> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/snv4818-in-participants-with-advanced-solid-tumors-e2d2b4c6-163a-4c08-8e31-3a2e5d3238ca
> Record changed: 2026-11-04

# SNV4818 in Participants With Advanced Solid Tumors

NCT06736704

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

Phase

Phase 1/Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

Participants

320

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

Lead sponsor

Pikavation Therapeutics, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

Start date

2025-02-20

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

Number of sites

12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Title and summary

**Summary**

This study is testing a new medicine, SNV4818, for people with advanced cancers. The researchers want to find out if SNV4818 is safe, well-tolerated, and effective in treating solid tumors. They are investigating different doses in order to find the safest and most effective one.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Short title**

SNV4818 in Participants With Advanced Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Official title**

A Phase 1/2, Open-Label Dose Escalation and Expansion Study of SNV4818 as Monotherapy or in Combination With Other Anticancer Agents in Participants With Advanced Solid Tumors

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Phase**

Phase 1/Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Dates

**Completion date**

2027-06-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**First posted**

2024-12-17

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Registry last updated**

2026-03-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Primary completion date**

2027-04-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Start date**

2025-02-20

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Size and sites

**Participants**

320

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Planned participants**

320

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Protocol amendments**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Number of sites**

12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Lead sponsor**

Pikavation Therapeutics, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Identifiers

**Registry ID**

NCT06736704

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**ClinicalTrials.gov ID**

NCT06736704

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Study design

**Allocation**

Not randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Outcomes

### Primary outcomes

1. Incidence of dose limiting toxicities (DLTs)  
Timeframe: First 28 days of study treatment  
\-Number of participants experiencing protocol-defined DLTs (Part 1A and 2A only)
2. Treatment Emergent Adverse Events (TEAEs)  
Timeframe: From first SNV4818 dose through approximately 30 days following the last SNV4818 dose  
Incidence and frequency of TEAEs

### Secondary outcomes

1. Maximum observed plasma concentration of SNV4818  
Timeframe: After 4 weeks (1 cycle) of study treatment  
Cmax
2. Time to reach the maximum observed plasma concentration of SNV4818  
Timeframe: After 4 weeks (1 cycle) of study treatment  
Tmax
3. Area Under Plasma Concentration (AUC) Time Curve of SNV4818  
Timeframe: After 4 weeks (1 cycle) of study treatment  
AUC0-t
4. Half-life of SNV4818  
Timeframe: After 4 weeks (1 cycle) of study treatment  
t1/2
5. Area Under Plasma Concentration (AUC) Time Curve of SNV4818 extrapolated to infinity  
Timeframe: After 1 day of study treatment  
AUC0-infinity
6. Apparent oral clearance of SNV4818  
Timeframe: After 4 weeks (1 cycle) of study treatment  
CL/F
7. Apparent volume of distribution of SNV4818  
Timeframe: After 4 weeks (1 cycle) of study treatment  
Vz/F
8. Overall response rate (ORR)  
Timeframe: After 8 weeks on study treatment  
The proportion of participants who achieve a best overall response (BOR) of complete response (CR) or partial response (PR), based on RECIST 1.1 criteria
9. Disease control rate (DCR)  
Timeframe: After 8 weeks on study treatment  
The proportion of participants who have a best overall response (BOR) of stable disease (SD) or better
10. Duration of response (DOR)  
Timeframe: Up to approximately 2 years  
The time interval between an assessment of partial response (PR) or better and disease progression or death due to any cause.

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- Advanced or metastatic solid tumor with an activating PIK3CA mutation.
- Refractory to or intolerant of available therapies
- Disease measurable by RECIST 1.1 criteria, or disease evaluable by clinically relevant tumor biomarkers in blood.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

### Exclusion criteria

- Diagnosis of a primary CNS malignancy
- Active brain metastases or carcinomatous meningitis
- Type 1 diabetes mellitus or uncontrolled type 2 diabetes mellitus
- Inadequate organ function
- Clinically significant ECG abnormalities, including QTcF ≥ 470 ms

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Sites

- The Angeles Clinic and Research Institute, A Cedars-Sinai AffiliateLos Angeles, United StatesRecruiting
- Massachusetts General HospitalBoston, United StatesRecruiting
- Thomas Jefferson University-Sidney Kimmel Cancer CenterPhiladelphia, United StatesRecruiting
- Sarah Cannon Research InstituteNashville, United StatesRecruiting
- The University of Texas M.D. Anderson Cancer CenterHouston, United StatesRecruiting
- Chris O'Brien LifehouseCamperdown, AustraliaRecruiting
- Scientia Clinical ResearchRandwick, AustraliaRecruiting
- Monash HealthClayton, AustraliaRecruiting
- Peter MacCallum Cancer CentreMelbourne, AustraliaRecruiting
- Linear Clinical ResearchNedlands, AustraliaRecruiting
- The Ottawa Hospital Cancer CentreOttawa, CanadaRecruiting
- University Health Network, Princess Margaret Cancer CentreToronto, CanadaRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06736704)

## Related records

### Drugs (2)

- [Fulvestrant](https://trialight.com/data/asset/fulvestrant-c32705f5-1d97-4fd5-a6ee-76fe1d8eba3a.md)
- [Palbociclib](https://trialight.com/data/asset/palbociclib-2686787c-5f11-4b65-9a5b-549fcd2af644.md)

### Lead sponsors (1)

- [Pikavation Therapeutics, Inc.](https://trialight.com/data/company/pikavation-therapeutics-inc-d7f95413-fd1c-4b5c-933f-cd9af5b15534.md)

### Targets (8)

- [CCND1](https://trialight.com/data/target/ccnd1-5f6a6270-9aec-5f1d-9fd9-19c16cfaf816.md)
- [CDK4](https://trialight.com/data/target/cdk4-7911e947-47b0-5d57-b5c3-76425934201f.md)
- [CDK6](https://trialight.com/data/target/cdk6-a48645cb-6daf-5fe9-a635-f8d00b55b425.md)
- [DYRK1A](https://trialight.com/data/target/dyrk1a-3b19b11d-344d-5f91-b111-8de5fcb080f5.md)
- [ESR1](https://trialight.com/data/target/esr1-e58c882c-75fc-5507-bf76-2d7a172c0a28.md)
- [ESR2](https://trialight.com/data/target/esr2-3e669f23-0238-54c8-a6ae-0a2fc6dabdfa.md)
- [GPER1](https://trialight.com/data/target/gper1-18be5631-7c1d-5226-bfc4-aa64e895c39c.md)
- [RPS6KA1](https://trialight.com/data/target/rps6ka1-a197b77e-a5d1-5b43-a684-ec9c901bc17b.md)

---

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