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A Phase II Study of GFH375 Combined With GFS202A or GFH276 Versus GFH375 Monotherapy in Patients With Previously Treated Locally Advanced Unresectable or Metastatic Pancreatic Cancer Harboring KRAS G12D Mutation

A Phase II, Multicenter, Open-Label, Randomized Controlled Study to Evaluate the Efficacy and Safety of GFH375 in Combination With GFS202A or GFH276 Versus GFH375 Monotherapy in Patients With Previously Treated Locally Advanced Unresectable or Metastatic Pancreatic Cancer Harboring KRAS G12D Mutation

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07784374
Enrollment
120
Registered
2026-08-25
Start date
2026-08-31
Completion date
2029-08-31
Last updated
2026-08-25

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

Conditions

Pancreatic Cancer

Brief summary

This is a phase 2 study. All subjects are patients with locally advanced unresectable or metastatic pancreatic cancer harboring KRAS G12D mutation who have received at least one prior line of systemic therapy. The purpose of this study is to evaluate the anti-tumor efficacy of GFH375 plus GFH276 versus GFH375 monotherapy, and to assess the impact of GFH375 plus GFS202A versus GFH375 monotherapy on patient body weight.

Interventions

DRUGGFH375

administered per protocol-specified schedule

DRUGGFH276

administered per protocol-specified schedule

DRUGGFS202A

administered per protocol-specified schedule

Sponsors

Genfleet Therapeutics (Shanghai) Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Able to provide written informed consent prior to any study-related procedures. * Male or female subjects aged between 18 and 80 years (inclusive) at the time of informed consent. * Histologically or cytologically confirmed pancreatic adenocarcinoma. * Estimated life expectancy ≥ 3 months as judged by the investigator. * Has received at least 1 prior line of systemic anti-tumor therapy. * Has at least one measurable lesion per RECIST version 1.1. * Adequate organ function.

Exclusion criteria

* Other malignancy that has progressed or required treatment within 3 years prior to study entry. * Active central nervous system (CNS) metastases. * Prior treatment with KRAS G12D-specific or pan-RAS/KRAS targeted agents. * Clinically significant severe cardiovascular disease. * Stroke or other severe cerebrovascular events within 6 months prior to randomization. * Significant acute or chronic infectious disease. * Severe psychiatric disorder, history of drug abuse, or significant alcohol abuse. * Pregnant or lactating female subjects. * Other conditions that, in the investigator's opinion, make the subject unsuitable for study participation.

Design outcomes

Primary

MeasureTime frameDescription
PFSUp to approximately 2 yearsProgression-Free Survival (PFS) assessed by Blinded Independent Central Review (BICR) according to RECIST v1.1
WeightBaseline, From first study treatment to Week 12Percentage Change in Body Weight From Baseline at Week 12

Secondary

MeasureTime frameDescription
OSUp to approximately 3 yearsOverall Survival (OS)
PFSUp to approximately 2 yearsProgression-Free Survival (PFS) Assessed by Investigator per RECIST Version 1.1
ORRUp to approximately 2 yearsObjective Response Rate (ORR), Assessed by Blinded Independent Central Review (BICR) and Investigator per RECIST Version 1.1
DCRUp to approximately 2 yearsDisease Control Rate (DCR)Assessed by Blinded Independent Central Review (BICR) and Investigator per RECIST Version 1.1
DoRUp to approximately 2 yearsDuration of Response (DoR)Assessed by Blinded Independent Central Review (BICR) and Investigator per RECIST Version 1.1
TTRUp to approximately 2 yearsTime-to-Response (TTR) Assessed by Blinded Independent Central Review (BICR) and Investigator per RECIST Version 1.1
FAACT ScoresUp to approximately 2 yearsChange from Baseline in FAACT-A/CS and FAACT-A/CS-5-Item Anorexia Symptom Scale (5IASS) Scores
L3SMIUp to approximately 2 yearsChange from Baseline in Third-Lumbar-Level Skeletal Muscle Index (L3SMI)
Change in third-lumbar-level fat areaUp to approximately 2 yearsChange in Third-Lumbar-Level Intermuscular Fat Area, Subcutaneous Fat Area and Visceral Fat Area
The incidence and severity of AEs and SAEsUp to approximately 2 yearsThe incidence and severity of AEs and SAEs
Plasma concentration of GFH375Up to approximately 2 yearsTrough concentration of GFH375
Plasma concentration of GFH276Up to approximately 2 yearsTrough concentration of GFH276
Plasma concentration of GFS202AUp to approximately 2 yearsTrough concentration of GFS202A

Countries

China

Contacts

CONTACTLizhi Yi +86 21 6882 1388
lzyi@genfleet.com+86 21 6882 1388

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 26, 2026