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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 155 (estimated) |
| Sponsor | IDEAYA Biosciences Industry-sponsored |
| Locations | 23 sites (Santa Monica, California and 22 other locations) |
| Status | Recruiting |
| Started | March 17, 2026 |
| Main results expected | December 31, 2029 |
| Study ends | January 31, 2030 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07540572 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
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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
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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
- Study coordinator: IDEAYA Clinical Trials
- Email: IDEAYAClinicalTrials@ideayabio.com
- Phone: +1-855-433-224
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.