Clinical trial Recruiting at 18 sites Phase 1 Interventional Ages 18 to 99

IDE574 for adults with advanced solid tumors: safety and early activity

Official title: An Open Label, Multicenter Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of IDE574 as Monotherapy in Locally Advanced or Metastatic Solid Tumors and as Combination Therapy With Fulvestrant in Locally Advanced or Metastatic Cancer

Run by IDEAYA Biosciences · NCT07540572 · Data updated 2026-11-12

We will try IDE574 alone or with fulvestrant to see if it is safe and shows early benefit for adults with advanced ER+, HER2- breast cancer and several other solid tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 99 Years
SexAll
Enrollment155 (estimated)
SponsorIDEAYA Biosciences
Industry-sponsored
Locations23 sites (Santa Monica, California and 22 other locations)
StatusRecruiting
StartedMarch 17, 2026
Main results expectedDecember 31, 2029
Study endsJanuary 31, 2030
Registry record updatedNovember 5, 2026
Trial IDNCT07540572 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with locally advanced or metastatic ER+, HER2- breast cancer (for combination and expansion cohorts) or adults with advanced/metastatic NSCLC, CRPC, or MSS colorectal cancer who have progressed after at least one standard therapy and can provide archival tumor tissue.

Probably not a fit

Patients who are untreated, have poor performance status, cannot provide required tissue, or have tumor types not included in the cohorts are unlikely to 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 1/2 study uses a dose-escalation then expansion design to test IDE574 as a single agent and in combination with fulvestrant for ER+, HER2- breast cancer. Part 1A escalates IDE574 doses to find dose-limiting toxicities, a maximum tolerated dose or a recommended dose for expansion, with Part 1B expanding selected cohorts including an ER+ breast cancer expansion and optional basket cohorts for other tumor types. Part 2 repeats dose escalation and expansion of IDE574 given with fulvestrant specifically in ER+, HER2- breast cancer. The trial includes PK and PD sampling, requires archival tumor tissue, and enrolls patients who have progressed after prior standard therapies.

Why it matters

Potential benefit: If successful, IDE574 could provide a new targeted oral option that slows or stops growth in tumors driven by KAT6/KAT7 activity, especially in ER+, HER2- breast cancer.

How similar studies have gone: Targeting KAT6/KAT7 is a relatively novel approach with encouraging preclinical data but limited published clinical results to date.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Archival Tissue sample for testing

* Part 1A - Participants with advanced or metastatic cancer who have progressed on/after standard of care therapy or are intolerant to additional effective therapies.
* Female participants with cancer considered to be of childbearing potential (or have tubal ligations only) must be willing to undergo medically induced menopause (Parts 2A and B only)
* Female participants of nonchildbearing potential with cancer must meet at least 1 of the following criteria: Age ≥ 60 years or age \<60 years with absence of menstruation for at least 12 months, or had prior removal of both ovaries
* Have Eastern Cooperative Oncology Group performance status (ECOG PS) of ≤1.
* Have adequate bone marrow, renal and liver function.
* Life expectancy of \>3 months
* Able to safely administer and retain orally administered study treatment
* Able to comply with contraceptive/barrier requirements

Key Exclusion Criteria:

* Known symptomatic brain metastases or leptomeningeal metastasis
* Known primary CNS malignancy and any other malignancies within 2 years prior to the first dose with the exception of adequately treated localized tumor.
* Have impairment of GI function or GI disease that may significantly alter the absorption of IDE574.
* Have active liver or biliary disease.
* Have active, uncontrolled bacterial, fungal, or viral infection
* Have clinically significant cardiac abnormalities and/or blood clotting events within 6 months before the first dose
* If participants had adverse reactions to previous experimental antitumor treatment that have not recovered to Grade ≤ 1
* Prior irradiation to \>25% of the bone marrow.
* Known or suspected hypersensitivity to IDE574/excipients or components (Parts 1 \& 2) or fulvestrant/excipients or components (Part 2 only)

Where it's running

  • Yale School of Medicine - Cedar Street
    New Haven, Connecticut, United States
    Recruiting
  • Florida Clinical Trials Group
    Plantation, Florida, United States
    Recruiting
  • Winship Cancer Institute, Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Washington University - Siteman Cancer Center
    St Louis, Missouri, United States
    Recruiting
  • START Astera, LLC
    East Brunswick, New Jersey, United States
    Recruiting
  • START New York Long Island, LLC
    Lake Success, New York, United States
    Recruiting
Show 17 more locations
  • SCRI Oncology Partners - PPDS
    Nashville, Tennessee, United States
    Recruiting
  • NEXT Texas LLC - Austin
    Austin, Texas, United States
    Recruiting
  • NEXT Texas LLC - Dallas
    Dallas, Texas, United States
    Recruiting
  • START Dallas Fort Worth, LLC
    Fort Worth, Texas, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • NEXT Texas LLC - Houston
    Houston, Texas, United States
    Recruiting
  • NEXT Texas LLC - San Antonio
    San Antonio, Texas, United States
    Recruiting
  • Start San Antonio, LLC
    San Antonio, Texas, United States
    Recruiting
  • START Mountain Region, LLC
    West Valley City, Utah, United States
    Recruiting
  • NEXT Virginia
    Fairfax, Virginia, United States
    Recruiting
  • High Technology Hospital MedCenter Ltd
    Batumi, K'alak'i T'bilisi, Georgia
    Recruiting
  • Pineo Medical Ecosystem
    Tbilisi, K'alak'i T'bilisi, Georgia
    Recruiting
  • UCLA - Parkside Cancer Center
    Santa Monica, California, United States
    Active not recruiting
  • Columbia University Medical Center -161 Fort Washington
    New York, New York, United States
    Active not recruiting
  • LLC ARENSIA Exploratory Medicine
    Tbilisi, K'alak'i T'bilisi, Georgia
    Active not recruiting
  • Geo Hospitals Multiprofile Medical Center Tbilisi
    Tbilisi, K'alak'i T'bilisi, Georgia
    Active not recruiting
  • LLC Caucasus Medical Centre
    Tbilisi, K'alak'i T'bilisi, Georgia
    Active not recruiting

Study contacts

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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.
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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.