Multiple Phase 1 and Phase 2 clinical trials sponsored by Monte Rosa Therapeutics, Inc. are evaluating MRT-2359 as a single agent and in combination with apalutamide. These industry-sponsored studies encompass various oncology indications, including non-small cell lung cancer, small cell lung cancer, high-grade neuroendocrine cancer, diffuse large B-cell lymphoma, MYC-amplified solid tumors, HR-positive HER2-negative breast cancer, and castration-resistant prostate cancer. Current recruitment statuses across these trials include recruiting and active, not recruiting.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT07745361 | RECRUITING | Castration-Resistant Prostate Cancer (CRPC); Castration-Resistant Prostate Cancer; Prostate Cancer; Prostate Cancer (Adenocarcinoma) |
Monte Rosa Therapeutics, Inc |
2026-08 | PHASE2 |
| NCT05546268 | ACTIVE_NOT_RECRUITING | NSCLC; SCLC; High Grade Neuroendocrine Cancer; DLBCL; L-MYC and N-MYC Amplified Solid Tumors; NSCLC With High or Low L-MYC or N-MYC Expression; HR-positive, HER2-negative Breast Cancer; Prostate Cancer |
Monte Rosa Therapeutics, Inc |
2022-10-12 | PHASE1; PHASE2 |
| NCT05546268 | Recruiting | NSCLC|SCLC|High Grade Neuroendocrine Cancer|DLBCL|L-MYC and N-MYC Amplified Solid Tumors|NSCLC With High or Low L-MYC or N-MYC Expression|HR-positive HER2-negative Breast Cancer|Prostate Cancer |
Monte Rosa Therapeutics Inc |
2022-10-12 | Phase 1|Phase 2 |
(data from https://clinicaltrials.gov, updated on 2026-08-24)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).