NCT07601243PHASE1Recruiting
Study of GS-2426 in Participants With Advanced Solid Tumors
Gilead Sciences
Start Date
6/2/2026
Completion Date
1/1/2029
Summary
The goal of this clinical study is to learn more about the study drug GS-2426, and how safe and tolerable it is in participants with advanced methylthioadenosine phosphorylase (MTAP)-deleted solid tumors. The primary objective of this study is to evaluate the safety and tolerability of GS-2426 in participants with MTAP-deleted advanced solid tumors and to determine the maximum tolerated dose (MTD)/maximum administered dose (MAD) and the recommended phase II dose (RP2D).
Eligibility Criteria
Age Range: 18 years to No maximum
Key Inclusion Criteria:
* Participants 18 years of age or older (≥ 19 years old for participants in South Korea).
* Histologically or cytologically confirmed advanced malignant solid tumors, who have progressed on, are intolerant to or are ineligible for standard therapy, or have no standard treatment options.
* Participant tumors are methylthioadenosine phosphorylase (MTAP)-deficient.
* Adequate organ function
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* All participants must provide a pretreatment tumor tissue sample.
Key Exclusion Criteria:
* Participants with plans to breastfeed during the study period or within 7 days following the last dose of study intervention.
* Have not recovered (ie, returned to Grade 1 or baseline) from clinically significant adverse events (AEs) due to a previously administered agent or a previous intervention as assessed by the investigator.
* Active second malignancy. Individuals with a history of malignancy who have been completely treated with no evidence of active cancer for 5 years prior to enrollment, or individuals with surgically cured tumors with low risk of recurrence may be enrolled.
* Requirement for ongoing therapy with any prohibited medications .
* Prior therapy with a protein arginine methyltransferase 5 (PRMT5) inhibitor or methionine adenosine transferase 2a (MAT2A) inhibitor.
* Have serious infection requiring antibiotics within 14 days prior to the first dose.
* Uncontrolled concurrent diseases
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Interventions
DRUG
GS-2426
Conditions
Advanced Solid Tumors
Locations
START Astera, LLC
East Brunswick, New Jersey 08816
United States
START San Antonio, LLC
San Antonio, Texas 78229
United States