illness, medical condition, surgical history, physical finding, or laboratory abnormality that, in the investigator's opinion may affect the safety of the patient or impair the ability to assess study results

Trial locations and contacts

18 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Maxim Pimpkin, MD, PhD contact

857-320-4899

clinicaltrials@tangotx.com

18 sites in 1 country

United States18 sites, 18 recruiting
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

    Harshabad Singh, MD

    Recruiting
  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02115

    Kimberly Perez, MD

    Recruiting
  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599-7305

    Shetal Patel, MD, PhD

    Recruiting
  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611-2908

    Bilal Anouti, MD

    Recruiting
  • Sarah Cannon Research Institute Denver

    Denver, Colorado, 80218

    Gerald Falchook, MD, MS

    Recruiting
  • NEXT Oncology

    Fairfax, Virginia, 22031

    Alexander Spira, MD, PhD

    Recruiting
  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

    Jordi Rodon Ahnert, MD

    Recruiting
  • University of Indiana

    Indianapolis, Indiana, 46202

    Anita Turk, MD

    Recruiting
  • University of Iowa Health Care

    Iowa City, Iowa, 52242

    Naomi Fei, MD, MS

    Recruiting
  • NEXT Dallas

    Irving, Texas, 74039

    Siraj Sen, MD

    Recruiting
  • Mayo Clinic Jacksonville

    Jacksonville, Florida, 32224

    Hani Babiker, MD

    Recruiting
  • NYU Langone Health

    New York, New York, 10016

    Kristen Spencer, DO, MPH

    Recruiting
  • Memorial Sloan Kettering Cancer Center

    New York, New York, 11065

    Eileen O'Reilly, MD

    Recruiting
  • Nebraska Cancer Specialists

    Omaha, Nebraska, 68124

    Joel Michalski, MD, PhD

    Recruiting
  • Mayo Clinic Cancer Center

    Rochester, Minnesota, 55905-0001

    Kaushal Parikh, MD

    Recruiting
  • Huntsman Cancer Institute, University of Utah

    Salt Lake City, Utah, 84112

    Vaia Florou, MD, MS

    Recruiting
  • Mayo Clinic Scottsdale

    Scottsdale, Arizona, 85259-5452

    Mitesh Borad, MD

    Recruiting
  • Georgetown University Medical Center

    Washington D.C., District of Columbia, 20007

    Marcus Noel, MD

    Recruiting

Other trials in United States

About this study

Official title: A Phase 1/2, Multicenter, Open-Label Study to Evaluate Safety, Tolerability & Antitumor Activity of TNG462 in Combination With Other Agents in Patients With Pancreatic Cancer With MTAP Loss and Pancreatic or Non-Small Cell Lung Cancer With MTAP Loss & RAS Mutation

TNG462-C102 is a Phase 1/2, open-label, multicenter study designed to determine the safety, tolerability, PK, PD, and preliminary antineoplastic activity of oral TNG462 in combination with RMC-6236, RMC-9805, mFOLFIRINOX or gemcitabine/nab-paclitaxel. The study comprises a dose escalation phase and a dose expansion phase.

Read the detailed description

TNG462-C102 is a Phase 1/2, open-label, multicenter study designed to determine the safety, tolerability, PK, PD, and preliminary antineoplastic activity of oral TNG462 in combination with RMC-6236, RMC-9805, mFOLFIRINOX or gemcitabine/nab-paclitaxel.

For the RAS inhibitor arms, the study will be conducted in patients with MTAP loss and RAS mutant metastatic pancreatic adenocarcinoma (PDAC) or locally advanced or metastatic non-small cell lung cancer (NSCLC). For the chemotherapy specific arms, the study will be conducted in patients with MTAP loss locally advanced or metastatic PDAC. The entire study (all arms) will be conducted in 2 parts: Phase 1 (dose escalation) and Phase 2 (dose expansion).

Individual Arms in the dose expansion phase may open once the MTD and/or RD(s) has been determined for the corresponding combination in the dose escalation phase of the study.

Being tested
TNG462, RMC-9805, RMC-6236, mFOLFIRINOX, gemcitabine/nab-paclitaxel
Keywords
PRMT5 inhibitor, RAS G12D, Multi RAS, RMC-9805, RMC-6236, Thoracic, Targeted therapy
Medical subject headings
Lung Neoplasms

What participants receive

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

  • TNG462Drug

    MTA cooperative PRMT5 inhibitor

  • RMC-9805Drug

    RAS(ON) G12D selective covalent inhibitor

  • RMC-6236Drug

    RAS(ON) multi-selective inhibitor

  • mFOLFIRINOXDrug

    Chemotherapy

  • gemcitabine/nab-paclitaxelDrug

    Chemotherapy

Study groups in NCT06922591
Study groupRoleWhat they receive
Dose Escalation 1AExperimentalEscalating oral doses of TNG462 in combination with oral RMC-6236
Receives: Drug: TNG462; Drug: RMC-6236
Dose escalation 1BExperimentalEscalating oral doses of TNG462 in combination with oral RMC-9805
Receives: Drug: TNG462; Drug: RMC-9805
Dose Expansion 2AExperimentalExpansion arm at the RDE(s) of oral TNG462 in combination with oral RMC-6236
Receives: Drug: TNG462; Drug: RMC-6236
Dose Expansion 2BExperimentalExpansion arm at the RDE(s) of oral TNG462 in combination with oralRMC-9805
Receives: Drug: TNG462; Drug: RMC-9805
Experimental: Dose Escalation 1CExperimentalEscalating doses of TNG462 in combination with mFOLFIRINOX
Receives: Drug: TNG462; Drug: mFOLFIRINOX
Experimental: Dose Escalation 1DExperimentalEscalating doses of TNG462 in combination with gemcitabine/nab-paclitaxel
Receives: Drug: TNG462; Drug: gemcitabine/nab-paclitaxel
Experimental: Dose Expansion 2CExperimentalExpansion arm at the RDE(s) of TNG462 in combination with mFOLFIRINOX
Receives: Drug: TNG462; Drug: mFOLFIRINOX
Experimental: Dose Expansion 2DExperimentalExpansion arm at the RDE(s) of TNG462 in combination with gemcitabine/nab-paclitaxel
Receives: Drug: TNG462; Drug: gemcitabine/nab-paclitaxel

What is being measured

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

  1. Phase 1: Maximum Tolerated Dose

    To determine the MTD and RD(s) of TNG462 in combination with RMC-6236 or RMC-9805

    Measured: 21 days

  2. Phase 1: Maximum Tolerated Dose

    To determine the MTD and RD(s) of TNG462 in combination with mFOLFIRINOX or gemcitabine/nab-paclitaxel

    Measured: 28 days

  3. Phase 2: Combination Anti-neoplastic Activity

    To assess preliminary evidence of antineoplastic activity of TNG462 in combination with RMC-6236, RMC-9805, mFOLFIRINOX or gemcitabine/nab-paclitaxel using RECIST 1.1

    Measured: 12 weeks

Secondary outcomes (9)
  1. Phase 1: Combination Anti-neoplastic Activity

    To assess preliminary evidence of antineoplastic activity of TNG462 in combination with RMC-6236, RMC-9805, mFOLFIRINOX, or gemcitabine/nab paclitaxel using RECIST 1.1

    Measured: 12 weeks

  2. Phase 1 and 2: Tmax of TNG462 and in Combination

    To characterize the Tmax of TNG462 in combination with RMC-6236 or RMC-9805

    Measured: 21 days

  3. Phase 1 and 2: Tmax of TNG462 and in Combination

    To characterize the Tmax of TNG462 in combination with mFOLFIRINOX, or gemcitabine/nab-paclitaxel

    Measured: 28 days

  4. Phase 1 and 2: Cmax of TNG462 and in Combination

    To characterize the Cmax of TNG462 in combination with RMC-6236 or RMC-9805

    Measured: 21 days

  5. Phase 1 and 2: Cmax of TNG462 and in Combination

    To characterize the Cmax of TNG462 in combination with mFOLFIRINOX, or gemcitabine/nab-paclitaxel

    Measured: 28 days

  6. Phase 1 and 2: AUC of TNG462 and in Combination

    To characterize the AUC of TNG462 and in combination with RMC-6236 or RMC-9805

    Measured: 21 days

  7. Phase 1 and 2: AUC of TNG462 and in Combination

    To characterize the AUC of TNG462 in combination with mFOLFIRINOX, or gemcitabine/nab-paclitaxel

    Measured: 28 days

  8. Phase 1 and 2 Adverse Event Profile

    To determine the safety and tolerability of TNG462 in combination with RMC-6236 or RMC-9805

    Measured: 21 days

  9. Phase 1 and 2 Adverse Event Profile

    To determine the safety and tolerability of TNG462 in combination with mFOLFIRINOX or gemcitabine nab-paclitaxel

    Measured: 28 days

Timeline

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

  1. First posted10 Apr 2025
  2. Study start31 May 2025
  3. Primary completionJun 2027 (estimated)
  4. Study completionDec 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
Model description
Dose escalation of TNG462 + RMC-9805, TNG462 + RMC-6236, TNG462 + mFOLFIRINOX and TNG462 + gemcitabine/nab-paclitaxel, followed by expansion of each combination in MTAP loss and RAS mutant PDAC and NSCLC
Masking
None (open label)
Enrolment
183 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06922591
Sponsor's protocol ID
TNG462-C102
Status last verified
May 2026
First submitted
28 Mar 2025
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing TNG462, RMC-9805 and RMC-6236 in people with PDAC and PDAC - Pancreatic Ductal Adenocarcinoma, run by Tango Therapeutics, Inc. at 18 sites in United States.

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 12 inclusion and 18 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: looking for participants now, as of the sponsor's last update on 23 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 18 sites in United States. 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?

Contact Maxim Pimpkin, MD, PhD (857-320-4899, clinicaltrials@tangotx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1: Maximum Tolerated Dose (time frame: 21 days). The study lists 3 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 23 Oct 2026.

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