🏛️ Verified NIH Record • Updated 2026-04-17

A Study to Evaluate the Safety and Tolerability of TOS-358 in Women With HR+ HER2- Breast Cancer (NCT05683418)

A Study to Evaluate the Safety and Tolerability of the Covalent Phosphoinositide-3-Kinase (PI3K)-Alpha Inhibitor, TOS-358, in Adult Subjects With Select Solid Tumors

🟢 Recruiting Phase1 💊 Investigational Drug / Biologic Sponsor: Totus Medicines

🩺 Plain-English Summary (8th-Grade Level)

The goal of this clinical trial is to evaluate the safety and efficacy of TOS-358 in women with HR+ HER2- metastatic breast cancer whose tumors have a mutation in PIK3CA and who meet all other study enrollment criteria. The main questions it aims to answer are: 1. Phase 1a: what is the maximum tolerated dose and recommended dose for phase 2? 2. Phase 1a: how safe and tolerable is TOS-358 at different dose levels when taken orally once or twice per day? 3. Phase 1b: how safe and effective is TOS-358 when given with standard of care medicines for HR+HER2- metastatic breast cancer (fulvestrant and CDK4/6i)

Who can join: Review the eligibility criteria below.

Location: Northwestern Memorial Hospital — Chicago, Illinois

Age range: 18 Years

📋 "Do I Qualify?" — 1-Minute Self Screener

Instant Checklist

Full eligibility criteria are available on the official NIH protocol. View the criteria ↗

📍 All Participating Trial Locations (18 Sites)

  • Northwestern Memorial Hospital — Chicago, Illinois
  • Beth Israel Deaconess Medical Center — Boston, Massachusetts
  • Dana-Farber Cancer Institute — Boston, Massachusetts
  • Comprehensive Cancer Centers of Nevada — Las Vegas, Nevada
  • University of Pennsylvania — Philadelphia, Pennsylvania
  • Sarah Cannon Cancer Center — Nashville, Tennessee
  • Vanderbilt-Ingram Cancer Center — Nashville, Tennessee
  • Texas Oncology - Flower Mound — Flower Mound, Texas
  • Virginia Cancer Specialists — Fairfax, Virginia
  • NEXT Oncology - Hospital Quironsalud Barcelona - PPDS — Barcelona,
  • START Barcelona HM Nou Delfos — Barcelona,
  • Instituto de Investigacion Oncologica Vall dHebron (VHIO) - EPON — Barcelona,
  • Hospital Clinico San Carlos — Madrid,
  • START MADRID Hospital Universitario Fundacion Jimenez Diaz - EDOS — Madrid,
  • START MADRID Hospital Universitario HM Sanchinarro - CIOCC — Madrid,
  • Clinica Universidad de Navarra — Pamplona,
  • NEXT Oncology - Hospital Quironsalud Madrid - PPDS — Pozuelo de Alarcón,
  • Hospital Clinico Universitario de Valencia — Valencia,

📞 Contact the Study Coordinator

Phone: (312) 695-9361

Email: essence.baymon@northwestern.edu

Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Contact the study coordinator using the phone/email above.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗