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Phase III Study to Compare GFH375 and Chemotherapy in Patients With KRAS G12D-Mutant Metastatic Pancreatic Cancer

A Multicenter, Open-Label, Randomized Controlled Phase III Study to Compare the Efficacy and Safety/Tolerability of GFH375 Monotherapy Versus Investigator's Choice of Chemotherapy in Patients With Previously Treated KRAS G12D-Mutant Metastatic Pancreatic Cancer

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07262567
Enrollment
320
Registered
2025-12-03
Start date
2025-12-04
Completion date
2028-06-01
Last updated
2026-08-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Metastatic Pancreatic Cancer

Brief summary

This study plans to enroll participants with previously treated metastatic pancreatic cancer and harbor centrally confirmed KRAS G12D mutation. These participants are required to experience disease progression on or after at least one prior standard systemic therapy containing fluorouracil or gemcitabine, and either progressed on or were intolerant to the last treatment. Eligible participants will be randomized 1:1 to the experimental group or the control group for treatment.

Interventions

DRUGGFH375

The experimental group receives GFH375 monotherapy, QD, orally

DRUGChemotherapy

The control group includes three treatment regimens: AG, nal-IRI + 5-FU/LV, and S-1. If participants are randomized to the control group, they will receive the treatment which is determined by the investigator.

Sponsors

Genfleet Therapeutics (Shanghai) Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Experimental group: GFH375; Control group: investigator's choice of Chemotherapy

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Voluntarily participate in the study and sign the informed consent form. * Male or female aged 18-80 years (inclusive) at the time of signing the informed consent form. * Pathologically confirmed pancreatic cancer (derived from pancreatic ductal epithelium) at metastatic stage. * Have received at least one prior standard systemic therapy. * Participants must have at least one measurable lesion (per RECIST 1.1 criteria). * Expected survival time ≥ 12 weeks as judged by the investigator. * Have adequate organ function

Exclusion criteria

* Other malignant tumors that progressed or required treatment within 3 years prior to randomization. * With active central nervous system (CNS) metastasis. * Previous receipt of therapy targeted for KRAS G12D or pan-RAS/KRAS. * Received radiotherapy within 4 weeks prior to randomization or other local anti-tumor therapy within 4 weeks prior to randomization. * Received other anti-tumor therapy within 28 days or 5 half-lives (whichever is shorter) prior to randomization. * With clinically significant severe cardiovascular diseases. * Stroke or other severe cerebrovascular diseases within 6 months prior to randomization. * Complicated with major acute or chronic infectious diseases. * Have severe mental or psychological diseases, or a history of drug abuse or severe alcoholism. * Pregnant or lactating females. * Other conditions deemed inappropriate for participation in the study by the investigator.

Design outcomes

Primary

MeasureTime frameDescription
OSUp to approximately 2 yearsOverall Survival
PFSUp to approximately 2 yearsProgression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1, as Determined by BICR

Secondary

MeasureTime frameDescription
PFSUp to approximately 2 yearsProgression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1, as Determined by investagors
ORRUp to approximately 2 yearsORR assessed by investigators and BICR
DCRUp to approximately 2 yearsDCRassessed by investigators and BICR
DoRUp to approximately 2 yearsDoR assessed by investigators and BICR
TTRUp to approximately 2 yearsTTR assessed by investigators and BICR
The incidence and severity of AEs and SAEsUp to approximately 2 yearsThe incidence and severity of AEs and SAEs
EORTC QLQ-C30 ScoreUp to approximately 2 yearsChanges in EORTC QLQ-C30
EORTC QLQ-PAN26 ScoreUp to approximately 2 yearsChanges in EORTC QLQ-PAN26 Scores
Plasma concentrations of GFH375Up to approximately 2 yearsPlasma concentrations of GFH375

Countries

China

Contacts

CONTACTJin Li
jli@genfleet.com+86 21 6882 1388

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 15, 2026