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NCT Number: NCT05533463

Phase I Study of HRS-4642 in Patients With Advanced Solid Tumors Harboring KRAS G12D Mutation

The study is being conducted to evaluate the safety and tolerability of HRS-4642 in patients with advanced solid tumors harboring KRAS G12D mutation.To estimate the maximum tolerated dose (MTD) and/or a biologically active dose (eg, recommended phase 2 dose [RP2D]) within investigated subject population groups

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, 200433, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Subjects must voluntarily agree to participate in the trial and sign a written informed consent form.
  • Male or female ≥ 18 years old.
  • Histologically confirmed diagnosis of advanced solid tumor harbouring with KRAS G12D mutation
  • ECOG performance status of 0-1.
  • With a life expectancy of ≥3 months.
  • Have at least one measurable lesion.
  • Adequate laboratory parameters during the screening period

Exclusion criteria

  • Previously received KRAS G12D inhibitors
  • Priot radiotherapy within 28 days for non-thoracic radiation
  • Prior anti-tumor chemotherapy (< 6 weeks if chemotherapy including nitrosoureas or mitomycin) within 4 weeks before the study drug administration
  • Any unresolved AEs > Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or inclusion/exclusion criteria level (The investigators determined that safe and controllable toxicity was excluded, such as alopecia and ≤ grade 2 peripheral neuropathy ).
  • Central nervous system (CNS) metastases
  • Major surgical therapy within 28 days prior to the date of signature of informed consent form, or expected major surgery during the study.
  • Known history of hypersensitivity to any components of HRS-4642.
  • Other factors that may affect the study results or lead to forced termination of the study early as judged by investigators.

Treatment and study plan

HRS-4642

Drug

HRS-4642 will be administrated per dose level in which the patients are assigned.

Primary outcomes

  1. Safety endpoints: adverse events(AEs), serious adverse events(SAEs).

    Time frame: 24 months

    Assess safety and tolerability of HRS-4642 by way of adverse events (CTCAE v5.0).

  2. Dose Limited Toxicity(DLT)

    Time frame: from day 1 to Day 21

    A DLT is defined as any event meeting the DLT criteria occurring within 21 days of first dose on Cycle 1 Day 1 (C1D1), excluding toxicities clearly related to disease progression or intercurrent illness

  3. Maximum tolerated dose (MTD)

    Time frame: From Day 1 to Day 21

    Incidence and category of dose limiting toxicities (DLTs) during the first 21-day cycle of HRS-4642 treatment.

  4. RP2D

    Time frame: 24 months

    RP2D will be determined on the basis of evaluation on safety, PK, efficacy data in dose escalation and dose expansion stages.

Secondary outcomes

  1. Number of Participants With Abnormal Laboratory Values

    Time frame: 24months.

  2. Number of subjects with clinically significant changes in ECOG, vital signs and physical examination.

    Time frame: 24months.

  3. Number of subjects with changes on ECG.

    Time frame: 24months.

  4. Efficacy endpoints: Overall response rate (ORR).

    Time frame: 24months.

    Evaluated by RECIST v1.1.

  5. Efficacy endpoints: Duration of response (DoR).

    Time frame: 24 months.

    Evaluated by RECIST v1.1

  6. Efficacy endpoints: Disease control rate (DCR).

    Time frame: 24months.

    Evaluated by RECIST v1.1.

  7. Efficacy endpoints: Progression free survival (DoR).

    Time frame: 24months.

    Evaluated by RECIST v1.1.

  8. Efficacy endpoints: overall survival (OS).

    Time frame: 24minths

    Evaluated by RECIST v1.1

  9. Cmax.

    Time frame: 24 months.

    Maximal plasma concentration.

  10. Tmax.

    Time frame: 24 months

    Time to Cmax.

  11. AUC.

    Time frame: 24 months.

    Area under the plasma concentration-time curve.

  12. t1/2.

    Time frame: 24 months.

    Terminal-phase elimination half-life.

  13. Vz/F.

    Time frame: 24 months.

    Apparent volume of distribution during terminal phase after non-intravenous administration.

  14. CL/F.

    Time frame: 24 months.

    Apparent total clearance of the drug from plasma after oral administration.

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

Phase I Study to Evaluate the Safety ,Tolerability, and Pharmacokinetics of HRS-4642 in Patients With Advanced Solid Tumors Harboring KRAS G12D Mutation

Important dates

Study start
2022
Primary completion
2024
Study completion
2025
First posted
Sep 9, 2022
Registry last updated
Sep 8, 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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