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Study of GS-2426 in Participants With Advanced Solid Tumors

RecruitingPhase 1

A Phase 1, Multicenter, Open-Label Clinical Study to Evaluate the Safety and Tolerability of GS-2426 in Participants With Advanced MTAP-Deleted Solid Tumors

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Key Inclusion Criteria:

* Participants 18 years of age or older (≥ 19 years old for participants in South Korea).
* Histologically or cytologically confirmed advanced malignant solid tumors, who have progressed on, are intolerant to or are ineligible for standard therapy, or have no standard treatment options.
* Participant tumors are methylthioadenosine phosphorylase (MTAP)-deficient.
* Adequate organ function
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* All participants must provide a pretreatment tumor tissue sample.

Key Exclusion Criteria:

* Participants with plans to breastfeed during the study period or within 7 days following the last dose of study intervention.
* Have not recovered (ie, returned to Grade 1 or baseline) from clinically significant adverse events (AEs) due to a previously administered agent or a previous intervention as assessed by the investigator.
* Active second malignancy. Individuals with a history of malignancy who have been completely treated with no evidence of active cancer for 5 years prior to enrollment, or individuals with surgically cured tumors with low risk of recurrence may be enrolled.
* Requirement for ongoing therapy with any prohibited medications .
* Prior therapy with a protein arginine methyltransferase 5 (PRMT5) inhibitor or methionine adenosine transferase 2a (MAT2A) inhibitor.
* Have serious infection requiring antibiotics within 14 days prior to the first dose.
* Uncontrolled concurrent diseases

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

About the study

The goal of this clinical study is to learn more about the study drug GS-2426, and how safe and tolerable it is in participants with advanced methylthioadenosine phosphorylase (MTAP)-deleted solid tumors.

The primary objective of this study is to evaluate the safety and tolerability of GS-2426 in participants with MTAP-deleted advanced solid tumors and to determine the maximum tolerated dose (MTD)/maximum administered dose (MAD) and the recommended phase II dose (RP2D).

What is being tested

Sponsor: Gilead Sciences · Participants: 174 · Started: Jun 2, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07601243

Locations in the U.S.

MichiganSTART Midwest, Grand Rapids
New JerseySTART Astera, LLC, East Brunswick
New YorkMemorial Sloan Kettering Cancer Center, New York
TexasSTART San Antonio, LLC, San Antonio

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.