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OpenTrials
Active, Not Recruiting

NCT Number: NCT06777316

A Study of an FGFR2/3 Inhibitor (CGT4859) in Patients With Cholangiocarcinoma and Other Advanced Solid Tumors

This is an open-label, phase 1/2 study evaluating the safety, tolerability, pharmacokinetic (what the body does to the drug), pharmacodynamic (what the drug does to the body), and antitumor activity of CGT4859 in adult participants with intrahepatic cholangiocarcinoma (iCCA) or other advanced solid tumors with FGFR2 and/or FGFR3 genetic alternations.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Histologically confirmed locally advanced, metastatic, and/or unresectable iCCA or other solid tumor with documented FGFR2/3 alteration in blood and/or tumor.
  • Previously treated with, not appropriate for, or declined standard-of-care first-line treatment.
  • Have measurable disease per RECIST v1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Have clinically acceptable local laboratory screening results (clinical chemistry and hematology) within certain limits.
  • Resolution of toxicities from prior therapy to ≤Grade 1 (or baseline), including resolution of clinically significant laboratory abnormalities, before the first dose of study drug. Exceptions are alopecia, hypothyroidism, or type 1 diabetes mellitus controlled with medical intervention, and paronychia controlled with local intervention.

Key Exclusion Criteria:

  • Received chemotherapy or anticancer therapies or radiotherapy within certain timeframes before first dose of study drug.
  • Major surgeries (eg, abdominal laparotomy) within 4 weeks of the first dose of study drug.
  • Clinically significant corneal or retinal disorders or current evidence of retinal detachment.
  • Received more than 2 prior FGFRi therapies
  • Active, symptomatic, or untreated brain metastases unless the participant is clinically stable and off corticosteroids for ≥2 months.

Treatment and study plan

CGT4859

Drug

CGT4859 is a selective FGFR2/3 inhibitor

Primary outcomes

  1. Phase 1: Determine the maximum tolerated dose (MTD) and RP2D of CGT4859 - AEs

    Time frame: Approximately 12 months

    Incidence, severity, and seriousness or treatment-emergent adverse events (AEs) leading to dose modification

  2. Phase 1: Determine the maximum tolerated dose (MTD) and RP2D of CGT4859 - Laboratory results

    Time frame: Approximately 12 months

    Clinically significant changes or abnormalities observed from baseline in laboratory results in chemistry, hematology, and coagulation parameters

  3. Phase 1: Determine the maximum tolerated dose (MTD) and RP2D of CGT4859 - ECG results

    Time frame: Approximately 12 months

    Clinically significant changes or abnormalities observed from baseline in electrocardiogram (ECG) parameters

  4. Phase 2: Evaluate antitumor activity of CGT4859 - Objective Response Rate (ORR)

    Time frame: Approximately 8 months

Secondary outcomes

  1. Phase 1: Pharmacokinetics

    Time frame: Approximately 28 days

    Plasma concentration levels of CGT4859

  2. Phase 1: Evaluate antitumor activity of CGT4859 - Objective Response Rate (ORR)

    Time frame: Approximately 8 months

  3. Phase 1 and Phase 2: Evaluate antitumor activity of CGT4859 - Disease Control Rate (DCR)

    Time frame: Approximately 8 months

  4. Phase 2: Characterize the safety of CGT4859 - AEs

    Time frame: Approximately 9 months

    Incidence, severity, and seriousness or treatment-emergent adverse events (AEs) leading to dose modification

  5. Phase 2: Characterize the safety of CGT4859 - Labs, ECG

    Time frame: Approximately 9 months

    Changes from baseline in key laboratory results and electrocardiogram (ECG) parameters

  6. Phase 2: Pharmacokinetics at RP2D

    Time frame: Approximately 28 days

    Plasma concentration levels of CGT4859

Sponsors and collaborators

Lead sponsor

Cogent Biosciences, Inc.

Industry

Registry information

Official study title

A Phase 1/2 Study of a Selective FGFR2/3 Inhibitor, CGT4859, in Patients With Cholangiocarcinoma and Other Advanced Solid Tumors Harboring FGFR2 and/or FGFR3 Genetic Alterations

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Jan 15, 2025
Registry last updated
Apr 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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