ClinicalTrials.gg
RecruitingNCT07403721Updated Oct 20, 2026

AMG 436 as Monotherapy and Combination Therapy in Participants With MSI-H/dMMR Solid Tumors

A Phase 1 interventional study of AMG 436 in Metastatic or Locally Advanced Solid Tumors With Microsatellite Instability-high (MSI-H) or Mismatched Repair Deficiency (dMMR), sponsored by Amgen. Recruiting at 27 sites in 10 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Amgen · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.
Updated Oct 20, 20262 sites addedGo to Updates ↓

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Phase
Phase 1
Study type
Interventional
Enrollment
464
Allocation
Non-randomized
Ages
18 Years to 99 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 31 studies in Neoplasm Metastasis by Amgen — 1 open to participants now, 1 under way, none of them phase 3. Neoplasm Metastasis · Amgen.

Planned enrollment
3rd of 27
464 · median 134
Started
2026
the only one that year
Phase 1
8 of 31
1 open now
Registered
31st of 31
by date

Among the 31 studies in Neoplasm Metastasis by Amgen, this one is the 3rd largest by planned enrollment of the 27 interventional ones that give a count, is the only one that started in 2026, is one of 8 in phase 1, and was the 31st registered.

Neoplasm Metastasis

4,045 studies on the registry are indexed under Neoplasm Metastasis; 888 are open to participants now.

Browse Neoplasm Metastasis studies →

Open to participants now

1 of the 31 studies in Neoplasm Metastasis by Amgen is open now, in 10 countries.

By country, each count listing its studies:

Who these studies take

Of the 689 Neoplasm Metastasis studies recruiting now, 536 (78%) set no upper age limit and 97 (14%) stop at 75 or younger; 48 take children under 18; 18 take healthy volunteers.

This study: 18 Years to 99 Years · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

The primary objectives of this trial are to evaluate the safety profile of AMG 436 and to determine the maximum tolerated dose (MTD) and/or the recommended dose for AMG 436 as monotherapy and in combination with other anti-cancer therapies in participants with MSI-H/dMMR solid tumors.

03

Conditions studied

  • Metastatic or Locally Advanced Solid Tumors With Microsatellite Instability-high (MSI-H) or Mismatched Repair Deficiency (dMMR)

Browse trials for

Keywords

  • AMG 436
  • MSI-H
  • dMMR
  • Solid Tumors
04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years).
  • confirmed MSI-H or dMMR or locally advanced solid tumor by local testing or central testing.
  • Tumor tissue (formalin-fixed, paraffin-embedded sample) must be available. Participants without archived tumor tissue may enroll by undergoing tumor biopsy before dosing.
  • Disease measurable as defined by Version 1.1 (RECIST 1.1).
  • performance (ECOG) 0-1.
  • Adequate organ function as defined in the protocol.

Exclusion criteria

Exclusion Criteria:

  • Participants with primary central nervous system (CNS) tumors.
  • Impaired cardiac function or cardiac disease.
  • Major surgery within 28 days of trial day 1.
  • Antitumor therapy (chemotherapy, antibody therapy, molecular targeted therapy, hormonal therapy, or agent) within 21 days of first dose of trial treatment, unless anti-tumor therapy is a therapy with 5 times the half-life being shorter than 21 days (in this case, enrollment may be allowed with washout from prior therapy of \< 21 days.
  • Radiation therapy within 28 days of the first dose of trial treatment (or local or focal radiotherapy with palliative intent within 14 days of the first dose).
  • Gastrointestinal tract disease causing the inability to take per os (PO) medication, malabsorption syndrome, requirement for intravenous (IV) alimentation, uncontrolled inflammatory gastrointestinal disease (eg, Crohn's disease, ulcerative colitis).
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

RECIST

The standard rules for measuring tumors on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumor 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
464 participants (estimated)

Study arms

  • Experimental
    Part 1A

    AMG 436 monotherapy dose escalation.

    Drug: AMG 436

  • Experimental
    Part 1B: Food Effect Substudy

    Participants will receive AMG 436 under fasted and fed conditions (United States only).

    Drug: AMG 436

  • Experimental
    Part 2

    AMG 436 + combination dose escalation.

    Drug: AMG 436

  • Experimental
    Part 3

    AMG 436 monotherapy Dose expansion and optimization.

    Drug: AMG 436

  • Experimental
    Part 4

    AMG 436 + chemotherapy combination dose expansions.

    Drug: AMG 436

Interventions

  • DrugAMG 436

    AMG 436 will be administered.

06

What researchers measure

Primary outcomes

  1. Number of Participants with a Dose Limiting Toxicity (DLT)

    Time frame: Up to 21 days

  2. Number of Participants with Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Time frame: Up to 5 years

Secondary outcomes

  1. Maximum Serum Concentration (Cmax) of AMG 436

    Time frame: Up to 57 days

  2. Minimum Serum Concentration (Cmin) of AMG 436

    Time frame: Up to 57 days

  3. Area Under the Concentration-time Curve (AUC) Over the Dosing Interval of AMG 436

    Time frame: Up to 57 days

  4. Time to Achieve Cmax (Tmax) of AMG 436

    Time frame: Up to 57 days

  5. Part 1B: Cmax of AMG 436 in the Fed and/or Fasted State

    Time frame: Up to 24 days

  6. Part 1B: Tmax of AMG 436 in the Fed and/or Fasted State

    Time frame: Up to 24 days

  7. Part 1B: AUC Over the Dosing Interval of AMG 436 in the Fed and/or Fasted State

    Time frame: Up to 24 days

  8. Confirmed Objective Response (OR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    Time frame: Up to 5 years

  9. Duration of Response (DOR) per RECIST v1.1

    Time frame: Up to 5 years

  10. Time to Response (TTR) per RECIST v1.1

    Time frame: Up to 5 years

  11. Disease Control Rate (DCR) per RECIST v1.1

    Time frame: Up to 5 years

  12. Progression-free Survival (PFS) per RECIST v1.1

    Time frame: Up to 5 years

  13. Overall Survival (OS) per RECIST v1.1

    Time frame: Up to 5 years

  14. Change From Baseline in Tumor Phosphorylated Checkpoint Kinase 2 (CHK2) Following AMG 436

    Time frame: Baseline up to 5 years

07

Study locations

27 of 27 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data sharing requests relating to this trial will be considered beginning 18 months after the trial has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this trial.

Access criteria: Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen trial/trials in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.

Data sharing details ↗ · www.amgen.com

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2026 (actual). Primary completion is estimated for Jan 2030, 44 months after the start.

Of 286 industry-sponsored phase 1 interventional studies under Neoplasm Metastasis, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 75. This study's planned 44 months is close to that.

Counting every sponsor, half of 496 studies reached it within 54 months; a quarter within 33 and three quarters within 83.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 5, 2026
First posted
Feb 11, 2026
StartActual
Apr 8, 2026
Primary completionEst.
Jan 1, 2030
CompletionEst.
Feb 1, 2032
Last update
Oct 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites added
Show 2 added (1 France, 1 Taiwan)
  • Hopital Lyon sud · Pierre-Bénite, France
  • National Taiwan University Hospital · Taipei, Taiwan
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    2 sites added
    Show 2 added (1 France, 1 Taiwan)
    • Hopital Lyon sud · Pierre-Bénite, France
    • National Taiwan University Hospital · Taipei, Taiwan
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07403721
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Feb 11, 2026
Start date
Apr 8, 2026
Primary completion
Jan 1, 2030 (estimated)
Completion
Feb 1, 2032 (estimated)
Last update
Oct 20, 2026

Study contacts

Amgen Call Center
Contact
medinfo@amgen.com
866-572-6436
MD
study director · Amgen

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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