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First-in-Human Study of STX-478 as Monotherapy and in Combination With Other Antineoplastic Agents in Participants With Advanced Solid Tumors

First-in-Human Study of STX-478, a Mutant-Selective PI3Ka Inhibitor as Monotherapy and in Combination With Other Antineoplastic Agents in Participants With Advanced Solid Tumors - J6M-OX-JSGA

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250315
Enrollment
720
Registered
2025-08-26
Start date
2025-12-10
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer Solid Tumors, Adult

Interventions

DRUG: STX-478(Other Name: LY4064809) STX-478 is a mutant-selective PI3Ka inhibitor DRUG: Fulvestrant(Other Name: Faslodex) Fulvestrant DRUG: Ribociclib(Other Name: Kisqali) Ribociclib DRUG: Palb

Sponsors

Masaki Takeshi
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Has an advanced or refractory solid tumor malignancy that is metastatic or locally advanced and unresectable (as specified by Cohort) 2. Has a new or recent tumor biopsy (collected at screening, if feasible) or will provide an adequate tissue sample prior to screening 3. Has a tumor that harbors a documented PI3Kalpha mutation (cohort specific criterion for cohort-specific mutation types) 4. Is >=18 years of age at the time of signing the ICF 5. Has an ECOG performance status score of 0 or 1 at screening 6. Has adequate organ function as defined per protocol

Exclusion criteria

Exclusion criteria: 1. Has history (within =8% and/or FBG >=140 mg/dL [7.7 mmol/L] and/or requiring or required insulin). 4. Has had prior treatment with PI3K/AKT/mTOR inhibitor(s), except in certain circumstances 5. Has had 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 the patient is enrolling in a cohort with the same combination endocrine therapy. 6. Has toxicities from previous anticancer therapies that have not resolved to baseline levels or CTCAE grade <=1, with the exception of alopecia and peripheral neuropathy. 7. Has had radiotherapy within 14 days before the initiation of study treatment

Design outcomes

Primary

MeasureTime frame
Number of participants who experience at least 1 Dose Limiting Toxicity (DLT) [ Time Frame: First 28 days of treatment

Countries

France, Italy, Japan, Spain, United States

Contacts

Public ContactTrial Guide Call Center

Eli Lilly Japan K.K.

LTG_CallCenter@lists.lilly.com+81-120-023-812

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026