CClinicalTrials.gg
Not yet recruitingNCT07846358GFH276X1203Updated Sep 29, 2026

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.

A Phase 1/2 interventional study of GFH276 and with or without Tislelizumab in RAS Mutation and Non-small Cell Lung Cancer (NSCLC), sponsored by Genfleet Therapeutics (Shanghai) Inc.. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-29.

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

Phase
Phase 1/2
Study type
Interventional
Enrollment
84
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • RAS Mutation
  • Non-small Cell Lung Cancer (NSCLC)

Keywords

  • GFH276
  • RAS Mutation
  • Non-small cell lung cancer (NSCLC)
03

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

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.
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
84 participants (estimated)

Study arms

  • Experimental
    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

    Drug: GFH276 · Drug: with or without Tislelizumab · Drug: Pemetrexed · Drug: Cisplatin · Drug: Carboplatin

Interventions

  • DrugGFH276

    Oral GFH276, administered at specified dose on schedule.

  • Drugwith or without Tislelizumab

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

  • DrugPemetrexed

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

  • DrugCisplatin

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

  • DrugCarboplatin

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

05

What researchers measure

Primary outcomes

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

    The incidence of DLT events

    Time frame: First 21 days

  2. Phase II:Objective Response Rate (ORR)

    Assessed by investigators according to 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 36 months

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

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

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

Secondary outcomes

  1. DCR

    Disease Control Rate (DCR)

    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 36 months

  2. DoR

    Duration of Response 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 36 months

  3. TTR

    Time To Response 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 36 months

  4. PFS

    Progression-Free Survival (PFS) per Response Evaluation Criteria according to RECIST 1.1, as Determined 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 36 months

  5. OS

    Overall Survival

    Time frame: From the first dose until date of death from any cause, assessed up to 36 months

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

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

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

06

Study locations

No study locations are listed for this record.

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
NCT07846358
Lead sponsor
Genfleet Therapeutics (Shanghai) Inc.
Responsible party
Sponsor
First posted
Sep 29, 2026
Start date
Nov 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
Sep 29, 2026

Study contacts

Li Bai
Contact
lbai@genfleet.com
+86 2168821388
Pingping Zhang
Contact
ppzhang@genfleet.com
+86 2168821388
Ziming Li, MD
principal investigator · Shanghai Chest Hospital

Oversight

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

Not currently enrolling

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

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion