New targeted cancer drug STX-478 enters human trials
NCT ID NCT05768139
First seen Jun 27, 2026 · Last updated Jul 08, 2026 · Updated 2 times
Summary
This study tests a new drug called STX-478 in people with advanced solid tumors that have a specific genetic change (PI3Kα mutation). The trial has two phases: first, it tests STX-478 alone to find safe doses; then, it combines STX-478 with other cancer drugs like fulvestrant or hormone therapies for breast cancer. About 880 adults with advanced or metastatic tumors will take part. The main goals are to check safety and see if the drug shrinks tumors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- STX-478 (also called Tersolisib), a targeted cancer drug
- What this could lead to
- If it works, this could offer a new treatment option for people with advanced solid tumors that have a specific genetic mutation (PI3Kα).
- What could go wrong
- This is a very early (Phase 1/2) trial, so the drug may not work or may have serious side effects. It is also only for people with a specific mutation, so it would not help everyone.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 880 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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Jul 2030
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.
Key Inclusion Criteria: * Has an advanced or refractory solid tumor malignancy that is metastatic or locally advanced and unresectable (as specified by Cohort) * Has a new or recent tumor biopsy (collected at screening, if feasible) or will provide an adequate tissue sample prior to screening * Has a tumor that harbors a documented PI3Kα mutation (cohort specific criterion for cohort-specific mutation types) * Is ≥18 years of age at the time of signing the ICF * Has an ECOG performance status score of 0 or 1 at screening * Has adequate organ function as defined per protocol Key Exclusion Criteria: * Has history (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied * Has symptomatic brain or spinal metastases * Has an established diagnosis of uncontrolled diabetes mellitus (defined as HbA1c ≥8% and/or FBG ≥140 mg/dL \[7.7 mmol/L\] and/or requiring or required insulin). * Has had prior treatment with PI3K/AKT/mTOR inhibitor(s), except in certain circumstances * 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. * 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. * Has had radiotherapy within 14 days before the initiation of study treatment
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Get notified about this 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
61 sites in 9 countries. 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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Azienda Ospedaliera Nazionale Santi Antonio e Biagio e Cesare Arrigo
RECRUITINGAlessandria, 15100, Italy
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Azienda Ospedaliero Universitaria Pisana - Stabilimento Santa Chiara
RECRUITINGPisa, 56126, Italy
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Barbara Ann Karmanos Cancer Institute
TERMINATEDDetroit, Michigan, 48201, United States
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Centre Antoine-Lacassagne
RECRUITINGNice, 06189, France
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Centre Leon Berard
RECRUITINGLyon, 69008, France
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Centro Ricerche Cliniche di Verona s.r.l.
RECRUITINGVerona, 37134, Italy
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Dana-Farber Cancer Institute
RECRUITINGBoston, Massachusetts, 02215, United States
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Ellison Clinic at Saint John's
RECRUITINGLos Angeles, California, 90064, United States
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Erasmus MC
RECRUITINGRotterdam, 3015GD, Netherlands
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Florida Cancer Specialists ORLANDO/DDU
COMPLETEDLake Mary, Florida, 32746, United States
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Fondazione IRCCS San Gerardo dei Tintori
RECRUITINGMonza, 20900, Italy
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Fondazione Policlinico Universitario Agostino Gemelli
RECRUITINGRoma, 168, Italy
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Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Hospital Clinico San Carlos
RECRUITINGMadrid, 28040, Spain
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Hospital Quiron Barcelona
RECRUITINGBarcelona, 08023, Spain
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Hospital San Pedro
RECRUITINGLogroño, 26006, Spain
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Hospital Universitari Sant Joan de Reus
RECRUITINGReus, 43204, Spain
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Hospital Universitari Vall d'Hebron
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitario Fundación Jiménez Díaz
RECRUITINGMadrid, 28040, Spain
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Hospital Universitario HM Sanchinarro
RECRUITINGMadrid, 28050, Spain
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Hospital Universitario Quironsalud Madrid
RECRUITINGPozuelo de Alarcón, 28223, Spain
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Hospital Universitario Virgen Macarena
RECRUITINGSeville, 41009, Spain
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Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest
RECRUITINGBordeaux, 33000, France
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Institut Claudius Regaud
RECRUITINGToulouse, 31059, France
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Institut Jules Bordet
RECRUITINGAnderlecht, 1070, Belgium
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Institut Paoli-Calmettes
RECRUITINGMarseille, 13009, France
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Instituto Oncologico Dr Rosell (IOR)
RECRUITINGBarcelona, 08028, Spain
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Istituto Europeo di Oncologia
RECRUITINGMilan, 20141, Italy
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Istituto Nazionale per lo Studio e la Cura dei Tumori
RECRUITINGMilan, 20133, Italy
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Kansai Medical University Hospital
RECRUITINGHirakata, 573-1191, Japan
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Kyoto University Hospital
RECRUITINGKyoto, 606-8507, Japan
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Louisiana State University Health Sciences Center
RECRUITINGNew Orleans, Louisiana, 70112, United States
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MD Anderson Cancer Center
RECRUITINGMadrid, 28033, Spain
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Mary Crowley Cancer Research Center
COMPLETEDDallas, Texas, 75230, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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Mater Misericordiae Hospital
RECRUITINGDublin, Ireland
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Memorial Sloan Kettering Cancer Center
RECRUITINGNew York, New York, 10065, United States
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Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612, United States
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National Hospital Organization Kyushu Cancer Center
RECRUITINGFukuoka, 811-1395, Japan
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Netherlands Cancer Institute
RECRUITINGAmsterdam, 1066CX, Netherlands
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Ospedale Santa Maria delle Croci
RECRUITINGRavenna, 48121, Italy
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Providence Cancer Institute Franz Clinic
RECRUITINGPortland, Oregon, 97213, United States
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START Midwest
RECRUITINGGrand Rapids, Michigan, 49546, United States
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START Mountain Region
RECRUITINGWest Valley City, Utah, 84119, United States
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START San Antonio
RECRUITINGSan Antonio, Texas, 78229, United States
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Saint Luke's Cancer Institute
RECRUITINGKansas City, Missouri, 64111-3220, United States
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Sarah Cannon Research Institute
RECRUITINGNashville, Tennessee, 37203, United States
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South Texas Accelerated Research Therapeutics (START) Barcelona- HM Nou Delfos
RECRUITINGBarcelona, 08023, Spain
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Spedali Civili di Brescia
NOT_YET_RECRUITINGBrescia, 25123, Italy
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Stefanie Spielman Comprehensive Breast Center
RECRUITINGColumbus, Ohio, 43212, United States
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Texas Oncology-Baylor Charles A. Sammons Cancer Center
RECRUITINGDallas, Texas, 75246-2092, United States
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The Cancer Institute Hospital of JFCR
RECRUITINGKōtō City, 135-8550, Japan
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The West Clinic, PLLC dba West Cancer Center
RECRUITINGGermantown, Tennessee, 38138, United States
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UCSF Medical Center at Mission Bay
RECRUITINGSan Francisco, California, 94143, United States
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UH Cleveland Medical Center
RECRUITINGCleveland, Ohio, 44106, United States
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USO-Virginia Cancer Specialists, PC
RECRUITINGFairfax, Virginia, 22031, United States
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UZ Leuven
RECRUITINGLeuven, 3000, Belgium
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University of Colorado Cancer Center
RECRUITINGAurora, Colorado, 80045, United States
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University of Iowa
RECRUITINGIowa City, Iowa, 52242, United States
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University of Texas MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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University of Texas Southwestern
RECRUITINGDallas, Texas, 75390, United States
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Universitätsklinikum Erlangen
NOT_YET_RECRUITINGErlangen, 91054, Germany
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Washington University
RECRUITINGSt Louis, Missouri, 63110, United States
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Winship Cancer Institute, Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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Yale-New Haven Hospital
COMPLETEDNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a Decades-Old Anti-Inflammatory drug quiet the joint pain that drives women off breast cancer therapy?