First-in-Human Study of STX-478, a Mutant-Selective PI3Kα Inhibitor as Monotherapy and in Combination With Other Antineoplastic Agents in Participants With Advanced Solid Tumorsa
Have an advanced or refractory solid tumor malignancy that is metastatic or locally advanced and unresectable (as specified by Cohort)
New or recent tumor biopsy or will provide an adequate tissue sample prior to screening
Tumor harbors a documented PI3Kα mutation
≥18 years of age at the time of signing the Informed Consent Form (ICF)
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Adequate organ function
Key Exclusion Criteria
History (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied
Symptomatic brain or spinal metastases
Diagnosis of uncontrolled diabetes mellitus (defined as HbA1c ≥8% and/or fasting blood glucose [FBG] ≥140 mg/dL [7.7 mmol/L] and/or requiring or required insulin)
Prior treatment with PI3K/AKT/mTOR inhibitor(s), except in certain circumstances
Treatment with any local or systemic antineoplastic therapy or investigational anticancer agent within 14 days or 4 half-lives, whichever is longer, prior to the initiation of study treatment up to a maximum washout period of 28 days
Endocrine therapy does not require a washout period if enrolling in a cohort with the same combination endocrine therapy
Unresolved toxicities from previous anticancer therapies, with the exception of alopecia and peripheral neuropathy
Radiotherapy within 14 days before the initiation of study treatment
a
This clinical trial is being conducted globally.
b
Focus on PIK3CA mutant HR+/HER2- breast cancer.
c
Cohorts B1, C1, D1, and E1 are randomized.
For information on trial enrollment, locations, and more, call
1-800-545-5979.