Sponsor: IDEAYA Biosciences (industry)
Phase: 1
Start date: Dec. 11, 2025
Planned enrollment: 260
IDE397 is an investigational, orally administered, allosteric inhibitor of methionine adenosyltransferase 2A (MAT2A), being developed for cancers with methylthioadenosine phosphorylase (MTAP) deletion. Preliminary human results are available from the nonrandomized Phase 1 study NCT04794699, principally in heavily pretreated non-small-cell lung cancer (NSCLC) and urothelial carcinoma. No randomized efficacy results have been reported. (annalsofoncology.org)
MTAP deletion causes accumulation of methylthioadenosine, which partially suppresses PRMT5. IDE397 inhibits MAT2A and reduces production of S-adenosylmethionine, the methyl donor required by PRMT5. This further restricts PRMT5-dependent methylation and creates a synthetic-lethal vulnerability in MTAP-deleted tumor cells. MAT2A inhibition may also disrupt nucleotide synthesis, DNA replication and DNA-damage repair in these cells. (aacrjournals.org)
At the recommended Phase 2 dose of 30 mg orally once daily, preliminary monotherapy results included 27 evaluable patients with MTAP-deleted NSCLC or urothelial carcinoma:
These results are preliminary, derive from a small single-arm Phase 1 cohort and have not established comparative clinical benefit. (pmc.ncbi.nlm.nih.gov)
Among 28 patients treated at 30 mg once daily:
Safety conclusions remain provisional because of the small cohort and limited follow-up. (pmc.ncbi.nlm.nih.gov)
Last updated: Sep 2026
IDE892 is an investigational oral drug being studied in people with MTAP-deleted advanced solid tumors, particularly pancreatic cancer and non-small-cell lung cancer. A Phase 1/2 study is evaluating IDE892 alone and with other drugs, including IDE397. No human efficacy or safety results have been publicly reported for IDE892 so far; response rates and its clinical risks remain unknown. (ascopubs.org)
IDE892 inhibits PRMT5 and is designed to bind preferentially when PRMT5 is associated with methylthioadenosine (MTA), which accumulates in MTAP-deleted tumors. Laboratory and tumor-model studies have reported antitumor activity, including with IDE397, a MAT2A inhibitor. Those preclinical findings do not establish benefit in patients. (aacrjournals.org)
Last updated: Sep 2026
Goal: Determine the safety, tolerability, pharmacokinetics, recommended doses, and preliminary antitumor activity of IDE892 alone and with IDE397 in MTAP-deleted advanced solid tumors.
Patients: Adults with measurable, MTAP-deleted locally advanced recurrent or metastatic solid tumors, ECOG performance status 0–1, and progression after prior therapy. Dose escalation includes NSCLC, urothelial cancer, mesothelioma, and gastroesophageal cancers; dose expansion is restricted to NSCLC. Archival tumor tissue is required for central confirmation of MTAP loss.
Design: Multicenter, nonrandomized, four-part study with separate monotherapy and combination dose-escalation cohorts followed by NSCLC dose-expansion cohorts. There is no control arm. Dose escalation uses Bayesian Optimal Interval methods for monotherapy and a modified toxicity probability interval design for the combination.
Treatments: Participants receive oral IDE892 alone or with oral IDE397. IDE892 is an investigational PRMT5 inhibitor designed to preferentially inhibit PRMT5 in the presence of methylthioadenosine, which accumulates in MTAP-deleted tumors; no human safety or efficacy results have been reported for IDE892. IDE397 is an investigational MAT2A inhibitor that reduces production of the PRMT5 methyl donor S-adenosylmethionine, providing a rationale for combining the agents. In a separate, small, single-arm study of IDE397 monotherapy, 9 of 27 evaluable patients with MTAP-deleted NSCLC or urothelial cancer responded; this does not establish efficacy for the combination.
Outcomes: Primary measures are dose-limiting toxicities during the first 21 days of dose escalation, adverse events and serious adverse events across all cohorts, and investigator-assessed RECIST 1.1 objective response rate and duration of response in the expansion cohorts. Secondary measures include response in escalation cohorts, disease control and duration of stable disease, and pharmacokinetic parameters assessed primarily on cycle 1 days 1 and 15.
Burden on patient: Likely high, particularly during the first 21-day cycle: participants must provide archival tumor tissue and blood samples for biomarker testing, undergo intensive pharmacokinetic blood sampling on days 1 and 15, and attend safety assessments and tumor imaging. Repeated visits to a study center may add travel demands. A new tumor biopsy is not explicitly required.
Last updated: Sep 2026
Inclusion Criteria:
* Are ≥ 18 years of age at the time of signing the ICF.
* Have a histologically confirmed diagnosis of a locally advanced recurrent or metastatic solid tumor type of interest with MTAP deletion (for dose escalation: mesothelioma \[pleural or peritoneal\], gastroesophageal cancers \[squamous and adenocarcinoma of esophagus, gastric adenocarcinoma, gastroesophageal junction cancers\], NSCLC \[adenocarcinoma, squamous cell carcinoma, and adeno-squamous\] and UC \[including mixed urothelial-squamous histology\]; for dose expansion: NSCLC that has progressed on at least one prior line of treatment and for which additional effective standard therapy is not available or for which the participant is not a candidate due to intolerance).
* Are willing and able to provide blood/tumor tissue samples for biomarker testing. An archival tumor tissue specimen must be provided for central confirmation of MTAP loss.
* Must be willing and able to provide the blood/serum/plasma samples
* Have evidence of homozygous loss of MTAP or MTAP deletion (pre-screening available after signing pre-screening ICF)
* Have at least 1 measurable lesion according to RECIST version 1.1
* Have Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score of 0 or 1
* Have life expectancy \> 3 months
* Have adequate bone marrow and organ function
* Able to retain administered study drug/IMP.
* Male and female: willing to use contraception
Exclusion Criteria:
* Known symptomatic brain metastases requiring supraphysiologic doses of systemic corticosteroids
* Have a known primary central nervous system (CNS) malignancy
* Have had other malignancies within 2 years prior to the first dose, with some exceptions
* Impaired cardiac function or clinically significant cardiac diseases
* Have presence of uncontrolled pleural, peritoneal, or pericardial effusion within 2 weeks before the first study dose, requiring recurrent drainage procedures or an indwelling drainage catheter
* Have a history of severe infections within 4 weeks prior to the start of study treatment
* Hypertension (e.g., \> 150/100 mmHg) that cannot be controlled by medications despite optimal medical therapy
* Other acute or chronic medical or psychiatric condition
* Have a history of immunodeficiency, with a positive human immunodeficiency virus(HIV) test at screening
* Known or suspected viral hepatitis
* Had an adverse reaction to a previous antitumor treatment that has not recovered to CTCAE Grade ≤ 1
* Have received chemotherapy within 3 weeks of the first dose of IMP; immunotherapy or biologic targeted antitumor treatments within 2 weeks before the first dose of IMP; small molecule inhibitors within 2 weeks before the first dose of IMP, or other investigational products within 4 weeks
* Current radiation-related toxicity or radiation therapy within 2 weeks before the first dose of IMP
* Administration of any of the following within 2 weeks before the first dose of IDE892 as a monotherapy: Strong inhibitors or inducers of cytochrome P450, Strong inhibitors of P-glycoprotein, Narrow therapeutic index and sensitive substrates of multidrug and toxin extrusion (MATE)1 and MATE2-K, Narrow therapeutic index and sensitive substrates of P-gp and breast cancer resistance protein
* Administration of any of the following within 2 weeks before the first dose of IDE892: Strong inhibitors or inducers of CYP3A4/5, Strong inhibitors of P-gp and/or BCRP, Narrow therapeutic index and sensitive substrates of MATE1 and MATE2-K, Narrow therapeutic index and sensitive substrates of P-gp and BCRP
* Use of proton pump inhibitors (PPIs) within 7 days prior to the first dose of IMP or planned use during the study
* Use of drugs with known risk for QT prolongation within 2 weeks prior to the first dose of IDE892
* Previous treatment with a MAT2A inhibitor and/or Protein arginine N-methyltransferase (PRMT) inhibitor
* Major surgery within 4 weeks before study entry
* Prior irradiation to \> 25% of the bone marrow
* Known or suspected hypersensitivity to IDE892
Disease-Specific Eligibility Criteria NSCLC
* Must have histologically confirmed diagnosis of advanced or metastatic NSCLC that has progressed after prior treatment with platinum chemotherapy and a PD-1/PD-L1 inhibitor (unless contraindicated or participant developed intolerance) in the metastatic setting
* Treatment with no more than 3 prior lines, including no more than 2 prior lines of chemotherapy.
* If considered standard of care and available, participants whose cancers have proven targetable oncogene alterations must have had disease progression on (unless contraindicated or participant developed intolerance) at least 1 prior line containing appropriate targeted therapy.
Urothelial Cancer (Bladder and Upper Urinary Tract), Mesothelioma (Pleural or Peritoneal) and Gastroesophageal Cancers
* Must have histologically confirmed diagnosis of advanced or metastatic UC, mesothelioma, or gastroesophageal cancer
* Must have progressed following at least 1 prior line of therapy
* Treatment with no more than 3 prior lines, including no more than 2 prior lines of chemotherapy
Orlando, Florida, 32827, United States
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Omaha, Nebraska, 68130, United States
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Philadelphia, Pennsylvania, 19107, United States
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Nashville, Tennessee, 37203, United States
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Houston, Texas, 77030, United States
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Irving, Texas, 75039, United States
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Houston, Texas, 77054, United States
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Fort Worth, Texas, 76104, United States
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Fairfax, Virginia, 22031, United States
[email protected] / 703-783-4518
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