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Not yet recruitingNCT07915921A Phase Ib/IIUpdated Nov 6, 2026

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

A Phase 1/2 interventional study of Irinotecan and Oxaliplatin in CRC, sponsored by Genfleet Therapeutics (Shanghai) Inc.. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

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

Updated Nov 6, 2026Interventions changedNewly registeredGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
150
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

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).

Read the detailed description

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.

02

Conditions studied

  • CRC

Keywords

  • metastatic colorectal cancer RAS mutation
03

In context

Lead sponsor

Genfleet Therapeutics (Shanghai) Inc. is the lead sponsor of 18 studies on the registry; 14 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subjects must voluntarily agree to participate in the trial and sign a written form.
  2. Male or female ≥ 18 years old and ≤75 years old.
  3. confirmed 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. performance status of 0-1.
  7. With a of ≥12 weeks
  8. Participants must have at least one other than brain lesions per 1.1.
  9. Adequate laboratory parameters during the screening period.

Exclusion criteria

Exclusion Criteria:

  1. Active .
  2. Known concomitant other targetable driver gene alterations, including but not limited to , 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 or active . 6. Known allergies to the study drug or its components. 7. Pregnant or lactating women.

Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Phase I:Cohort 1

    GFH276 and FOLFIRI±bev IV,

    Drug: Irinotecan · Drug: GFH276 · Drug: Fluorouracil (5-FU) · Drug: Leucovorin · Drug: Bevacizumab

  • Experimental
    Phase I:Cohort 2

    GFH276 and mFOLFOX6 and bev IV,

    Drug: Oxaliplatin · Drug: GFH276 · Drug: Fluorouracil (5-FU) · Drug: Leucovorin · Drug: Bevacizumab

  • Experimental
    Phase I:Cohort 3

    GFH276 and Cetuximab IV,

    Drug: GFH276 · Drug: Cetuximab (CRC)

  • Experimental
    Phase II:Cohort A

    GFH276, oral, QD and FOLFIRI/mFOLFOX6 and bev, IV,

    Drug: Irinotecan · Drug: Oxaliplatin · Drug: Fluorouracil (5-FU) · Drug: Leucovorin · Drug: Bevacizumab

  • Experimental
    Phase II:Cohort B

    GFH276, oral, and Cetuximab, IV,

    Drug: GFH276 · Drug: Cetuximab (CRC)

  • Active comparator
    Phase II:Cohort C

    FOLFIRI/mFOLFOX6 and / without bev

    Drug: Irinotecan · Drug: Oxaliplatin · Drug: Fluorouracil (5-FU) · Drug: Leucovorin · Drug: Bevacizumab

Interventions

  • Intravenous irinotecan at a dose of 150 mg/m?

  • Intravenous oxaliplatin at a dose of 85 mg/mr

  • DrugGFH276

    Oral GFH276 administered once daily in combination with other study drugs.

  • Intravenous Fluorouracil at a dose of 2400 mg/m2 via 46-hour infusion.

  • Intravenous leucovorin at a dose of 400 mg/m

  • at a dose of 5mg/kg

  • at a dose of500 mg/㎡

06

What researchers measure

Primary outcomes

  1. Phase Ib: Incidence and severity of AEs and SAEs

    Incidence and severity of AEs and SAEs

    Time frame: up to 24 months

  2. Phase Ib: The incidence of DLT events: The incidence of DLT events

    The incidence of DLT events

    Time frame: First 28 days

  3. Phase II: Objective response rate (ORR)

    Overall Response Rate assessed by investigators according to RECIST 1.1

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

Secondary outcomes

  1. ORR:

    Overall Response Rate assessed by investigators according to RECIST 1.1

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

  2. OS

    Overall Survival

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

  3. Cmax

    Maximum plasma concentration

    Time frame: From first use of medication to C6,up to 6 months

  4. DOR

    Duration of Response assessed by investigators

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

  5. DCR

    Disease Control Rate

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

  6. TTR

    Time To Response assessed by investigators

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

  7. PFS

    Progression-Free Survival assessed by investigators according to RECIST 1.1

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

  8. Tmax

    Time to Maximum Concentration

    Time frame: From first use of medication to C6,up to 6 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2026; primary completion for Apr 2028, 17 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 29, 2026
First posted
Nov 4, 2026
StartEst.
Nov 15, 2026
Primary completionEst.
Apr 30, 2028
CompletionEst.
Apr 30, 2028
Last update
Nov 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Interventions
Changed →Irinotecan. Added Drug: Oxaliplatin·Drug: Fluorouracil (5-FU)·Drug: Leucovorin·Drug: Bevacizumab·Drug: Cetuximab (CRC); removed Drug: GFH276
Nov 6, 2026
Registered
First appeared on the registry
Nov 4, 2026
Show all 2 updates
  1. Nov 6, 2026
    Interventions Changed →Irinotecan. Added Drug: Oxaliplatin·Drug: Fluorouracil (5-FU)·Drug: Leucovorin·Drug: Bevacizumab·Drug: Cetuximab (CRC); removed Drug: GFH276
    + 2 other changes: index terms and verification date
  2. Nov 4, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07915921
Responsible party
Sponsor
First posted
Nov 4, 2026
Start date
Nov 15, 2026 (estimated)
Primary completion
Apr 30, 2028 (estimated)
Completion
Apr 30, 2028 (estimated)
Last update
Nov 6, 2026

Study contacts

yuting peng, PM
Contact
ytpeng@genfleet.com
13730813620
ruihua xu, MD
principal investigator · Sun Yat-Sen University Cancer Center

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 Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: GFH276 · Bevacizumab

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