GFH276 with Cetuximab or chemotherapy in RAS-mutated solid tumors and PDAC
Official title: A Multi-center, Open-label Phase Ib/II Study Exploring the Safety/Tolerability, Pharmacokinetics, and Efficacy of GFH276 in Combination With Cetuximab or Chemotherapy in the Treatment of Patients With Advanced Solid Tumors and Pancreatic Ductal Adenocarcinoma (PDAC) Harboring RAS Mutation
Run by Genfleet Therapeutics (Shanghai) Inc. · NCT07678593 · Data updated 2026-11-12
This study tests whether GFH276 combined with cetuximab or standard chemotherapy can help adults with advanced solid tumors or pancreatic cancer that carry a RAS mutation.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 222 (estimated) |
| Sponsor | Genfleet Therapeutics (Shanghai) Inc. Industry-sponsored |
| Drugs / interventions | radiation, Cetuximab, Chemotherapy |
| Locations | 17 sites (Concord, New South Wales and 16 other locations) |
| Status | Recruiting |
| Started | September 2026 |
| Main results expected | November 2027 |
| Study ends | September 2028 |
| Registry record updated | October 5, 2026 |
| Trial ID | NCT07678593 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with locally advanced or metastatic solid tumors or PDAC harboring a RAS mutation or KRAS amplification, with at least one measurable lesion and adequate organ function.
✕Probably not a fit
Patients with active brain metastases, certain cardiovascular issues, uncontrolled infections, or recent anticancer therapy may not benefit or may be excluded from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an open-label, multicenter Phase Ib/II trial evaluating the safety, tolerability, and preliminary anti-tumor activity of oral GFH276 in combination with cetuximab or conventional chemotherapy in adults with locally advanced or metastatic solid tumors and PDAC with a RAS mutation. Participants are assigned to three treatment arms to explore different combination regimens. The Phase Ib portion uses dose escalation to identify a recommended Phase 2 dose based on safety, followed by Phase II expansion to assess efficacy and longer-term safety. Assessments include imaging, lab tests, adverse events, and pharmacokinetics throughout treatment until progression or other discontinuation.
Why it matters
Potential benefit: If successful, the combination could offer a new option that slows tumor growth and extends control of disease for patients with RAS-mutated solid tumors or PDAC.
How similar studies have gone: Early-phase studies in similar targeted-combination approaches have shown signals of activity in RAS-mutated cancers, but this specific GFH276 combination is investigational and its efficacy remains to be determined.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age ≥ 18 years 2. Histologically or cytologically confirmed locally advanced or metastatic solid tumor and PDAC with RAS mutation or KRAS amplification 3. At least one measurable lesion according to RECIST v1.1 4. ECOG performance status 0 or 1 5. Life expectancy \> 3 months 6. Adequate organ function 7. Willing to provide written informed consent 8. Fertile participants must use effective contraception 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. For participants with known concomitant second oncodriver for PDAC or for solid tumors. 5. With active infection (HIV, HBV, HCV, syphilis) 6. The presence of clinical or radiological evidence of intestinal obstruction. 7. Prior anticancer therapy within 28 days or 5 half-lives 8. Diagnosis of deep vein thrombosis or pulmonary embolism within 3 months 9. Hypersensitivity to study drugs, or inability to swallow tablets or comply with study procedures. 10. History of central nervous system (CNS)disease 11. Presence of clinically significant interstitial lung disease, radiation pneumonitis, or immune-related pneumonia that requires treatment. 12. With uncontrollable or symptomatic pleural effusion, ascites, or pericardial effusion.
Where it's running
-
Macquarie University / Clinical Trials Unit
North Ryde, New South Wales, Australia Recruiting -
Monash Health (Monash Medical Centre)
Clayton, Victoria, Australia Recruiting -
PASO Medical
Frankston, Victoria, Australia Recruiting -
Peking Union Medical College Hospital
Beijing, Beijing Municipality, China Recruiting -
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China Recruiting -
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China Recruiting
Show 11 more locations
-
Shandong First Medical University Affiliated Tumor Hospital
Jinan, Shandong, China Recruiting -
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China Recruiting -
West China Hospital of Sichuan University
Chengdu, Sichuan, China Recruiting -
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China Recruiting -
Concord Cancer Centre, Concord Repatriation General Hospital, Sydney Local Health District
Concord, New South Wales, Australia Not yet recruiting -
The Queen Elizabeth Hospital
Woodville South, South Australia, Australia Not yet recruiting -
Northern Health
Epping, Victoria, Australia Not yet recruiting -
The Third Affiliated Hospital (Cancer Hospital) of Harbin Medical University
Harbin, Heilongjiang, China Not yet recruiting -
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China Not yet recruiting -
The First Affiliated Hospital of China Medical University
Shenyang, Liaoning, China Not yet recruiting -
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, China Not yet recruiting
Study contacts
- Study coordinator: Bai Li
- Email: lbai@genfleet.com
- Phone: 18201333260
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
GFH375 combined with cetuximab or chemotherapy for KRAS G12D–mutant solid tumors
This tests whether adding GFH375 to cetuximab or to standard chemotherapy helps people with advanced solid tumors that have a KRAS G12D mutation.
-
Combination treatment for metastatic colorectal cancer
This study is testing a combination of three drugs to see if it can help patients with certain types of metastatic colorectal cancer who have previously responded well to similar treatments.
-
Using contrast-enhanced ultrasound to check for local pancreatic cancer recurrence after surgery
This pilot test uses contrast-enhanced ultrasound to see if it can help detect return of pancreatic cancer after surgery in patients being watched with CT scans.
-
PF-08098488 in adults with advanced solid tumors
This study tests PF-08098488 in adults whose cancer has progressed or returned after prior treatment.
-
Toripalimab Plus Cetuximab and Irinotecan for second-line right-sided colon cancer
This phase II study tests whether a combo of toripalimab, cetuximab, and irinotecan helps adults with second-line, right‑sided, RAS/BRAF wild-type advanced colon cancer.
-
Iparomlimab and Tuvonralimab With Cetuximab Before Surgery in Resectable Oral Cancer
In this phase 2 study, patients with locally advanced, resectable oral squamous cell carcinoma will receive a combination of iparomlimab, tuvonralimab, and cetuximab before surgery to see if the treatment is safe and can shrink tumors.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.