Clinical trial Recruiting at 7 sites Phase 1 Interventional Ages 18 and up

Evaluating RGT-419B for advanced breast cancer treatment

Official title: First-in-Human, Escalating Oral Dose Study of RGT-419B Given Alone and With Endocrine Therapy in Subjects With Hormone Receptor Positive, Human Epidermal Growth Factor Receptor 2 Negative Advanced/Metastatic Breast Cancer

Run by Regor Pharmaceuticals Inc. · NCT05304962 · Data updated 2026-11-12

This study is testing a new drug called RGT-419B to see if it can help people with advanced breast cancer who haven't responded to previous treatments.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment64 (estimated)
SponsorRegor Pharmaceuticals Inc.
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations8 sites (La Jolla, California and 7 other locations)
StatusRecruiting
StartedMarch 4, 2022
Main results expectedDecember 30, 2026
Study endsMarch 31, 2027
Registry record updatedAugust 12, 2026
Trial IDNCT05304962 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with HR-positive, HER2-negative advanced or metastatic breast cancer that has progressed after prior CDK4/6 inhibitor therapy.

Probably not a fit

Patients who have not received prior CDK4/6 inhibitor therapy or those with HER2-positive breast cancer may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase I, First-in-Human study aims to assess the safety, tolerability, pharmacokinetics, and preliminary efficacy of RGT-419B, both as a standalone treatment and in combination with hormonal therapy, for patients with HR-positive, HER2-negative advanced or metastatic breast cancer. Participants must have experienced disease progression after prior treatment with a CDK4/6 inhibitor and hormonal therapy. The study will involve oral administration of RGT-419B to determine its effectiveness in this patient population.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced breast cancer who have limited treatment alternatives.

How similar studies have gone: Other studies have shown promise with similar approaches, but this specific combination is being evaluated for the first time.

Who can join: the full rules

Show full inclusion / exclusion criteria
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

Where it's running

  • University of California, San Diego
    La Jolla, California, United States
    Recruiting
  • University California, Los Angeles
    Los Angeles, California, United States
    Recruiting
  • Moffitt Cancer Center
    Tampa, Florida, United States
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri, United States
    Recruiting
Show 2 more locations
  • New York Cancer and Blood Specialists
    Port Jefferson Station, New York, United States
    Recruiting
  • Hem-Onc Associates of the Treasure Coast
    Port Saint Lucie, Florida, United States
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.