๐Ÿ›๏ธ Verified NIH Record โ€ข Updated 2026-07-03

First-in-Human Study of Tersolisib (STX-478) as Monotherapy and in Combination With Other Antineoplastic Agents in Participants With Advanced Solid Tumors (NCT05768139)

First-in-Human Study of STX-478, a Mutant-Selective PI3Kฮฑ Inhibitor as Monotherapy and in Combination With Other Antineoplastic Agents in Participants With Advanced Solid Tumors

๐ŸŸข Recruiting Phase1 / Phase2 ๐Ÿ’Š Investigational Drug / Biologic Sponsor: Eli Lilly and Company

๐Ÿฉบ Plain-English Summary (8th-Grade Level)

Study STX-478-101 (LY4064809) is a multipart, open-label, phase 1/2 study evaluating the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of STX-478 (LY4064809) in participants with advanced solid tumors with P13Ka mutations. Part 1 will evaluate STX-478 as monotherapy in participants with advanced solid tumors. Part 2 will evaluate STX-478 therapy as combination therapy with fulvestrant in participants with hormone receptor positive (HR+) breast cancer. Part 3 will evaluate STX-478 as combination therapy with endocrine therapy (aromatase inhibitors, fulvestrant, tamoxifen, or imlunestrant) and a CDK4/6 Inhibitor (either Ribociclib, Palbociclib or Abemaciclib) in participants with HR+ breast cancer. Each study part will include a 28-day screening period, followed by treatment with STX-478 monotherapy or combination therapy.

Who can join: Review the eligibility criteria below.

Location: Ellison Clinic at Saint John's โ€” Los Angeles, California

Age range: 18 Years

๐Ÿ“‹ "Do I Qualify?" โ€” 1-Minute Self Screener

Instant Checklist

Full eligibility criteria are available on the official NIH protocol. View the criteria โ†—

๐Ÿ“ All Participating Trial Locations (65 Sites)

Showing the first 25 of 65 sites.

  • Ellison Clinic at Saint John's โ€” Los Angeles, California
  • UCSF Medical Center at Mission Bay โ€” San Francisco, California
  • University of Colorado Cancer Center โ€” Aurora, Colorado
  • Yale-New Haven Hospital โ€” New Haven, Connecticut
  • Florida Cancer Specialists ORLANDO/DDU โ€” Lake Mary, Florida
  • Moffitt Cancer Center โ€” Tampa, Florida
  • Winship Cancer Institute, Emory University โ€” Atlanta, Georgia
  • University of Iowa โ€” Iowa City, Iowa
  • Louisiana State University Health Sciences Center โ€” New Orleans, Louisiana
  • Massachusetts General Hospital โ€” Boston, Massachusetts
  • Dana-Farber Cancer Institute โ€” Boston, Massachusetts
  • Barbara Ann Karmanos Cancer Institute โ€” Detroit, Michigan
  • START Midwest โ€” Grand Rapids, Michigan
  • Saint Luke's Cancer Institute โ€” Kansas City, Missouri
  • Washington University โ€” St Louis, Missouri
  • Memorial Sloan Kettering Cancer Center โ€” New York, New York
  • UH Cleveland Medical Center โ€” Cleveland, Ohio
  • Stefanie Spielman Comprehensive Breast Center โ€” Columbus, Ohio
  • Providence Cancer Institute Franz Clinic โ€” Portland, Oregon
  • The West Clinic, PLLC dba West Cancer Center โ€” Germantown, Tennessee
  • Sarah Cannon Research Institute โ€” Nashville, Tennessee
  • Mary Crowley Cancer Research Center โ€” Dallas, Texas
  • Texas Oncology-Baylor Charles A. Sammons Cancer Center โ€” Dallas, Texas
  • University of Texas Southwestern โ€” Dallas, Texas
  • University of Texas MD Anderson Cancer Center โ€” Houston, Texas

๐Ÿ“ž Contact the Study Coordinator

Phone: (317) 615-4559

Email: LillyTrials@Lilly.com

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

๐Ÿ’ฐ 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 ยง 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.

Explore by condition: All Breast Cancer clinical trials

๐Ÿ’ก 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.
๐Ÿ›๏ธ View Official NIH Record โ†—