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NCT Number: NCT06403735

A Phase I Clinical Study of QLC1101 in Patients With Advanced Solid Tumors

QLC1101 is a selective reversible inhibitor of KRAS G12D, with the dosage form of capsules and administration route of oral administration. In the first-in-humans (FIH) study, the sponsor will explore the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of QLC1101 in subjects with advanced solid tumors harboring a KRAS G12D mutation. The FIH study includes dose escalation, PK expansion, and efficacy expansion.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with histologically confirmed advanced (metastatic or unresectable) solid tumors harboring a KRAS G12D mutation. Sign the ICF.
  • Those who fail or are unable to tolerate standard treatment, lack standard treatment, or refuse to receive standard treatment;
  • Those who are able to swallow and retain oral medication and must not have any clinically significant gastrointestinal abnormality that may alter absorption;
  • Subjects who have at least one measurable lesion documented by computed tomography (CT) and/or magnetic resonance imaging (MRI) as confirmed by the investigator per the RECIST v1.1 criteria.
  • ECOG PS score: 0 or 1;
  • Expected survival time ≥ 3 months;
  • Adequate organ function at screening:

Exclusion criteria

  • Previously treated with inhibitors against KRAS G12D mutation;
  • The period of time prior to the first dose of investigational product should be at least 28 days from previous treatment or at least 5 half-lives
  • Known immediate or delayed hypersensitivity or idiosyncratic reaction to the ingredients of the preparation used in the trial;
  • Presence of other active malignant tumors in addition to primary tumors;
  • Presence of serious lung diseases at screening;
  • Clinically significant gastrointestinal disorders or other conditions that seriously interfere with drug absorption;
  • Severe hereditary or acquired hemorrhagic diathesis or coagulation disorders;
  • Complicated with clinically significant cardiovascular and cerebrovascular disorders;
  • History of allogeneic hematopoietic stem cell transplantation or organ transplantation (except corneal transplantation);
  • Presence of known mental disorders, epilepsy, dementia, or alcohol and drug abuse that may affect the compliance with study requirements;
  • the investigator determines that participation in the study is not in the best interest of the subject.

Treatment and study plan

QLC1101

Drug

QLC1101 is an innovative small molecule inhibitor targeting KRAS G12D with independent intellectual property rights developed by Qilu Pharmaceutical Co., Ltd.QLC1101 can prevent GTP/GDP nucleotide exchange and/or the formation of KRAS G12D/GTP/RAF1 complex and inhibit mutant KRAS-dependent signal transduction by specifically binding to the KRAS G12D target, thereby inhibiting the generation of KRAS G12D mutant tumors.

Primary outcomes

  1. Dose limiting toxicity (DLT)

    Time frame: 25 days after the first dose

    Subjects in this phase will be treated with single oral administration of QLC1101, observed for 4 days, and if tolerant, treated with repeated oral administration of QLC1101 twice daily for 21 consecutive days. After completing the DLT observation (the 25 days after the first dose as the DLT observation period), the subject will continue to receive repeated-dose treatment of Cycle 2 and subsequent cycles.

  2. MTD (or MAD)

    Time frame: 1 year

    the maximum tolerated dose (MTD) or maximum administered dose (MAD, if MTD fails to be determined) of QLC1101 monotherapy

  3. RP2D

    Time frame: 1.5 years

    the recommended phase II dose of QLC1101 monotherapy

Secondary outcomes

  1. Preliminary efficacy endpoints

    Time frame: 3 years

    Objective response rate (ORR)

  2. Preliminary efficacy endpoints

    Time frame: 3 years

    overall survival (OS)

Sponsors and collaborators

Lead sponsor

Qilu Pharmaceutical Co., Ltd.

Industry

Registry information

Official study title

A Phase I Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of QLC1101 Monotherapy in the Treatment of Patients With Advanced Solid Tumors Harboring a KRAS G12D Mutation

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
May 8, 2024
Registry last updated
May 8, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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