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This is a Multicenter, Open-label, Phase I/II Study to Explore the Safety, Tolerability, Pharmacokinetics (PK), and Preliminary Efficacy of GFH276 in Patients With Advanced NSCLC Harboring a RAS Mutation. (GFH276X1203)

22. september 2026 opdateret af: Genfleet Therapeutics (Shanghai) Inc.

A Phase Ib/II, Multicenter, Open-Label Study To Evaluate Safety, Efficacy And Pharmacokinetics Of GFH276 In Combination With Tislelizumab, Pemetrexed And Platinum (Carboplatin Or Cisplatin) As First-Line Therapy In Participants With Locally Advanced Or Metastatic Non-Squamous Non-Small-Cell Lung Cancer Harboring RAS Mutation

This is an open-label, multicenter Phase Ib/II clinical study evaluating GFH276 in combination with tislelizumab plus pemetrexed/platinum based regimen as first-line therapy in participants with locally advanced or metastatic non-squamous non-small-cell lung cancer (NSCLC) harboring RAS mutation or KRAS amplification.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This open-label, multicenter Phase Ib/II study enrolls participants with locally advanced or metastatic non-squamous NSCLC with RAS mutation or KRAS amplification, who have not received prior systemic anti-cancer therapy for advanced disease.

In Phase Ib, dose escalation of GFH276 will be performed in assigned arm to identify the recommended Phase 2 dose (RP2D) based on dose-limiting toxicity (DLT) and the overall safety profile. After RP2D determination, participants will be enrolled in Phase II to further evaluate the anti-tumor efficacy and long-term safety of each combination regimen. Study-related assessments will include tumor imaging, laboratory tests, adverse event monitoring, and pharmacokinetic sampling throughout the treatment period.

Participants will continue their assigned study treatment until confirmed disease progression, intolerable toxicity, withdrawal of consent, or study closure.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

84

Fase

  • Fase 2
  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Histologically/cytologically confirmed locally advanced or metastatic non squamous NSCLC (AJCC 8th edition Stage IIIB-IV).
  2. Confirmed RAS mutation or KRAS amplification;tumor cell PD L1 test report available
  3. No prior systemic anti-tumor therapy for advanced disease
  4. At least 1 measurable lesion outside the central nervous system (CNS) per RECIST v1.1
  5. ECOG performance status 0 or 1
  6. Life expectancy>3 months
  7. Willing to provide written informed consent
  8. Fertile participants must use effective contraception
  9. Adequate organ function

Exclusion Criteria:

  1. Other active malignancy within 3 years
  2. Symptomatic brain metastases, leptomeningeal disease, spinal cord compression, or primary brain tumor
  3. History of active clinically significant cardiovascular dysfunction
  4. Known to harbor other targetable driver gene alterations
  5. Presence of active infection (HIV, HBV, HCV,)
  6. Prior anti-tumor therapy within 28 days or 5 half-lives
  7. Diagnosis of unstable thrombotic events requiring therapeutic intervention within 3 months prior to the first dose of study treatment.
  8. Hypersensitivity to study drugs, or inability to swallow tablets or comply with study procedures.
  9. History of central nervous system (CNS)disease
  10. Presence of clinically significant interstitial lung disease, radiation pneumonitis, or immune-related pneumonia that requires treatment.
  11. With uncontrollable or symptomatic pleural effusion, ascites, or pericardial effusion.
  12. Active autoimmune disease requiring systemic treatment.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: GFH276 ±Tislelizumab + AP

GFH276 once daily; Tislelizumab 200 mg, IV; AP: Pemetrexed 500 mg/m², IV; Cisplatin/Carboplatin 75 mg/m²/AUC=5, IV, every 3 weeks

Oral GFH276, administered at specified dose on schedule.

Tislelizumab 200 mg, intravenous infusion, once every 3 weeks.or without Tislelizumab

Pemetrexed 500 mg/m², intravenous infusion, once every 3 weeks.

Cisplatin 75 mg/m², intravenous infusion, once every 3 weeks.

Carboplatin at AUC=5, intravenous infusion, once every 3 weeks.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Phase Ib:Incidence of Dose-Limiting Toxicity (DLT) Events
Tidsramme: First 21 days

The incidence of DLT events

First 21 days
Phase II:Objective Response Rate (ORR)
Tidsramme: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months

Assessed by investigators according to RECIST 1.1

From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months
Phase Ib:Incidence and Severity of Adverse Events (AE) and Serious Adverse Events (SAE)
Tidsramme: From the first dose until 30 days after the last dose, assessed up to 36 months

The incidence and severity of AEs and SAEs,according to NCI CTCAE,v6.0

From the first dose until 30 days after the last dose, assessed up to 36 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
DCR
Tidsramme: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months

Disease Control Rate (DCR)

From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months
DoR
Tidsramme: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months

Duration of Response assessed by investigators

From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months
TTR
Tidsramme: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months

Time To Response assessed by investigators

From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months
PFS
Tidsramme: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months

Progression-Free Survival (PFS) per Response Evaluation Criteria according to RECIST 1.1, as Determined by investigators

From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months
OS
Tidsramme: From the first dose until date of death from any cause, assessed up to 36 months

Overall Survival

From the first dose until date of death from any cause, assessed up to 36 months
Phase II: Incidence and Severity of AE and SAE
Tidsramme: From the first dose until 30 days after the last dose, assessed up to 36 months

Incidence and Severity of AE and SAE,Assessed according to CTCAE 6.0

From the first dose until 30 days after the last dose, assessed up to 36 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Ziming Li, MD, Shanghai Chest Hospital

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. november 2026

Primær færdiggørelse (Anslået)

1. december 2027

Studieafslutning (Anslået)

1. december 2028

Datoer for studieregistrering

Først indsendt

22. september 2026

Først indsendt, der opfyldte QC-kriterier

22. september 2026

Først opslået (Faktiske)

29. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

29. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

22. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • GFH276X1203

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