FIH Study of RGT-419B Alone and With Endocrine Therapy in HR-Positive, HER2-Negative Advanced/Metastatic Breast Cancer

NCT ID: NCT05304962

Last Updated: 2025-04-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-04

Study Completion Date

2026-09-30

Brief Summary

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This is a phase I, First-in-Human (FIH), open-label study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, and preliminary efficacy of RGT-419B administered orally as monotherapy OR in combination with Hormonal Therapy in subjects with HR+, HER2- locally advanced and unresectable (Stage III) or metastatic (Stage IV) breast cancer whose disease has progressed during prior therapy with an approved CDK4/6i plus hormonal therapy.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

There will be two study arms opened sequentially to the same patient population. Arm A is RGT-419B alone (singlet). Arm B is RGT-419B + Hormonal Therapy (doublet) and will follow completion of Arm A.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

RGT-419B given alone as monotherapy

Group Type EXPERIMENTAL

RGT-419B

Intervention Type DRUG

oral capsules

Arm B

RGT-419B in combination with Hormonal Therapy

Group Type EXPERIMENTAL

RGT-419B in combination with hormonal therapy

Intervention Type DRUG

RGT-419B in combination with hormonal therapy (Selective Estrogen Receptor Degrader, Selective Estrogen Receptor Modulator, or Aromatase Inhibitor)

Interventions

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RGT-419B

oral capsules

Intervention Type DRUG

RGT-419B in combination with hormonal therapy

RGT-419B in combination with hormonal therapy (Selective Estrogen Receptor Degrader, Selective Estrogen Receptor Modulator, or Aromatase Inhibitor)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female \>/= 18 years old
2. ECOG Performance Status 0 to 1
3. Subjects must have histologically or cytologically confirmed diagnosis of ER+, HER2- ABC consistent with ASCO CAP guidelines that is locally advanced and unresectable (Stage III) or metastatic (Stage IV) BC.
4. Measurable AND evaluable lesions at baseline per RECIST v1.1.
5. Eligible subjects must meet all of the following criteria:

* Progression after receiving 1 line of prior cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) therapy combined with HT in the MBC setting (up to 1 additional line of CDK4/6i is permitted in the post-surgical adjuvant setting);

* Subjects must have received therapy for ≥3 months in the MBC setting, or for ≥6 months in the adjuvant setting, prior to progression
* Progression after ≤3 lines of prior HT therapy (regardless of whether it is HT alone or in combination with other therapies)

* Prior HT combination agents, including SERD, SERM or AI, must have received formal approval by regulatory agency.
* ≤ 1 prior line of chemotherapy in the metastatic setting
6. Adequate organ function
7. Ability to understand and the willingness to sign a written informed consent document

Exclusion Criteria

1. Presence of visceral metastases with severe organ dysfunction as evidence by signs and symptoms, laboratory studies, lymphangitic spread and/or rapid progression of disease
2. Pregnant or planning to become pregnant
3. Prior irradiation to \>25% of the bone marrow and/or inadequate bone marrow function or evidence of clinically significant end-organ damage
4. Major surgery, chemotherapy, targeted therapy, experimental agents, or radiation within 14-28 days prior to Cycle 1, Day 1
5. Active, serious medical condition that is not well controlled with locally approved medications allowed by the protocol
6. History of allergic reactions attributed to compounds of similar chemical or biologic composition to the drugs used in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regor Pharmaceuticals Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of California, San Diego

La Jolla, California, United States

Site Status RECRUITING

University California, Los Angeles

Los Angeles, California, United States

Site Status RECRUITING

Hem-Onc Associates of the Treasure Coast

Port Saint Lucie, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

Moffitt Cancer Center

Tampa, Florida, United States

Site Status RECRUITING

Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Washington University School of Medicine

St Louis, Missouri, United States

Site Status RECRUITING

New York Cancer and Blood Specialists

Port Jefferson Station, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Joanna Dojillo, MSc

Role: CONTACT

617-315-9070

Regor Pharmaceuticals Central Office

Role: CONTACT

617-315-9070

Facility Contacts

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Sauntee Braddock

Role: primary

+1-858-534-8248

Monica Rocha

Role: primary

+1-310-998-4747 ext. 16910

Taylor L Whann

Role: primary

+1-813-745-0824

Ashley Trumbull, MS

Role: primary

(404) 778-3969

Kathleen Coleman

Role: backup

404.251.1278

Amber Newton

Role: primary

(617) 726-1634

Abigail Fessele

Role: backup

(P): 617-724-8305

Sammie Ruzicka, LMSW

Role: primary

314.747.5209

Tracy Summa, CCRP

Role: backup

314.362.0263

Laura Parisi, LPN

Role: primary

631-675-5146

Lauren Gianelli-Bilka, LPN

Role: backup

631-675-5256

Other Identifiers

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RGT-419B_01-101

Identifier Type: -

Identifier Source: org_study_id

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