Clinical trial Recruiting at 10 sites Phase1; Phase2 Interventional Ages 18 and up

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.

More Pancreatic Ductal Adenocarcinoma trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment222 (estimated)
SponsorGenfleet Therapeutics (Shanghai) Inc.
Industry-sponsored
Drugs / interventionsradiation, Cetuximab, Chemotherapy
Locations17 sites (Concord, New South Wales and 16 other locations)
StatusRecruiting
StartedSeptember 2026
Main results expectedNovember 2027
Study endsSeptember 2028
Registry record updatedOctober 5, 2026
Trial IDNCT07678593 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.