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NCT Number: NCT06414460

Study of ISM3412 in Participants With Locally Advanced/Metastatic Solid Tumors

The study has consists of two parts, a dose escalation part (Part 1) and a dose selection optimization part (Part 2). The primary objectives of this study are to evaluate the safety and tolerability of ISM3412 in participants with locally advanced/metastatic solid tumors, and to determine the RP2D of ISM3412.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Cancer Hospital Chinese Academy of Medical Sciences, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female participants with age ≥18 years at the time of signing the informed consent.
  • Histologically confirmed unresectable locally advanced or metastatic solid tumors with confirmed homozygous MTAP deletion, who have disease progression after standard therapy, intolerable to standard therapy, or for whom no standard therapy exists.
  • Have measurable or evaluable lesions in Part 1 and at least one measurable target lesion in Part 2 as defined by Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
  • ECOG PS (Eastern Cooperative Oncology Group Performance Status) ≤1.
  • Life expectancy of ≥12 weeks as judged by the investigator.
  • Adequate organ function as determined by medical assessment.
  • Capable of providing signed ICF and complying with the requirements and restrictions listed in the ICF and in this study protocol.

Exclusion criteria

  • Prior treated with other MAT2A inhibitors and/or PRMT inhibitors.
  • Participation in other therapeutic clinical studies within 28 days or 5 half-lives (whichever is shorter) prior to first dose of study treatment.
  • Anti-tumor therapy (chemotherapy, immunotherapy, hormonal therapy, targeted therapy, biologic therapy, or other anti-tumor therapy, except for hormones for hypothyroidism or estrogen replacement therapy, anti-estrogen analogues, agonists required to suppress serum testosterone levels) within 28 days or 5 half-lives, whichever is shorter prior to first dose of study treatment.
  • Toxicities of prior therapy have not resolved to Grade ≤1 or to baseline (as evaluated by NCI CTCAE version 5.0)
  • History of another primary tumor that has been diagnosed or required therapy within the past 3 years.
  • Previous history of, or presence of Gilbert's syndrome.
  • Previous history of myelodysplastic syndrome.
  • Prior solid organ or hematopoietic stem cell transplant.
  • Known active central nervous system (CNS) primary tumor or untreated CNS metastases.
  • Have serious cardiovascular or cerebrovascular disease as per protocol.
  • Presence of uncontrolled systemic infection as per protocol.
  • Unwillingness or unable to comply with the requirements of oral drug administration, or presence of a gastro-intestinal condition.

Other protocol inclusion and exclusion criteria may apply.

Treatment and study plan

ISM3412

Drug

ISM3412 will be administered orally once daily.

Primary outcomes

  1. Incidence of dose-limiting toxicity (DLT) events

    Time frame: 31 days

    To evaluate the safety and tolerability of ISM3412.

  2. Incidence and severity of adverse events (AEs)

    Time frame: Approximately 30 months

    To evaluate the safety and tolerability of ISM3412.

  3. Recommended phase 2 dose (RP2D)

    Time frame: Approximately 30 months

    To determine the RP2D of ISM3412.

Secondary outcomes

  1. Maximum observed concentration (Cmax)

    Time frame: Approximately 30 months

    To assess PK of ISM3412 in plasma following a single and multiple doses of ISM3412

  2. Time of maximum observed concentration (Tmax)

    Time frame: Approximately 30 months

    To assess PK of ISM3412 in plasma following a single and multiple doses of ISM3412

  3. Area under the concentration-time curve (AUC)

    Time frame: Approximately 30 months

    To assess PK of ISM3412 in plasma following a single and multiple doses of ISM3412

  4. Terminal half-life (t1/2)

    Time frame: Approximately 30 months

    To assess PK of ISM3412 in plasma following a single and multiple doses of ISM3412

  5. Objective response rate (ORR)

    Time frame: Approximately 30 months

    To evaluate the preliminary efficacy of ISM3412 in participants with locally advanced/metastatic solid tumors.

  6. Best objective response (BOR)

    Time frame: Approximately 30 months

    To evaluate the preliminary efficacy of ISM3412 in participants with locally advanced/metastatic solid tumors.

  7. Duration of response (DoR)

    Time frame: Approximately 30 months

    To evaluate the preliminary efficacy of ISM3412 in participants with locally advanced/metastatic solid tumors.

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

InSilico Medicine Hong Kong Limited

Industry

Registry information

Official study title

A Phase 1/2, Open-Label, Multicenter, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics/Pharmacodynamics, and Preliminary Efficacy of ISM3412 in Participants With Locally Advanced/Metastatic Solid Tumors

Important dates

Study start
2025
Primary completion
2028
Study completion
2029
First posted
May 16, 2024
Registry last updated
Jun 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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