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Study of RGT-490 in Patients With PIK3CA-Mutated Advanced Solid Tumors

RECRUITINGPhase 1Sponsored by Regor Pharmaceuticals Inc.
Actively Recruiting
PhasePhase 1
SponsorRegor Pharmaceuticals Inc.
Started2026-04
Est. completion2028-04
Eligibility
Age18 Years+
Healthy vol.Accepted
Locations3 sites

Summary

This is a phase 1/1b, open-label, multicenter study consisting of sequential parts designed to evaluate the safety, tolerability, and effects pharmacokinetic (PK) profile, and antitumor activity of RGT-490, an investigational oral therapy, in adults with locally advanced or metastatic solid tumors including breast cancer. Participants enrolled in the study have advanced disease that is not amendable to curative treatment and whose tumors harbor alterations in the PI3KCA gene.

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* Adults with metastatic or locally advanced, unresectable solid tumors that have progressed on or after at least one available therapy.
* Presence of one or more documented activating PIK3CA mutation in tumor tissue and/or blood.
* At least 1 measurable lesion or evaluable disease per RECIST v1.1.
* An ECOG performance status of 0 or 1.
* Adequate organ function

Exclusion Criteria:

* Diabetes mellitus requiring anti-hyperglycemic medication.
* Prior treatment with PI3Kα inhibitors
* Symptomatic, untreated, or uncontrolled central nervous system metastases.
* Receipt of any local or systemic anticancer therapy or investigational anticancer agent within a protocol-defined washout period prior to study treatment.
* Unresolved clinically significant toxicities from prior anticancer therapy
* History of a another malignancy within 2 years prior to screening (exception adequately treated cancers).

Conditions10

Advanced Breast CancerBreast CancerCancerCervical CancerEndometrial CancerHER2-negative Breast CancerHormone Receptor Positive TumorOvarian CancerPIK3CA MutationUnresectable Solid Tumor

Interventions1

Locations3 sites

Texas

2 sites
NEXT Houston
Houston, Texas, 77054
NEXT San Antonio
San Antonio, Texas, 78229

Virginia

1 site
NEXT Virginia
Fairfax, Virginia, 22031

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Trial data from ClinicalTrials.gov. Trial status and eligibility can change — verify directly with the study contact or on ClinicalTrials.gov.

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