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CGT4255

Phase 1

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

CGT4255 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Jan 2026

CGT4255 target and mechanism

Molecular targetErbB2
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment100

FDA Designations

No designations recorded

CGT4255 clinical trials

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
LOWSep 4, 2026NCT07361562lastUpdatePostDate: changed

Frequently asked questions about CGT4255

What is CGT4255?

CGT4255 is an investigational small molecule developed by Cogent Biosciences, Inc. for the treatment of advanced solid tumors in adults. It is designed as a selective ERBB2 inhibitor and is currently in Phase 1 clinical development. It has not been approved by the FDA and remains an investigational agent.

What is CGT4255 used for?

CGT4255 is being studied for advanced solid tumors in adults, including ERBB2 altered breast cancer, ERBB2 gene amplification, HER2 overexpression, and non-small cell lung cancer with HER2 alterations. It is an investigational therapy and is not approved for any indication.

What does CGT4255 target?

CGT4255 targets ErbB2, also known as HER2, a receptor in the ErbB family of receptor tyrosine kinases. It is described as a selective ERBB2 inhibitor, meaning it is designed to act on ErbB2 specifically. The Phase 1 trial enrolls patients whose tumors have ERBB2 alterations.

Who is developing CGT4255?

CGT4255 is being developed by Cogent Biosciences, Inc., which trades on the Nasdaq under the ticker COGT. The company is running the Phase 1 study of the compound in the United States.

What phase is CGT4255 in?

CGT4255 is in Phase 1 clinical development. It is an investigational small molecule and has not been approved by the FDA. The single Phase 1 trial is currently recruiting participants, and no trials of the drug have been completed.

What clinical trial is CGT4255 in?

CGT4255 is being evaluated in one Phase 1 trial, NCT07361562, titled A Study of a Selective ERBB2 Inhibitor (CGT4255), in Patients With Advanced Solid Tumors. The trial is recruiting in the United States, plans to enroll about 100 adults aged 18 and older, and includes biomarker-selected patients with ERBB2 alterations.