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Active, not recruitingNCT05194995Updated Mar 16, 2026

JAB-21822 in Combination With Cetuximab in Patients With Advanced CRC and Other Solid Tumors With KRAS G12C Mutation

A Phase 1/2 interventional study of JAB-21822 and Cetuximab in Advanced Colorectal Cancer, Small Intestinal Cancer and Appendiceal Cancer, sponsored by Allist Pharmaceuticals, Inc.. Active, not recruiting at 17 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by Allist Pharmaceuticals, Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
48
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

This study is to evaluate the safety, tolerability, pharmacokinetics and antitumor activity of JAB-21822 in combination with cetuximab in patients with advanced colorectal cancer,advanced small intestine cancer and advanced appendiceal cancer with KRAS p.G12C mutation.

Read the detailed description

The primary objective of this study is to evaluate the safety and tolerability of JAB-21822 in combination with cetuximab to determine the MTD and RP2D during Dose Escalation phase; then to evaluate preliminary antitumor activity when JAB-21822 is administered in combination with cetuximab during Dose Expansion phase in patients with advanced colorectal cancer,advanced small intestine cancer and advanced appendiceal cancer with KRAS p.G12C mutation.

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Conditions studied

  • Advanced Colorectal Cancer
  • Small Intestinal Cancer
  • Appendiceal Cancer

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In context

Appendiceal Neoplasms

55 studies on the registry are indexed under Appendiceal Neoplasms; 23 are open to participants now.

This study's enrollment of 48 is close to the median of 50 across 40 interventional studies indexed under Appendiceal Neoplasms.

Browse Appendiceal Neoplasms studies →

Lead sponsor

Allist Pharmaceuticals, Inc. is the lead sponsor of 25 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants must be able to provide an archived tumor sample
  • Histologically or cytologically confirmed advanced colorectal cancer, advanced small intestinal cancer and advanced appendiceal cancer with KRAS p.G12C mutation
  • Must have received at least 1 prior standard therapy
  • Must have at least 1 measurable lesion per RECIST v1.1
  • Must have adequate organ function
  • Must be able to swallow and retain orally administered medication

Exclusion criteria

Exclusion Criteria:

  • Has brain metastases, except if treated and no evidence of radiographic progression or hemorrhage for at least 28 days
  • Active infection requiring systemic treatment within 14 days
  • Active HIV, HBV or HCV
  • Any severe and/or uncontrolled medical conditions
  • LVEF\<50% assessed by ECHO
  • QT interval >470 msec
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Phase 1b Dose Escalation

    Dose escalation of JAB-21822 to determine maximum tolerated dose of JAB-21822 in combination with cetuximab.

    Drug: JAB-21822 · Drug: Cetuximab

  • Experimental
    Phase 2 Dose Expansion, Cohort 1

    Enrollment into the dose expansion cohort is for eligible participants with KRAS P.G12C mutant advanced colorectal cancer.

    Drug: JAB-21822 · Drug: Cetuximab

  • Experimental
    Phase 2 Dose Expansion, Cohort 2

    Enrollment into the dose expansion cohort is for eligible participants with KRAS P.G12C mutant advanced small intestinal cancer and advanced appendiceal cancer.

    Drug: JAB-21822 · Drug: Cetuximab

Interventions

  • DrugJAB-21822

    JAB-21822 administered orally as a tablet.

  • DrugCetuximab

    Cetuximab administered as an intravenous (IV) infusion.

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What researchers measure

Primary outcomes

  1. Dose Escalation phase: Number of participants with dose-limiting toxicities (DLTs)

    A DLT is defined as the clinically significant treatment related adverse event (TRAE) or abnormal laboratory values assessment during the first 21 days of (Cycle 1) and excludes events that are deemed clearly related to underlying disease, progression, or intercurrent illness.

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

  2. Dose Expansion phase: Overall response rate (ORR)

    ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) per RECIST v 1.1.

    Time frame: Up to 4 years - from baseline to RECIST confirmed Progressive Disease

Secondary outcomes

  1. Dose Escalation and Dose Expansion phase: Number of participants with adverse events

    Patients will be assessed for incidence and severity of adverse events (AEs) according to NCI-CTCAE criteria.

    Time frame: Up to 4 years

  2. Dose Escalation and Dose Expansion phase: Peak Plasma Concentration (Cmax)

    Cmax of JAB-21822 will be measured by using plasma PK samples.

    Time frame: Up to 4 years

  3. Dose Escalation and Dose Expansion phase: Area under the plasma concentration versus time curve (AUC)

    AUC of JAB-21822 will be measured by using plasma PK samples.

    Time frame: Up to 4 years

  4. Dose Expansion phase: Duration of response ( DOR )

    DOR is defined as the time from the participant's initial objective response (CR or PR) to disease progression per CTCAE v1.1 or death due to any cause, whichever occurs first.

    Time frame: Up to 4 years

  5. Dose Escalation phase: Overall response rate (ORR)

    The percentage of participants with complete response (CR) or partial response (PR) on RECIST v 1.1.

    Time frame: Up to 4 years

  6. Dose Expansion phase: Disease Control Rate ( DCR )

    DCR is defined as percentage of participants with complete response (CR), partial response (PR), or stable disease(SD) per CTCAE v1.1.

    Time frame: Up to 4 years

  7. Dose Expansion phase: Progression-free survival (PFS)

    PFS is defined as the interval of time between the date of first treatment to the earliest date of disease progression per CTCAE v1.1 or death which occurs first.

    Time frame: Up to 4 years

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Study locations

17 sites
  • Research site31
    Beijing, Beijing Municipality 100021, China
  • Research site01
    Beijing, Beijing Municipality 100101, China
  • Research site02
    Beijing, Beijing Municipality 100101, China
  • Research site12
    Beijing, Beijing Municipality 100101, China
  • Research site13
    Nanning, Guangxi 530021, China
  • Research site06
    Harbin, Heilongjiang 150000, China
  • Research site05
    Zhengzhou, Henan 450000, China
  • Research site07
    Zhengzhou, Henan 450000, China
  • Research site18
    Wuhan, Hubei 430079, China
  • Research site11
    Changsha, Hunan 410000, China
  • Research site29
    Changsha, Hunan 410000, China
  • Research site09
    Nanjing, Jiangsu 210000, China
  • Research site08
    Nanchang, Jiangxi 330000, China
  • Research site16
    Linyi, Shandong 276002, China
  • Research site28
    Shanghai, Shanghai Municipality 200032, China
  • Research site23
    Xi’an, Shanxi 710000, China
  • Research site19
    Hangzhou, Zhejiang 310005, China
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References and documents

Publications

  • Jiang L, Luo Y, Liang H, Feng X, Huang Y, Li Y, Wang Z, Xu T, Zou H, Li Z, Shen L, Chen Y, Wang W, Li J. The dynamic evolution of circulating tumor cells during glecirasib treatment predicts survival and resistance in gastrointestinal tumors with KRASG12C mutation. Hum Cell. 2026 Jul 1;39(7):95. doi: 10.1007/s13577-026-01405-0. PubMed 42384131 ↗
  • Li J, Wang Z, Huang J, Ba Y, Cao B, Luo S, Li W, Bai C, Song Z, Xiong J, Zhu L, An G, Zhang Y, Li Z, Li Y, Gu Y, Hu C, Li X, Huang C, Fu Q, Yin X, Liang X, Zhong D, Shi H, Li X, Li Z, Liu L, Wang F, Liang R, Xia G, Wang Z, Wang-Gillam A, Ding Y, Rao Z, Pan W, Lu S, Sun X, Shen L. Glecirasib with or without cetuximab in previously treated locally advanced or metastatic colorectal cancer with KRASG12C mutation (JAB-21822-1002 and JAB-21822-1007): two open-label, non-randomised phase 1/2 trials. Lancet Gastroenterol Hepatol. 2026 Feb;11(2):110-123. doi: 10.1016/S2468-1253(25)00267-5. Epub 2025 Dec 1. PubMed 41344351 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05194995
Lead sponsor
Allist Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Jan 18, 2022
Start date
Feb 17, 2022
Primary completion
Apr 30, 2025
Completion
Dec 2026 (estimated)
Last update
Mar 16, 2026

Study contacts

Shen Lin Master of medicine
principal investigator · Peking University Cancer Hospital & Institute

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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