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RecruitingNCT07259590Updated Dec 2, 2025

A Study of GFH375 Combined With Cetuximab or Chemotherapy in Participants With Solid Tumors Harboring KRAS G12D Mutation

A Phase 1/2 interventional study of GFH375 and GFH375 in Advanced Solid Tumors Cancer, PDAC and CRC (Colorectal Cancer), sponsored by Genfleet Therapeutics (Shanghai) Inc.. Recruiting at 4 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-02.

Sponsored by Genfleet Therapeutics (Shanghai) Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
126
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase Ib/II clinical study aimed at exploring the safety and efficacy of Regimen A (GFH375 in combination with Cetuximab) and Regimen B (GFH375 in combination with AG) in participants with solid tumors.Phase Ib: To evaluate the safety/tolerability and pharmacokinetic (PK) characteristics of GFH375 in combination with cetuximab or AG in participants with solid tumors, and to explore the efficacy of the combination therapy. Phase II: To evaluate the efficacy, safety/tolerability and PK characteristics of the combination therapy, and to explore the correlation between bio-marker and clinical efficacy.

02

Conditions studied

  • Advanced Solid Tumors Cancer
  • PDAC
  • CRC (Colorectal Cancer)

Keywords

  • solid tumors
  • KRAS G12D Mutations
03

Who can participate

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

Inclusion criteria

  1. Voluntarily participate in the study and sign the informed consent form.
  2. Participants receiving Regimen A must be ≥ 18 years old when signing the informed consent form, and participants receiving Arm B must be 18 - 75 years old.
  3. Histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumors, with KRAS G12D mutation.
  4. Failed standard systemic treatment, or intolerant to standard treatment, or unsuitable for standard treatment, or no standard treatment available.
  5. At least one measurable lesions according to RECIST v1.1
  6. Participants receiving Regimen A must have an Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 - 2; participants receiving Regimen B must have an ECOG PS score of 0 - 1.
  7. Have sufficient organ function.

Exclusion criteria

Exclusion Criteria:

  1. Symptomatic brain metastasis, leptomeningeal metastasis, spinal cord compression, or primary brain tumor.
  2. Presence of known coexisting other cancer driver genes.
  3. Previous or active history of clinically significant cardiovascular dysfunction.
  4. Presence of active infection.
  5. History of central nervous system (CNS) diseases.
  6. Presence of clinically significant interstitial lung disease, radiation pneumonitis, or immune-related pneumonitis requiring treatment.
  7. Newly diagnosed deep vein thrombosis or pulmonary embolism within 3 months before the first administration of the study treatment.
  8. Presence of uncontrolled or symptomatic pleural effusion, ascites, or pericardial effusion.
  9. Having received major surgery within 28 days before the start of the study treatment; having experienced major trauma within 14 days before the start of the study treatment; or planning to undergo major surgery during the study period.
  10. Having received radiotherapy within 4 weeks before the start of the study treatment, or having received palliative radiotherapy for bone metastatic lesions within 2 weeks before the start of the study treatment.
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
126 participants (estimated)

Study arms

  • Experimental
    Arm A:GFH375 in combination with Cetuximab

    Arm A will enroll participants with locally advanced or metastatic solid tumors with KRAS G12D mutation.

    Combination Product: GFH375

  • Experimental
    Arm B:GFH375 in combination with AG

    Arm B will enroll participants with locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC) with KRAS G12D mutation.

    Combination Product: GFH375

Interventions

  • Combination productGFH375

    GFH375 once daily (QD) .Cetuximab will be administered via intravenous infusion at a dose of 500 mg/m² every 2 weeks.

    Also known as: Cetuximab

  • Combination productGFH375

    GFH375 once daily (QD). Paclitaxel (albumin-bound) at 125 mg/m² and gemcitabine at 1000 mg/m² will be administered via intravenous infusion on Days 1, 8, and 15 of each 4-week cycle.

    Also known as: Paclitaxel (albumin-bound), gemcitabine

05

What researchers measure

Primary outcomes

  1. Phase Ib: Incidence of Dose-Limiting Toxicity (DLT) Events

    Time frame: up to 28 days

  2. Phase Ib: Incidence and Severity of Adverse Events (AE) and Serious Adverse Events (SAE)

    Time frame: From the first dose until 30 days after the last dose, assessed up to 24 months

  3. Phase II: Objective Response Rate (ORR) Evaluated by RECIST 1.1

    Time frame: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

Secondary outcomes

  1. Plasma concentrations of GFH375

    Plasma concentrations of GFH375

    Time frame: up to 6 months

  2. Phase II: Incidence and Severity of AE and SAE

    Time frame: From the first dose until 30 days after the last dose, assessed up to 24 months

  3. DCR

    DCR assessed by investigators

    Time frame: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

  4. TTR

    TTR assessed by investigators

    Time frame: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

  5. DOR

    DoR assessed by investigators

    Time frame: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

  6. PFS

    Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1, as Determined by investagors

    Time frame: From the first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

  7. OS

    Overall Survival

    Time frame: From the first dose until date of death from any cause, assessed up to 24 months

06

Study locations

1 of 4 sites recruiting
  • Beijing Cancer Hospital
    Beijing, Beijing Municipality, China
    Recruiting
  • Sun Yat-sen Memorial Hospital, Sun Yat-sen University
    Guangzhou, Guangdong, China
    • Zhihua Li · Contact
    Not yet recruiting
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
    Not yet recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei, China
    • Heshui Wu · Contact
    Not yet recruiting
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07259590
Lead sponsor
Genfleet Therapeutics (Shanghai) Inc.
Responsible party
Sponsor
First posted
Dec 2, 2025
Start date
Oct 21, 2025
Primary completion
Jul 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Dec 2, 2025

Study contacts

Yolanda Zeng
Contact
yaozeng@genfleet.com
+8618073129952
Junnan Dong
Contact
jndong@genfleet.com
+8615521118409
Lin Shen, MD
principal investigator · Peking University Cancer Hospital & Institute

Oversight

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

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