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RecruitingNCT05304962Updated Aug 12, 2026

FIH Study of RGT-419B Alone and With Endocrine Therapy in HR-Positive, HER2-Negative Advanced/Metastatic Breast Cancer

A Phase 1 interventional study of RGT-419B and RGT-419B in combination with hormonal therapy in Breast Cancer, sponsored by Regor Pharmaceuticals Inc.. Recruiting at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by Regor Pharmaceuticals Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2022; still recruiting 4 years 7 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
64
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a phase I, First-in-Human (FIH), open-label study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, and preliminary efficacy of RGT-419B administered orally as monotherapy OR in combination with Hormonal Therapy in subjects with HR+, HER2- locally advanced and unresectable (Stage III) or metastatic (Stage IV) breast cancer whose disease has progressed during prior therapy with an approved CDK4/6i plus hormonal therapy.

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Conditions studied

  • Breast Cancer

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Keywords

  • Breast Cancer
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 64 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Regor Pharmaceuticals Inc. is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or female >/= 18 years old
  2. ECOG Performance Status 0 to 1
  3. Subjects must have histologically or cytologically confirmed diagnosis of ER+, HER2- ABC consistent with ASCO CAP guidelines that is locally advanced and unresectable (Stage III) or metastatic (Stage IV) BC.
  4. Measurable AND evaluable lesions at baseline per RECIST v1.1.
  5. Eligible subjects must meet all of the following criteria:

    • Progression after receiving 1 line of prior cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) therapy combined with HT in the MBC setting (up to 1 additional line of CDK4/6i is permitted in the post-surgical adjuvant setting);

      • Subjects must have received therapy for ≥3 months in the MBC setting, or for ≥6 months in the adjuvant setting, prior to progression
    • Progression after ≤3 lines of prior HT therapy (regardless of whether it is HT alone or in combination with other therapies)

      • Prior HT combination agents, including SERD, SERM or AI, must have received formal approval by regulatory agency.
    • ≤ 1 prior line of chemotherapy in the metastatic setting
  6. Adequate organ function
  7. Ability to understand and the willingness to sign a written informed consent document

Exclusion criteria

Exclusion Criteria:

  1. Presence of visceral metastases with severe organ dysfunction as evidence by signs and symptoms, laboratory studies, lymphangitic spread and/or rapid progression of disease
  2. Pregnant or planning to become pregnant
  3. Prior irradiation to >25% of the bone marrow and/or inadequate bone marrow function or evidence of clinically significant end-organ damage
  4. Major surgery, chemotherapy, targeted therapy, experimental agents, or radiation within 14-28 days prior to Cycle 1, Day 1
  5. Active, serious medical condition that is not well controlled with locally approved medications allowed by the protocol
  6. History of allergic reactions attributed to compounds of similar chemical or biologic composition to the drugs used in the study
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
64 participants (estimated)

Study arms

  • Experimental
    Arm A

    RGT-419B given alone as monotherapy

    Drug: RGT-419B

  • Experimental
    Arm B

    RGT-419B in combination with Hormonal Therapy

    Drug: RGT-419B in combination with hormonal therapy

Interventions

  • DrugRGT-419B

    oral capsules

  • DrugRGT-419B in combination with hormonal therapy

    RGT-419B in combination with hormonal therapy (Selective Estrogen Receptor Degrader, Selective Estrogen Receptor Modulator, or Aromatase Inhibitor)

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What researchers measure

Primary outcomes

  1. Safety & Tolerability - Number of subjects with Dose-Limiting Toxicities (DLTs) at each cohort dose level in singlet and doublet therapy

    Number of subjects who have a confirmed DLT at each cohort dose level in singlet and doublet study arms during the first 28-day cycle of RGT-419B treatment.

    Time frame: 4 weeks (1 cycle)

Secondary outcomes

  1. Safety & Tolerability - Incidence, Severity, and Causality of all Treatment Emergent Adverse Events (TEAEs)

    Incidence, severity, and causality of all TEAEs will be assessed for all patient participating from Day 1 dosing through end of study.

    Time frame: through study completion, an average of 1 year

  2. Day 1 and steady-state PK assessment of RGT-419B and major metabolites - Cmax

    Plasma and urine samples that are being collected for PK assessment may also be used for exploratory metabolite identification

    Time frame: through study completion, an average of 1 year

  3. Day 1 and steady-state PK assessment of RGT-419B and major metabolites - Area Under Concentration-Time Curve (AUC0-t)

    Plasma and urine samples that are being collected for PK assessment may also be used for exploratory metabolite identification

    Time frame: through study completion, an average of 1 year

  4. Day 1 and steady-state PK assessment of RGT-419B and major metabolites - Area Under Concentration-Time Curve to Infinity (AUC0-inf)

    Plasma and urine samples that are being collected for PK assessment may also be used for exploratory metabolite identification

    Time frame: through study completion, an average of 1 year

  5. Day 1 and steady-state PK assessment of RGT-419B and major metabolites - Plasma Decay Half-Life (t 1/2)

    Plasma and urine samples that are being collected for PK assessment may also be used for exploratory metabolite identification

    Time frame: through study completion, an average of 1 year

  6. Day 1 and steady-state PK assessment of RGT-419B and major metabolites - Time to Reach Maximum Observed Plasma Concentration (Tmax)

    Plasma and urine samples that are being collected for PK assessment may also be used for exploratory metabolite identification

    Time frame: through study completion, an average of 1 year

  7. Day 1 and steady-state PK assessment of RGT-419B and major metabolites - Accumulation rate after multiple doses

    Plasma and urine samples that are being collected for PK assessment may also be used for exploratory metabolite identification

    Time frame: through study completion, an average of 1 year

  8. Day 1 and steady-state PK assessment of RGT-419B and major metabolites - Cumulative urinary excretion

    Plasma and urine samples that are being collected for PK assessment may also be used for exploratory metabolite identification

    Time frame: through study completion, an average of 1 year

  9. Tumor Response assessed by Investigator according to RECIST v1.1

    Tumor response measured by radiologic imaging techniques at baseline and throughout the study

    Time frame: through study completion, an average of 1 year

  10. QTc Interval - Changes in corrected QT interval

    Number of subjects with a clinically significant increase from baseline in corrected QT (QTc) interval on repeated ECGs during RGT-419B monotherapy.

    Time frame: through study completion, an average of 1 year

Other outcomes

  1. Symptom Burden

    Change from baseline in symptom burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30) from baseline to end of treatment

    Time frame: through study completion, an average of 1 year

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Study locations

7 of 8 sites recruiting
  • University of California, San Diego
    La Jolla, California 92037, United States
    Recruiting
  • University California, Los Angeles
    Los Angeles, California 90404, United States
    Recruiting
  • Hem-Onc Associates of the Treasure Coast
    Port Saint Lucie, Florida 34952, United States
    Active, not recruiting
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
    Recruiting
  • Emory University
    Atlanta, Georgia 30322, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts 02142, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
    Recruiting
  • New York Cancer and Blood Specialists
    Port Jefferson Station, New York 11776, United States
    Recruiting
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05304962
Lead sponsor
Regor Pharmaceuticals Inc.
Responsible party
Sponsor
First posted
Mar 31, 2022
Start date
Mar 4, 2022
Primary completion
Dec 30, 2026 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Aug 12, 2026

Study contacts

Joanna Dojillo, MSc
Contact
joanna.dojillo@regor.com
617-315-9070
Regor Pharmaceuticals Central Office
Contact
rgt-419b_01-101@regor.com
617-315-9070

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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