Clinical trial Recruiting at 12 sites Phase1; Phase2 Interventional Ages 18 and up

Testing SNV4818 for advanced solid tumors

Official title: A Phase 1/2, Open-Label Dose Escalation and Expansion Study of SNV4818 as Monotherapy or in Combination With Other Anticancer Agents in Participants With Advanced Solid Tumors

Run by Pikavation Therapeutics, Inc. · NCT06736704 · Data updated 2026-11-12

This study is testing a new medication called SNV4818 to see if it can safely help people with advanced solid tumors that have a specific genetic mutation.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment320 (estimated)
SponsorPikavation Therapeutics, Inc.
Industry-sponsored
Locations12 sites (Los Angeles, California and 11 other locations)
StatusRecruiting
StartedFebruary 20, 2025
Main results expectedApril 2027
Study endsJune 2027
Registry record updatedMarch 13, 2026
Trial IDNCT06736704 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are individuals with advanced or metastatic solid tumors that have an activating PIK3CA mutation and who have not responded to or cannot tolerate existing therapies.

Probably not a fit

Patients with primary CNS malignancies, active brain metastases, or significant organ dysfunction 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 clinical trial is evaluating the safety, tolerability, and effectiveness of a new medication called SNV4818 in patients with advanced solid tumors that have a specific genetic mutation. The study aims to determine the optimal dosing of SNV4818 while monitoring its effects on the participants' conditions. Patients enrolled in the trial must have tumors that are either refractory to existing treatments or intolerant to them, and their disease must be measurable according to established criteria.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced solid tumors that are difficult to treat.

How similar studies have gone: Other studies targeting PIK3CA mutations in solid tumors have shown promise, indicating that this approach may be effective.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Advanced or metastatic solid tumor with an activating PIK3CA mutation.
* Refractory to or intolerant of available therapies
* Disease measurable by RECIST 1.1 criteria, or disease evaluable by clinically relevant tumor biomarkers in blood.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Exclusion Criteria:

* Diagnosis of a primary CNS malignancy
* Active brain metastases or carcinomatous meningitis
* Type 1 diabetes mellitus or uncontrolled type 2 diabetes mellitus
* Inadequate organ function
* Clinically significant ECG abnormalities, including QTcF ≥ 470 ms

Where it's running

  • The Angeles Clinic and Research Institute, A Cedars-Sinai Affiliate
    Los Angeles, California, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Thomas Jefferson University-Sidney Kimmel Cancer Center
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Sarah Cannon Research Institute
    Nashville, Tennessee, United States
    Recruiting
  • The University of Texas M.D. Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Chris O'Brien Lifehouse
    Camperdown, New South Wales, Australia
    Recruiting
Show 6 more locations
  • Scientia Clinical Research
    Randwick, New South Wales, Australia
    Recruiting
  • Monash Health
    Clayton, Victoria, Australia
    Recruiting
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria, Australia
    Recruiting
  • Linear Clinical Research
    Nedlands, Western Australia, Australia
    Recruiting
  • The Ottawa Hospital Cancer Centre
    Ottawa, Ontario, Canada
    Recruiting
  • University Health Network, Princess Margaret Cancer Centre
    Toronto, Ontario, Canada
    Recruiting

Study contacts

Similar studies

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

  • CG-7321: a first-in-human test in advanced solid tumors

    We’re testing CG-7321 alone and with fulvestrant to see if it’s safe and tolerable in adults with advanced solid tumors.

    Recruiting at 4 sites Phase 1 Chengdu Cynogen Bio-pharmaceutical Tech. Co., Ltd. · Fuzhou, Fujian and 3 other locations · NCT07923214

  • AK157D1 injection for advanced solid tumors

    A first-in-human Phase 1 study tests AK157D1 injection in adults with unresectable advanced solid tumors to see if it is safe and tolerable and to get early signs of how it behaves in the body and against tumors.

    Recruiting Phase 1 Akeso · Harbin, Heilongjiang and 2 other locations · NCT07847281

  • ABBV-253 in adults with advanced solid tumors

    This study tests ABBV-253 to see if it is safe, how it affects the cancer, and how the drug moves in the body for adults with advanced solid tumors.

    Recruiting at 3 sites Phase 1 AbbVie · Grand Rapids, Michigan and 2 other locations · NCT07807956

  • MK-2010 alone or with other treatments for advanced solid tumors

    This trial tests MK-2010, by itself or with other cancer medicines, to see if it helps people with advanced solid tumors.

    Recruiting at 7 sites Phase 2 Merck Sharp & Dohme LLC · Belleville, New Jersey and 6 other locations · NCT07793942

  • Whole-Body Infrared Heating for Advanced Solid Tumors

    This study looks at how ET-SPACE whole-body infrared hyperthermia affects people with advanced solid tumors to see if it changes biology, symptoms, and safety.

    Recruiting Zhejiang Hospital · Hangzhou, Zhejiang · NCT07793214

  • MK-2010 with Sac-TMT in advanced solid tumors

    This study tests MK-2010 combined with sacituzumab tirumotecan (sac-TMT) to see if it can help people with advanced solid tumors.

    Recruiting at 4 sites Phase 2 Merck Sharp & Dohme LLC · San Antonio, Texas and 3 other locations · NCT07785609

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.