A Phase 2 Basket Study of Milademetan in Advanced/Metastatic Solid Tumors

ClinicalTrials.gov Identifier
NCT05012397
Institution Name
MD Anderson Cancer Center
Institution City
Houston
Institution State
Texas
Additional Institutions
Stanford University Medical Center, Palo Alto CA Massachusetts General Hospital, Boston MA Dana-Farber Cancer, Boston MA Washington University School of Medicine, St Louis MO Memorial Sloan Kettering Cancer Center, NY NY Duke University Medical Center, Durham NC Tennessee Oncology, Nashville TN Florida Cancer Specialists, Fort Myers FL Florida Cancer Specialists, St Petersburg FL
Principal Investigator
Cathy Dumbrava
Principal Investigator Phone
(281) 876-7428
Principal Investigator Email
eeileana@mdanderson.org
Study Coordinator
Samrina Hussain
Study Coordinator Phone
(832) 817-8063
Study Coordinator Email
sshussain@mdanderson.org
Study Overview
Milademetan belongs to a new class of drugs called MDM2 inhibitors which restore the function of TP53, an important gene which helps control cell growth. In cancers, too much MDM2 can block normal TP53 function and contribute to cancer growth. This study tests milademetan, a pill therapy, as treatment for cancers which have too much MDM2.
Enrollment Information
NA
Study Start Date
20211111
Study End Date
20240830
Study Purpose
  • Restoration of TP53 tumor suppressor gene function in cancer patients with excess MDM2 gene activity
  • Normal TP53 helps control cell growth and is balanced by MDM2 activity
  • In cancers, excess MDM2 can reduce/inhibit normal TP53 gene function which contributes to abnormal cancer cell growth
  • Too many gene copies (gene amplification) of MDM2 is one way cancer cells create excess MDM2 activity
  • Milademetan is a pill inhibitor of excess MDM2 activity and can restore normal TP53 gene function
Inclusion Criteria
  • Have a solid tumor which is regrown after locally surgery or radiation, or has spread to other organs
  • Have received all appropriate treatment or unlikely to benefit from usual available therapy
  • Have a tumor test or blood test that shows MDM2 gene amplification
  • Be age 18 and older
  • Have good bone marrow, liver and kidney functions when measured by blood tests
Exclusion Criteria
  • Have a diagnosis of leukemia, lymphoma, liposarcoma, intimal sarcoma, or primary brain tumor
  • Have tumor in the brain which has not been treated or is not controlled
  • Have infection with HIV, Hepatitis B or Hepatitis C
  • Have significant heart disease history
  • Have prior experimental therapy with other MDM2 inhibitors
Required Tests Prior to Study
  • Tests of blood to measure bone marrow, liver and kidney function
  • Scans (CT or MRI) of areas of the body where cancer may be active
Potential Side Effects
  • low blood counts
  • nausea
  • diarrhea
  • tiredness
  • decreased appetite
Financial Assistance Available
Yes