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CGT6297

Phase 1

PIK3CA Mutations | Small molecule | Oncology |Cogent Biosciences, Inc.|Trials Updated: Aug 26, 2026

CGT6297 development status

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

CGT6297 target and mechanism

Molecular targetPI3K
Target classKinase
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment90

FDA Designations

No designations recorded

CGT6297 clinical trials

CGT6297 · 1 trial · 5 indications

Phase 1 1
NCT07383506A Study of Mutant Selective-Inhibitor (CGT6297), in Patients With Advanced Solid TumorsPIK3CA Mutations
RECRUITING90 Analytics
PHASE1RECRUITING
A Study of Mutant Selective-Inhibitor (CGT6297), in Patients With Advanced Solid Tumors
PIK3CA MutationsUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and grade of Adverse Events (AEs) and Serious Adverse Events (SAEs) [Phase 1a]
Approximately 12 months

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) of CGT6297 in participants with advanced solid tumors harboring PIK3CA mutations

Overall Response Rate [Phase 1b]
Approximately 8 months

Overall Response Rate (ORR), as determined by CR + PR based on Investigator assessment using RECIST v1.1

Secondary Endpoints

Incidence and grade of Adverse Events (AEs) and Serious Adverse Events (SAEs) [Phase 1b]
Approximately 12 months
Pharmacokinetics (Part 1a)
Approximately 28 days
Disease Response (Part 1b)
Approximately 8 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose EscalationEXPERIMENTALPart 1a: Dose Escalation of Multiple doses of CGT6297 for oral administration
Signal SeekingEXPERIMENTALPhase 1b: Participants will receive CGT6297 at a dose level selected based on data from Phase 1a

Interventions

NameTypeDescription
CGT6297DRUGCGT6297 Daily Oral Administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: 1. Histologically confirmed advanced solid tumor harboring oncogenic PIK3CA mutations in blood and/or tumor: 1. Phase 1b Cohort 1, participants must have PIK3CA endometrial cancer 2. Phase 1b Cohort 2, participants must have HR-positive/HER2-negative or HER2-low breast ca...

Countries:United States
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Recent Changes (Last 90 Days)

LOWAug 26, 2026NCT07383506startDate: changed
LOWAug 26, 2026NCT07383506startDate: changed

Frequently asked questions about CGT6297

What is CGT6297?

CGT6297 is an investigational small molecule developed by Cogent Biosciences, Inc. for PIK3CA-mutated cancers. It is being studied in adults with advanced solid tumors, including endometrial cancer and HR positive/HER-2 negative or HER2-low breast cancer. It is a Phase 1, biomarker-selected therapy and has not been approved by the FDA.

What is CGT6297 used for in PIK3CA mutations?

CGT6297 is being evaluated for the treatment of advanced solid tumors that carry PIK3CA mutations. The Phase 1 study enrolls adults with PIK3CA-mutant cancers, including endometrial cancer, HR positive/HER-2 negative breast cancer, and HER2-low breast cancer. It is investigational and its safety and efficacy have not been established.

What does CGT6297 target?

CGT6297 targets PI3K, a kinase enzyme. It is described as a mutant-selective inhibitor, meaning it is designed to act on the PI3K pathway in tumors carrying PIK3CA mutations. This targeted approach is why the trial selects patients based on PIK3CA mutation status rather than enrolling an unselected population.

Who is developing CGT6297?

CGT6297 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 patients with PIK3CA-mutant advanced solid tumors. Cogent Biosciences is the sponsor responsible for the clinical program.

What phase is CGT6297 in?

CGT6297 is in Phase 1 clinical development. It is an investigational drug and is not FDA approved. The single registered trial is a Phase 1 study that is currently recruiting participants, with an planned enrollment of 90 patients. No trials of CGT6297 have been completed.

What clinical trials is CGT6297 in?

CGT6297 is being studied in one clinical trial, NCT07383506, titled A Study of Mutant Selective-Inhibitor (CGT6297), in Patients With Advanced Solid Tumors. The Phase 1 trial is recruiting in the United States, plans to enroll 90 adults aged 18 and older, and includes a controlled design without randomization or blinding.