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CGT4255

Phase 1

Advanced Solid Tumor, Adult | Small molecule | Oncology |Cogent Biosciences, Inc.|Last Updated: Sep 4, 2026

Target and mechanism

Molecular targetErbB2
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment100

FDA Designations

No designations recorded

Clinical trial landscape

CGT4255 · 1 trial · 6 indications

Phase 1 1
NCT07361562A Study of a Selective ERBB2 Inhibitor (CGT4255), in Patients With Advanced Solid TumorsAdvanced Solid Tumor, Adult
RECRUITING100 Analytics
PHASE1RECRUITING
A Study of a Selective ERBB2 Inhibitor (CGT4255), in Patients With Advanced Solid Tumors
Advanced Solid Tumor, AdultUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and grade of Adverse Events (AEs) and Serious Adverse Events (SAEs) [Part A]
Approximately 12 months

1\. Incidence and grade of Adverse Events (AEs) and Serious Adverse Events (SAEs) and AEs leading to dose modifications and dose limiting toxicities (DLTs) to determine the maximum tolerated dose (MTD) or the maximum evaluated dose (MED) in participants with ERBB2-altered advanced solid tumors

Overall Response Rate [Part B and Part C]
Approximately 6 months

Overall Response Rate (ORR), determined by confirmed CR + PR of all lesions (intracranial and extracranial), based on Investigator assessment using the whole-body RECIST v1.1 in participants with ERBB2-mutated NSCLC with Brain Metastases (BM) and in participants with ERBB2-mutated or HER2-positive breast cancer with BM ± leptomeningeal disease (LMD)

Secondary Endpoints

Incidence and grade of Adverse Events (AEs) and Serious Adverse Events (SAEs) [Part B and C]
Approximately 7 months
Pharmacokinetics [Part A]
Approximately 28 days
Pharmacokinetics [Part A)
Approximately 28 days
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose EscalationEXPERIMENTALPart A: Dose Escalation Multiple doses of CGT4255 for oral administration
Signal Seeking and Dose EscalationEXPERIMENTALPart B: Signal Seeking and Dose Optimization Oral dose(s) of CGT4255 at the selected dose levels determined in Phase 1
Signal SeekingEXPERIMENTALPart C: Includes signal seeking. Participants will receive CGT4255 at a dose level selected based on data from Part A

Interventions

NameTypeDescription
CGT4255DRUGCGT4255 Daily Oral Administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: 1. Have histologically confirmed diagnosis of: 1. Part A: Locally advanced, metastatic, and/or unresectable solid tumor with documented ERBB2-activating alteration or NRG1 gene fusion in blood and/or tumor or HER2 overexpression in tumor 2. Part B: Locally advanced, metas...

Countries:United States
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Recent Changes (Last 90 Days)

LOWSep 4, 2026NCT07361562lastUpdatePostDate: changed

Frequently asked questions about CGT4255

What is CGT4255 used for?

CGT4255 is an investigational small molecule being studied for the treatment of advanced solid tumors in adults, including ERBB2 altered breast cancer, HER2 overexpressing tumors, and non-small cell lung cancer with HER2 alterations. It is currently in Phase 1 clinical development and has not been approved by the FDA.

What does CGT4255 target?

CGT4255 targets ErbB2, also known as HER2, a receptor tyrosine kinase. By inhibiting ERBB2, the drug is designed to interfere with signaling pathways that drive tumor growth in cancers with ERBB2 alterations, such as gene amplification or overexpression.

Who makes CGT4255?

CGT4255 is being developed by Cogent Biosciences, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol COGT. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational drug in patients with advanced solid tumors.

What phase is CGT4255 in?

CGT4255 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by the FDA and is still being studied in clinical trials to assess its safety, tolerability, and preliminary efficacy in patients with advanced solid tumors.

What clinical trials is CGT4255 in?

CGT4255 is being evaluated in a Phase 1 clinical trial with the identifier NCT07361562. This open-label, controlled study is recruiting approximately 100 adult patients with advanced solid tumors, including ERBB2 altered breast cancer and non-small cell lung cancer, at sites in the United States.

Is CGT4255 the same as another drug?

CGT4255 is a selective ERBB2 inhibitor and is not known by any alternative names. It is a distinct investigational compound being developed by Cogent Biosciences for the treatment of advanced solid tumors with HER2 alterations.