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NCT Number: NCT06898255

A Phase I Study to Evaluate GFS202A in Advanced Solid Tumor Patients With Pre-cachexia or Cachexia

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. The primary objective is to assess the safety/tolerability of GFS202A, determine its maximum tolerated dose (MTD), and recommend a dose range for future studies.

Enroll participants with cancer cachexia or precachexia to receive GFS202A monotherapy. During the study period, participants will undergo assessments for safety and preliminary efficacy according to the visit schedule. Pharmacokinetic, anti-drug antibody (ADA), and pharmacodynamic (PD) /biomarker samples will be collected.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Sun-Yat Sen university cancer center

Guangzhou, Guangdong, 510000, China

Location status: Recruiting

Location contact

Li Zhang, MD

CONTACT

[email protected]

020-87343533

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Voluntarily participate in the study and sign the informed consent form.
  • Men or women between the ages of 18 and 80 years at the time of written informed consent.
  • 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.
  • Persistent concomitant appetite/eating problems related to cancer.
  • It has adequate organ function.
  • The ECOG PS score was 0-2.
  • The investigator judged the expected survival time to be ≥ 3 months.

Exclusion criteria

  • With active brain metastases.
  • With other active diseases that lead to reduced food intake or seriously affect digestion and absorption
  • Baseline BMI > 28 kg/m2.
  • With infectious diseases.
  • With clinically significant cardiovascular disease.
  • With uncontrolled metabolic diseases.
  • With known clinically significant allergic reactions to antibodies and excipients.
  • With history of drug or alcohol abuse.
  • Pregnant or lactating female subjects or women planning to become pregnant during the study.
  • With pleural, peritoneal, or pericardial effusion that causes overt symptoms or requires repeated drainage (frequency ≥ 1 time/month).
  • 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.

Treatment and study plan

GFS202A injection

Drug

Participants will receive GFS202A intravenously every 3 weeks (Q3W) in a 21-day cycle. The treatment duration was 12 weeks.

Primary outcomes

  1. Incidence of AE/SAE

    Time frame: Up to 6 weeks after the last dose

  2. Incidence of DLT

    Time frame: Up to 21 days after the first dose

Secondary outcomes

  1. Peak Plasma Concentration (Cmax)

    Time frame: Baseline, up to 6 weeks after the last dose

  2. Area under the plasma concentration versus time curve (AUC)

    Time frame: Baseline, up to 6 weeks after the last dose

  3. Trough Plasma Concentration (Ctrough)

    Time frame: Baseline, up to 6 weeks after the last dose

  4. Half-life (T1/2)

    Time frame: Baseline, up to 6 weeks after the last dose

  5. Incidence of ADA

    Time frame: Baseline, up to 6 weeks after the last dose

  6. Concentration of GDF-15 and IL-6

    Time frame: Baseline, up to 6 weeks after the last dose

  7. Weight change from baseline

    Time frame: Baseline, up to 6 weeks after the last dose

  8. L3SMI change from baseline

    Time frame: Baseline, up to 6 weeks after the last dose

  9. Change from baseline in Functional Assessment of Anorexia-Cachexia Therapy (FAACT-ACS) scores

    Time frame: Baseline, up to 6 weeks after the last dose

  10. Change from baseline in Functional Assessment of Cancer Therapy-General (FACT-G) scores

    Time frame: Baseline, up to 6 weeks after the last dose

Study contacts

Contact information is provided by the study sponsor or research team.

Yuting Peng, PM

CONTACT

[email protected]

86+13730813620

Sponsors and collaborators

Lead sponsor

Genfleet Therapeutics (Shanghai) Inc.

Industry

Registry information

Official study 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

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Mar 27, 2025
Registry last updated
Jun 5, 2025

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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