Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID07361562

A Study of a Selective ERBB2 Inhibitor, CGT4255, in Patients With Advanced Solid Tumors With ERBB2 Genetic Alterations or HER2 Overexpression

Led by Cogent Biosciences, Inc. · Updated on 2026-02-27

100

Participants Needed

6

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating CGT4255, a selective ERBB2 inhibitor, in adults with advanced solid tumors that have ERBB2 genetic alterations or HER2 overexpression. This open-label, phase 1/1b study aims to assess the safety, tolerability, how the body processes the drug, how the drug affects the body, and its antitumor activity in these patients. The study is sponsored by Cogent Biosciences, Inc.

CONDITIONS

Brief Title

A Study of a Selective ERBB2 Inhibitor (CGT4255), in Patients With Advanced Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or older
  • Histologically confirmed diagnosis of locally advanced, metastatic, or unresectable solid tumors with ERBB2-activating alterations, NRG1 gene fusion, or HER2 overexpression for Part A
  • Diagnosis of locally advanced, metastatic, or unresectable non-small cell lung cancer with ERBB2 mutation for Part B
  • Diagnosis of locally advanced, metastatic, or unresectable breast cancer with ERBB2 mutation or HER2 overexpression for Part C
  • Measurable disease according to RECIST v1.1 criteria
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0 to 1 for Part A and 0 to 2 for Parts B and C
  • Clinically acceptable local laboratory screening results (clinical chemistry and hematology) within set limits
Not Eligible

You will not qualify if you...

  • Received small molecule chemotherapy, anticancer therapies, or radiotherapy within specified timeframes before first dose of study drug
  • Had major surgeries such as craniotomy or thoracotomy within 4 weeks before first dose
  • Received palliative focal radiotherapy within 2 weeks or whole-brain radiotherapy within 4 weeks before first dose
  • Clinically significant cardiac disease
  • Did not resolve toxicities from prior therapy to Grade 1 or baseline before first dose
  • Restrictions on corticosteroid use to manage neurologic symptoms in different study parts

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 12 months depending on trial part and participant response

Participants receive daily oral doses of CGT4255 as part of dose escalation, signal seeking, or dose optimization depending on their trial part.

Regular visits during treatment period to monitor safety and response

Trial Site Locations

Total: 6 locations

1

START Midwest

Grand Rapids, Michigan, United States, 49546

Actively Recruiting

2

NYU Langone

New York, New York, United States, 10016

Actively Recruiting

3

Tennessee Oncology

Nashville, Tennessee, United States, 37203

Actively Recruiting

4

NEXT Oncology Texas

Austin, Texas, United States, 78758

Actively Recruiting

5

START Mountain Region

West Valley City, Utah, United States, 84119

Actively Recruiting

6

NEXT Oncology Virginia

Fairfax, Virginia, United States, 22031

Actively Recruiting

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Research Team

C

Cogent Biosciences, Inc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

3

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