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NCT Number: NCT07134998

Phase I Study of HRS-6093 in Participants With Advanced Solid Tumors Harboring KRAS G12D Mutations

This is an open-label, multi-center phase I clinical study to evaluate HRS-6093 Safety, Tolerability, and Pharmacokinetics in Participants harboring KRAS G12D Mutations with advanced solid tumors. The study consists of dose escalation, dose expansion and efficacy expansion.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Shanghai Jiao Tong University School of Medicine, Shanghai, Shanghai Municipality, China

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Have fully understood this study and are willing to sign the ICF, with good compliance and cooperation in follow-up;
  • Aged between 18-75 years, with no gender requirement;
  • Participants with histologically/cytologically confirmed advanced solid tumors who have been previously tested or are confirmed by the central laboratory to harbor KRAS G12D mutations; Have failed standard treatment, are intolerant to standard treatment, or have not received standard treatment.
  • ECOG performance status (PS) score of 0 or 1;
  • Life expectancy > 3 months;
  • At least one measurable lesion per RECIST v1.1; A tumor tissue sample must be provided.
  • Adequate organ function

Exclusion criteria

  • Toxicity (e.g., gastrointestinal reaction and skin toxicity) from prior anti-tumor treatment has not recovered to Grade ≤ 1 or a level specified in the inclusion/exclusion criteria;
  • Presence of central nervous system (CNS) metastases;
  • Participants with gastrointestinal diseases that affect drug administration/absorption
  • Participants who have undergone major surgery other than diagnosis or biopsy within 28 days before the first dose, or are expected to undergo major surgery during the study period;
  • Presence of serious pulmonary diseases
  • Active tuberculosis or a history of active tuberculosis infection within 48 weeks prior to screening, regardless of whether they have been treated;
  • Active or persistent gastrointestinal bleeding within 6 months prior to screening;
  • History of allogeneic bone marrow or solid organ transplantation;
  • History of deep vein thrombosis or pulmonary embolism within 6 months prior to screening;
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring clinical intervention;
  • Positive human immunodeficiency virus (HIV) (HIV1/2 antibodies), active chronic hepatitis B, or active hepatitis C (positive HCV antibody and positive HCV RNA);
  • Known history of hypersensitivity to any component of the drug product to be used in the study;

Treatment and study plan

HRS-6093

Drug

HRS-6093

Primary outcomes

  1. Incidence and severity of adverse events/serious adverse events (graded as per CTCAE v5.0).

    Time frame: Screening Period to 30 Days After the Last Dose

  2. DLT,

    Time frame: from day1 to day 23; 23 Days

  3. MTD,

    Time frame: from day1 to day 23; 23 Days

  4. RP2D ,

    Time frame: 24 months

Secondary outcomes

  1. Number of Participants With Abnormal Laboratory Values

    Time frame: Screening Period to 30 Days After the Last Dose; 24 months

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

    Time frame: Screening Period to 30 Days After the Last Dose; 24 months

  3. Number of subjects with changes on ECG.

    Time frame: Screening Period to 30 Days After the Last Dose; 24 months

  4. maximum plasma concentration (Cmax),

    Time frame: Screening Period to Day of the end of treatment/withdrawal. 24 months

  5. time to maximum concentration (Tmax),

    Time frame: Screening Period to Day of the end of treatment/withdrawal. 24 months

  6. area under concentration-time curve from time 0 to the last measurable concentration time point t (AUC0-t),

    Time frame: Screening Period to Day of the end of treatment/withdrawal. 24 months

  7. Area under concentration-time curve from time 0 to infinity (AUC 0-∞), apparent volume of distribution (Vz/F),

    Time frame: Screening Period to Day of the end of treatment/withdrawal. 24 months

  8. elimination half-life (t1/2), and apparent clearance (CL/F);

    Time frame: Screening Period to Day of the end of treatment/withdrawal. 24 months

  9. minimum concentration at steady state (Cmin, ss),

    Time frame: Screening Period to Day of the end of treatment/withdrawal. 24 months

  10. area under the blood concentration-time curve at steady state (AUCss), and accumulation ratio (Rac);

    Time frame: Screening Period to Day of the end of treatment/withdrawal. 24 months

  11. objective response rate (ORR),

    Time frame: Screening Period to PD; 24 months

  12. duration of response (DoR),

    Time frame: Screening Period to PD; 24 months

  13. disease control rate (DCR),

    Time frame: Screening Period to PD; 24 months

  14. progression-free survival (PFS),

    Time frame: Screening Period to PD; 24 months

  15. overall survival (OS).

    Time frame: Screening Period to Day of death of the participant;24months

Study contacts

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

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

A Phase I Study of HRS-6093 Evaluating Safety, Tolerability, and Pharmacokinetics in Participants With Advanced Solid Tumors Harboring KRAS G12D Mutations

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Aug 21, 2025
Registry last updated
Dec 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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