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Brief Title: Study of Oral MRT-2359 in Selected Cancer Patients
Official Title: A Phase 1/2 Study of Oral MRT-2359 in Patients With MYC-Driven and Other Selected Solid Tumors Including Lung Cancer and Diffuse B-Cell Lymphoma
Study ID: NCT05546268
Brief Summary: This Phase 1/2, open-label, multicenter study is conducted in patients with previously treated selected solid tumors, including non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), high-grade neuroendocrine cancer of any primary site, diffuse large B-cell lymphoma (DLBCL), and tumors with L-MYC or N-MYC amplification. Patients receive escalating doses of a GSPT1 molecular glue degrader MRT-2359 to determine safety, tolerability, maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of MRT-2359. Once the MTD and/or RP2D is identified, additional patients enroll to Phase 2 study, which includes molecular biomarkers stratification or selection, namely expression or amplification of L-MYC and N-MYC genes, hormone receptor positive (HR)-positive, human epidermal growth factor 2 (HER2)-negative breast cancer and prostate cancer.
Detailed Description: This Phase 1/2, open-label, multicenter, dose escalation and expansion study to assess the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and preliminary clinical activity of MRT-2359 in patients with previously treated selected solid tumors, including lung cancer (NSCLC and SCLC), high-grade neuroendocrine cancer of any primary site, and DLBCL. * The primary aim of Phase 1 part is safety, tolerability, MTD and/or RP2D of MRT-2359. * The primary aim of Phase 2 part is assessment of preliminary anti-tumor activity of MRT-2359.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Honor Health Research Institute, Scottsdale, Arizona, United States
Hoag Memorial Hospital Presbyterian, Newport Beach, California, United States
University of California San Diego, San Diego, California, United States
Yale University, New Haven, Connecticut, United States
Sarah Cannon Research Institute, Lake Mary, Florida, United States
Moffitt Cancer Center, Tampa, Florida, United States
Indiana University, Bloomington, Indiana, United States
University of Kansas Cancer Center, Lawrence, Kansas, United States
Dana Farber Cancer Institute, Boston, Massachusetts, United States
Henry Ford Cancer Institute, Detroit, Michigan, United States
Washington University, Saint Louis, Missouri, United States
Memorial Sloan Kettering Cancer Center, New York, New York, United States
Columbia University Irving Medical Centre, New York, New York, United States
Sarah Cannon Research Institute, Nashville, Tennessee, United States
Mary Crowley Cancer Research, Dallas, Texas, United States
MD Anderson Cancer Center, Houston, Texas, United States
South Texas Accelerated Research Therapeutics (START), San Antonio, Texas, United States
Virginia Cancer Specialists Research Institute, Fairfax, Virginia, United States
Fred Hutchinson Cancer Center, Seattle, Washington, United States
Cross Cancer Institute, Edmonton, Alberta, Canada
Princess Margaret Hospital, Toronto, Ontario, Canada