RecruitingPhase 1Phase 2NCT06777316

A Study of an FGFR2/3 Inhibitor (CGT4859) in Patients With Cholangiocarcinoma and Other Advanced Solid Tumors

A Phase 1/2 Study of a Selective FGFR2/3 Inhibitor, CGT4859, in Patients With Cholangiocarcinoma and Other Advanced Solid Tumors Harboring FGFR2 and/or FGFR3 Genetic Alterations


Sponsor

Cogent Biosciences, Inc.

Enrollment

110 participants

Start Date

Jan 22, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is an open-label, phase 1/2 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 CGT4859 in adult participants with intrahepatic cholangiocarcinoma (iCCA) or other advanced solid tumors with FGFR2 and/or FGFR3 genetic alternations.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Histologically confirmed locally advanced, metastatic, and/or unresectable iCCA or other solid tumor with documented FGFR2/3 alteration in blood and/or tumor.
  • Previously treated with, not appropriate for, or declined standard-of-care first-line treatment.
  • Have measurable disease per RECIST v1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Have clinically acceptable local laboratory screening results (clinical chemistry and hematology) within certain limits.
  • 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. Exceptions are alopecia, hypothyroidism, or type 1 diabetes mellitus controlled with medical intervention, and paronychia controlled with local intervention.

Exclusion Criteria5

  • Received chemotherapy or anticancer therapies or radiotherapy within certain timeframes before first dose of study drug.
  • Major surgeries (eg, abdominal laparotomy) within 4 weeks of the first dose of study drug.
  • Clinically significant corneal or retinal disorders or current evidence of retinal detachment.
  • Received more than 2 prior FGFRi therapies
  • Active, symptomatic, or untreated brain metastases unless the participant is clinically stable and off corticosteroids for ≥2 months.

Interventions

DRUGCGT4859

CGT4859 is a selective FGFR2/3 inhibitor


Locations(15)

Mayo Clinic Scottsdale

Scottsdale, Arizona, United States

Stanford Cancer Institute

Palo Alto, California, United States

Mayo Clinic Jacksonville

Jacksonville, Florida, United States

Moffitt Cancer Center

Tampa, Florida, United States

University of Chicago Medicine Comprehensive Cancer Center

Chicago, Illinois, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Mayo Clinic Rochester

Rochester, Minnesota, United States

The Christ Hospital

Cincinnati, Ohio, United States

Taussig Cancer Center - Cleveland Clinic

Cleveland, Ohio, United States

Fox Chase cancer Center

Philadelphia, Pennsylvania, United States

Tennessee Oncology

Nashville, Tennessee, United States

MD Anderson Cancer Center

Houston, Texas, United States

Huntsman Cancer Institute - University of Utah

Salt Lake City, Utah, United States

Cross Cancer Institute

Edmonton, Alberta, Canada

Princess Margaret Cancer Centre - UHN

Toronto, Ontario, Canada

View Full Details on ClinicalTrials.gov

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NCT06777316


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