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A Phase II Study Evaluating JAB-21822 Monotherapy in Adult Patients With Pancreatic Cancer and Other Solid Tumors Harboring the KRAS p.G12C Mutation.

Phase 2
Recruiting
Conditions
KRAS P.G12C
Pancreatic Cancer
Solid Tumor
Interventions
Registration Number
NCT06008288
Lead Sponsor
Allist Pharmaceuticals, Inc.
Brief Summary

Patients with other advanced solid tumors (excluding NSCLC and CRC) who have progressed after prior systemic therapy or are intolerant and lack satisfactory alternative treatment options, aiming to evaluate the efficacy and safety of Glecirasib in these patients.

Detailed Description

This study is a single-arm, multicenter, open-label, basket-design, pivotal phase II trial targeting adult patients with locally advanced or metastatic solid tumors harboring the KRAS p.G12C mutation. The included populations are:

* Patients with advanced pancreatic cancer who have progressed or are intolerant to prior gemcitabine-based chemotherapy regimens or FOLFIRINOX/mFOLFIRINOX/NALIRIFOX treatments.

* Patients with other advanced solid tumors (excluding NSCLC and CRC) who have progressed after prior systemic therapies or are intolerant and lack satisfactory alternative treatment options.

The study aims to evaluate the efficacy and safety of Glecirasib in these patient populations.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
88
Inclusion Criteria
  • Patients with the KRAS p.G12C mutation confirmed through testing using prospectively validated companion diagnostic reagents or clinical trial assay (CTA) methods.
  • Histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumors (excluding NSCLC and CRC).
  • Patients with pancreatic cancer must have progressed or been intolerant to prior gemcitabine-based chemotherapy regimens or FOLFIRINOX/mFOLFIRINOX/NALIRIFOX treatment. Patients with other types of solid tumors must have progressed or been intolerant to prior systemic therapies and lack satisfactory alternative treatment options.
Exclusion Criteria
  • Previously received a KRAS G12C inhibitor.
  • History of interstitial lung disease, non-infectious pneumonia, or uncontrolled lung disease (including pulmonary fibrosis, acute lung disease, etc.) with clinical symptoms.
  • Uncontrolled pleural effusion, pericardial effusion, or ascites.
  • Mean QT interval corrected for heart rate using Fridericia's formula (QTcF) ≥470 ms calculated from 3 electrocardiograms.
  • Use of a drug with known risk of torsades de points (TdP) within 14 days prior to the first dose.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
JAB-21822JAB-21822Monotherapy
Primary Outcome Measures
NameTimeMethod
Objective response rate (ORR) by independent central radiological review (IRC) according to RECIST 1.1.Approximately 1.5 years

ORR is defined as the proportion of participants with confirmed complete response or partial response by IRC according to RECIST 1.1.

Secondary Outcome Measures
NameTimeMethod
Duration of response (DOR)Approximately 1.5 years

DOR is defined as the time from date of the first objective tumor response (CR or PR) to the first documentation of either Progression of Disease (PD) or death due to any cause, whichever occurs first.

Time to response (TTR) by IRC according to RECIST 1.1Approximately 1.5 years

TTR is defined as the duration of time between the date of the first dose and the date of first documented response of either CR or PR.

Progression-free survival (PFS) by IRC according to RECIST 1.1Approximately 1.5 years

PFS is defined as time from the first dose until disease progression or death from any cause, whichever occurs first.

Disease control rate (DCR) by IRC according to RECIST 1.1Approximately 1.5 years

DCR is defined as the proportion of participants with BOR of CR or PR or stable disease (SD)

CA19-9 response rate (Applicable only to pancreatic cancer)Approximately 1.5 years

CA19-9 response rate is defined as the proportion of participants with CA19-9 response (achieving ≥50% decrease in CA19-9 serum levels).

Overall survival (OS)Approximately 2.0 years

OS is defined as time from date of the first dose to date of death due to any cause.

Number of participants with adverse eventsApproximately 1.5 years

Participants will be assessed for incidence and severity of AEs according to NCI-CTCAE 5.0 criteria

Trial Locations

Locations (31)

Anhui Provincial Cancer Hospital

🇨🇳

Hefei, Anhui, China

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

Peking Union Medical College Hospital

🇨🇳

Beijing, Beijing, China

Beijing Tsinghua Changgung Hospital

🇨🇳

Beijing, Beijing, China

Cancer Hospital Chinese Academy of Medical Sciences

🇨🇳

Beijing, Beijing, China

Fujian Cancer Hospital

🇨🇳

Fuzhou, Fujian, China

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

Sun Yat-Sen University Cancer Center

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital of Sun, Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

Guangxi Medical University Cancer Hospital

🇨🇳

Nanning, Guangxi, China

Harbin Medical University Cancer Hospital

🇨🇳

Harbin, Heilongjiang, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

The First Affiliated Hospital of Zhengzhou University

🇨🇳

Zhengzhou, Henan, China

Hubei Cancer Hospital

🇨🇳

Wuhan, Hubei, China

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

🇨🇳

Wuhan, Hubei, China

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

Hunan Provincial People's Hospital

🇨🇳

Changsha, Hunan, China

Jiangsu Cancer Hospital

🇨🇳

Nanjing, Jiangsu, China

Jiangsu Province Hospital

🇨🇳

Nanjing, Jiangsu, China

The First Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

The First Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

Shandong Cancer Hospital

🇨🇳

Jinan, Shandong, China

The Affiliated Hospital of Qingdao University

🇨🇳

Qingdao, Shandong, China

Huashan Hospital, Fudan University

🇨🇳

Shanghai, Shanghai, China

Shanghai Changhai Hospital

🇨🇳

Shanghai, Shanghai, China

The First Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, Shanxi, China

West China Hospital of Sichuan University

🇨🇳

Chengdu, Sichuan, China

Tianjin Medical University Cancer Institute&Hospital

🇨🇳

Tianjin, Tianjin, China

The First Affiliated Hospital, Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

Zhejiang Provincial People's Hospital

🇨🇳

Hangzhou, Zhejiang, China

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