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Phase 1/2 Study of ETX-636 in Participants With Advanced Solid Tumors
RecruitingPhase 1/2
A Phase 1/2, Open-label, First-in-human Study of the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ETX-636, a Pan-mutant-selective PI3Kα Inhibitor, as Monotherapy and in Combination With Other Anticancer Therapies in Participants With Advanced Solid Tumors
Who can join
Ages 18 and older · All sexes
Full eligibility criteria
Key Inclusion Criteria: * Metastatic or locally advanced and unresectable solid tumor that has progressed on or after at least one available therapy. * Tumor harboring an activating PIK3CA mutation detected in either tumor tissue or ctDNA. * At least 1 measurable lesion or evaluable disease per RECIST v1.1. * An ECOG performance status score of 0 or 1. * Adequate organ function. Additional key inclusion criterion for Parts B and C: \- Confirmed metastatic or locally advanced HR+/HER2- breast cancer not amenable to surgical resection with curative intent and must have received at least 1 prior CDK4/6 inhibitor and at least 1 prior anti-estrogen therapy. Key Exclusion Criteria: * Has history (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied. * Has symptomatic brain or spinal metastases or a known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement. * Has an established diagnosis of diabetes mellitus type 1 or has uncontrolled diabetes mellitus type 2. * Has received treatment with any local or systemic anticancer therapy or investigational anticancer agent within 14 days prior to start of treatment. * Has toxicities from previous anticancer therapies that have not resolved to baseline levels with the exception of alopecia and peripheral neuropathy. * Has had radiotherapy outside the target tumor lesions within 14 days prior to start of treatment.
About the study
Phase 1/2, open-label study of ETX-636 in participants with advanced solid tumors
What is being tested
- ETX-636 dose escalation (drug)
- ETX-636 dose escalation in combination with fulvestrant (drug)
- ETX-636 dose expansion in combination with fulvestrant (drug)
Sponsor: Ensem Therapeutics · Participants: 233 · Started: Jun 10, 2025
Contact the study team
- Janaki Parameswaran, MD · Phone: 1-617-383-4993
- Melinda Snyder · Phone: 1-617-383-4993
Official record on ClinicalTrials.gov — NCT06993844
Locations in the U.S.
Conditions
- Cancer (all types)
- Breast Cancer
- Hereditary Sensory and Autonomic Neuropathies
- Breast Diseases
- Endometrial Cancer
- Ovarian Cancer
- Cervical Cancer
- Head and Neck Cancer
- Head and Neck Squamous Cell Carcinoma
From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.