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CGT4859

Phase 1

Intrahepatic Cholangiocarcinoma (Icc) | Small molecule | Oncology |Cogent Biosciences, Inc.|Trials Updated: Apr 17, 2026

CGT4859 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Jan 2025

CGT4859 target and mechanism

Molecular targetFGFR2
Target classFgfr
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment110

FDA Designations

No designations recorded

CGT4859 clinical trials

CGT4859 · 1 trial · 12 indications

Phase 1 1
NCT06777316A Study of an FGFR2/3 Inhibitor (CGT4859) in Patients With Cholangiocarcinoma and Other Advanced Solid TumorsIntrahepatic Cholangiocarcinoma (Icc)
ACTIVE NOT_RECRUITING110 Analytics
PHASE1ACTIVE NOT_RECRUITING
A Study of an FGFR2/3 Inhibitor (CGT4859) in Patients With Cholangiocarcinoma and Other Advanced Solid Tumors
Intrahepatic Cholangiocarcinoma (Icc)Unlock trial analytics

Study Endpoints

Primary Endpoints

Phase 1: Determine the maximum tolerated dose (MTD) and RP2D of CGT4859 - AEs
Approximately 12 months

Incidence, severity, and seriousness or treatment-emergent adverse events (AEs) leading to dose modification

Phase 1: Determine the maximum tolerated dose (MTD) and RP2D of CGT4859 - Laboratory results
Approximately 12 months

Clinically significant changes or abnormalities observed from baseline in laboratory results in chemistry, hematology, and coagulation parameters

Phase 1: Determine the maximum tolerated dose (MTD) and RP2D of CGT4859 - ECG results
Approximately 12 months

Clinically significant changes or abnormalities observed from baseline in electrocardiogram (ECG) parameters

Phase 2: Evaluate antitumor activity of CGT4859 - Objective Response Rate (ORR)
Approximately 8 months

Secondary Endpoints

Phase 1: Pharmacokinetics
Approximately 28 days
Phase 1: Evaluate antitumor activity of CGT4859 - Objective Response Rate (ORR)
Approximately 8 months
Phase 1 and Phase 2: Evaluate antitumor activity of CGT4859 - Disease Control Rate (DCR)
Approximately 8 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1: Dose EscalationEXPERIMENTALMultiple doses of CGT4859 for oral administration
Phase 2: Signal SeekingEXPERIMENTALOral dose of CGT4859 at the RP2D as determined in Phase 1

Interventions

NameTypeDescription
CGT4859DRUGCGT4859 is a selective FGFR2/3 inhibitor
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Key Inclusion Criteria: 1. Histologically confirmed locally advanced, metastatic, and/or unresectable iCCA or other solid tumor with documented FGFR2/3 alteration in blood and/or tumor. 2. Previously treated with, not appropriate for, or declined standard-of-care first-line treatment. 3. Have measu...

Countries:United StatesCanada
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Frequently asked questions about CGT4859

What is CGT4859?

CGT4859 is an investigational small molecule FGFR2/3 inhibitor being developed by Cogent Biosciences, Inc. for intrahepatic cholangiocarcinoma and other advanced solid tumors with FGFR2 or FGFR3 genetic alterations. It is currently in Phase 1 clinical development and has not been approved by the FDA.

What is CGT4859 used for in intrahepatic cholangiocarcinoma?

CGT4859 is being studied for the treatment of intrahepatic cholangiocarcinoma, a cancer of the bile ducts within the liver, in patients whose tumors carry FGFR2 genetic alterations such as gene fusions, rearrangements, amplifications, or short variants. It is investigational and has not been approved for any indication.

What does CGT4859 target?

CGT4859 targets FGFR2 and FGFR3, members of the fibroblast growth factor receptor (FGFR) family of receptor tyrosine kinases. The drug is designed to inhibit these receptors in tumors driven by FGFR2 or FGFR3 genetic alterations, including gene fusions, rearrangements, amplifications, and short variants.

Who is developing CGT4859?

CGT4859 is being developed by Cogent Biosciences, Inc., a biotechnology company that trades on the Nasdaq under the ticker symbol COGT. Cogent Biosciences is the sponsor of the ongoing Phase 1 clinical trial evaluating CGT4859 in cholangiocarcinoma and other advanced solid tumors.

What phase is CGT4859 in?

CGT4859 is in Phase 1 clinical development. It is an investigational agent and has not received FDA approval. The single ongoing Phase 1 trial is currently active but not recruiting, with a planned enrollment of 110 participants across sites in the United States and Canada.

What clinical trials is CGT4859 in?

CGT4859 is being evaluated in one Phase 1 clinical trial, NCT06777316, titled A Study of an FGFR2/3 Inhibitor (CGT4859) in Patients With Cholangiocarcinoma and Other Advanced Solid Tumors. The trial is active but not recruiting, has a planned enrollment of 110 adults, and is being conducted in the United States and Canada.