A Phase 1/2 Study of D3S-002 as Monotherapy or Combination Therapy in Adult Subjects With Advanced Solid Tumors With MAPK Pathway Mutations

A Phase 1/2, Open Label, Dose-escalation, and Dose-expansion Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Recommended Phase 2 Dose of D3S-002 Monotherapy or Combination Therapy in Adult Subjects With Advanced Solid Tumors With MAPK Pathway Mutations

NCT05886920•D3 Bio (Wuxi) Co., Ltd

View on ClinicalTrials.gov

Summary

This first-in-human (FIH) study aims to assess the safety, tolerability, pharmacokinetics, and recommended phase 2 dose (RP2D) of D3S-002 given orally daily for 21-day cycles in adult subjects with advanced solid tumors with mitogen-activated protein kinase (MAPK) pathway mutations.

Eligibility

Age

18 - No limit years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•Part 1: Subjects must have a histologically or cytologically confirmed metastatic or locally advanced solid tumor with evidence of progressive disease.
•Part 2: Subjects must have a histologically or cytologically confirmed metastatic or locally advanced non-small cell lung cancer with evidence of PD.
•* Subjects with non-small cell lung cancer (NSCLC) should have no known epidermal growth factor receptor (EGFR) mutations, ALK/ROS1/RET rearrangements, NTRK1/2/3 gene fusions, v-Raf murine sarcoma viral oncogene homolog B (BRAF) V600E mutations, or MET exon 14 skipping mutations.
•Note: EGFR mutations include but are not limited to EGFR Exon19 Deletions, Exon21 p.L858R, Exon21 p.L861Q, Exon18 p.G719X, Exon20 p.S768I, Exon20 Insertions, Exon20 p.T790M. If other EGFR mutations are present, the Investigator should have a consultation with the sponsor's Medical Monitor before making the enrollment decision.
•Part1: Subjects must have documented mitogen-activated protein kinase (MAPK) pathway mutation(s) within the last 5 years identified by a local test on tumor tissue or blood (eg, rat sarcoma (RAS), rapidly accelerated fibrosarcoma (RAF), and MAPK kinase (MAPKK) mutations).
•Part 2: Subject must have documented Kirsten rat sarcoma viral oncogene (KRAS) p. glycine 12 to cysteine (p.G12C) mutation identified within the last 5 years by a local test on tumor tissue or blood.
•Note:
•All the local tests should clearly distinguish KRAS p.G12C from all other KRAS p.G12x variants. If not specified, subjects should have no known second KRAS mutations (including G12A, G12V, G12R, G13C, G12D, G12S, H95, Y96, Q61, and R68).
•Part 1: Subjects must be refractory to or intolerable with standard treatment, or have no available standard of care (SOC).
•Part 2: Subject must have received at least 1 line of prior standard of care systemic therapy for locally advanced and unresectable or metastatic disease, including KRAS p.G12C inhibitor.
+9 more criteria

Exclusion Criteria

•Subject has any prior treatment with other treatments without adequate washout periods as defined in the protocol.
•Part 2: subjects with mixed small-cell lung cancer, or large cell neuroendocrine histology, or sarcomatoid carcinoma.
•Subject has uncontrolled intercurrent illness, including but not limited to, ongoing or active infection, uncontrolled or significant cardiovascular disease, serious chronic gastrointestinal conditions associated with diarrhea, or psychiatric illness/social situations that would limit compliance with study requirements, substantially increase risk of incurring AEs, or compromise the ability of the subject to give written informed consent.
•Part 1: Uncontrolled or untreated brain metastasis.
•Part 2: Asymptomatic and stable brain metastases subjects will be eligible for enrollment per the following criteria.
•* Treated or untreated brain metastases
•* Neurologically asymptomatic
•* Stable and not requiring steroids more than 10 mg/day of prednisone or equivalent for at least 4 weeks prior to the first dose of study medication.
•Subject has unresolved treatment-related toxicities from previous anticancer therapy of NCI CTCAE Grade ≥2 (with exception of vitiligo or alopecia).
•Subject has active gastrointestinal disease or other that could interfere significantly with the absorption, distribution, metabolism, or excretion of oral therapy.
+1 more criteria

Locations (10)

D3 Bio Investigative Site

Detroit, Michigan, United States

D3 Bio Investigative Site

New York, New York, United States

D3 Bio Investigative Site

Blacktown, New South Wales, Australia

D3 Bio Investigative Site

Bedford Park, South Australia, Australia

D3 Bio Investigative Site

Nedlands, Western Australia, Australia

D3 Bio Investigative Site

Beijing, Beijing Municipality, China

D3 Bio Investigative Site

Guangzhou, Guangdong, China

D3 Bio Investigative Site

Harbin, Heilong Jiang, China

D3 Bio Investigative Site

Shanghai, Shanghai Municipality, China

D3 Bio Investigative Site

Hangzhou, Zhejiang, China

Key Dates

Start Date

July 10, 2023

Primary Completion Date

April 1, 2028

Completion Date

April 1, 2028

Last Updated

December 15, 2025

Enrollment

ESTIMATED participants

Conditions

Advanced Solid Tumors With MAPK Pathway Mutations

Interventions

D3S-002

DRUG

D3S-001

DRUG