CGT6297 for Advanced Solid Tumors with PIK3CA Mutations
A Study of Mutant Selective-Inhibitor (CGT6297), in Patients With Advanced Solid Tumors
Recruiting
Phase 1Interventional Study
PIK3CA MutationsAdvanced Solid Tumors, AdultEndometrial CancerHR Positive/HER-2 Negative Breast CancerHER2-low Breast Cancer
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 1
Study type
Interventional
Purpose
Treatment
Participants needed
90 (estimated)
Sponsor
Cogent Biosciences, Inc. · Industry
Who this trial is looking for
This trial is looking for adults with advanced solid tumors that have specific mutations. Participants will receive the drug CGT6297 to see how it affects their cancer and to check for safety.
Are You a Good Fit for This Trial?
You may be able to join if
I have advanced solid tumor with PIK3CA mutations
I have at least one measurable tumor
I have a good performance status score (0-1)
I have completed previous cancer treatments and my side effects have improved
I have acceptable lab test results
I have an ejection fraction of 50% or more
You may not be able to join if
I have had certain treatments or surgeries close to starting this trial
I have serious heart disease
I am taking high doses of steroids for a long time
I have uncontrolled type 2 diabetes
I have type 1 diabetes
I have specific mutations in my tumor that are not allowed
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
This is a Phase 1, two-part, open-label, nonrandomized, dose-escalation and signal-seeking study of CGT6297, evaluating the safety, tolerability, PK, pharmacodynamic (what the drug does to the body), and antitumor activity of CGT6297 in adult participants with advanced solid tumors harboring PIK3CA mutations
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
1. Histologically confirmed advanced solid tumor harboring oncogenic PIK3CA mutations in blood and/or tumor:
1. Phase 1b Cohort 1, participants must have PIK3CA endometrial cancer
2. Phase 1b Cohort 2, participants must have HR-positive/HER2-negative or HER2-low breast ca…
Inclusion Criteria:
1. Histologically confirmed advanced solid tumor harboring oncogenic PIK3CA mutations in blood and/or tumor:
1. Phase 1b Cohort 1, participants must have PIK3CA endometrial cancer
2. Phase 1b Cohort 2, participants must have HR-positive/HER2-negative or HER2-low breast cancer (immunohistochemistry \[IHC\] and in-situ hybridization results must meet ASCO-College of American Pathology guidelines for breast cancer or criteria)
3. Phase 1b Cohort 3 will allow all solid tumors that do not meet criteria for Phase 1b Cohorts 1 or 2, including head and neck cancers, other gynecological cancers, colorectal cancers harboring PIK3CA mutations
2. Meet prior treatment requirement of:
1. Phase 1a: previously treated with and refractory to or intolerant of existing therapy(ies) known to provide clinical benefit for their condition.
2. Phase 1b: previously treated with or considered not appropriate for SOC first-line treatment for their condition
3. Have at least one measurable lesion according to RECIST v1.1.
4. Eastern Cooperative Oncology Group (ECOG) Performance Status 0 to 1
5. Have clinically acceptable local laboratory screening results (clinical chemistry and hematology) within certain limits
6. Resolution of acute toxicities from prior anticancer therapy to ≤Grade 1 (or baseline), including resolution of clinically significant laboratory abnormalities (other than parameters specified in screening testing as outlined below), as determined by the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCICTCAE) v5.0.
7. Have an ejection fraction ≥50%
Exclusion Criteria:
1. Received small molecule chemotherapy or anticancer therapies or radiotherapy within certain timeframes before first dose of study drug.
2. Major surgeries (eg, abdominal laparotomy) within 4 weeks of the first dose of study drug
3. Treatment with radiotherapy ≤2 weeks before the first dose of study drug.
4. Clinically significant cardiac disease
5. Ongoing or planned long-term (≥4 consecutive weeks) treatment with glucocorticoid steroids at greater than physiologic dosing (defined as equivalent to \>20 mg/day prednisone)
6. Diagnosis of diabetes mellitus type 1 or uncontrolled diabetes mellitus type 2 (defined as fasting glucose ≥140 mg/dL and HbA1c ≥7.0%; antihyperglycemic medical management permitted with the exception of insulin)
7. Previous molecular testing (NGS or PCR) showed tumor with the following mutations: mutations/deletions in PTEN or activating mutations in AKT, HRAS/KRAS/NRAS, EGFR, and BRAF
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