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

Last updated: February 25, 2026
Sponsor: Cogent Biosciences, Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Non-small Cell Lung Cancer

Treatment

CGT4255

Clinical Study ID

NCT07361562
CGT4255-25-101
  • Ages > 18
  • All Genders

Study 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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Have histologically confirmed diagnosis of:

  2. Part A: Locally advanced, metastatic, and/or unresectable solid tumor withdocumented ERBB2-activating alteration or NRG1 gene fusion in blood and/ortumor or HER2 overexpression in tumor

  3. Part B: Locally advanced, metastatic, and/or unresectable NSCLC with documentedERBB2 mutation in blood and/or tumor

  4. Part C: Locally advanced, metastatic and/or unresectable breast cancer withdocumented ERBB2 mutation in blood and/or tumor or HER overexpression in tumor

  5. Have measurable disease per RECIST v1.1.

  6. Eastern Cooperative Oncology Group (ECOG) Performance Status 0 to 1 for Part A. ForParts B and C, ECOG Performance Status must be 0 to 2.

  7. Have clinically acceptable local laboratory screening results (clinical chemistryand hematology) within certain limits.

Exclusion

Exclusion Criteria:

  1. Received small molecule chemotherapy or anticancer therapies or radiotherapy withincertain timeframes before first dose of study drug.

  2. Major surgeries (eg, craniotomy and thoracotomy) within 4 weeks of the first dose ofstudy drug.

  3. Treatment with palliative focal radiotherapy (cranial or extracranial) (eg,stereotactic radiosurgery or intensity-modulated radiation therapy) ≤2 weeks beforethe first dose of study drug; treatment with whole-brain radiotherapy ≤4 weeksbefore the first dose of study drug.

  4. Clinically significant cardiac disease.

  5. Resolution of toxicities from prior therapy to ≤Grade 1 (or baseline), includingresolution of clinically significant laboratory abnormalities, before the first doseof study drug.

  6. Restrictions on use of corticosteroid use to manage neurologic symptoms in differentparts of the study.

Study Design

Total Participants: 100
Treatment Group(s): 1
Primary Treatment: CGT4255
Phase: 1
Study Start date:
December 30, 2025
Estimated Completion Date:
November 30, 2028

Connect with a study center

  • START Midwest

    Grand Rapids 4994358, Michigan 5001836 49546
    United States

    Active - Recruiting

  • NYU Langone

    New York 5128581, New York 5128638 10016
    United States

    Active - Recruiting

  • Tennessee Oncology

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Active - Recruiting

  • NEXT Oncology Texas

    Austin 4671654, Texas 4736286 78758
    United States

    Active - Recruiting

  • START Mountain Region

    West Valley City 5784607, Utah 5549030 84119
    United States

    Active - Recruiting

  • NEXT Oncology Virginia

    Fairfax 4758023, Virginia 6254928 22031
    United States

    Active - Recruiting

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