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NCT06993844PHASE1, PHASE2Recruiting

Phase 1/2 Study of ETX-636 in Participants With Advanced Solid Tumors

Ensem Therapeutics

Start Date

6/10/2025

Completion Date

12/30/2027

Summary

Phase 1/2, open-label study of ETX-636 in participants with advanced solid tumors

Detailed Description

Brief Summary: This is a Phase 1/2, open-label, multicenter, 3-part study to evaluate the safety, tolerability, PK, PD, and preliminary efficacy of ETX-636 in participants with advanced solid tumors harboring a PIK3CA mutation. Part A will evaluate escalating doses of ETX-636 as monotherapy in participants with advanced solid tumors. Part B will evaluate escalating doses of ETX-636 as combination therapy with fixed dose fulvestrant in participants with hormone receptor positive (HR+), HER2 negative (HER2-) locally advanced or metastatic breast cancer. Part C will be a combination therapy expansion in participants with HR+, HER2- locally advanced or metastatic breast cancer. Each study part will include a 28-day screening period, followed by treatment with ETX-636 monotherapy or combination therapy.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * Metastatic or locally advanced and unresectable solid tumor that has progressed on or after at least one available therapy. * Tumor harboring an activating PIK3CA mutation detected in either tumor tissue or ctDNA. * At least 1 measurable lesion or evaluable disease per RECIST v1.1. * An ECOG performance status score of 0 or 1. * Adequate organ function. Additional key inclusion criterion for Parts B and C: \- Confirmed metastatic or locally advanced HR+/HER2- breast cancer not amenable to surgical resection with curative intent and must have received at least 1 prior CDK4/6 inhibitor and at least 1 prior anti-estrogen therapy. Key Exclusion Criteria: * Has history (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied. * Has symptomatic brain or spinal metastases or a known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement. * Has an established diagnosis of diabetes mellitus type 1 or has uncontrolled diabetes mellitus type 2. * Has received treatment with any local or systemic anticancer therapy or investigational anticancer agent within 14 days prior to start of treatment. * Has toxicities from previous anticancer therapies that have not resolved to baseline levels with the exception of alopecia and peripheral neuropathy. * Has had radiotherapy outside the target tumor lesions within 14 days prior to start of treatment.

Interventions

DRUG

ETX-636 dose escalation

DRUG

ETX-636 dose escalation in combination with fulvestrant

DRUG

ETX-636 dose expansion in combination with fulvestrant

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Conditions

Advanced Solid TumorsAdvanced Breast Cancer

Locations

Hoag Memorial Hospital Presbyterian

Newport Beach, California 92663

United States

UCSF Helen Diller Family Comprehensive Cancer Center

San Francisco, California 94158

United States

Yale University, Yale Cancer Center

New Haven, Connecticut 06520

United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts 02215

United States

Dana-Farber Cancer Institute

Boston, Massachusetts 02215

United States

Carolina BioOncology Institute

Huntersville, North Carolina 28078

United States

The University of Texas MD Anderson Cancer Center

Houston, Texas 77030

United States

START

San Antonio, Texas 78229

United States

NEXT

Fairfax, Virginia 22031

United States

Fred Hutchinson Cancer Center

Seattle, Washington 98109

United States

Beijing Luhe Hospital,Capital Medical University

Beijing,

China

Fujian Cancer Hospital

Fuzhou,

China

Sun Yat-sen University Cancer Center

Guangzhou,

China

Shandong Cancer Hospital&Institute

Shandong,

China

Fudan University Shanghai Cancer Hospital

Shanghai,

China