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A Phase Ib/II Study of GFH276 in Combination With Chemotherapy (± Bevacizumab) or Cetuximab in Patients With RAS-mutant Metastatic Colorectal Cancer (A Phase Ib/II)

2026年10月29日 更新者:Genfleet Therapeutics (Shanghai) Inc.

An Open-label, Multicenter, Phase Ib/II Study to Evaluate the Safety/Tolerability, Efficacy, and Pharmacokinetic Characteristics of GFH276 in Combination With Chemotherapy (+/- Bevacizumab) or Cetuximab in Patients With RAS-mutant Metastatic Colorectal Cancer

This is a Phase Ib/II study to explore the safety/tolerability, efficacy, and pharmacokinetic (PK) characteristics of GFH276 in combination with chemotherapy (+/- bevacizumab) or cetuximab in patients with RAS-mutant metastatic colorectal cancer (mCRC).

研究概览

详细说明

This is a multicenter, open-label, Phase Ib/II study to evaluate the safety/tolerability, efficacy, and PK characteristics of GFH276 in combination with chemotherapy (+/- bevacizumab) or cetuximab in patients with RAS-mutant mCRC. The study includes a Phase Ib dose-escalation part and a Phase II part.

Cohort 1 is an open-label, multicenter study to evaluate GFH276 in combination with FOLFIRI±bev in patients with RAS-mutant metastatic colorectal cancer.

Cohort 2 is an open-label, multicenter study to evaluate GFH276 in combination with mFOLFOX6±bev in patients with RAS-mutant metastatic colorectal cancer.

Cohort 3 is an open-label, multicenter study to evaluate GFH276 in combination with Cetuximab in patients with RAS-mutant metastatic colorectal cancer.

Cohort A is an open-label, multicenter study to evaluate GFH276 in combination with FOLFIRI or mFOLFOX6±bev in patients with RAS-mutant metastatic colorectal cancer.

Cohort B is an open-label, multicenter study to evaluate GFH276 in combination with Cetuximab in patients with RAS-mutant metastatic colorectal cancer.

Cohort C is an open-label, multicenter study to evaluate FOLFIRI or mFOLFOX6+bev in patients with RAS-mutant metastatic colorectal cancer.

研究类型

介入性

注册 (估计的)

150

阶段

  • 阶段2
  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 75年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  1. Subjects must voluntarily agree to participate in the trial and sign a written informed consent form.
  2. Male or female ≥ 18 years old and ≤75 years old.
  3. Histologically confirmed metastatic colorectal cancer (mCRC)
  4. Participants must have experienced disease progression or recurrence during or after prior standard therapy.
  5. Participants enrolled in this study must provide a written test report confirming RAS mutation or KRAS amplification
  6. ECOG performance status of 0-1.
  7. With a life expectancy of ≥12 weeks
  8. Participants must have at least one measurable lesion other than brain lesions per RECIST 1.1.
  9. Adequate laboratory parameters during the screening period.

Exclusion Criteria:

  1. Active brain metastases.
  2. Known concomitant other targetable driver gene alterations, including but not limited to HER2, BRAF V600E, etc
  3. Prior treatment with a PAN-RAS inhibitor.

3. Palliative radiotherapy was completed within 28 days before the first dose. 4. Have poorly controlled or severe Gastrointestinal disease. 5. Subjects with active hepatitis B or active hepatitis C. 6. Known allergies to the study drug or its components. 7. Pregnant or lactating women.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:非随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Phase I:Cohort 1

GFH276+FOLFIRI±bev IV,

Phase Ib - Dose Escalation Cohort 1 GFH276 in combination with FOLFIRI±bev, (bevacizumab): Irinotecan 、Leucovorin , Fluorouracil ,

其他名称:
  • 亚叶酸 (LV)
  • 氟尿嘧啶 (5-FU)
  • Irinotecan (IRI)
  • Bevacizumab (bev)

Phase Ib - Dose Escalation Cohort 2 GFH276, QD. in combination with mFOLFOX6±bev, mFOLFOX6: Oxaliplatin, Leucovorin, Fluorouracil bev (bevacizumab)

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • bev

Phase II Cohort B:GFH276, oral, QD + Cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗

Phase II Cohort A:GFH276, oral +FOLFIRI/mFOLFOX6±bev, IV, Q4W, d1,d15

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • Irinotecan (IRI)
  • bev

Phase Ib - Dose Escalation

Cohort 3:GFH276 in combination with cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗
实验性的:Phase I:Cohort 2

GFH276+ mFOLFOX6±bev IV,

Phase Ib - Dose Escalation Cohort 1 GFH276 in combination with FOLFIRI±bev, (bevacizumab): Irinotecan 、Leucovorin , Fluorouracil ,

其他名称:
  • 亚叶酸 (LV)
  • 氟尿嘧啶 (5-FU)
  • Irinotecan (IRI)
  • Bevacizumab (bev)

Phase Ib - Dose Escalation Cohort 2 GFH276, QD. in combination with mFOLFOX6±bev, mFOLFOX6: Oxaliplatin, Leucovorin, Fluorouracil bev (bevacizumab)

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • bev

Phase II Cohort B:GFH276, oral, QD + Cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗

Phase II Cohort A:GFH276, oral +FOLFIRI/mFOLFOX6±bev, IV, Q4W, d1,d15

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • Irinotecan (IRI)
  • bev

Phase Ib - Dose Escalation

Cohort 3:GFH276 in combination with cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗
实验性的:Phase I:Cohort 3

Cetuximab IV,

Phase Ib - Dose Escalation Cohort 1 GFH276 in combination with FOLFIRI±bev, (bevacizumab): Irinotecan 、Leucovorin , Fluorouracil ,

其他名称:
  • 亚叶酸 (LV)
  • 氟尿嘧啶 (5-FU)
  • Irinotecan (IRI)
  • Bevacizumab (bev)

Phase Ib - Dose Escalation Cohort 2 GFH276, QD. in combination with mFOLFOX6±bev, mFOLFOX6: Oxaliplatin, Leucovorin, Fluorouracil bev (bevacizumab)

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • bev

Phase II Cohort B:GFH276, oral, QD + Cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗

Phase II Cohort A:GFH276, oral +FOLFIRI/mFOLFOX6±bev, IV, Q4W, d1,d15

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • Irinotecan (IRI)
  • bev

Phase Ib - Dose Escalation

Cohort 3:GFH276 in combination with cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗
实验性的:Phase II:Cohort A

GFH276, oral, QD

+FOLFIRI/mFOLFOX6±bev, IV,

Phase Ib - Dose Escalation Cohort 1 GFH276 in combination with FOLFIRI±bev, (bevacizumab): Irinotecan 、Leucovorin , Fluorouracil ,

其他名称:
  • 亚叶酸 (LV)
  • 氟尿嘧啶 (5-FU)
  • Irinotecan (IRI)
  • Bevacizumab (bev)

Phase Ib - Dose Escalation Cohort 2 GFH276, QD. in combination with mFOLFOX6±bev, mFOLFOX6: Oxaliplatin, Leucovorin, Fluorouracil bev (bevacizumab)

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • bev

Phase II Cohort B:GFH276, oral, QD + Cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗

Phase II Cohort A:GFH276, oral +FOLFIRI/mFOLFOX6±bev, IV, Q4W, d1,d15

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • Irinotecan (IRI)
  • bev

Phase Ib - Dose Escalation

Cohort 3:GFH276 in combination with cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗
实验性的:Phase II:Cohort B

GFH276, oral,

+Cetuximab, IV,

Phase Ib - Dose Escalation Cohort 1 GFH276 in combination with FOLFIRI±bev, (bevacizumab): Irinotecan 、Leucovorin , Fluorouracil ,

其他名称:
  • 亚叶酸 (LV)
  • 氟尿嘧啶 (5-FU)
  • Irinotecan (IRI)
  • Bevacizumab (bev)

Phase Ib - Dose Escalation Cohort 2 GFH276, QD. in combination with mFOLFOX6±bev, mFOLFOX6: Oxaliplatin, Leucovorin, Fluorouracil bev (bevacizumab)

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • bev

Phase II Cohort B:GFH276, oral, QD + Cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗

Phase II Cohort A:GFH276, oral +FOLFIRI/mFOLFOX6±bev, IV, Q4W, d1,d15

其他名称:
  • 5-氟尿嘧啶
  • 低压
  • Oxaliplatin (OX)
  • Irinotecan (IRI)
  • bev

Phase Ib - Dose Escalation

Cohort 3:GFH276 in combination with cetuximab, Cetuximab:

其他名称:
  • 西妥昔单抗
有源比较器:Phase II:Cohort C

FOLFIRI/mFOLFOX6+bev, IV

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Phase Ib: Incidence and severity of AEs and SAEs
大体时间:up to 24 months

Incidence and severity of AEs and SAEs

up to 24 months
Phase Ib: The incidence of DLT events: The incidence of DLT events
大体时间:First 28 days

The incidence of DLT events

First 28 days
Phase II: Objective response rate (ORR)
大体时间:From first use of medication to disease progression,up to 24 months

Overall Response Rate assessed by investigators according to RECIST 1.1

From first use of medication to disease progression,up to 24 months

次要结果测量

结果测量
措施说明
大体时间
ORR:
大体时间:From first use of medication to disease progression,up to 24 months

Overall Response Rate assessed by investigators according to RECIST 1.1

From first use of medication to disease progression,up to 24 months
OS
大体时间:From first use of medication to disease progression,up to 24 months

Overall Survival

From first use of medication to disease progression,up to 24 months
Cmax
大体时间:From first use of medication to C6,up to 6 months

Maximum plasma concentration

From first use of medication to C6,up to 6 months
DOR
大体时间:From first use of medication to disease progression,up to 24 months

Duration of Response assessed by investigators

From first use of medication to disease progression,up to 24 months
DCR
大体时间:From first use of medication to disease progression,up to 24 months

Disease Control Rate

From first use of medication to disease progression,up to 24 months
TTR
大体时间:From first use of medication to disease progression,up to 24 months

Time To Response assessed by investigators

From first use of medication to disease progression,up to 24 months
PFS
大体时间:From first use of medication to disease progression,up to 24 months

Progression-Free Survival assessed by investigators according to RECIST 1.1

From first use of medication to disease progression,up to 24 months
Tmax
大体时间:From first use of medication to C6,up to 6 months

Time to Maximum Concentration

From first use of medication to C6,up to 6 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:ruihua xu, MD、Sun Yat-Sen University Cancer Center

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年11月15日

初级完成 (估计的)

2028年4月30日

研究完成 (估计的)

2028年4月30日

研究注册日期

首次提交

2026年10月29日

首先提交符合 QC 标准的

2026年10月29日

首次发布 (实际的)

2026年11月4日

研究记录更新

最后更新发布 (实际的)

2026年11月4日

上次提交的符合 QC 标准的更新

2026年10月29日

最后验证

2026年10月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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