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NCT Number: NCT06520488

A Study of HRS-4642 in Combination With Antineoplastic Agents in Advanced Solid Tumors

To evaluate the safety and preliminary efficacy of HRS-4642 in combination with antineoplastic agents in subjects with advanced solid tumors with KRAS G12D mutations, and to determine the maximum tolerated dose (MTD) and the recommended Phase II dose (RP2D).

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Renji Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, 200127, China

Location status: Recruiting

Location contact

Liwei Wang

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Able and willing to provide a written informed consent
  • Age 18-75 years old (inclusive) at the time of signing the informed consent form
  • Male or female
  • ECOG score of 0 or 1
  • Expected survival ≥ 12 weeks
  • At least one measurable lesion according to RECIST v1.1 criteria

Exclusion criteria

  • Any other condition that, in the judgment of the investigator, may increase the risk of participating in the study, interfere with the results of the study, or be unsuitable for participation in this study
  • Presence of uncontrollable psychiatric illness and other conditions such as known alcoholism, drug or substance abuse, criminal detention, etc., that affect the completion of the study procedures
  • Known hypersensitivity to any component of HRS-4642; History of severe allergic reactions to other monoclonal antibodies/fusion protein drugs; Known history of severe hypersensitivity to antineoplastic agents in combination
  • Received other major surgery other than diagnosis or biopsy within 28 days before the first dose; Minor traumatic surgery (biopsy, laparoscopy, and drainage) within 7 days prior to the first dose; Presence of non-healing wounds (severe, non-healing, or dehiscence), untreated fractures
  • Subjects who are participating in other clinical studies or whose first dose is less than 4 weeks from the end of the previous clinical study (last dose), or who have 5 half-lives of this investigational drug, whichever is shorter
  • Use of a live attenuated vaccine within 28 days prior to the first dose of study medication, or anticipated need for a live attenuated vaccine during study treatment
  • Have a history of immunodeficiency, including a positive HIV test, other acquired or congenital immunodeficiency diseases, or a history of organ transplantation
  • Those who have active pulmonary tuberculosis infection within 1 year before enrollment, or those who have a history of active pulmonary tuberculosis infection more than 1 year ago but have not been formally treated
  • Active hepatitis B
  • Presence of clinically significant acute or chronic pancreatitis
  • Poorly controlled or severe cardiovascular and cerebrovascular diseases, arterior/venous thrombotic events within 6 months prior to study entry
  • Presence of gastrointestinal obstruction or presence of symptoms and signs of gastrointestinal obstruction within 6 months prior to the start of study treatment, but screening can be performed if surgical treatment has been performed and the obstruction has been completely resolved

Treatment and study plan

HRS-4642

Drug

Treatment group Part I: HRS-4642 combined with SHR-A1921 Treatment group Part II: HRS-4642 combined with SHR-A1904 Treatment group Part II: HRS-4642 combined with AG

Primary outcomes

  1. Stage 1: (IB Period):DLTs

    Time frame: Within 28 days of the first dose

  2. Stage 1: (IB Period): adverse events (AEs)

    Time frame: Within 28 days of the first dos,About 1 year

  3. Phase II: (Phase II):investigator-assessed ORR

    Time frame: Assessed every 6 weeks,About 1 year

Secondary outcomes

  1. Stage 1: (IB Period):Investigator-assessed objective response rate (ORR)

    Time frame: Assessed every 6 weeks,About 1 year

  2. Phase II: (Phase II):DCR

    Time frame: Assessed every 6 weeks,About 1 year

  3. Phase II: (Phase II):DoR

    Time frame: Assessed every 6 weeks,About 1 year

  4. Phase II: (Phase II):OS

    Time frame: Assessed every 6 weeks+ About 1 year

  5. Phase II: (Phase II):PFS

    Time frame: Assessed every 6 weeks,About 1 year

  6. Phase II: (Phase II):OS

    Time frame: Assessed approximately once every 1 month,About 1 year

  7. Phase II: (Phase II):Incidence and severity of AEs

    Time frame: Assessed approximately once every 1 month,About 1 year

Study contacts

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

Hongxia Han

CONTACT

[email protected]

+0518-81220121

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

Phase IB/II Clinical Study of the Safety, Tolerability and Efficacy of HRS-4642 in Combination With Anti-tumor Agents in Subjects With Advanced Solid Tumors

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Jul 25, 2024
Registry last updated
Sep 22, 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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