A Phase 1 Study of ATV-1601 in Patients With Advanced Cancer That Have AKT1 E17K Mutations

Last updated: March 16, 2026
Sponsor: Atavistik Bio, Inc
Overall Status: Active - Not Recruiting

Phase

1

Condition

Ovarian Cancer

Prostate Cancer, Early, Recurrent

Breast Cancer

Treatment

ATV-1601 + Fulvestrant

ATV-1601

Clinical Study ID

NCT07038369
ATV-1601-101
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1, open-label study to evaluate the safety and tolerability of ATV-1601 administered orally in adults with AKT1 E17K-mutant, advanced solid tumors and also in HR+/HER2- advanced and metastatic breast cancer, with or without fulvestrant.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Histologically or cytologically confirmed metastatic or advanced-stage solidmalignant tumor or HR+/HER2- breast cancer.

  2. Have progressed on, were intolerant to, or experienced disease recurrence afterstandard therapy and have no available effective or tolerable treatment options toderive clinically meaningful benefit.

  3. Tumor must have documented specific mutation profile as outlined below based onlocal laboratory testing.

  4. Participants with solid tumors or HR+/HER2- breast cancer with AKT1 E17K mutations.

  5. Measurable disease according to RECIST v1.1 criteria.

  6. Formalin-fixed paraffin-embedded tumor specimen available for submission.

  7. Eastern Cooperative Oncology Group performance status of 0 or 1.

Exclusion

Exclusion Criteria:

  1. Previously documented activating mutations in KRAS, NRAS, HRAS, or BRAF.

  2. Inadequate bone marrow reserve or organ function.

  3. Clinically significant abnormalities of glucose metabolism.

  4. Participants who are symptomatic or have uncontrolled brain metastases.

  5. Requires treatment with certain medications.

Participants must meet other inclusion/exclusion criteria.

Study Design

Total Participants: 134
Treatment Group(s): 2
Primary Treatment: ATV-1601 + Fulvestrant
Phase: 1
Study Start date:
July 29, 2025
Estimated Completion Date:
January 31, 2029

Study Description

This is a first-in-human, open-label, multicenter, Phase 1a/1b dose escalation dose finding, and dose expansion study to evaluate safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of ATV-1601 as monotherapy in participants with advanced or metastatic solid tumors with the AKT1 E17K mutation, and in combination with fulvestrant in participants with breast cancer that has the AKT1 E17K mutation. This study has a dose escalation and expansion phase with ATV-1601, and an escalation and expansion phase in combination with Fulvestrant.

Connect with a study center

  • Centre Leon Berard

    Lyon, 69008
    France

    Site Not Available

  • Centre Leon Berard

    Lyon 2996944, 69008
    France

    Site Not Available

  • National Cancer Centre Singapore

    Singapore, 168583
    Singapore

    Site Not Available

  • National Cancer Centre Singapore

    Singapore 1880252, 168583
    Singapore

    Site Not Available

  • Hospital Clinic Barcelona

    Barcelona 3128760, 08036
    Spain

    Site Not Available

  • START Madrid - CIOCC

    Madrid, 28050
    Spain

    Site Not Available

  • START Madrid - CIOCC

    Madrid 3117735, 28050
    Spain

    Site Not Available

  • START Madrid - Hospital Fundacion Jimenez Diaz

    Madrid 3117735, 28040
    Spain

    Site Not Available

  • USC Norris Comprehensive Cancer Center

    Los Angeles, California 90033
    United States

    Site Not Available

  • Study Center

    Los Angeles 5368361, California 5332921 90033
    United States

    Active - Recruiting

  • USC Norris Comprehensive Cancer Center

    Los Angeles 5368361, California 5332921 90033
    United States

    Site Not Available

  • Florida Cancer Specialists & Research Institute - Lake Mary

    Lake Mary, Florida 32746
    United States

    Site Not Available

  • Florida Cancer Specialists & Research Institute - Lake Mary

    Lake Mary 4161373, Florida 4155751 32746
    United States

    Site Not Available

  • Study Center

    Lake Mary 4161373, Florida 4155751 32746
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston 4930956, Massachusetts 6254926 02114
    United States

    Site Not Available

  • Study Center

    Boston 4930956, Massachusetts 6254926 02114
    United States

    Active - Recruiting

  • Washington University

    St Louis, Missouri 63110
    United States

    Site Not Available

  • Study center

    St Louis 4407066, Missouri 4398678 63110
    United States

    Active - Recruiting

  • Washington University

    St Louis 4407066, Missouri 4398678 63110
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Site Not Available

  • The Ohio State University Comprehensive Cancer Center

    Columbus 4509177, Ohio 5165418 43210
    United States

    Site Not Available

  • Oregon Health & Science University

    Portland 5746545, Oregon 5744337 97239
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • Study Center

    Houston, Texas 77030
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

  • Study Center

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

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