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NCT07524322RecruitingPhase 1

Study of RGT-490 in Patients With PIK3CA-Mutated Advanced Solid Tumors

A Phase 1/1b Open-Label, Multicenter, First-in-Human Study Evaluating Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of RGT-490 as a Single Agent in Adult Subjects With Locally Advanced or Metastatic PIK3CA-Mutated Solid Tumors Including HR+/HER2- Breast Cancers

Source: ClinicalTrials.gov · Last updated 2 Nov 2026

Brief summary (registry, in English)

This is a phase 1/1b, open-label, multicenter study consisting of sequential parts designed to evaluate the safety, tolerability, and effects pharmacokinetic (PK) profile, and antitumor activity of RGT-490, an investigational oral therapy, in adults with locally advanced or metastatic solid tumors including breast cancer. Participants enrolled in the study have advanced disease that is not amendable to curative treatment and whose tumors harbor alterations in the PI3KCA gene.

Status (registry)
Recruiting
Phase (registry)
Phase 1
Study type
Interventional
Enrollment
63 (estimated)
First submitted
31 Mar 2026
Start date
21 Jul 2026
Primary completion date
30 Apr 2028
Lead sponsor
Regor Pharmaceuticals Inc.
NCT number
NCT07524322

What you commit to

  • Study type: Interventional · Phase 1
  • Planned participants: 63
  • From 21 Jul 2026 to the primary completion date, 30 Apr 2028
  • 6 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior treatment with PI3Kα inhibitors
  • Receipt of any local or systemic anticancer therapy or investigational anticancer agent within a protocol-defined washout period prior to study treatment.
  • Unresolved clinically significant toxicities from prior anticancer therapy
  • History of a another malignancy within 2 years prior to screening (exception adequately treated cancers).

Other illness

  • Diabetes mellitus requiring anti-hyperglycemic medication.

Other

  • Symptomatic, untreated, or uncontrolled central nervous system metastases.

Who the study is looking for

  • Adults with metastatic or locally advanced, unresectable solid tumors that have progressed on or after at least one available therapy.
  • Presence of one or more documented activating PIK3CA mutation in tumor tissue and/or blood.
  • At least 1 measurable lesion or evaluable disease per RECIST v1.1.
  • An ECOG performance status of 0 or 1.
  • Adequate organ function

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (6)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
NEXT Virginia
Coordinator of this site? Confirm its status
FairfaxUnited StatesRecruiting
The University of Texas MD Anderson Cancer Center
Coordinator of this site? Confirm its status
HoustonUnited StatesRecruiting
NEXT Houston
Coordinator of this site? Confirm its status
HoustonUnited StatesRecruiting
START - Los Angeles
Coordinator of this site? Confirm its status
Los AngelesUnited StatesRecruiting
University of Pittsburgh Medical Center
Coordinator of this site? Confirm its status
PittsburghUnited StatesRecruiting
NEXT San Antonio
Coordinator of this site? Confirm its status
San AntonioUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.