Skip to main content
OpenTrials
Active, Not Recruiting

NCT Number: NCT05653869

A Study of APS03118 in Advanced Solid Tumors Harboring RET Mutations or Fusions

This is a Phase 1/1b, open-label, first-in-human (FIH) study designed to evaluate the safety, tolerability, pharmacokinetics (PK) and preliminary antineoplastic activity of APS03118 administered orally in participants with RET-altered solid tumors.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, 200030, China

About this study

After being informed about the study procedure and potential risks and benefits, all patients giving written informed consent will undergo a 4-week screening period to determine eligibility for study entry. The eligible participants will be enrolled using a rolling 6 dose escalation scheme to identify MTD and/or RP2D.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female patients aged 18 years or older
  • Have histological or cytological confirmation of unresectable locally advanced or metastatic solid tumors harboring oncogenic RET mutations or fusions confirmed by NGS. Site may identify patients with a RET-mutated or RET-fusion solid tumor before the formal screening.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  • Resolution of all toxic effects of prior therapies to Grade 1 or below according to NCI CTCAE version 5.0 (except alopecia or Grade 2 neuropathy);
  • Patients with asymptomatic brain metastases if they have been previously treated, demonstrated no progression at least for 1 months before Screening, are asymptomatic and have had no requirement for steroids or enzyme inducing anticonvulsants in the last 14 days before Screening
  • Adequate organ function

Exclusion criteria

  • Have a locally advanced solid tumor that is a candidate for curative surgery treatment through radical surgery and/or radiotherapy.
  • Have an active fungal, bacterial, and/or active untreated viral infection
  • The patient has a serious pre-existing medical condition(s)
  • Have received or will receive a COVID-19 vaccine within 1 month before the first dose of APS03118.

Treatment and study plan

APS03118

Drug

Participant received APS03118 orally until evidence of unacceptable toxicity, progressed disease, consent withdrawal or with drawl from the study at the discretion of the investigator.

Other names: APS03118 administrated orally

Primary outcomes

  1. Incidence of DLTs during Cycle 1 in dose-escalation cohorts

    Time frame: Within the 28 days of the first APS03118 dose for each patient

  2. The maximum tolerated dose (MTD) and / or recommended Phase II dose (RP2D)

    Time frame: Approximately 15 months

    The MTD is defined as the maximum dose at which the incidence of dose-limiting toxicities (DLTs) during Cycle 1 is below 30%(<2/6)

Secondary outcomes

  1. Adverse events(AE)

    Time frame: Approximately 24 months

  2. Peak Plasma Concentration (Cmax)

    Time frame: Up to approximately 1 month

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

    Time frame: Up to approximately 1 month

  4. Time to Maximum Concentration (Tmax)

    Time frame: Up to approximately 1 month

  5. Degree of accumulation

    Time frame: Up to approximately 1 month

  6. Overall Response Rate (ORR)

    Time frame: Up to approximately 24 months

    As assessed by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)

  7. Duration of response (DOR)

    Time frame: Up to approximately 24 months

  8. Best of response (BOR)

    Time frame: Up to approximately 24 months

  9. Disease Control Rate (DCR)

    Time frame: Up to approximately 24 months

  10. Progress Free Survival (PFS)

    Time frame: Up to approximately 24 months

Sponsors and collaborators

Lead sponsor

Applied Pharmaceutical Science, Inc.

Industry

Registry information

Official study title

A Phase 1/1b Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of APS03118 in Adult Patients With Unresectable Locally Advanced or Metastatic Solid Tumors Harboring RET Mutations or Fusions

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Dec 16, 2022
Registry last updated
Jan 22, 2026

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.

Published trials that share one or more normalized conditions with this study.