Sponsor: Bristol-Myers Squibb (industry)
Phase: 1
Start date: June 9, 2022
Planned enrollment: 320
BMS-986504 (formerly MRTX1719) is an investigational oral drug being studied for advanced cancers with homozygous deletion of MTAP. Human results are available from an early-phase, nonrandomized trial; they do not yet establish how it compares with standard treatment. (pmc.ncbi.nlm.nih.gov)
Loss of MTAP causes methylthioadenosine (MTA) to accumulate in tumor cells. BMS-986504 is designed to bind and inhibit the PRMT5–MTA complex, exploiting this vulnerability while having less effect on cells without MTAP deletion. (pmc.ncbi.nlm.nih.gov)
In a phase 1/2 study of heavily pretreated patients with MTAP-deleted advanced solid tumors, the reported objective response rate was 23% and the disease control rate was 70% across evaluated tumor types. Median duration of response was 10.5 months. These figures come from an interim analysis, not a randomized comparison. (ascopubs.org)
A later analysis of the non–small cell lung cancer subgroup reported responses in 10 of 33 evaluable patients (30%). A separate analysis reported responses in 17% of 35 evaluable patients with pancreatic ductal adenocarcinoma; the small subgroups and differing analysis dates warrant caution when comparing rates. (sciencedirect.com)
In the 152-patient interim analysis, most treatment-related adverse events were grade 1 or 2; 13% of patients had a grade 3 or higher treatment-related event, and no grade 5 treatment-related events were reported. Longer follow-up and larger studies are needed to characterize safety more fully. (ascopubs.org)
Last updated: Sep 2026
Goal: Determine the safety, tolerability, dosing, pharmacokinetics, pharmacodynamics, and antitumor activity of MRTX1719 in advanced MTAP-deleted solid tumors.
Patients: Adults with unresectable or metastatic solid tumors harboring homozygous MTAP deletion, ECOG performance status 0–1, and adequate organ function. Patients previously treated with a PRMT5 or MAT2A inhibitor or with active brain metastases are excluded.
Design: First-in-human, open-label, multicenter, nonrandomized dose-escalation and regimen-evaluation study with expansion cohorts. A sub-study evaluates combinations with standard-of-care therapy in selected tumor types.
Treatments: MRTX1719 (BMS-986504) is an investigational oral inhibitor designed to target the PRMT5–MTA complex that accumulates in MTAP-deleted tumors. An interim, nonrandomized analysis reported a 23% objective response rate and 70% disease control rate across evaluated tumor types; these findings do not establish comparative efficacy. The sub-study combines MRTX1719 with standard-of-care therapy.
Outcomes: Primary measures include dose-limiting toxicities during the first 21 days, treatment-related adverse events, objective response rate, duration of response, progression-free survival, and overall survival. Secondary measures characterize plasma pharmacokinetics, including exposure, peak concentration, time to peak, half-life, clearance, and volume of distribution.
Burden on patient: High. Baseline and on-treatment tumor biopsies are generally required, and early pharmacokinetic sampling may involve frequent blood draws and visits. Dose-escalation safety monitoring and ongoing tumor assessments add to travel and time commitments.
Last updated: Sep 2026
Inclusion Criteria
* Histologically confirmed diagnosis of a solid tumor malignancy with homozygous deletion of the MTAP gene detected in tumor tissue.
* Unresectable or metastatic disease.
* Presence of a tumor lesion amenable to mandatory biopsy for pharmacodynamic evaluation at baseline and on-study unless Sponsor-confirmed as medically unsafe or infeasible.
* Age ≥ 18 years.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
* Adequate organ function.
Exclusion Criteria
* Prior treatment with a PRMT5 or MAT2A inhibitor therapy.
* Active brain metastases or carcinomatous meningitis.
* History of significant hemoptysis or hemorrhage within 4 weeks of the first dose of study treatment.
* Major surgery within 4 weeks of first dose of study treatment.
* History of intestinal disease, inflammatory bowel disease, major gastric surgery, or other gastrointestinal conditions (eg, uncontrolled nausea, vomiting, malabsorption syndrome) likely to alter absorption of study treatment or result in inability to swallow oral medications.
* Cardiac abnormalities.
* Other protocol-defined Inclusion/Exclusion criteria apply.
Phoenix, Arizona, 85054-4502, United States
No email / 480-301-8000
Status: Recruiting
Lone Tree, Colorado, 80124, United States
No email / 303-430-2700
Status: Recruiting
Denver, Colorado, 80218-1238, United States
No email / 269-993-6056
Status: Recruiting
Jacksonville, Florida, 32224, United States
No email / 000000000
Status: Recruiting
Orlando, Florida, 32827, United States
No email / No phone
Status: Recruiting
Brookline, Massachusetts, 02251, United States
No email / 617-632-6036
Status: Recruiting
Norton Shores, Michigan, 49444, United States
No email / 269-993-6056
Status: Recruiting
Rochester, Minnesota, 55905, United States
No email / 206-606-4801
Status: Recruiting
New Brunswick, New Jersey, 08901, United States
No email / 732-235-2465
Status: Recruiting
New York, New York, 10021, United States
No email / 646-608-3792
Status: Recruiting
Port Jefferson Station, New York, 11776, United States
No email / 631751050
Status: Recruiting
Port Jefferson Station, New York, 11776, United States
No email / No phone
Status: Recruiting
Chapel Hill, North Carolina, 27599, United States
No email / No phone
Status: Recruiting
Chapel Hill, North Carolina, 27599, United States
No email / No phone
Status: Recruiting
Nashville, Tennessee, 37232-5505, United States
No email / 206-341-1111
Status: Recruiting
Houston, Texas, 77030, United States
No email / No phone
Status: Recruiting
San Antonio, Texas, 78229, United States
No email / No phone
Status: Recruiting
Fort Worth, Texas, 76104, United States
No email / 214-370-1000
Status: Recruiting
Tyler, Texas, 78503, United States
No email / 903-579-9800
Status: Recruiting
Dallas, Texas, 75235, United States
No email / No phone
Status: Recruiting
Fairfax, Virginia, 22031, United States
No email / 703-280-5390
Status: Recruiting
Mineola, New York, 11501, United States
No email / No phone
Status: Not yet recruiting
Milwaukee, Wisconsin, 53226, United States
No email / No phone
Status: Completed
Chicago, Illinois, 60637, United States
No email / No phone
Status: Withdrawn
Seattle, Washington, 98109, United States
No email / No phone
Status: Withdrawn