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IDEAYA Biosciences Announces Positive Data From Phase 1/2 Combination Trial of IDE397, a potential first-in-class MAT2A inhibitor, and հǻ® in MTAP-Deletion Urothelial Cancer

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IDEAYA Biosciences (Nasdaq: IDYA) has reported positive data from their Phase 1/2 trial combining IDE397 (MAT2A inhibitor) with հǻ® in MTAP-deletion urothelial cancer. The trial showed impressive results with a 57% overall response rate at Dose Level 2 (30mg IDE397 + 7.5mg/kg հǻ®) and 33% overall response rate at Dose Level 1 (15mg IDE397 + 10mg/kg հǻ®).

The study included 19 late-line patients, with 16 evaluable for efficacy. The combination demonstrated a manageable safety profile, with no treatment-related serious adverse events at the higher dose level. The data is particularly promising compared to historical Trodelvy monotherapy efficacy in metastatic UC, which showed 11-23% response rates.

The company plans to select the recommended Phase 2 dose by end of 2025, with the next update scheduled for H1 2026.

IDEAYA Biosciences (Nasdaq: IDYA) ha comunicato dati positivi dal trial di Fase 1/2 che combina IDE397 (inibitore di MAT2A) con հǻ® in pazienti con cancro uroteliale con delezione di MTAP. Al Dose Level 2 (30 mg IDE397 + 7,5 mg/kg հǻ®) il tasso di risposta complessiva è stato del 57%, mentre al Dose Level 1 (15 mg IDE397 + 10 mg/kg հǻ®) è stato del 33%.

Lo studio ha arruolato 19 pazienti in linee terapeutiche avanzate, di cui 16 valutabili per efficacia. La combinazione ha mostrato un profilo di sicurezza gestibile e non sono stati riportati eventi avversi gravi correlati al trattamento al livello di dose più elevato. Questi risultati risultano particolarmente incoraggianti se confrontati con i tassi di risposta storici del monoterapico Trodelvy in carcinoma uroteliale metastatico (11�23%).

La società prevede di selezionare la dose raccomandata per la Fase 2 entro la fine del 2025, con un aggiornamento successivo previsto per il primo semestre del 2026.

IDEAYA Biosciences (Nasdaq: IDYA) ha anunciado datos positivos del ensayo Fase 1/2 que combina IDE397 (inhibidor de MAT2A) con հǻ® en cáncer urotelial con deleción de MTAP. En el Nivel de Dosis 2 (30 mg IDE397 + 7,5 mg/kg հǻ®) la tasa de respuesta global fue del 57%, y en el Nivel de Dosis 1 (15 mg IDE397 + 10 mg/kg հǻ®) del 33%.

El estudio incluyó a 19 pacientes en líneas tardías, 16 de los cuales fueron evaluables para eficacia. La combinación mostró un perfil de seguridad manejable, sin eventos adversos graves relacionados con el tratamiento en la dosis más alta. Estos resultados son especialmente prometedores frente a las tasas históricas de Trodelvy en monoterapia en cáncer urotelial metastásico (11�23%).

La compañía planea seleccionar la dosis recomendada para la Fase 2 antes de finales de 2025, con la próxima actualización prevista para el primer semestre de 2026.

IDEAYA Biosciences (Nasdaq: IDYA)MTAP 결손 요로상피�에서 IDE397(MAT2A 억제�)հǻ® 병용� 1/2� 임상 결과가 긍정적이었다� 발표했습니다. 용량 레벨 2(IDE397 30mg + հǻ® 7.5mg/kg)에서 전체 반응률은 57%였�, 용량 레벨 1(IDE397 15mg + հǻ® 10mg/kg)에서� 33%옶습니�.

연구에 말기 치료 환자 19명이 포함되었�, 그중 16명이 효능 평가 대상이었습니다. 병용요법은 관� 가능한 안전� 프로파일� 보였으며, 높은 용량군에� 치료 관� 중대� 이상반응은 보고되지 않았습니�. 이 전이� 요로상피암에� Trodelvy 단독 요법� 기존 반응�(11�23%)� 비교� 특히 유망합니�.

회사� 2025� 말까지 권장하 2� 용량� 결정� 계획이며, 다음 업데이트� 2026� 상반기에 예정되어 있습니다.

IDEAYA Biosciences (Nasdaq: IDYA) a annoncé des données positives de son essai de phase 1/2 combinant IDE397 (inhibiteur de MAT2A) avec հǻ® dans le cancer urothélial avec délétion MTAP. Au niveau de dose 2 (30 mg IDE397 + 7,5 mg/kg հǻ®), le taux de réponse globale était de 57%, et au niveau de dose 1 (15 mg IDE397 + 10 mg/kg հǻ®) de 33%.

L'étude a inclus 19 patients en ligne thérapeutique avancée, dont 16 étaient évaluables pour l'efficacité. La combinaison a montré un profil de sécurité gérable, sans événements indésirables graves liés au traitement au palier de dose supérieur. Ces résultats sont particulièrement encourageants par rapport aux taux de réponse historiques du Trodelvy en monothérapie dans le cancer urothélial métastatique (11�23%).

La société prévoit de sélectionner la dose recommandée pour la phase 2 d'ici fin 2025, avec une prochaine mise à jour prévue au premier semestre 2026.

IDEAYA Biosciences (Nasdaq: IDYA) hat positive Daten aus der Phase�1/2‑Studie berichtet, in der IDE397 (MAT2A‑Inhibitor) mit հǻ® bei MTAP‑deletiertem Urothelkarzinom kombiniert wurde. In Dosisstufe 2 (30 mg IDE397 + 7,5 mg/kg հǻ®) lag die Gesamtansprechrate bei 57%, in Dosisstufe 1 (15 mg IDE397 + 10 mg/kg հǻ®) bei 33%.

An der Studie nahmen 19 Patient:innen in späten Therapielinien teil, davon waren 16 für die Wirksamkeitsbewertung auswertbar. Die Kombination zeigte ein handhabbares Sicherheitsprofil; schwerwiegende behandlungsbedingte Nebenwirkungen traten in der höheren Dosisstufe nicht auf. Die Daten sind besonders vielversprechend im Vergleich zu historischen Ansprechraten von Trodelvy als Monotherapie beim metastasierten Urothelkarzinom (11�23%).

Das Unternehmen plant, die für Phase 2 empfohlene Dosis bis Ende 2025 festzulegen; das nächste Update ist für das erste Halbjahr 2026 vorgesehen.

Positive
  • Strong overall response rate (ORR) of 57% at Dose Level 2, significantly higher than historical Trodelvy monotherapy efficacy (11-23%)
  • Manageable safety profile with no treatment-related serious adverse events at the higher dose level
  • 100% Disease Control Rate (DCR) observed in Dose Level 1 cohort
  • Potential first-in-class treatment for MTAP-deletion tumors, which affect 25-30% of UC patients
Negative
  • Median progression free survival (PFS) and duration of response (DOR) not yet reached
  • Grade 3 or greater adverse events including anemia, neutropenia, asthenia, and diarrhea observed in both dose levels
  • Small patient sample size (only 16 evaluable patients across both cohorts)

Insights

IDEAYA reports promising 57% response rate for IDE397/Trodelvy combo in MTAP-deleted urothelial cancer with manageable safety profile.

The clinical data from IDEAYA's IDE397/Trodelvy combination trial represents a potential breakthrough for MTAP-deletion urothelial cancer patients, a population with significant unmet need. The 57% overall response rate (4/7 patients) at the higher IDE397 dose level (30mg) combined with 7.5mg/kg Trodelvy is particularly notable when compared to historical Trodelvy monotherapy efficacy (11-23% ORR) in similar populations.

The disease control rate of 100% in the lower dose cohort is remarkable, suggesting even patients not achieving partial responses experienced stable disease. The fact that median progression-free survival and duration of response have not yet been reached indicates the treatment effect has been durable in responders.

From a safety perspective, the absence of treatment-related serious adverse events at the higher IDE397 dose level is encouraging, with observed toxicities (anemia, asthenia, diarrhea) consistent with the known profiles of both agents. This suggests the combination doesn't create unexpected synergistic toxicities.

The preliminary data is especially significant considering 68% of patients had progressed after two or more prior therapies, and 32% had received enfortumab vedotin, indicating heavily pretreated patients. The expansion into non-small cell lung cancer trials, where MTAP-deletion occurs in 15-20% of patients, opens another potential market for this targeted approach.

As the first potential targeted therapy for MTAP-deletion tumors, IDE397 could address approximately 25-30% of urothelial cancer patients. The company's plan to select a recommended Phase 2 dose by year-end suggests confidence in the program's advancement toward registration-enabling studies.

  • Overall response rate (ORR) of 57% (4/7; 3cPR+1uPR) in patients treated with a combination of 30 mg IDE397 plus 7.5mg/kg Trodelvy® (Dose level 2); ORR of 33% (3/9; 3cPR) at 15 mg IDE397 plus 10mg/kg Trodelvy® (Dose level 1)
  • Manageable safety profile at both expansion doses, consistent with known adverse events observed with each agent alone, with no treatment related serious adverse events observed at the IDE397 30mg and հǻ® 7.5 mg/kg expansion dose
  • Selection of recommended Phase 2 dose is targeted by end of 2025, with next update planned for a medical conference in H1 2026

SOUTH SAN FRANCISCO, Calif., Sept. 8, 2025 /PRNewswire/ -- IDEAYA Biosciences, Inc. (Nasdaq: IDYA), a leading precision medicine oncology company, will present initial data at their 10-Year Anniversary R&D Day from two expansion cohorts in their Phase 1/2 combination trial of IDE397, a potential first-in-class, small molecule adenosyltransferase 2a (MAT2A) inhibitor, in combination with Gilead's հǻ® (sacituzumab govitecan-hziy), a Trop2-directed antibody-drug conjugate (ADC), in patients with late-line methylthioadenosine phosphorylase (MTAP)-deletion urothelial cancer (UC). MTAP-deletion is estimated to occur in approximately 25-30% of UC and 15-20% of non-small cell lung cancer (NSCLC) patients. There are currently no therapies approved by the U.S. Food and Drug Administration (FDA) for patients with MTAP-deletion solid tumors.

Data in the presentation were as of a cut-off date of August 29, 2025, and included a total of 19 patients with late-line MTAP-deletion UC who received the combination of IDE397 and Trodelvy. Of the 19 patients, 16 (Cohort 1: n=9; Cohort 2: n=7) were evaluable for efficacy having received at least one post-baseline tumor assessment per RECIST v1.1. Of the patients evaluated in the combination trial, 68% (13/19) had progressed after two or more prior therapies, with 84% (16/19) having received an immune-oncology therapy and 32% (6/19) having received enfortumab vedotin (EV).

"We are pleased with the progress we are making with the Trodelvy and IDE397 combination and are encouraged by the early response rate data we are seeing in previously treated MTAP-deleted urothelial cancer. These results set the stage for further testing ofthe combination in non-small cell lung cancer, where we have just dosed the first patient in our clinical trial," said Darrin Beaupre, Chief Medical Officer, IDEAYA Biosciences.

Summary of key findings


Dose Level 1 (DL1)

Dose Level 2 (DL2)


IDE397 (15mg) + Trodelvy (10mg/kg)

IDE397 (30mg) + Trodelvy (7.5mg/kg)

Evaluable patients (n)

n=9

n=7

ORR (cPR+uPR)

33% (3cPR)

57% (3cPR +1uPR)

DCR%

100% (9/9)

71% (5/7)

  • To date, median progression free survival (PFS) and duration of response (DOR) has not been reached.
  • 33% ORR at DL1 (3/9); 3 confirmed partial responses (cPR), including one patient with a confirmed response after the cut-off date, and 57% ORR at DL2 (3 cPR and 1 unconfirmed partial response (uPR)). The preliminary combination data is trending favorably versus historical Trodelvy monotherapy efficacy reported in metastatic UC, including 11% ORR in patients post-EV therapy (Sternschuss et al., 2025) and 23% ORR in predominantly EV-naïve patients (Powles et al., 2025).
  • Manageable safety profile consistent with known adverse events of both drugs as single agents, with no treatment related serious adverse events observed at the IDE397 30mg and հǻ® 7.5 mg/kg expansion dose. The most common Grade 3 or greater treatment-related adverse events seen in DL1 were anemia and neutropenia, and in DL2 were anemia, asthenia, and diarrhea.

Pursuant to the clinical study collaboration and supply agreement, IDEAYA and Gilead retain the commercial rights to their respective compounds, including with respect to use as a monotherapy or combination agent. IDEAYA is the study sponsor and Gilead will provide the supply of Trodelvy to IDEAYA.

Trodelvy is currently approved in more than 50 countries for second-line or later metastatic triple-negative breast cancer (TNBC) patients and in more than 40 countries for certain patients with pre-treated HR+/HER2- metastatic breast cancer.

The use of Trodelvy in MTAP-deletion UC and NSCLC is investigational, and the safety and efficacy of this use have not been established. IDE397 monotherapy or in combination with Trodelvy has not been approved by any regulatory agency and the efficacy and safety of this combination has not been established.

Trodelvy and Gilead are trademarks of Gilead Sciences, Inc., or its related companies.

IDEAYA will review this data at their 10-Year Anniversary R&D Day on September 8th in New York. A link to the webcast is available on the Investor Relations page of the IDEAYA corporate website:https://ir.ideayabio.com/.

About IDEAYA Biosciences

IDEAYA is a precision medicine oncology company committed to the discovery, development, and commercialization of transformative therapies for cancer. Our approach integrates expertise in small-molecule drug discovery, structural biology and bioinformatics with robust internal capabilities in identifying and validating translational biomarkers to develop tailored, potentially first-in-class targeted therapies aligned to the genetic drivers of disease. We have built a deep pipeline of product candidates focused on synthetic lethality and antibody-drug conjugates, or ADCs, for molecularly defined solid tumor indications. Our mission is to bring forth the next wave of precision oncology therapies that are more selective, more effective, and deeply personalized with the goal of altering the course of disease and improving clinical outcomes for patients with cancer.

Forward-Looking Statements

This press release contains forward-looking statements, including, but not limited to, statements related to (i) the potential therapeutic benefits of IDE397 and Trodelvy combination; (ii) the timing and content of data at the IDEAYA 10 -Year Anniversary R&D Day and an update at a later medical conference; and (iii) the timing of the selection of go-forward combination dose of IDE397/ հǻ®. Such forward-looking statements involve substantial risks and uncertainties that could cause IDEAYA's preclinical and clinical development programs, future results, performance or achievements to differ significantly from those expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others, the uncertainties inherent in the drug development process, including IDEAYA's programs' early stage of development, the process of designing and conducting preclinical and clinical trials, the regulatory approval processes, the timing of regulatory filings, the challenges associated with manufacturing drug products, IDEAYA's ability to successfully establish, protect and defend its intellectual property, and other matters that could affect the sufficiency of existing cash to fund operations. IDEAYA undertakes no obligation to update or revise any forward-looking statements. For a further description of the risks and uncertainties that could cause actual results to differ from those expressed in these forward-looking statements, as well as risks relating to the business of IDEAYA in general, see IDEAYA's Annual Report on Form 10-K dated February 18, 2025 and any current and periodic reports filed with the U.S. Securities and Exchange Commission.

Investor and Media Contact

IDEAYA Biosciences
Joshua Bleharski, Ph.D.
Chief Financial Officer
[email protected]

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SOURCE IDEAYA Biosciences, Inc.

FAQ

What were the key results of IDEAYA's Phase 1/2 trial for IDE397 and Trodelvy combination?

The trial showed a 57% overall response rate at Dose Level 2 (30mg IDE397 + 7.5mg/kg հǻ®) and 33% overall response rate at Dose Level 1 (15mg IDE397 + 10mg/kg հǻ®) in MTAP-deletion urothelial cancer patients.

How does IDYA's IDE397/Trodelvy combination compare to existing treatments?

The combination's 57% response rate significantly outperforms historical Trodelvy monotherapy efficacy, which showed 11% ORR in post-EV therapy and 23% ORR in EV-naïve patients.

What is the safety profile of IDYA's IDE397 and Trodelvy combination?

The combination showed a manageable safety profile with no treatment-related serious adverse events at the higher dose level. Most common Grade 3+ adverse events included anemia, neutropenia, asthenia, and diarrhea.

When will IDEAYA announce the next update for the IDE397/Trodelvy trial?

IDEAYA plans to select the recommended Phase 2 dose by end of 2025, with the next update planned for a medical conference in H1 2026.

What percentage of cancer patients could potentially benefit from IDYA's IDE397 treatment?

MTAP-deletion occurs in approximately 25-30% of urothelial cancer patients and 15-20% of non-small cell lung cancer (NSCLC) patients.
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