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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 uppdaterad av: 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.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Beräknad)

84

Fas

  • Fas 2
  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 75 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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
Läkemedel: GFH276

Oral GFH276, administered at specified dose on schedule.

Läkemedel: with or without Tislelizumab

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

Läkemedel: Pemetrexed

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

Läkemedel: Cisplatin

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

Läkemedel: Carboplatin

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

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Phase Ib:Incidence of Dose-Limiting Toxicity (DLT) Events
Tidsram: First 21 days

The incidence of DLT events
First 21 days
Phase II:Objective Response Rate (ORR)
Tidsram: 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)
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
DCR
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Genfleet Therapeutics (Shanghai) Inc.

Utredare

  • Huvudutredare: Ziming Li, MD, Shanghai Chest Hospital

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 november 2026

Primärt slutförande (Beräknad)

1 december 2027

Avslutad studie (Beräknad)

1 december 2028

Studieregistreringsdatum

Först inskickad

22 september 2026

Först inskickad som uppfyllde QC-kriterierna

22 september 2026

Första postat (Faktisk)

29 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

29 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

22 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • GFH276X1203

Plan för individuella deltagardata (IPD)

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NEJ

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