Clinical trial • Phase II/III • Oncology

2-[4-[4-(AMINOMETHYL)-1-OXO-2H-PHTHALAZIN-6-YL]-2-METHYLPYRAZOL-3-YL]-4-CHLORO-6-CYCLOPROPYLOXY-3-FLUOROBENZONITRILE for Metastatic pancreatic ductal adenocarcinoma

Phase II/III trial of 2-[4-[4-(AMINOMETHYL)-1-OXO-2H-PHTHALAZIN-6-YL]-2-METHYLPYRAZOL-3-YL]-4-CHLORO-6-CYCLOPROPYLOXY-3-FLUOROBENZONITRILE for Metastatic…

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Metastatic pancreatic ductal adenocarcinoma
Trial Stage
Phase II/III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
07-08-2025
First CTIS Authorization Date
28-11-2025

Trial design

Randomised, placebo arm: mrtx1719 matching placebo in combination with nab-paclitaxel (paclitaxel albumin-bound) and gemcitabine (gemcitabine). doses and schedules not specified in the record.-controlled Phase II/III trial.

Randomised
Yes
Comparator
Placebo arm: Mrtx1719 matching placebo in combination with nab-paclitaxel (PACLITAXEL ALBUMIN-BOUND) and gemcitabine (GEMCITABINE). Doses and schedules not specified in the record.
Biomarker Stratified
True - biomarker: homozygous MTAP deletion (study population selected for MTAP homozygous deletion)
Target Sample Size
308

Eligibility

Recruits 308 No vulnerable population selected; participants must be >18 years of age at the time of signing consent. No special assent/consent provisions for minors described in the record..

Vulnerable Population
No vulnerable population selected; participants must be >18 years of age at the time of signing consent. No special assent/consent provisions for minors described in the record.

Inclusion criteria

  • {"criterion_text":"- Histologically or cytologically confirmed diagnosis of metastatic PDAC"}
  • {"criterion_text":"- Evidence of homozygous MTAP deletion or MTAP loss detected in tumor tissue"}
  • {"criterion_text":"- Metastatic disease with at least 1 measurable lesion as per RECIST v1.1"}
  • {"criterion_text":"- Participants must not have received any systemic anticancer treatments in the metastatic setting (participants may receive up to one cycle of standard of care nab-p/gem prior to randomization)"}
  • {"criterion_text":"- Participants must be >18 years of age at the time of signing consent"}

Exclusion criteria

  • {"criterion_text":"- Concurrent malignancy (present during screening) requiring treatment or history of prior malignancy active within 2 years prior to screening"}
  • {"criterion_text":"- Participants must not have an impairment in gastrointestinal function that may limit the ability to absorb or swallow an oral medication without chewing or crushing"}
  • {"criterion_text":"- Participants must not have significant cardiovascular abnormalities or conditions withing 6 months prior to enrollment"}
  • {"criterion_text":"- Confirmed and active viral infections including hepatitis and/or HIV"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Time to disease worsening on scans and time to death (Phase 3)","definition_or_measurement_approach":"Measured as time to radiographic disease worsening on imaging (scans) and overall survival (time to death); a time-to-event endpoint based on imaging assessments and survival data (specific assessment schedule/method not detailed in the record)."}

Secondary endpoints

  • {"endpoint_text":"- Rate of tumor shrinkage, duration of tumor shrinkage, time to tumor shrinkage, and rate of participants with control of tumor growth and/or shrinkage","definition_or_measurement_approach":"Tumor response metrics measured by tumor assessments (imaging) including rate, duration and time to shrinkage, and proportion of participants with tumor control/shrinkage (specific assessment criteria/schedule not detailed in the record)."}

Recruitment

Digital Remote Recruitment
True - digital/remote methods explicitly referenced in recruitment materials list (Doctor-to-Patient Email) and third-party role (Greenphire provides electronic study-related communications to patients).
Planned Sample Size
308
Recruitment Window Months
41
Consent Approach
Participants must be >18 years at consent and provide written informed consent. Country-specific subject information and informed consent forms (L1_SIS and ICF) are provided (multiple language/country versions listed, e.g., Czech, French, Spanish, German, Dutch, Polish, Italian, Greek, Slovak, English). Optional/additional ICFs for sample collection, future research, pregnant participants/partners, and treatment beyond progression are available per country. No assent procedures for minors described.

Methods

  • Patient recruitment duties assigned to third-party organization Massive Bio Inc. (role listed as 'Patient recruitment') - channels not specified in record.
  • Country-specific recruitment materials listed in the documents: posters, brochures, patient one-sheeter, doctor-to-patient email and doctor-to-patient letter (e.g., K2_Recruitment materials_Poster, _Brochure, _Patient One Sheeter, _Doctor to Patient Email) - country-specific versions available (examples in Austria, Germany, Ireland, etc.).
  • Recruitment arrangements documents (K1) provided per country (e.g., K1_Recruitment arrangements_DE, K1_Recruitment arrangements_FR, K1_Recruitment arrangements_IE) indicating planned local recruitment arrangements though the record does not provide the document contents.

Sponsor

Primary sponsor

Full Name
Bristol-Myers Squibb Services Unlimited Company
Organisation Type
Pharmaceutical company
Country Of Registered Address
Ireland

Contract research organisations

Name
Clario
Responsibilities
Medical image analysis/review - X-ray, MRI, ultrasound; Customer Care / Site Logistics / Training / Equipment Customization
Name
Endpoint Clinical Inc.
Responsibilities
IVRS – treatment randomisation; Subject Number Assignment; Treatment/Arm Assignment; Drug (re)Supplies Assignment
Name
Accenture Services Pvt. Ltd.
Responsibilities
Pharmacovigilance duties: Medical review and Cases Data Entry

Third parties

  • {"country":"United States","full_name":"Massive Bio Inc.","duties_or_roles":"Patient recruitment","organisation_type":"Pharmaceutical company"}
  • {"country":"India","full_name":"Accenture Services Pvt. Ltd.","duties_or_roles":"Pharmacovigilance duties: Medical review and Cases Data Entry","organisation_type":"SME"}
  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Sample storage","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Clario","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, Customer Care / Site Logistics / Training / Equipment Customization","organisation_type":"Industry"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Routine clinical pathology testing, Clinical chemistry, Clinical haematology, Clinical microbiology, IHC Biomarker expression analysis (PD-L1), other APH","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Discovery Life Sciences LLC","duties_or_roles":"DNA and RNA isolation from FFPE tumor samples as well as whole transcriptome sequencing","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"Embarc operations","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services","duties_or_roles":"PK analysis","organisation_type":"Health care"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"IVRS – treatment randomisation; Subject Number Assignment, Treatment/Arm Assignment, Drug (re) Supplies Assignment","organisation_type":"Health care"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Provides electronic payments, travel arrangements, electronic study-related communications to patients","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
MRTX1719
Active Substance
2-[4-[4-(AMINOMETHYL)-1-OXO-2H-PHTHALAZIN-6-YL]-2-METHYLPYRAZOL-3-YL]-4-CHLORO-6-CYCLOPROPYLOXY-3-FLUOROBENZONITRILE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
1
Investigational Product Name
PACLITAXEL ALBUMIN-BOUND
Active Substance
PACLITAXEL ALBUMIN-BOUND
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Authorisation Status
2
Investigational Product Name
GEMCITABINE
Active Substance
GEMCITABINE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Authorisation Status
2
Investigational Product Name
Mrtx1719 matching placebo
Modality
Other
Routes Of Administration
ORAL USE
Route
ORAL USE
Combination Treatment
Yes

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