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AMG 193 + gemcitabine + nab-paclitaxel is a combination regimen under investigation for the treatment of advanced solid tumors with homozygous deletion of methylthioadenosine phosphorylase (MTAP), particularly gastrointestinal, biliary tract, and pancreatic cancers. AMG 193 is a CNS-penetrant, methylthioadenosine (MTA)-cooperative inhibitor of protein arginine methyltransferase 5 (PRMT5), selectively inducing synthetic lethality in MTAP-deleted tumor cells. Nab-paclitaxel is a nanoparticle albumin-bound formulation of paclitaxel, a microtubule inhibitor, and gemcitabine is a nucleoside analog and antimetabolite. The regimen is being studied for synergistic effects in MTAP-deleted tumors, with Phase 1 trials ongoing to establish safety and preliminary efficacy.
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