Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 to 80

GFH375 plus chemotherapy in KRAS G12D-mutant metastatic pancreatic cancer

Official title: 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

Run by Genfleet Therapeutics (Shanghai) Inc. · NCT07262567 · Data updated 2026-11-12

This trial tests GFH375 in combination with standard chemotherapy to see if it helps people with KRAS G12D-mutant metastatic pancreatic cancer who have already been treated fail or progress on prior therapy.

More Metastatic Pancreatic Cancer trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment320 (estimated)
SponsorGenfleet Therapeutics (Shanghai) Inc.
Industry-sponsored
Locations1 site (Beijing, Beijing Municipality)
StatusRecruiting
StartedDecember 4, 2025
Main results expectedJune 2027
Study endsJune 2028
Registry record updatedAugust 14, 2026
Trial IDNCT07262567 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with pathologically confirmed metastatic pancreatic ductal adenocarcinoma and a central KRAS G12D mutation who progressed after at least one prior systemic therapy containing fluorouracil or gemcitabine.

Probably not a fit

Patients who do not benefit may include those without measurable disease progression, rapid clinical deterioration, or intolerance to study treatment.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 interventional study enrolls adults with metastatic pancreatic cancer carrying the KRAS G12D mutation who have progressed after at least one prior systemic therapy. Participants are randomly assigned in a 1:1 ratio to receive GFH375 plus chemotherapy or chemotherapy alone. Eligibility requires measurable disease, adequate organ function, and an expected survival of at least 12 weeks. Exclusion criteria include other active cancers, CNS metastases, prior KRAS G12D-targeted therapy, recent radiotherapy, and recent anti-tumor treatments. The trial is led by Genfleet Therapeutics (Shanghai) with a site at Peking University Cancer Hospital & Institute in Beijing.

Why it matters

Potential benefit: If successful, the combination could improve disease control and survival for patients with KRAS G12D-mutant metastatic pancreatic cancer.

How similar studies have gone: Trials targeting KRAS-mutant pancreatic cancer are ongoing, with mixed early signals; this Phase III study aims to provide clearer evidence for GFH375 in combination therapy.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • Peking University Cancer Hospital & Institute
    Beijing, Beijing Municipality, China
    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.