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

GFS202A for adults with advanced solid tumors and cachexia

Official title: An Open-label, Multi-center, Phase I Study to Evaluate the Safety/Tolerability and Pharmacokinetics of GFS202A in Advanced Solid Tumor Patients With Pre-cachexia or Cachexia

Run by Genfleet Therapeutics (Shanghai) Inc. · NCT06898255 · Data updated 2026-11-12

This study will test whether GFS202A is safe and tolerable in adults with advanced solid tumors who have pre-cachexia or cachexia.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment36 (estimated)
SponsorGenfleet Therapeutics (Shanghai) Inc.
Industry-sponsored
Locations1 site (Guangzhou, Guangdong)
StatusRecruiting
StartedApril 24, 2025
Main results expectedJune 8, 2026
Study endsJuly 6, 2026
Registry record updatedJune 5, 2025
Trial IDNCT06898255 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with histologically confirmed advanced solid tumors and evidence of pre-cachexia or cachexia (recent weight loss or BMI <21 kg/m2), ECOG 0–2, adequate organ function, and expected survival ≥3 months.

Probably not a fit

Patients with active brain metastases, significant cardiovascular or infectious disease, uncontrolled metabolic disorders, BMI >28 kg/m2, or known severe allergic reactions to antibodies are unlikely to be eligible or 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 an open-label, multi-center Phase I dose-escalation trial of GFS202A given as monotherapy to patients with advanced solid tumors and signs of pre-cachexia or cachexia. The primary focus is safety and tolerability, with determination of the maximum tolerated dose and a recommended dose range for future studies. Participants will undergo scheduled safety and preliminary efficacy assessments while pharmacokinetic, anti-drug antibody, and pharmacodynamic/biomarker samples are collected. Eligibility requires adequate organ function, ECOG 0–2, and expected survival of at least three months.

Why it matters

Potential benefit: If successful, GFS202A could help reduce cancer-related weight loss and improve appetite and physical function in patients with pre-cachexia or cachexia.

How similar studies have gone: Targeting the GDF-15 pathway has shown promising preclinical effects on appetite and weight and limited early clinical signals, but robust human efficacy data are still lacking.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Voluntarily participate in the study and sign the informed consent form.
2. Men or women between the ages of 18 and 80 years at the time of written informed consent.
3. Patients with histologically or cytologically confirmed solid tumors. Pre-cachectic and cachectic patients with weight loss or baseline BMI \< 21 kg/m2 within 6 months before the first study dose.
4. Persistent concomitant appetite/eating problems related to cancer.
5. It has adequate organ function.
6. The ECOG PS score was 0-2.
7. The investigator judged the expected survival time to be ≥ 3 months.

Exclusion Criteria:

1. With active brain metastases.
2. With other active diseases that lead to reduced food intake or seriously affect digestion and absorption
3. Baseline BMI \> 28 kg/m2.
4. With infectious diseases.
5. With clinically significant cardiovascular disease.
6. With uncontrolled metabolic diseases.
7. With known clinically significant allergic reactions to antibodies and excipients.
8. With history of drug or alcohol abuse.
9. Pregnant or lactating female subjects or women planning to become pregnant during the study.
10. With pleural, peritoneal, or pericardial effusion that causes overt symptoms or requires repeated drainage (frequency ≥ 1 time/month).
11. Use of any investigational drug within 28 days before the first study dose or within five half-lives of the drug, whichever was shorter, or planned for the duration of the study.

Where it's running

  • Sun-Yat Sen university cancer center
    Guangzhou, Guangdong, China
    Recruiting

Study contacts

Similar studies

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

  • First-in-human test of QLS2319 in healthy adults and cancer cachexia

    This study tests QLS2319 in healthy adults and people with cancer cachexia to see if it is safe, tolerated, and how it behaves in the body, with a look at early signs of benefit.

    Recruiting Phase 1/2 Qilu Pharmaceutical Co., Ltd. · Hefei, Anhui and 1 other locations · NCT07735104

  • Omega-3 supplements plus progressive resistance training for cancer-related muscle loss

    This study tests whether fish oil and a structured resistance-training program can help improve muscle status in adults with various cancers who are receiving treatment.

    Recruiting University of Erlangen-Nürnberg Medical School · Erlangen, Bavaria · NCT07643558

  • First-in-human testing of FID-022 in solid tumor patients

    This project will test an AI tool to spot early cancer-related weight loss and see if diet and exercise support are acceptable for people with newly diagnosed pancreatic cancer.

    Recruiting H. Lee Moffitt Cancer Center and Research Institute · Tampa, Florida · NCT07249775

  • Single-dose GB18 injections in healthy adults (dose-escalation)

    This trial will test single subcutaneous doses of GB18 versus placebo in healthy adults to see if the drug is safe, how it behaves in the body, how it affects the circulating protein GDF15, and whether it triggers immune responses.

    Recruiting Phase 1 Kexing Biopharm Co., Ltd. · Beijing, Beijing Municipality · NCT07237464

  • Psilocybin-assisted psychotherapy for anxiety after a cancer diagnosis

    This study will test whether psilocybin-assisted psychotherapy using NPX-5 (25 mg or 10 mg versus a low 1 mg dose) helps adults who have anxiety from adjusting to a cancer diagnosis.

    Recruiting at 5 sites Phase 2 Psyence Australia Pty Ltd · Abbotsford, Victoria and 4 other locations · NCT07072728

  • NGM120 treatment for cachexia in colorectal cancer

    This trial tests whether the drug NGM120 can help people with colorectal cancer who have cancer cachexia gain or maintain weight and improve symptoms.

    Recruiting at 27 sites Phase 2 NGM Biopharmaceuticals, Inc · Los Angeles, California and 27 other locations · NCT07033026

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.