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Study of Orally Administered MOMA-313 in Participants With Advanced or Metastatic Solid Tumors


2024-08-13


2027-05-31


2027-11-30


158

Study Overview

Study of Orally Administered MOMA-313 in Participants With Advanced or Metastatic Solid Tumors

This Phase 1, multi-center, open-label, dose escalation and dose optimization study is designed to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PDx), and preliminary clinical activity of MOMA-313 administered orally as a single agent or combination therapy in patients with homologous recombinant deficient solid tumors.

MOMA-313 is a novel therapeutic agent designed to target homologous recombination (HR)-deficient cancers by inhibiting DNA polymerase theta. MOMA-313 is being developed as a single-agent and in combination with a poly (adenosine diphosphate ribose) polymerase (PARP) inhibitor in patients with HR-deficient advanced or metastatic solid tumors. This phase 1, first-in-human, open-label study of MOMA-313 is primarily intended to evaluate the safety and tolerability of MOMA-313 when administered orally as a single agent (Treatment Arm 1) or in combination with olaparib (Treatment Arm 2). Each treatment arm of the study includes a dose-escalation phase followed by a dose-optimization phase. In the dose-escalation phase of each treatment arm, successive cohorts of patients will receive increasing oral doses of MOMA-313 as a single agent or in combination with olaparib to determine the presumptive optimal biologic dose(s) (OBD) in this population. The dose-optimization phase of each arm will enroll additional patients to support the confirmation of the OBD. The data from this study conducted in patients with HR-deficient advanced or metastatic solid tumors, including safety, tolerability, PK/PDx findings, and antitumor activity, will form the basis for subsequent clinical development of MOMA-313 as a single-agent and in combination with olaparib.

  • Advanced Solid Tumor
  • Metastatic Solid Tumor
  • Prostate Cancer
  • Pancreas Cancer
  • Breast Cancer
  • Ovarian Cancer
  • Homologous Recombination Deficiency
  • DRUG: MOMA-313
  • DRUG: Olaparib
  • MOMA-313-001

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2024-07-26  

N/A  

2025-02-28  

2024-08-05  

N/A  

2025-03-03  

2024-08-09  

N/A  

2025-02  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Non Randomized


Interventional Model:
Sequential


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: MOMA-313 Monotherapy (Treatment Arm 1)

MOMA-313 administered as a single-agent in 21-day cycles.

DRUG: MOMA-313

  • MOMA-313 administered orally
EXPERIMENTAL: MOMA-313 in Combination with Olaparib (Treatment Arm 2)

MOMA-313 administered together with twice daily (BID) olaparib in 28-day cycles.

DRUG: MOMA-313

  • MOMA-313 administered orally

DRUG: Olaparib

  • Olaparib administered orally
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of participants with AEs, dose-limiting toxicities (DLTs), serious AEs (SAEs), and/or AEs leading to discontinuationTo assess the safety and tolerability of MOMA-313 given as a single-agent or in combination with olaparibFrom screening until treatment discontinuation (up to 35 months)
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Identify the recommended phase 2 dose (RP2D)Determine the RP2D of MOMA-313 as a single-agent or in combination with olaparibFrom screening until treatment discontinuation (up to 35 months)
PK parameter: area under curve (AUC) of MOMA-313Up to 6 weeks with sparse sampling up to 35 months
PK parameter: maximum concentration (Cmax) of MOMA-313Up to 6 weeks with sparse sampling up to 35 months
PK parameter: time to maximum concentration of MOMA-313Up to 6 weeks with sparse sampling up to 35 months
PK parameter: half-life of MOMA-313Up to 6 weeks with sparse sampling up to 35 months
Plasma concentration of olaparibUp to 6 weeks with sparse sampling up to 35 months
Objective response rate (ORR)ORR is defined as the percentage of subjects with evidence of a complete response (CR) or partial response (PR) as per Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1 and/or Prostate Cancer Working Group-3 (PCWG-3).Up to 35 months
Duration of response (DOR)DOR is defined as time from first documented PR or better to disease progression (as assessed by RECIST v1.1 and/or PCWG-3 by Investigator assessment) or death whichever is earlier for participants who have achieved a CR or PRUp to 35 months
Time to response (TTR)TTR is defined as the period of time from the date of first dose of study treatment until the first objective documentation of a CR or PR per RECIST 1.1 and/or PCWG-3.Up to 35 months
Progression free survival (PFS)PFS is time from first dose of study treatment to progressive disease or death from any cause, whichever is earlier, as assessed via RECIST v1.1 and/or PCWG-3 by Investigator assessmentUp to 35 months
Disease control rate (DCR)DCR defined by the proportion of subjects who achieved either a complete response (CR), partial response (PR), or stable disease (SD) at their first scheduled disease assessment according to disease-specific response criteria.Up to 35 months
Overall survival (OS)OS is defined as the time from first dose of study treatment to the date of death, irrespective of the cause of deathUp to 35 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: MOMA Clinical Trials

Phone Number: (857) 285-3677

Email: clinicaltrials@momatx.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Key Inclusion Criteria:
    1. Age ≥ 18 years 2. Have histologically confirmed disease for each treatment arm as follows:
    1. Treatment Arm 1 (MOMA-313 Monotherapy)
    - Advanced or metastatic solid tumors that are not eligible for curative therapy, with any HR-deficient alteration, and have been previously exposed to a PARP inhibitor. 2. Treatment Arm 2 (MOMA-313 in Combination with Olaparib):

  • Dose escalation: Advanced or metastatic solid tumors that are not eligible for curative therapy, for which a PARP inhibitor is indicated, with select HR-deficient mutations. Patients may be PARP inhibitor naive or exposed.
  • Dose optimization: Metastatic prostate cancer, metastatic breast cancer, or metastatic pancreatic cancer with select HR-deficient mutations. Patients must be PARP inhibitor naive. 3. Have at least 1 lesion at baseline (measurable or non-measurable) suitable for repeat imaging evaluation by RECIST and/or PCWG-3 4. ECOG PS ≤ 2 5. Fully recovered from clinically relevant effects of prior therapy, radiotherapy, and/or surgery **hormonal therapy allowed. Palliative radiotherapy allowed. 6. Adequate organ function per local labs 7. Comply with contraception requirements 8. Written informed consent must be obtained according to local guidelines

  • Key Exclusion Criteria:
    1. Active prior or concurrent malignancy (some exceptions allowed) 2. Clinically relevant cardiovascular disease 3. Known CNS metastasis associated with progressive neurological symptoms (stable doses of corticosteroids allowed) 4. Known active infection 5. Prior polymerase theta inhibitor exposure 6. Known allergy, hypersensitivity, and/or intolerance to MOMA-313 7. Olaparib exposed patients with significant toxicity or known hypersensitivity to PARP inhibitors (for patients considered for olaparib only) 8. Impaired GI function that may impact absorption. 9. Patient is pregnant or breastfeeding. 10. Known to be HIV positive, unless all of the following criteria are met:
    1. Undetectable viral load or CD4+ count ≥300 cells/μL 2. Receiving highly active antiretroviral therapy 3. No AIDS-related illness within the past 12 months 11. Active liver disease (some exceptions are allowed) 12. Prior or ongoing condition, therapy, or laboratory abnormality that, in the investigator's opinion, may affect safety of the patient, confound the results of the study, and/or interfere with the patients participation in the study

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available