New drug IDE397 targets Hard-to-Treat cancers in early trial
NCT ID NCT04794699
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 1 trial tests a new drug called IDE397, alone or with another drug (sacituzumab govitecan), in adults with advanced solid tumors that have a specific genetic change (MTAP deletion) and have stopped responding to standard treatments. The study aims to find safe doses and check for early signs of tumor shrinkage. About 169 participants will take part across multiple centers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- IDE397 (a MAT2A inhibitor) and sacituzumab govitecan (a chemotherapy drug)
- What this could lead to
- If successful, this could lead to a new treatment option for people with certain advanced solid tumors that have not responded to standard therapies.
- What could go wrong
- This is an early Phase 1 trial, so the drug may not be safe or effective. It is only for patients with a specific genetic marker (MTAP deletion), and side effects are unknown.
Why investors are watching
Ideaya Biosciences is testing IDE397, a drug that blocks a protein called MAT2A, in people with advanced solid tumors that lack a gene called MTAP. This is a Phase 1 trial, meaning the main goal is to check safety and find the right dose, but it also tracks whether the drug shrinks tumors. For a small company like Ideaya, this readout is a key test of whether its lead drug works in a broad group of cancers, which could shape its future value.
If it works: If the trial shows IDE397 is safe and produces signs of tumor shrinkage, Ideaya could move the drug into later-stage studies. That progress might attract partners or funding to continue development.
If it fails: Phase 1 trials often fail because the drug proves too toxic or shows little effect. A poor result or a delay in enrollment could set back Ideaya's pipeline and reduce investor confidence.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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169 people
The number who actually took part.
- Started
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Apr 2021
- Expected to finish
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Feb 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant must be at least 18 years of age * Advanced or metastatic solid tumor that has progressed on at least one prior line of treatment or is intolerant to additional effective standard therapy * Have evidence of homozygous loss of MTAP or MTAP deletion * Willing to undergo paired fresh biopsy (pre- and post-treatment) procedure. Exceptions may be made for feasibility and safety concerns * Measurable disease * ECOG performance status \<= 1 * Adequate organ function * Able to swallow and retain orally administered study treatment * Recovery from acute effects of prior therapy * Able to comply with contraceptive/barrier requirements Exclusion Criteria: * Known symptomatic brain metastases * Known primary CNS malignancy * Current active liver or biliary disease * Impairment of gastrointestinal (GI) function * Active uncontrolled infection * Clinically significant cardiac abnormalities * Active second malignancy or history of another malignancy in the past 2 years * Previous treatment with a MAT2A inhibitor and / or PRMT inhibitor or sacituzumab govitecan * Systemic anti-cancer therapy, therapeutic antibody treatment, or major surgery within 4 weeks prior to study entry * Current radiation-related toxicity or radiation therapy within 2 weeks prior to study entry * Small molecule anti-cancer treatment within 2 weeks prior to study entry * Prior irradiation to \>25% of the bone marrow * Current use or anticipated need for food or drugs that are known strong CYP3A4/5 inhibitors or inducers * Require concomitant use of proton pump inhibitor * Currently receiving another investigational study drug. * Known or suspected hypersensitivity to IDE397/excipients or components
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Asan Medical Center
Seoul, 05505, South Korea
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CHA University - Bundang Medical Center
Seongnam-si, Gyeonggi-do, 28644, South Korea
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Centre Eugène Marquis
Rennes, 35000, France
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Centre Georges Francois LeClerc
Dijon, France
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Chungbuk National University Hospital
Cheongju-si, North Chungcheong, 28644, South Korea
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City of Hope
Duarte, California, 91010, United States
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Columbia University Medical Center - Herbert Irving Pavilion
New York, New York, 10032, United States
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Dana Farber Cancer Institute
Boston, Massachusetts, 02115, United States
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Gustave Roussy
Villejuif, France
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Honor Health Research Institute
Scottsdale, Arizona, 85258, United States
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Hospital Universitario 12 de Octubre (H12O)
Madrid, 28041, Spain
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Hôpital Timone
Marseille, Marseille, 13005, France
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Indiana University Health Hospital
Indianapolis, Indiana, 46202, United States
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Institut Bergonie
Bordeaux, Bordeaux Cedex, 33076, France
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Institut Claudius Regaud - IUCT-Oncopole
Toulouse, Cedex 9, 31059, France
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Instituto Valenciano de Oncología (IVO)
Valencia, 46009, Spain
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LifeSpan - Brown University
Providence, Rhode Island, 02906, United States
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MD Anderson
Houston, Texas, 77030, United States
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NEXT Madrid, Universitary Hospital QuironSAlud
Madrid, 28223, Spain
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National Cancer Center
Goyang-si, Gyeonggi-do, 10408, South Korea
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National Cheng Kung University Hospital
Tainan, Tainan, 704, Taiwan
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National Taiwan University Hospital
Taipei, Taipei, 100, Taiwan
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Next Oncology
San Antonio, Texas, 78229, United States
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Orlando Health Cancer Institute
Orlando, Florida, 32806, United States
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Rockefeller Cancer Institute
Little Rock, Arkansas, 72205, United States
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START Madrid-HM - Centro Integral Oncológico Clara Campal (CIOCC)
Madrid, 28050, Spain
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Samsung Medical Center
Seoul, South Korea
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Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
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Seoul National University Hospital
Seoul, South Korea
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Sevrance Hospital
Seoul, 03722, South Korea
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Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21287, United States
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Southern Oncology Clinical Research Unit
Bedford Park, South Australia, 05042, Australia
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Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
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Swedish Cancer Institute
Seattle, Washington, 98104, United States
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The Kinghorn Cancer Centre, St Vincent's Health Network Sydney
Darlinghurst, New South Wales, 02010, Australia
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Universitaetsklinikum Hamburg-Eppendorf (UKE)
Hamburg, 20246, Germany
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Weill Cornell Medical College
New York, New York, 10065, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- First human test of BI 4060107 aims to find safe dose for Hard-to-Treat tumors
- Can a new drug shield kidneys from chemotherapy damage?
- Mining Responders' tumors for clues to a universal cancer therapy
- Proton boost radiotherapy aims to hit large tumors harder while sparing healthy tissue
- New antibody aims to preserve immune checkpoint while fighting cancer
- Engineered immune cells target two markers on Hard-to-Treat tumors