First-in-Human Study of Tersolisib (STX-478) as Monotherapy and in Combination With Other Antineoplastic Agents in Participants With Advanced Solid Tumors
NCT05768139 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 880
Last updated 2026-05-22
Summary
Study STX-478-101 (LY4064809) is a multipart, open-label, phase 1/2 study evaluating the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of STX-478 (LY4064809) in participants with advanced solid tumors with P13Ka mutations.
Part 1 will evaluate STX-478 as monotherapy in participants with advanced solid tumors. Part 2 will evaluate STX-478 therapy as combination therapy with fulvestrant in participants with hormone receptor positive (HR+) breast cancer. Part 3 will evaluate STX-478 as combination therapy with endocrine therapy (aromatase inhibitors, fulvestrant, tamoxifen, or imlunestrant) and a CDK4/6 Inhibitor (either Ribociclib, Palbociclib or Abemaciclib) in participants with HR+ breast cancer.
Each study part will include a 28-day screening period, followed by treatment with STX-478 monotherapy or combination therapy.
Conditions
- Breast Cancer
- Solid Tumors, Adult
Interventions
- DRUG
-
STX-478
STX-478 is a mutant-selective PI3Kα inhibitor
- DRUG
-
Fulvestrant
- DRUG
-
Ribociclib
- DRUG
-
Palbociclib
- DRUG
-
Letrozole
- DRUG
-
Anastrozole
Anastrozole
- DRUG
-
Exemestane
Exemestane
- DRUG
-
Tamoxifen
Tamoxifen
- DRUG
-
Abemaciclib
- DRUG
-
Imlunestrant
Imlunestrant
- DRUG
-
Metformin
Sponsors & Collaborators
- lead INDUSTRY
Principal Investigators
-
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST) · Eli Lilly and Company
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-04-17
- Primary Completion
- 2030-07-31
- Completion
- 2030-07-31
- FDA Drug
- Yes
Countries
- United States
- Belgium
- France
- Germany
- Ireland
- Italy
- Japan
- Netherlands
- Spain
Study Locations
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