Prelude Therapeutics announced the publication of an abstract regarding PRT3789 at the European Society of Medical Oncology Congress 2024 taking place in Barcelona, Spain September 13-17, 2024. PRT3789 is a potent and highly selective, first-in-class SMARCA2 degrader, in Phase 1 clinical development in biomarker selected SMARCA4 mutant patients. Enrollment remains on track, and the Company expects to conclude monotherapy dose escalation by year end 2024 and identify a recommended Phase 2 dose. In addition, enrollment of patients into back-fill cohorts enriched for NSCLC and SMARCA4 loss-of-function mutations is ongoing. Objectives for this first Phase 1 clinical study are to establish the safety and tolerability profile of PRT3789 as both monotherapy and in combination with docetaxel, evaluate activity, pharmacokinetics and pharmacodynamics and determine a dose and potential indications for advancement into a registrational clinical trial. Oral presentation title: First Clinical Results from a Phase 1 Trial of PRT3789, a First-in-Class Intravenous SMARCA2 Degrader, in Patients with Advanced Solid Tumors with a SMARCA4 Mutation. Observations in the abstract include: As of the March 7, 2024 data cutoff date, 40 pts had been enrolled; Dose escalation had proceeded through 6 levels, from 24-212 mg, with 2 backfill cohorts opened; No DLTs or study drug-related SAEs have been reported; The most common AEs reported, of any grade or relatedness, are nausea , constipation and dyspnea, decreased appetite and fatigue, and anemia; Dose-related increases in AUC were observed; Dose-dependent decreases in SMARCA2 levels were seen at all doses with a trend for increasing depth and duration with increasing doses; Minimal effects on SMARCA4 levels were seen; Clinical activity of PRT3789 therapy noted to date includes RECIST partial responses, tumor shrinkage and prolonged stable disease in patients with advanced, heavily pretreated esophageal cancer and NSCLC.
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