AzTrials
AzTrials

Advanced Solid TumorsPhase 1/2NCT06993844

Phase 1/2 Study of ETX-636 in Participants With Advanced Solid Tumors

A Phase 1/2 study testing ETX-636 dose escalation, ETX-636 dose escalation in combination with fulvestrant and ETX-636 dose expansion in combination with fulvestrant in people with Advanced Solid Tumors and Advanced Breast Cancer, run by Ensem Therapeutics at 15 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Phase 1/2, open-label study of ETX-636 in participants with advanced solid tumors Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumors, Advanced Breast Cancer
What is being tested?
ETX-636 dose escalation, ETX-636 dose escalation in combination with fulvestrant and ETX-636 dose expansion in combination with fulvestrant
Could I receive a placebo?
No, everyone receives an active treatment
How many people
233 participants
Where
15 sitesin 2 countries
Study dates
10 Jun 2025to 30 Dec 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Metastatic or locally advanced and unresectable solid tumor that has progressed on or after at least one available therapy.
  • Tumor harboring an activating PIK3CA mutation detected in either tumor tissue or ctDNA.
  • At least 1 measurable lesion or evaluable disease per RECIST v1.1.
  • An ECOG performance status score of 0 or 1.
  • Adequate organ function.
  • Additional key inclusion criterion for Parts B and C:
  • Confirmed metastatic or locally advanced HR+/HER2- breast cancer not amenable to surgical resection with curative intent and must have received at least 1 prior CDK4/6 inhibitor and at least 1 prior anti-estrogen therapy.

Who cannot join

  • Has history (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied.
  • Has symptomatic brain or spinal metastases or a known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement.
  • Has an established diagnosis of diabetes mellitus type 1 or has uncontrolled diabetes mellitus type 2.
  • Has received treatment with any local or systemic anticancer therapy or investigational anticancer agent within 14 days prior to start of treatment.
  • Has toxicities from previous anticancer therapies that have not resolved to baseline levels with the exception of alopecia and peripheral neuropathy.
  • Has had radiotherapy outside the target tumor lesions within 14 days prior to start of treatment.

Trial locations and contacts

15 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

15 sites in 2 countries

United States10 sites, 10 recruiting
  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

    Susan Gotthardt, 617-975-7452, sgotthar@bidmc.harvard.edu

    Gerburg Wulf, MD

    Recruiting
  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

    CT.GOV Contact, 877-338-7425

    Sarah Simmons, MD

    Recruiting
  • NEXT

    Fairfax, Virginia, 22031

    Maybelle De La Rosa, 703-783-4518, mdelarosa@nextoncology.com

    Alex Spira, MD, PhD, FACP

    Recruiting
  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

    Jordi Rodon Ahnert, MD, PhD, 713-792-5603

    Jordi Rodon Ahnert, MD, PhD

    Recruiting
  • Carolina BioOncology Institute

    Huntersville, North Carolina, 28078

    Hannah Wall, 980-441-1148, hwall@carolinabiooncology.org

    Neel Gandhi, MD

    Recruiting
  • Yale University, Yale Cancer Center

    New Haven, Connecticut, 06520

    Carl Brown, 203-785-4095, carl.brown@yale.edu

    Adriana Kahn, MD

    Recruiting
  • Hoag Memorial Hospital Presbyterian

    Newport Beach, California, 92663

    Angela J Fuller, 949-764-4891, aj.fuller@hoag.org

    Monica Mita, MD

    Recruiting
  • START

    San Antonio, Texas, 78229

    Isabel Jimenenz, RN, MSN, 210-593-5265, isabel.jimenez@startresearch.com

    Amita Patnaik, MD, FRPC

    Recruiting
  • UCSF Helen Diller Family Comprehensive Cancer Center

    San Francisco, California, 94158

    Phu Lam, 415-818-7994, Phu.Lam@ucsf.edu

    Varun Monga, MD

    Recruiting
  • Fred Hutchinson Cancer Center

    Seattle, Washington, 98109

    Kaysey Hermens, 206-667-5715, khermens@fredhutch.org

    Jennifer M Specht, MD

    Recruiting

Other trials in United States

China5 sites, 5 recruiting
  • Beijing Luhe Hospital,Capital Medical University

    Beijing

    Dong Yan, 010-60569362, yd15yt88@163.com

    Dong Yan, MD

    Recruiting
  • Fujian Cancer Hospital

    Fuzhou

    Fan Wu, MD, 0591-62002091, 104247733@qq.com

    Fan Wu, MD

    Recruiting
  • Sun Yat-sen University Cancer Center

    Guangzhou

    Shusen Wang, MD, 020-87343009, wangshs@sysucc.org.cn

    Shusen Wang, MD

    Recruiting
  • Shandong Cancer Hospital&Institute

    Shandong

    Huihui Li, MD, 0531-67626929, rxnklihh@163.com

    Huihui Li, MD

    Recruiting
  • Fudan University Shanghai Cancer Hospital

    Shanghai

    Hongxia Wang, 021-34778299, whx365@126.com

    Hongxia Wang, MD

    Recruiting

Other trials in China

About this study

Official title: A Phase 1/2, Open-label, First-in-human Study of the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ETX-636, a Pan-mutant-selective PI3Kα Inhibitor, as Monotherapy and in Combination With Other Anticancer Therapies in Participants With Advanced Solid Tumors

Phase 1/2, open-label study of ETX-636 in participants with advanced solid tumors

Read the detailed description

Brief Summary: This is a Phase 1/2, open-label, multicenter, 3-part study to evaluate the safety, tolerability, PK, PD, and preliminary efficacy of ETX-636 in participants with advanced solid tumors harboring a PIK3CA mutation.

Part A will evaluate escalating doses of ETX-636 as monotherapy in participants with advanced solid tumors. Part B will evaluate escalating doses of ETX-636 as combination therapy with fixed dose fulvestrant in participants with hormone receptor positive (HR+), HER2 negative (HER2-) locally advanced or metastatic breast cancer. Part C will be a combination therapy expansion in participants with HR+, HER2- locally advanced or metastatic breast cancer.

Each study part will include a 28-day screening period, followed by treatment with ETX-636 monotherapy or combination therapy.

Being tested
ETX-636 dose escalation, ETX-636 dose escalation in combination with fulvestrant, ETX-636 dose expansion in combination with fulvestrant
Keywords
cancer, breast cancer, solid tumors, PIK3CA, PI3Kα inhibitor, Breast Neoplasms, Neoplasms by Site, Neoplasms, Breast Diseases, HER2-negative breast cancer, HR-positive breast cancer, Gynecologic cancer, Endometrial cancer, Ovarian cancer, Cervical cancer, Head and neck cancer, Head and neck squamous cell carcinoma, Fulvestrant, Antineoplastic Agents, PI3Kα
Medical subject headings
Neoplasms, Breast Neoplasms, Hereditary Sensory and Autonomic Neuropathies, Neoplasms by Site, Breast Diseases, Endometrial Neoplasms, Ovarian Neoplasms, Uterine Cervical Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ETX-636 dose escalationDrug

    ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet that will be taken once per day in 28-day cycles, to evaluate escalating dose levels.

  • ETX-636 dose escalation in combination with fulvestrantDrug

    Also called Faslodex

    ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet. ETX-636 will be taken in combination with fulvestrant in 28-day cycles, to evaluate escalating dose levels. EXT-636 is an oral tablet that will be taken once per day. Fulvestrant will be administered as an injection 2 weeks apart in the first 28 days, followed by monthly injections.

  • ETX-636 dose expansion in combination with fulvestrantDrug

    Also called Faslodex

    ETX-636 is a pan-mutant-selective PI3Kα Inhibitor and degrader in the form of an oral tablet. ETX-636 will be taken in combination with fulvestrant in 28-day cycles, to expand selected dose levels. EXT-636 is an oral tablet that will be taken once per day. Fulvestrant will be administered as an injection 2 weeks apart in the first 28 days, followed by monthly injections.

Study groups in NCT06993844
Study groupRoleWhat they receive
Part A Dose Escalation Monotherapy (Advanced Solid Tumors with PIK3CA mutation)ExperimentalPart A is a dose escalation monotherapy of ETX-636 in advanced solid tumors with PIK3CA mutation
Receives: Drug: ETX-636 dose escalation
Part B Dose Escalation Combination Therapy (HR+/HER2- locally advanced or metastatic breast cancer)ExperimentalPart B is a dose escalation combination therapy in HR+/HER2- locally advanced or metastatic breast cancer. The study treatment will be ETX-636, a pan-mutant-selective PI3Kα inhibitor, in combination with fulvestrant (Faslodex) at a fixed dose of 500 mg IM.
Receives: Drug: ETX-636 dose escalation in combination with fulvestrant
Part C Dose Expansion Combination Therapy (HR+/HER2- locally advanced or metastatic breast cancer)ExperimentalPart B is a dose expansion combination therapy in HR+/HER2- locally advanced or metastatic breast cancer. The study treatment will be ETX-636, a pan-mutant-selective PI3Kα inhibitor, in combination with fulvestrant (Faslodex) at a fixed dose of 500 mg IM.
Receives: Drug: ETX-636 dose expansion in combination with fulvestrant

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evaluate Safety and Tolerability of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B

    Proportion of participants who experience at least 1 Dose Limiting Toxicity (DLT)

    Measured: First 28 days of treatment

  2. Evaluate Safety and Tolerability of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B

    Incidence of AEs, treatment discontinuations due to AEs, changes from baseline in laboratory assessments, ECGs and vital signs.

    Measured: Average of 6 months

  3. Select the Recommended Phase 2 Dose(s) (RP2D) in Part B to be further explored in Part C (combination therapy expansion)

    Safety Parameters as described for primary outcomes

    Measured: Average of 6 months

  4. Evaluate efficacy of ETX-636 plus fulvestrant combination therapy at the RP2D(s) in Part C

    ORR and CBR according to RECIST v1.1

    Measured: Average of 6 months

Secondary outcomes (14)
  1. Characterize the Cmax (PK) of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B

    Maximum observed plasma concentration (Cmax) of ETX-636

    Measured: First 2 treatment cycles (each cycle is 28 days)

  2. Characterize the Tmax (PK) of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B

    Calculated time to reach maximum observed plasma concentration of ETX-636

    Measured: First 2 treatment cycles (each cycle is 28 days)

  3. Characterize the AUC (PK) of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B

    Calculated area under the plasma concentration curve (AUC) of ETX-636

    Measured: First 2 treatment cycles (each cycle is 28 days)

  4. Measure PD effects of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B and ETX-636 plus fulvestrant at the RP2D(s) in Part C

    Change from baseline in ctDNA levels; Change from baseline in PD markers in paired biopsies

    Measured: First 3 cycles (each cycle is 28 days)

  5. Changes in fasting blood glucose (All Parts)

    Measured by fasting blood glucose

    Measured: Average of 6 months

  6. Changes in longitudinal glucose metabolism (All Parts)

    Measured by HbA1c

    Measured: Average of 6 months

  7. Assess preliminary efficacy of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B

    Objective response rate (ORR) and clinical benefit rate (CBR) based on RECIST v1.1

    Measured: Average of 6 months

  8. Evaluate measures of efficacy of ETX-636 plus fulvestrant combination therapy at the RP2D(s) in Part C

    Time to response (TTR) according to RECIST v1.1

    Measured: Average of 6 months

  9. Evaluate additional measures of efficacy of ETX-636 plus fulvestrant combination therapy at the RP2D(s) in Part C

    Duration of response (DoR) according to RECIST v1.1

    Measured: Average of 6 months

  10. Evaluate additional measures of efficacy of ETX-636 plus fulvestrant combination therapy at the RP2D(s) in Part C

    Disease control rate (DCR) according to RECIST v1.1

    Measured: Average of 6 months

  11. Evaluate additional measures of efficacy of ETX-636 plus fulvestrant combination therapy at the RP2D(s) in Part C

    Progression free survival (PFS) according to RECIST v1.1

    Measured: Average of 6 months

  12. Evaluate Safety of ETX-636 plus fulvestrant combination therapy at the RP2Ds in Part C

    Incidence of adverse events graded according to CTCAE v5.0

    Measured: Average of 6 months

  13. Evaluate tolerability of ETX-636 plus fulvestrant combination therapy at the RP2Ds in Part C

    Incidence of adverse events graded according to CTCAE v5.0

    Measured: Average of 6 months

  14. Characterize the PK of ETX-636 plus fulvestrant using population PK modeling (Part C, to be reported separately)

    Plasma concentrations

    Measured: First 2 treatment cycles (each cycle is 28 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 May 2025
  2. Study start10 Jun 2025
  3. Primary completion30 Jun 2027 (estimated)
  4. Study completion30 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Fulvestrant
Masking
None (open label)
Enrolment
233 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06993844
Sponsor's protocol ID
ETX636-C-001
Status last verified
Oct 2026
First submitted
1 May 2025
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing ETX-636 dose escalation, ETX-636 dose escalation in combination with fulvestrant and ETX-636 dose expansion in combination with fulvestrant in people with Advanced Solid Tumors and Advanced Breast Cancer, run by Ensem Therapeutics at 15 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Lori Cykowski (1-617-383-4993, lori.cykowski@Ensemtx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Evaluate Safety and Tolerability of ETX-636 monotherapy in Part A and ETX-636 plus fulvestrant combination therapy in Part B (time frame: First 28 days of treatment). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in