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

RecruitingPhase 1

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

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

1. Have histologically confirmed diagnosis of:

   1. Part A: Locally advanced, metastatic, and/or unresectable solid tumor with documented ERBB2-activating alteration or NRG1 gene fusion in blood and/or tumor or HER2 overexpression in tumor
   2. Part B: Locally advanced, metastatic, and/or unresectable NSCLC with documented ERBB2 mutation in blood and/or tumor
   3. Part C: Locally advanced, metastatic and/or unresectable breast cancer with documented ERBB2 mutation in blood and/or tumor or HER overexpression in tumor
2. Have measurable disease per RECIST v1.1.
3. Eastern Cooperative Oncology Group (ECOG) Performance Status 0 to 1 for Part A. For Parts B and C, ECOG Performance Status must be 0 to 2.
4. Have clinically acceptable local laboratory screening results (clinical chemistry and hematology) within certain limits.

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, craniotomy and thoracotomy) within 4 weeks of the first dose of study drug.
3. Treatment with palliative focal radiotherapy (cranial or extracranial) (eg, stereotactic radiosurgery or intensity-modulated radiation therapy) ≤2 weeks before the first dose of study drug; treatment with whole-brain radiotherapy ≤4 weeks before the first dose of study drug.
4. Clinically significant cardiac disease.
5. Resolution of toxicities from prior therapy to ≤Grade 1 (or baseline), including resolution of clinically significant laboratory abnormalities, before the first dose of study drug.
6. Restrictions on use of corticosteroid use to manage neurologic symptoms in different parts of the study.

About the study

This is an open-label, phase 1/1b study evaluating the safety, tolerability, pharmacokinetic (what the body does to the drug), pharmacodynamic (what the drug does to the body), and antitumor activity of CGT4255 in adult participants with advanced solid tumors with ERBB2 alterations or HER2 overexpression.

What is being tested

Sponsor: Cogent Biosciences, Inc. · Participants: 100 · Started: Dec 30, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT07361562

Locations in the U.S.

ArizonaHonorHealth Research Institute, Scottsdale
Mayo Scottsdale, Scottsdale
ConnecticutYale Cancer Center, New Haven
FloridaMayo Jacksonville, Jacksonville
IllinoisNorthwestern University, Chicago
LouisianaLSU Health Sciences Center School of Medicine, New Orleans
MichiganSTART Midwest, Grand Rapids
MinnesotaMayo Rochester, Rochester
MissouriWashington University School of Medicine - Siteman Cancer Center, St Louis
New YorkSTART NY Long Island, Lake Success
NYU Langone, New York
TennesseeTennessee Oncology, Nashville
TexasNEXT Oncology Texas, Austin
UtahSTART Mountain Region, West Valley City
VirginiaNEXT Oncology Virginia, Fairfax

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.