Study to see how safe is TNG908 at different doses in patients with solid tumors that have a gene called MTAP missing

2024-511976-34-00 Protocol TNG908-C101 Phase I and Phase II (Integrated) - First administration to humans Ended

Start 31 Oct 2022 · End 30 Dec 2025 · Status Ended · 1 EU/EEA countries · 5 sites · Protocol TNG908-C101

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ended
Participants planned 192
Countries 1
Sites 5

"Ph1: •Locally advanced (LA) or metastatic MTAP-deleted (met.MTAP-del.) solid tumors •MTAP-del.relapsed or refrac. Grade 4 astrocytoma or glioblastoma multiforme (R/R GBM) Ph2: A1:LA or met.MTAP-del. squamous and nonsquamous NSCLC A2:LA or met.MTAP-del. mesothelioma A3:LA or met.MTAP-del. sarcoma A4:LA or met.MTAP-del. pancreatic ductal adenocarcinoma or adenosquamous carcinoma w/predominantly adenocarcinoma histology A5:Other LA or met.MTAP-del. solid tumors A6:MTAP-del. R/R GBM"

"Phase 1: To determine the MTD and RP2D(s) of TNG908 Phase 2: To assess anti-neoplastic activity of TNG908 in patients with MTAP-deleted advanced solid tumors"

Key facts

Sponsor
Tango Therapeutics Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
31 Oct 2022 → 30 Dec 2025
Decision date (initial)
2024-10-03
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Tango Therapeutics, Inc.

External identifiers

EU CT number
2024-511976-34-00
EudraCT number
2021-005605-27
ClinicalTrials.gov
NCT05275478

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Dose response, Safety, Pharmacokinetic, Pharmacodynamic, Efficacy

"Phase 1: To determine the MTD and RP2D(s) of TNG908
Phase 2: To assess anti-neoplastic activity of TNG908 in patients with MTAP-deleted advanced solid tumors"

Secondary objectives 1

  1. "Phase 1: To assess preliminary evidence of anti-neoplastic activity of TNG908 in patients with MTAP-deleted advanced solid tumors Phases 1 and 2: To describe the safety and tolerability profile of TNG908 To characterize the plasma PK profile of TNG908 To assess the PD of TNG908 in patients with MTAP-deleted solid tumors"

Conditions and MedDRA coding

"Ph1: •Locally advanced (LA) or metastatic MTAP-deleted (met.MTAP-del.) solid tumors •MTAP-del.relapsed or refrac. Grade 4 astrocytoma or glioblastoma multiforme (R/R GBM) Ph2: A1:LA or met.MTAP-del. squamous and nonsquamous NSCLC A2:LA or met.MTAP-del. mesothelioma A3:LA or met.MTAP-del. sarcoma A4:LA or met.MTAP-del. pancreatic ductal adenocarcinoma or adenosquamous carcinoma w/predominantly adenocarcinoma histology A5:Other LA or met.MTAP-del. solid tumors A6:MTAP-del. R/R GBM"

VersionLevelCodeTermSystem organ class
20.0 SOC 10029104 Neoplasms benign malignant and unspecified (incl cysts and polyps) 2

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Phase 1: Dose Escalation
Phase 1 will evaluate escalating doses of TNG908 administered BID, with the potential to explore other dosing schedules based on the observed PK parameters and safety and tolerability data. The starting dose will be 25 mg BID. Additional patients may be enrolled for the purpose of PK/PD, safety, efficacy, and dose schedule determination. Within France, there must be 1 day between dosing of sequential patients at all dose levels during Phase 1.
Not Applicable None Locally advanced or metastatic MTAP deleted tumors: Solid tumors including GBM
2 Phase 2: Dose Expansion
"Phase 2 will evaluate TNG908 as a single agent in a Simon 2-stage design in 6 arms at the selected RP2D and schedule following Phase 1. Multiple dose levels may be studied in the expansion phase based on the safety, PK, and/or PD considerations. Each arm may enroll approximately 27 patients based on the clinical responses observed. Additional treatment arms may be added based on emerging data as the study progresses. "
Not Applicable None MTAP-deleted NSCLC: Locally advanced or metastatic MTAP deleted NSCLC
MTAP-deleted mesothelioma: Locally advanced or metastatic MTAP deleted mesothelioma
MTAP-deleted sarcoma (soft tissue or bone): Locally advanced or metastatic MTAP deleted sarcoma
MTAP-deleted pancreatic ductal adenocarcinoma: Locally advanced or metastatic MTAP deleted pancreatic ductal adenocarcinoma
MTAP-deleted basket (including esophageal, cholangiocarcinoma, urothelial and unknown primary): Locally advanced or metastatic MTAP deleted tumors
MTAP-deleted R/R GBM: Relapse or Refractory MTAP deleted GBM

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. "_Age: ≥18 years-of-age at the time of signature of the main study ICF _Performance status: a)Patients with solid tumors other than R/R GBM: ECOG performance status score of 0 to 1 b) Patients with R/R GBM: Karnofsky performance status score ≥70 _For solid tumors other than R/R GBM, have confirmed histologic or cytologic diagnosis of a locally advanced, metastatic, and/or unresectable solid tumor or for GBM, have R/R GBM _Prior standard therapy, as available _Documented bi-allelic (homozygous) deletion of MTAP in a tumor detected by a validated NGS test, or absence of MTAP protein in a tumor detected by a validated IHC test. _Adequate organ function/reserve per local labs _Adequate liver function per local labs _Adequate renal function per local labs _Negative serum pregnancy test result at screening _Patient must be able to swallow tablets _Written informed consent must be obtained according to local guidelines"

Exclusion criteria 1

  1. Not have received prior treatment with a PRMT5 inhibitor.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Phase 1: Incidence of DLTs within the first 28 days of treatment with TNG908 monotherapy Phase 2: - ORR (CR + PR) as determined by RECIST v1.1, mRECIST v1.1, or modified RANO criteria per investigator assessment - DOR as determined by RECIST v1.1, mRECIST v1.1, or modified RANO criteria per investigator assessment
  2. - PFS by investigator assessment - CBR (CR + PR + stable disease) at 16 weeks

Secondary endpoints 1

  1. "Secondary – Phases 1 and 2 - Type, frequency, severity, timing, and relationship to study treatment of any AEs, SAEs, and changes in vital signs, ECGs, ECOG performance status or Karnofsky performance status, and safety laboratory tests - PK parameters of TNG908 including, but not limited to, Cmax, Tmax, AUC0-t, AUC0-∞, t1/2, λz, CL/F, Vz/F, Rac for Cmax and AUC, and Ctrough - Changes in SDMA levels in tumor after dosing with TNG908 "

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

TNG908

PRD11143133 · Product

Active substance
N-6-AMINO-5-METHYLPYRIDIN-3-YL-2-2R5S-2-BENZODTHIAZOL-5-YL-5-METHYLPIPERIDIN-1-YL-2-OXOACETAMIDE
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Authorisation status
Not Authorised
MA holder
TANGO THERAPEUTICS INC
Paediatric formulation
No
Orphan designation
No

TNG908

PRD11143132 · Product

Active substance
N-6-AMINO-5-METHYLPYRIDIN-3-YL-2-2R5S-2-BENZODTHIAZOL-5-YL-5-METHYLPIPERIDIN-1-YL-2-OXOACETAMIDE
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Authorisation status
Not Authorised
MA holder
TANGO THERAPEUTICS INC
Paediatric formulation
No
Orphan designation
No

TNG908

PRD10171624 · Product

Active substance
N-6-AMINO-5-METHYLPYRIDIN-3-YL-2-2R5S-2-BENZODTHIAZOL-5-YL-5-METHYLPIPERIDIN-1-YL-2-OXOACETAMIDE
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Authorisation status
Not Authorised
MA holder
TANGO THERAPEUTICS INC
Paediatric formulation
No
Orphan designation
No

TNG908

PRD10171623 · Product

Active substance
N-6-AMINO-5-METHYLPYRIDIN-3-YL-2-2R5S-2-BENZODTHIAZOL-5-YL-5-METHYLPIPERIDIN-1-YL-2-OXOACETAMIDE
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Authorisation status
Not Authorised
MA holder
TANGO THERAPEUTICS INC
Paediatric formulation
No
Orphan designation
No

Auxiliary 1

Dobutamine Hydrochloride

SCP112629113 · ATC

Active substance
Dobutamine Hydrochloride
Route of administration
ORAL USE
Authorisation status
Authorised
ATC code
N05CD08 — MIDAZOLAM
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Tango Therapeutics Inc.

Sponsor organisation
Tango Therapeutics Inc.
Address
201 Brookline Avenue Suite 901
City
Boston
Postcode
02215-4159
Country
United States

Scientific contact point

Organisation
Tango Therapeutics Inc.
Contact name
Heather DiBenedetto

Public contact point

Organisation
Tango Therapeutics Inc.
Contact name
Heather DiBenedetto

Third parties 15

OrganisationCity, countryDuties
Flagship Biosciences Inc.
ORG-100043268
Morrisville, United States Other
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Other
Bioclinica Inc.
ORG-100033079
Princeton, United States Other
MyData-TRUST
ORL-000000898
Mons, Belgium Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
Ppd Inc.
ORG-100018960
Middleton, United States Other
Scout Clinical
ORG-100042228
Dallas, United States Other
BostonGene
ORL-000010037
United States Other
Labcorp Early Development Laboratories Inc.
ORG-100012865
Madison, United States Other
PPD Ireland
ORG-100032234
Athlone, Ireland Other
Fisher Clinical Services GmbH
ORG-100017323
Rheinfelden (Baden), Germany On site monitoring
Medidata Solutions Inc.
ORG-100016256
New York, United States Other
PPD Italy S.r.l.
ORG-100007383
Segrate, Italy On site monitoring, Code 10, Code 11, Code 12, Code 2, Code 5, Data management, Code 8, Code 9
CellCarta
ORG-100039881
Antwerp, Belgium Other
Foundation Medicine Inc.
ORG-100040457
Boston, United States Other

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 50 5
Rest of world
United States
142

Investigational sites

France

5 sites · Ended
Institut Gustave Roussy
Medical Oncology, 114 Rue Edouard Vaillant, 94800, Villejuif
Centre Leon Berard
Medical Oncology, 28 Rue Laennec, 69008, Lyon
Oncopole Claudius Regaud
Medical Oncology, 1 Avenue Irene Joliot Curie, 31059, Toulouse Cedex 9
Institut De Cancerologie De L Ouest
Medical Oncology, Boulevard Jacques Monod, 44805, Saint-Herblain Cedex
Institut Bergonie
Medical Oncology, 180 R De Saint Genes, 229 Cours De L Argonne, Bordeaux

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2022-10-31 2022-12-15 2024-11-25

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Synoptic CSR
SUM-124696
2026-03-25T09:14:50 Submitted Summary of Results

Documents 13 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D2_Tango_TNG908-C101_Protocol_2024-511976-34-00_Public 4.0
Protocol (for publication) D4_Tango_TNG908-C101_Patient Diary_FR_ENG_Public 4
Protocol (for publication) D4_Tango_TNG908-C101_Patient Diary_FR_FRN_Public 4
Recruitment arrangements (for publication) K1_TNG908-C101_Recruitment-Arrangements_NTF_FRA_Public N/A
Subject information and informed consent form (for publication) L1_TNG908-C101_ICF_Main study_FRA_French_Public 9.0
Subject information and informed consent form (for publication) L1_TNG908-C101_ICF_Molecular Pre-Screening _FRA_French_Public 3.0
Subject information and informed consent form (for publication) L1_TNG908-C101_ICF_Pregnant Partner_FRA_French_Public 1.1
Subject information and informed consent form (for publication) L1_TNG908-C101_ICF_Scout procedure_FRA_French_Public 2.0
Summary of results (for publication) D1_Tango_TNG908-C101 CSR addendum_2024-511976-34_Public 1.0
Summary of results (for publication) D1_Tango_TNG908-C101_Synoptic CSR_2024-511976-34_Public n/a
Summary of results (for publication) Tango_TNG908-C101_Cover Letter n/a
Synopsis of the protocol (for publication) D1_Tango_TNG908-C101_Protocol synopsis_2024-511976-34-00_FR_ENG_Public 4.0
Synopsis of the protocol (for publication) D1_Tango_TNG908-C101_Protocol synopsis_2024-511976-34-00_FR_FRN_Public 4.0

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-12 France Acceptable
2024-10-03
2024-10-03
2 SUBSTANTIAL MODIFICATION SM-1 2025-05-20 France Acceptable
2025-06-17
2025-07-24