Recruiting
Phase 1

CGT4255

Sponsor:

Cogent Biosciences, Inc.

Code:

NCT07361562

Conditions

Advanced Solid Tumor, Adult

ERBB2 Altered Breast Cancer

ERBB2 Gene Amplification

HER2 Overexpression

Non-Small Cell Lung Cancer

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

CGT4255

Study Details

Brief summary:

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.

Conditions

Advanced Solid Tumor, Adult

ERBB2 Altered Breast Cancer

ERBB2 Gene Amplification

HER2 Overexpression

Non-Small Cell Lung Cancer

Study ID

NCT07361562

Start date

Dec 30, 2025

Status verified date

Sep, 2026

Completion date

Nov, 2028

Anticipated

Primary completion date

May, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

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.

Study Design

Enrollment

100 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Dose Escalation

Part A: Dose Escalation Multiple doses of CGT4255 for oral administration

experimental: Signal Seeking and Dose Escalation

Part B: Signal Seeking and Dose Optimization Oral dose(s) of CGT4255 at the selected dose levels determined in Phase 1

experimental: Signal Seeking

Part C: Includes signal seeking. Participants will receive CGT4255 at a dose level selected based on data from Part A

Interventions

CGT4255

CGT4255 Daily Oral Administration

Primary outcome measure

  • Incidence and grade of Adverse Events (AEs) and Serious Adverse Events (SAEs) [Part A] [ Time Frame: Approximately 12 months ]
  • Overall Response Rate [Part B and Part C] [ Time Frame: Approximately 6 months ]

Central Contacts and Locations

Central contacts

Locations

HonorHealth Research Institute

Recruiting

Scottsdale, Arizona, United States, 85258

Mayo Scottsdale

Recruiting

Scottsdale, Arizona, United States, 85281

Yale Cancer Center

Recruiting

New Haven, Connecticut, United States, 06510

Mayo Jacksonville

Recruiting

Jacksonville, Florida, United States, 32209

Northwestern University

Recruiting

Chicago, Illinois, United States, 60611

LSU Health Sciences Center School of Medicine

Recruiting

New Orleans, Louisiana, United States, 70803

START Midwest

Recruiting

Grand Rapids, Michigan, United States, 49546

Mayo Rochester

Recruiting

Rochester, Minnesota, United States, 55905

Washington University School of Medicine - Siteman Cancer Center

Recruiting

St Louis, Missouri, United States, 63110

START NY Long Island

Recruiting

Lake Success, New York, United States, 11042

NYU Langone

Recruiting

New York, New York, United States, 10016

Tennessee Oncology

Recruiting

Nashville, Tennessee, United States, 37203

NEXT Oncology Texas

Recruiting

Austin, Texas, United States, 78758

START Mountain Region

Recruiting

West Valley City, Utah, United States, 84119

NEXT Oncology Virginia

Recruiting

Fairfax, Virginia, United States, 22031

More Information

Sponsor

Cogent Biosciences, Inc.

Last update posted

Sep 4, 2026

Last verified

Sep, 2026

Keywords

  • ERBB2 genetic alterations
  • Investigational Drug
  • Advanced Solid Tumors
  • ERBB2 Mutated Non Small Cell Lung Cancer
  • Mutated Advanced Solid Tumors
  • ERBB2 Brain Metastases
  • ERRB2 Point Mutations
  • ERBB2 Gene Short Variants
  • ERBB2 Gene Rearrangements
  • ERBB2 activation alteration
  • ERBB2 gene copy number amplifications
  • ERBB2 gene insertions
  • ERRB2 gene deletions
  • ERBB2 gene fusions
  • NRG1 gene fusions
  • ERBB2 indel
  • Phase 1/1b
  • HER2 Protein Overexpression
  • HER2

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-11. This information was provided to ClinicalTrials.gov by Cogent Biosciences, Inc. on 2026-09-04.