Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 80

GFH375 plus GFH276 or GFH202A vs GFH375 alone in KRAS G12D pancreatic cancer

Official title: 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

Run by Genfleet Therapeutics (Shanghai) Inc. · NCT07784374 · Data updated 2026-11-12

This phase 2 study tests whether adding GFH276 or GFH202A to GFH375 helps people with KRAS G12D pancreatic cancer who have already had treatment.

More Pancreatic Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment120 (estimated)
SponsorGenfleet Therapeutics (Shanghai) Inc.
Industry-sponsored
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedAugust 20, 2026
Main results expectedAugust 31, 2028
Study endsAugust 31, 2029
Registry record updatedOctober 2, 2026
Trial IDNCT07784374 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18-80 with histologically/cytologically confirmed pancreatic adenocarcinoma, KRAS G12D, at least one prior systemic therapy, measurable disease, and adequate organ function.

Probably not a fit

Patients without measurable lesions, with certain recent other cancers, active CNS metastases, or prior KRAS G12D-targeted therapies may not benefit.

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

What this trial studies

This is a randomized phase II trial enrolling adults with locally advanced unresectable or metastatic pancreatic cancer harboring KRAS G12D who have received at least one prior systemic therapy. Participants will receive GFH375 alone or in combination with GFH276 or GFS202A to compare anti-tumor activity and effects on body weight. The study uses RECIST 1.1 to measure measurable lesions and will monitor safety and organ function. Primary goals are to assess efficacy differences between combination therapy and monotherapy, with secondary observations on tolerability and weight impact. Conducted at Ruijin Hospital in Shanghai, the trial is sponsored by Genfleet Therapeutics (Shanghai) Inc.

Why it matters

Potential benefit: If successful, the combination strategies could improve tumor response or disease control and provide weight-related benefits for patients.

How similar studies have gone: Previous research suggests targeted combinations can enhance activity in pancreatic cancer, but KRAS G12D-specific strategies are still being explored.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

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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.