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RecruitingNCT06625775Updated Oct 1, 2026

Open-Label Study of BBO-10203 in Subjects With Advanced Solid Tumors

A Phase 1 interventional study of BBO-10203 and Trastuzumab in Solid Tumor, Adult, Metastatic Breast Cancer and Advanced Breast Cancer, sponsored by TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics). Recruiting at 44 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 1 year 11 months later.
Updated Oct 1, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
392
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

First in human study to evaluate the safety, tolerability, and pharmacokinetics (PK) of BBO-10203, a PI3Kα:RAS breaker, alone and in combination with other anti-cancer agents in patients with advanced solid tumors.

Read the detailed description

This is an open-label, multi-center Phase 1a/1b study designed to evaluate the safety, tolerability, preliminary antitumor activity, and PK of BBO-10203 as a single agent and in combination with Trastuzumab, Fulvestrant +/- Ribociclib, or FOLFOX + Bevacizumab in patients with locally advanced unresectable or metastatic (ie, advanced) solid tumors. The study includes a dose escalation phase and an expansion phase.

02

Conditions studied

  • Solid Tumor, Adult
  • Metastatic Breast Cancer
  • Advanced Breast Cancer
  • HER2 Mutation-Related Tumors
  • HER2-positive Metastatic Breast Cancer
  • KRAS Mutant Metastatic Colorectal Cancer
  • Metastatic Lung Cancer
  • Metastatic Colorectal Cancer
  • Advanced Lung Cancer
  • HR-positive, HER2-negative Advanced Breast Cancer
  • HER2-positive Advanced Breast Cancer

Keywords

  • BREAKER-101
  • BridgeBio Oncology Therapeutics
  • BBOT
  • Phase1
  • Phase 1a/1b
  • Trastuzumab
  • Breast
  • Colorectal
  • Non-Small Cell Lung Cancer
  • CRC
  • NSCLC
  • Metastatic Cancer
  • Advanced Cancer
  • HER2-positive
  • HR-positive
  • HR-positive, HER2-negative
  • HER2-negative
03

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 392 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics) is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Locally advanced and unresectable or metastatic HER2-positive advanced breast cancer (aBC), HR-positive/HER2-negative advanced breast cancer, KRAS mutant advanced colorectal cancer (aCRC), or KRAS mutant advanced non-small cell lung cancer (aNSCLC)
  • Measurable disease by RECIST v1.1 (except for HR-positive HER2-negative aBC where evaluable bone-only disease is permitted)
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1
  • Adequate LVEF assessed by ECHO or MUGA (BBO-10203 + Trastuzumab cohorts only)
  • Stable brain metastases
  • Patients with HER2-positive aBC: Must have had at least 2 prior lines of anti-HER2-directed therapy. Only 1 prior line is acceptable where there is no other regionally available standard of care (SoC)
  • Monotherapy Cohort patients with HR-positive, HER2-negative aBC, KRAS mutant aCRC or aNSCLC: Must have progression on, or disease recurrence after at least one line of SOC treatment or in the opinion of the investigator, would be unlikely to tolerate or derive clinically meaningful benefit from SoC therapy
  • BBO-10203 + Fulvestrant combination cohort patients with HR-positive, HER2-negative aBC: confirmed PIK3CA mutation, must have been treated with a CDK4/6i
  • BBO-10203 + Fulvestrant + ribociclib combination cohort patients with HR-positive, HER2-negative aBC: confirmed PIK3CA mutation, no prior systemic therapy in the aBC setting permitted
  • BBO-10203 + FOLFOX + Bevacizumab combination cohort patients with KRAS mutant aCRC: One prior line of irinotecan-containing therapy for locally advanced or metastatic CRC is allowed but not required

Exclusion criteria

Exclusion Criteria:

  • Patients with KRAS mutant aCRC who have KRAS G12R mutation, BRAFV600E mutation, HER2amp, or dMMR/MSI-H tumors
  • Patients with KRAS mutant aNSCLC who have KRAS G12R mutation, or tumors with other targetable driver mutations (eg, EGFR, anaplastic lymphoma kinase, ROS1/BRAF/RET/MET/EGFR exon20 insertion/NTRK/HER2)
  • Patients with untreated and/or non-stable brain metastases

Other inclusion/exclusion criteria are specified in the protocol

05

Study design

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

Study arms

  • Experimental
    BBO-10203

    Participants enrolled in this cohort will receive BBO-10203 tablets orally (different dose levels will be evaluated) once daily as monotherapy. This cohort will enroll patients with HER2-positive advanced breast cancer, HR-positive HER2-negative advanced breast cancer, advanced colorectal cancer, and advanced lung cancer.

    Drug: BBO-10203

  • Experimental
    BBO-10203 + Trastuzumab

    Participants enrolled in this cohort will receive BBO-10203 tablets orally in combination with trastuzumab. This cohort will enroll patients with HER2-positive advanced breast cancer.

    Drug: BBO-10203 · Drug: Trastuzumab

  • Experimental
    BBO-10203 + Fulvestrant

    Participants enrolled in this cohort will receive BBO-10203 tablets orally in combination with fulvestrant. This cohort will enroll patients with HR-positive, HER2-negative advanced breast cancer.

    Drug: BBO-10203 · Drug: Fulvestrant · Drug: Ribociclib

  • Experimental
    BBO10203 + Fulvestrant + Ribociclib

    Participants enrolled in this cohort will receive BBO-10203 tablets orally in combination with fulvestrant and ribociclib as determined in the dose escalation. This cohort will enroll patients with HR-positive, HER2-negative advanced breast cancer.

    Drug: BBO-10203 · Drug: Fulvestrant · Drug: Ribociclib

  • Experimental
    BBO10203 + FOLFOX + Bevacizumab

    Participants enrolled in this cohort will receive BBO-10203 tablets orally in combination with FOLFOX and bevacizumab. This cohort will enroll patients with KRAS-mutant advanced colorectal cancer.

    Drug: BBO-10203 · Drug: FOLFOX · Drug: Bevacizumab

Interventions

  • DrugBBO-10203

    Participants will receive assigned dose of BBO-10203 orally once daily

  • DrugTrastuzumab

    Participants will receive trastuzumab as infusion or subcutaneous injection every 21 days

  • DrugFulvestrant

    Patients will receive Fulvestrant as an intramuscular injection every 28 days (additional dose on C1D15)

  • DrugRibociclib

    Patients will receive Ribociclib orally once a day (21 days on treatment, 7 days off)

  • DrugFOLFOX

    Patients will receive FOLFOX as infusion every 14 days

  • DrugBevacizumab

    Patients will receive bevacizumab as infusion every 28 days

06

What researchers measure

Primary outcomes

  1. Determination of maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of BBO-10203 as a single agent

    Time frame: Up to approximately 5 years

  2. Percentage of patients with treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs)

    Time frame: Up to approximately 5 years

  3. Recommended BBO-10203 dose in combination with trastuzumab, fulvestrant +/- ribociclib, and FOLFOX + bevacizumab

    Time frame: Up to approximately 5 years

Secondary outcomes

  1. Clinical benefit rate (CBR) as assessed by RECIST v1.1.

    Time frame: Up to approximately 5 years

  2. Duration of response (DOR) as assessed by RECIST v1.1.

    Time frame: Up to approximately 5 years

  3. Progression-free survival (PFS) as assessed by RECIST v1.1

    Time frame: Up to approximately 5 years

  4. Overall survival (OS)

    Time frame: Up to approximately 5 years

  5. Area under the concentration-time curve (AUC

    Time frame: Predose (within 30 minutes) of C1D1 until up to approximately 5 years

  6. Maximum plasma drug concentration (Cmax)

    Time frame: Predose (within 30 minutes) of C1D1 until up to approximately 5 years

  7. Time for maximum plasma drug concentration (Tmax)

    Time frame: Predose (within 30 minutes) of C1D1 until up to approximately 5 years

  8. Objective response rate (ORR) as assessed by RECIST v1.1 for patients with measurable disease

    Time frame: Up to approximately 5 years

07

Study locations

43 of 44 sites recruiting
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010, United States
    Recruiting
  • University of California Los Angeles
    Los Angeles, California 90095, United States
    Recruiting
  • University of California San Diego Moores Cancer Center
    San Diego, California 92093, United States
    Recruiting
  • UCSF Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94158, United States
    Withdrawn
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
    Recruiting
  • Indiana University Simon Comprehensive Cancer Center
    Indianapolis, Indiana 46202, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
    Recruiting
  • Dana-Farber Cancer Insitute
    Boston, Massachusetts 02215, United States
    Recruiting
  • St. Lukes Hospital of Kansas City
    Kansas City, Missouri 64111, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
    Recruiting
  • Columbia University Irving Medical Center
    New York, New York 10032, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
    Recruiting
  • SCRI at Mary Crowley
    Dallas, Texas 75230, United States
    Recruiting
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • University of Texas San Antonio (UTSA)
    San Antonio, Texas 78229, United States
    Recruiting
  • Fred Hutchinson Cancer Center
    Seattle, Washington 98109, United States
    Recruiting
  • Wisconsin Institute for Medical Research
    Madison, Wisconsin 53792, United States
    Recruiting
  • Scientia Clinical Research
    Randwick, New South Wales 2031, Australia
    Recruiting
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria 3000, Australia
    Recruiting
  • Liga Contra o Câncer
    Natal, Rio Grande do Norte 59062, Brazil
    Recruiting
  • FUTTURA Oncologia
    Porto Alegre, Rio Grande do Sul 90470, Brazil
    Recruiting
  • Hospital São Lucas da PUCRS
    Porto Alegre, Rio Grande do Sul 90610, Brazil
    Recruiting
  • Instituto do Câncer do Estado de São Paulo - ICESP
    São Paulo, São Paulo 01246, Brazil
    Recruiting
  • Clinica de Pesquisas e Centro de Estudos Em Oncologia Ginecologica e Mamaria Ltda
    São Paulo, São Paulo 01317, Brazil
    Recruiting
  • IEPE - Unimed Sorocaba
    Sorocaba, São Paulo 18056, Brazil
    Recruiting
  • Institut régional du Cancer de Montpellier - Val d'Aurelle
    Montpellier, Occitanie 34298, France
    Recruiting
  • Institut Curie - René-Huguenin Hospital
    Saint-Cloud, Paris 92210, France
    Recruiting
  • lnstitut de Cancérologie de l'Ouest - Site Saint-Herblain
    Saint-Herblain, Pays de la Loire Region 44805, France
    Recruiting
  • Institut Bergonie
    Bordeaux, 33000, France
    Recruiting
  • Centre Léon Bérard
    Lyon, 69008, France
    Recruiting
  • Institut Gustave Roussy
    Villejuif, Île-de-France Region 94805, France
    Recruiting
  • Asan Medical Center (AMC)
    Seoul, Seoul 05505, South Korea
    Recruiting
  • Seoul National University Hospital
    Seoul, 03080, South Korea
    Recruiting
  • Hospital Universitario Vall d'Hebron
    Barcelona, Catalonia 08035, Spain
    Recruiting
  • Hospital Beata Maria Ana
    Madrid, Madrid 28007, Spain
    Recruiting
  • Hospital Quiron Madrid - NEXT Oncology
    Pozuelo de Alarcón, Madrid 28223, Spain
    Recruiting
  • IOB Institute of Oncology - Hospital Quironsalud Barcelona
    Barcelona, 08023, Spain
    Recruiting
  • START Barcelona - HM Nou Delfos Hospital
    Barcelona, 08023, Spain
    Recruiting
  • Hospital Universitari Arnau de Vilanova
    Lleida, 25198, Spain
    Recruiting
  • Hospital Universitario Fundación Jiménez Díaz
    Madrid, 28040, Spain
    Recruiting
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
    Recruiting
  • Hospital Universitari i Politècnic La Fe
    Valencia, 46026, Spain
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
UCSF Helen Diller Family Comprehensive Cancer Center is now Withdrawn
Oct 1, 2026
Show all 1 update
  1. Oct 1, 2026
    UCSF Helen Diller Family Comprehensive Cancer Center is now Withdrawn

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06625775
Lead sponsor
TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics)
Responsible party
Sponsor
First posted
Oct 3, 2024
Start date
Oct 29, 2024
Primary completion
Nov 2028 (estimated)
Completion
Nov 2028 (estimated)
Last update
Oct 1, 2026

Study contacts

BBOT (BridgeBio Oncology Therapeutics)
Contact
Breaker-101ct.gov@bridgebiooncology.com
650-405-8440

Oversight

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

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