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FOG-001

Phase 1

Cancer | Small molecule | Oncology |Parabilis Medicines, Inc.|Trials Updated: Oct 7, 2026

FOG-001 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Jun 2023

FOG-001 target and mechanism

Molecular targetβ-catenin
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment619

FDA Designations

No designations recorded

FOG-001 clinical trials

FOG-001 · 1 trial · 15 indications

Phase 1 1
NCT05919264FOG-001 in Locally Advanced or Metastatic Solid TumorsCancer
RECRUITING619 Analytics
PHASE1RECRUITING
FOG-001 in Locally Advanced or Metastatic Solid Tumors
CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

During dose escalation and dose expansion measure incidence and severity of treatment emergent adverse events by CTCAE v5.0
Through study completion, an average of 10 months

Number and severity of treatment emergent adverse events as assessed by CTCAE v5.0

During dose escalation characterize dose-limiting toxicities (DLTs)
1 treatment cycle (28 days)

Incidence of DLTs

During dose expansion describe the Overall Response Rate using RECIST v1.1
Every 63 days until study completion, approximately 10 months on average

The rate of objective responses (Partial \& Complete) using RECIST v1.1

During dose expansion describe the Disease Control Rate using RECIST v1.1 (Part 2a only)
4 months

The rate of objective responses (Stable, Partial, \& Complete) using RECIST v1.1

During dose expansion describe the PSA30 response rate for participants with prostate cancer
Baseline, weekly during the first 2 cycles (56 days), bi-weekly during the Cycle 3 (28 days), and then monthly (up to approximately 7 months)

The response to treatment as a 30% or greater reduction in PSA levels from baseline

Secondary Endpoints

Maximum observed plasma concentration (Cmax) of FOG-001 and associated metabolites
During first 2 cycles (56 days)
Time to achieve Cmax (Tmax) of FOG-001 and associated metabolites in plasma
During first 2 cycles (56 days)
Area under the plasma concentration-time curve (AUC) of FOG-001 and associated metabolites
During first 2 cycles (56 days)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1aEXPERIMENTALSolid Tumors with any WNT-Pathway Activating Mutation (WPAM) or Microsatellite Stable (MSS) Colorectal Cancer (CRC), irrespective of WPAM status
Part 1bEXPERIMENTALMSS CRC (known WPAM negative participants are not eligible)
Part 1cEXPERIMENTALHepatocellular Carcinoma (documented WPAM in APC or CTNNB1 required)
Part 1d-1EXPERIMENTALDesmoid Tumors
Part 1d-2EXPERIMENTALDesmoid Tumors
Part 1f-1EXPERIMENTALMSS CRC (known WPAM negative participants are not eligible)
Part 1f-2EXPERIMENTALSolid Tumors with documented WPAM or MSS CRC (known WPAM negative participants are not eligible)
Part 1f-3EXPERIMENTALMSS CRC (known WPAM negative participants are not eligible)
Part 1gEXPERIMENTALSolid Tumors with documented WPAM (known WPAM negative participants are not eligible)
Part 1hEXPERIMENTALDesmoid Tumors
Part 1iEXPERIMENTALFamilial adenomatous polyposis (FAP)
Part 2aEXPERIMENTALMSS CRC, irrespective of WPAM status
Part 2bEXPERIMENTALSolid Tumors with documented WPAM
Part 2cEXPERIMENTALHepatocellular Carcinoma (documented WPAM in APC or CTNNB1 required)
Part 2dEXPERIMENTALDesmoid Tumors
Part 2eEXPERIMENTALMetastatic Castration-Resistant Prostate Cancer (documented WPAM in APC or CTNNB1 required)
Part 2f-1EXPERIMENTALMSS CRC (known WPAM negative participants are not eligible)
Part 2f-2EXPERIMENTALSolid Tumors with documented WPAM or MSS CRC (known WPAM negative participants are not eligible)
Part 2f-3EXPERIMENTALMSS CRC (known WPAM negative participants are not eligible)

Interventions

NameTypeDescription
FOG-001DRUGFOG-001 will be administered IV at assigned doses in continuous cycles of 28 days
mFOLFOX-6DRUGmFOLFOX-6 will be administered per the prescribing information in combination with FOG-001
NivolumabDRUGNivolumab will be administered per the prescribing information in combination with FOG-001
Trifluridine/tipiracilDRUGTrifluridine/tipiracil will be administered per the prescribing information in combination with FOG-001
BevacizumabDRUGBevacizumab will be administered per the prescribing information in combination with FOG-001
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Adequate organ and marrow function. Additional Inclusion Criteria for Dose Escalation Cohorts (Part 1a and Part 1g): * Diagnosis of treatment-refractory advanced/metastatic solid tumor that is non-MSI-...

Countries:United StatesAustralia
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Competitive Landscape -Cancer 14 trials