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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 320 (estimated) |
| Sponsor | Genfleet Therapeutics (Shanghai) Inc. Industry-sponsored |
| Locations | 1 site (Beijing, Beijing Municipality) |
| Status | Recruiting |
| Started | December 4, 2025 |
| Main results expected | June 2027 |
| Study ends | June 2028 |
| Registry record updated | August 14, 2026 |
| Trial ID | NCT07262567 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
- Study coordinator: Jin Li
- Email: jli@genfleet.com
- Phone: +86 21 6882 1388
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
First-line combo therapy with GnP, SHR-1701, and Apatinib for metastatic pancreatic cancer
This trial tests whether adding SHR-1701 and Apatinib to standard GnP can safely and effectively treat previously untreated metastatic pancreatic cancer.
-
Setidegrasib with mFOLFIRINOX or NALIRIFOX for KRAS G12D metastatic pancreatic cancer
This trial tests whether adding setidegrasib to mFOLFIRINOX or NALIRIFOX helps people with metastatic pancreatic cancer who have a KRAS G12D mutation.
-
QL1706 plus chidamide with gemcitabine and nab-paclitaxel as first-line therapy for metastatic pancreatic cancer
This study will test whether adding QL1706 and chidamide to standard gemcitabine plus nab‑paclitaxel helps people with newly diagnosed metastatic pancreatic adenocarcinoma.
-
Kinisoquin to prevent blood clots in people with advanced pancreatic cancer
This trial will test whether Kinisoquin can prevent blood clots in people starting chemotherapy for metastatic or locally advanced pancreatic cancer.
-
Miami EMPIRE: Eradication of Metastatic Pancreatic Cancer with Immuno-Radiation
This trial will try adding targeted radiation to two immune checkpoint drugs, botensilimab and balstilimab, for adults with metastatic pancreatic ductal adenocarcinoma who progressed after at least one prior systemic therapy.
-
Combination treatment for advanced pancreatic cancer
This study is testing a new combination treatment for advanced pancreatic cancer to see if it helps patients who haven't had treatment before.
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.