New hope for Hard-to-Treat breast cancer: first human trial begins
NCT ID NCT05304962
First seen Jun 27, 2026 · Last updated Aug 13, 2026 · Updated 2 times
Summary
This early-stage trial tests a new oral drug called RGT-419B, given alone or with hormone therapy, in 64 adults with a specific type of advanced breast cancer (HR+/HER2-) that has worsened after prior treatment. The main goal is to check safety and find the right dose, while also looking for early signs that the drug might slow or shrink the cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RGT-419B (oral drug) alone or with hormonal therapy
- What this could lead to
- If successful, this could point toward a new treatment option for people with advanced breast cancer that has stopped responding to current therapies.
- What could go wrong
- This is a very early Phase 1 trial with only 64 participants, so safety and effectiveness are not yet known. The drug may cause side effects or fail to shrink tumors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 64 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2022
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
7 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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Hem-Onc Associates of the Treasure Coast
ACTIVE_NOT_RECRUITINGPort Saint Lucie, Florida, 34952, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02142, United States
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Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612, United States
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New York Cancer and Blood Specialists
RECRUITINGPort Jefferson Station, New York, 11776, United States
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University California, Los Angeles
RECRUITINGLos Angeles, California, 90404, United States
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University of California, San Diego
RECRUITINGLa Jolla, California, 92037, United States
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Washington University School of Medicine
RECRUITINGSt Louis, Missouri, 63110, United States
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Other studies related to the condition(s) this trial covers.
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- Can a common steroid shield breast cancer patients from a dangerous drug side effect?