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RecruitingInterventionalPhase 1/Phase 2

A Phase 1/2, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of TNG260 as Single Agent and in Combination With an Anti-PD-1 Antibody In Patients With STK11 Mutated Advanced Solid Tumors

NCT ID: NCT05887492Sponsor: Tango Therapeutics, Inc.Last updated: 2025-11-18

Summary

The goal of this interventional clinical trial is to learn about TNG260, a CoREST inhibitor, in combination with pembrolizumab in patients with advanced solid tumors with a known STK11 mutation. The main question\[s\] it aims to answer are: * the recommended dose for Phase 2 * to evaluate the safety and tolerability of the combination therapy * to determine the pharmacokinetics of TNG260 * to evaluate the initial antineoplastic activity Participants will receive study treatment until they experience an undesirable side effect, their disease progresses or until they withdraw consent.

Detailed description

This is a first-in-human Phase 1/2, open-label, multicenter, dose-escalation and expansion study designed to determine the maximum tolerated dose and recommended phase 2 dose(s) and evaluate the safety and tolerability, pharmacokinetics, and antineoplastic activity of escalating oral doses of TNG260 when administered with a standard dose of pembrolizumab in participants with locally advanced or metastatic STK11 mutated solid tumors.

Arms & interventions

  • DrugTNG260

    CoREST inhibitor, administered orally

  • DrugPembrolizumab

    Pembrolizumab, an anti-PD-1 antibody, administered intravenously

Outcome measures

Primary

  • Determine the MTD and RP2D(s) (Phase 1 only)

    To determine the MTD and RP2D(s) of TNG260 when administered in combination with pembrolizumab

    Time frame: 42 days

  • Measure antitumor activity using RECIST 1.1 (Phase 2 only)

    To assess antineoplastic activity of TNG260 when administered in combination with pembrolizumab in participants with locally advanced unresectable or metastatic STK11-mutated solid tumors by measuring ORR, DOR, and PFS by RECIST 1.1

    Time frame: 12 weeks

Secondary

  • Measure antitumor evidence of TNG260 + pembrolizumab antineoplastic activity by RECIST 1.1 (Phase 1 only)

    Time frame: 12 weeks

  • Characterize Area Under the Curve (AUC) of TNG260

    Time frame: 37 days

  • Characterize the time to achieve Time to Maximal Concentration (Tmax) of TNG260

    Time frame: 37 days

  • Characterize Maximum Observed Plasma Concentration (Cmax) of TNG260

    Time frame: 37 days

  • Characterize Terminal Half-life (T1/2) of TNG260

    Time frame: 37 days

  • Characterize pembrolizumab concentrations when administered with TNG260

    Time frame: 43 days

  • Safety and tolerability of TNG260 by CTCAE 5.0

    Time frame: 42 days

  • To measure changes in histone acetylation when administered with TNG260

    Time frame: 12 weeks

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Is ≥18 years of age at the time of signature of the main study ICF. * Has ECOG performance status of 0 or 1. * Has measurable disease based on RECIST v1.1. * All participants must have documented STK11 mutation in a solid tumor, which is identified through a validated analytical method * Has confirmed histologic or cytologic diagnosis of a locally advanced or metastatic solid tumor. * 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 * Written informed consent must be obtained according to local guidelines Exclusion Criteria: * Known allergies, hypersensitivity, or intolerance to TNG260, PD-1 antibody or its excipients * Uncontrolled intercurrent illness that will limit compliance with the study requirements * Active infection requiring systemic therapy * Currently participating in or has planned participation in a study of another investigational agent or device * Impairment of GI function or disease that may significantly alter the absorption of oral TNG260 * Active prior or concurrent malignancy. * Central nervous system metastases associated with progressive neurological symptoms * Current active liver disease from any cause * Clinically relevant cardiovascular disease * A female patient who is pregnant or lactating

Study locations (13)

UCLA Hematology/Oncology

Santa Monica, California, 90404

Recruiting
Jonathan Goldman, MD · Principal Investigator

SCRI at HealthOne

Denver, Colorado, 80218

Recruiting
Gerald Falchook, MD · Principal Investigator

Florida Cancer Specialists

Sarasota, Florida, 34232

Recruiting
Judy Wang, MD · Principal Investigator

Dana Farber Cancer Institute

Boston, Massachusetts, 02215

Recruiting
Mark Awad, MD, PhD · Principal Investigator

Henry Ford Health System

Detroit, Michigan, 48202

Recruiting
Shiresh Gadgeel, MD · Principal Investigator

START MidWest

Grand Rapids, Michigan, 49546

Recruiting
Manish Sharma, MD · Principal Investigator

NYU Langone Hematology Oncology Associates-Mineola

Mineola, New York, 11501

Recruiting
Salman Punekar, MD · Principal Investigator

New York University Langone Health

New York, New York, 10016

Recruiting
Salman Punekar, MD · Principal Investigator

Sarah Cannon Tennessee Oncology

Nashville, Tennessee, 37203

Recruiting
David Spigel, MD · Principal Investigator

US Oncology Investigational Products Center

Dallas, Texas, 75246

Recruiting
Kartik Konduri, MD · Principal Investigator

The University of Texas MD Anderson Cancer Center

Houston, Texas, 77030

Recruiting
Ferdinandos Skoulidis, MD · Principal Investigator

NEXT Oncology Virginia

Fairfax, Virginia, 22031

Recruiting
Alex Spira, MD · Principal Investigator

US Oncology Investigational Products Center

Norfolk, Virginia, 23502

Recruiting
Jedrzej Wykretowicz, MD · Principal Investigator