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RLY-5836

Phase 1

PIK3CA Mutation | Small molecule | Oncology |Relay Therapeutics, Inc.|Trials Updated: May 16, 2025

RLY-5836 development status

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

RLY-5836 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 Enrollment41

FDA Designations

No designations recorded

RLY-5836 clinical trials

RLY-5836 · 1 trial · 8 indications

Phase 1 1
NCT05759949First-in-Human Study of RLY-5836 in Advanced Breast Cancer and Other Solid TumorsPIK3CA Mutation
COMPLETED41 Analytics
PHASE1COMPLETED
First-in-Human Study of RLY-5836 in Advanced Breast Cancer and Other Solid Tumors
PIK3CA MutationUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) of RLY-5836
Cycle 1 (4-week cycle) of treatment for MTD and at the end of every cycle (4-week cycles) for RP2D until study discontinuation, approximately 24 months
Number of participants with any dose-limiting toxicity (DLT)
Cycle 1, up to 28 days.
Number of participants with adverse events (AEs)
Every cycle (4-week cycles) until study discontinuation, approximately 24 months
Number of participants with serious adverse events (SAEs)
Every cycle (4-week cycles) until study discontinuation, approximately 24 months

Secondary Endpoints

PIK3CA genotype in blood and tumor tissue by next generation nucleic acid sequencing
Every cycle (4-week cycles) through Cycle 3 and every other cycle thereafter until study discontinuation, approximately 24 months
PK of RLY-5836: area under the concentration-time curve (AUC)
Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through end of treatment (4-week cycles), approximately 24 months
PK of RLY-5836: maximum plasma concentration (Cmax)
Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle through end of treatment (4-week cycles), approximately 24 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RLY-5836 Single Agent ArmEXPERIMENTALRLY-5836 single agent arm for participants with unresectable or metastatic solid tumors
RLY-5836 + Fulvestrant ArmEXPERIMENTALRLY-5836 + fulvestrant combination arm for participants with HR+, HER2- locally advanced or metastatic breast cancer
RLY-5836 + Palbociclib + Fulvestrant ArmEXPERIMENTALRLY-5836 + palbociclib + fulvestrant triple combination arm for participants with HR+, HER2- locally advanced or metastatic breast cancer
RLY-5836 + Ribociclib + Fulvestrant ArmEXPERIMENTALRLY-5836 + ribociclib + fulvestrant triple combination arm for participants with HR+, HER2- locally advanced or metastatic breast cancer
RLY-5836 + Abemaciclib + Fulvestrant ArmEXPERIMENTALRLY-5836 + abemaciclib + fulvestrant triple combination arm for participants with HR+, HER2- locally advanced or metastatic breast cancer

Interventions

NameTypeDescription
RLY-5836DRUGRLY-5836 is a mutant-selective, oral PI3Kα inhibitor.
FulvestrantDRUGFulvestrant (500 mg) is administered IM into the buttocks (gluteal area) slowly (1 to 2 minutes per injection) as 2×5 mL injections, 1 in each buttock, on Cycle 1 Day 1, Cycle 1 Day 15, and Day 1 of each subsequent cycle.
PalbociclibDRUGPalbociclib 125 mg once daily is taken orally in combination with RLY-5836 and fulvestrant for 28-day cycles that include 21 days of treatment followed by 7 days off treatment.
RibociclibDRUGRibociclib 600 mg once daily is taken orally in combination with RLY-5836 and fulvestrant for 28-day cycles that include 21 days of treatment followed by 7 days off treatment.
AbemaciclibDRUGAbemaciclib 150 mg BID will be taken orally in combination with RLY-5836 and fulvestrant for 28-day cycles.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: Patient has ECOG performance status of 0-1 One or more documented primary oncogenic PIK3CA mutation(s) in blood and/or tumor per local assessment RLY-5836 single agent arm key inclusion criteria * Disease that is refractory to standard therapy, intolerant to standard therapy,...

Countries:United States
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Frequently asked questions about RLY-5836

What is RLY-5836?

RLY-5836 is an investigational small molecule developed by Relay Therapeutics, Inc. for cancers that carry a PIK3CA mutation. It is being studied in advanced breast cancer and other solid tumors, including HER2-negative, hormone receptor positive, metastatic, and unresectable disease. It is a Phase 1 clinical-stage asset, not an approved medicine.

What does RLY-5836 target?

RLY-5836 targets PI3K, a kinase enzyme. It is a small molecule designed to act on this kinase in tumors that carry a PIK3CA mutation, which is the biomarker used to select patients for its clinical study. Targeting PI3K is intended to interfere with signaling that drives tumor growth in these mutation-defined cancers.

Who is developing RLY-5836?

Relay Therapeutics, Inc. is developing RLY-5836. The company trades on the Nasdaq under the ticker RLAY. Relay Therapeutics is the sponsor of the first-in-human clinical study evaluating the compound in patients with PIK3CA-mutant advanced breast cancer and other solid tumors.

What phase is RLY-5836 in?

RLY-5836 is in Phase 1 development. It is an investigational drug and has not been approved by the FDA. Its single clinical study, a first-in-human trial, has been completed, and the program remains at the early clinical stage of development for PIK3CA-mutant solid tumors and breast cancer.

What clinical trials is RLY-5836 in?

RLY-5836 has been evaluated in one clinical trial, NCT05759949, titled a first-in-human study of RLY-5836 in advanced breast cancer and other solid tumors. The Phase 1 trial enrolled 41 patients in the United States, included adults 18 years and older of any sex, and has been completed.

What is RLY-5836 used for in PIK3CA mutation?

RLY-5836 is being studied for PIK3CA-mutant cancers, including advanced and metastatic breast cancer, HER2-negative and hormone receptor positive breast cancer, and unresectable solid tumors. Patient selection in its trial was biomarker-based, meaning enrollment focused on tumors carrying a PIK3CA mutation. It is investigational and not approved for any use.