Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID06974110

A Phase 1 Study of MOMA-341 as Monotherapy or Combination Therapy in Participants With Advanced or Metastatic Solid Tumors

Led by MOMA Therapeutics · Updated on 2026-04-15

132

Participants Needed

14

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying MOMA-341, a new oral drug, in adults with certain advanced or metastatic solid tumors that have specific genetic changes called microsatellite instability high (MSI-H) or DNA mismatch repair deficiency (dMMR). This Phase 1 trial aims to evaluate the safety, how the drug is processed and affects the body, and early signs of its activity when used alone or combined with other treatments. The study involves patients who have previously received certain immunotherapies or cannot receive them. Participants will receive MOMA-341 orally in different ways: alone in 21-day cycles, with the chemotherapy irinotecan in 28-day cycles, or with immunotherapy in 21-day cycles. The trial includes a dose-escalation phase where doses are gradually increased to find the best dose, followed by a dose-optimization phase to confirm this dose. The study compares these three treatment approaches to understand their effects and safety. During the trial, participants will be monitored for side effects, drug levels in their body, and tumor responses for up to 35 months. Assessments include imaging scans to track tumor changes, laboratory tests for organ function, and evaluation of adverse events. Researchers will measure outcomes like dose-limiting toxicities, recommended doses, and various measures of tumor response and survival. This long-term monitoring helps guide future development of MOMA-341 treatments.

CONDITIONS

Brief Title

Study of Orally Administered MOMA-341 in Participants With Advanced or Metastatic Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Unresectable advanced or metastatic solid tumors with MSI-H or dMMR alterations confirmed by biopsy
  • Previous treatment and progression on anti-PD-(L)1 therapy unless ineligible or lacking access
  • At least one lesion suitable for imaging evaluation
  • ECOG performance status of 0 to 2
  • Fully recovered from effects of prior therapy, radiotherapy, or surgery
  • Adequate organ function based on local lab tests
  • Compliance with contraception requirements
  • Provided written informed consent according to local guidelines
Not Eligible

You will not qualify if you...

  • Known Werner Syndrome
  • Active prior or concurrent advanced-stage malignancy (some early-stage cancer exceptions apply)
  • Clinically significant cardiovascular disease
  • Known CNS metastasis with progressive neurological symptoms (stable corticosteroid use allowed)
  • Active uncontrolled infection
  • Known allergy or intolerance to MOMA-341
  • Gastrointestinal issues that may affect drug absorption
  • Pregnant or breastfeeding
  • HIV positive unless viral load is undetectable, CD4+ count is at least 300 cells/µL, on antiretroviral therapy, and no AIDS illness in past 12 months
  • Active liver disease (exceptions apply)
  • Any condition or therapy affecting safety, study results, or participation as judged by the investigator

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 35 months or until treatment discontinuation

Participants receive oral MOMA-341 as a single agent or in combination with irinotecan or immunotherapy in repeated cycles to evaluate safety and determine optimal dosing.

Repeated 21-day or 28-day treatment cycles depending on treatment arm

Trial Site Locations

Total: 14 locations

1

Investigative Site #101

San Diego, California, United States, 92037

Actively Recruiting

2

Investigative Site #128

Tampa, Florida, United States, 33612

Actively Recruiting

3

Investigative Site #120

Detroit, Michigan, United States, 48201

Actively Recruiting

4

Investigative Site #110

St Louis, Missouri, United States, 63108

Actively Recruiting

5

Investigative Site #131

Raleigh, North Carolina, United States, 27710

Actively Recruiting

6

Investigative Site #121

Portland, Oregon, United States, 97239

Actively Recruiting

7

Investigative Site #127

Dallas, Texas, United States, 75230

Actively Recruiting

8

Investigative Site #129

Houston, Texas, United States, 77030

Actively Recruiting

9

Investigative Site #122

Sydney, New South Wales, Australia, 2031

Actively Recruiting

10

Investigative Site #123

Westmead, New South Wales, Australia, 2145

Actively Recruiting

11

Investigative Site #124

Woolloongabba, Queensland, Australia, 4102

Actively Recruiting

12

Investigative Site #125

Adelaide, South Australia, Australia, 5000

Actively Recruiting

13

Investigative Site #126

Clayton, Victoria, Australia, 3168

Actively Recruiting

14

Investigative Site #119

Perth, Western Australia, Australia, 6009

Actively Recruiting

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Research Team

M

MOMA Clinical Trials

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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