Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
ID05886920

A Phase 1/2 Study Evaluating Safety, Dosing, and Pharmacokinetics of Oral D3S-002 Alone or With D3S-001 in Adults With Advanced Solid Tumors Having MAPK Pathway Mutations

Led by D3 Bio (Wuxi) Co., Ltd · Updated on 2026-06-08

67

Participants Needed

14

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety, tolerability, pharmacokinetics, and appropriate dosing of D3S-002 in adults with advanced solid tumors that have mutations in the MAPK pathway. This first-in-human study aims to find the recommended phase 2 dose of D3S-002 given daily by mouth in 21-day cycles. The study includes adults with metastatic or locally advanced solid tumors or non-small cell lung cancer with specific genetic mutations and prior treatment history. The study has two main parts: Part 1 involves dose escalation of D3S-002 given orally as a single drug. Part 2a also involves dose escalation but tests D3S-002 together with another oral drug, D3S-001. Part 2b is a dose expansion phase where the combination of D3S-002 and D3S-001 is further evaluated. Both drugs are taken by mouth, and participants receive treatment cycles lasting 21 days each. Participants will be monitored for adverse events starting from the first dose until 30 days after their last dose, with ongoing assessments up to 24 months. Researchers will measure drug levels in the blood, responses to treatment using specific tumor evaluation criteria, and progression-free survival. Safety, tolerability, and pharmacokinetics are closely tracked throughout the study. Participants must adhere to study visits and provide tumor and blood samples for genetic analysis when required.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or older
  • Histologically or cytologically confirmed metastatic or locally advanced solid tumor with progressive disease (Part 1)
  • Histologically or cytologically confirmed metastatic or locally advanced non-small cell lung cancer with progressive disease (Part 2)
  • No known EGFR mutations, ALK/ROS1/RET rearrangements, NTRK1/2/3 fusions, BRAF V600E mutations, or MET exon 14 skipping mutations (Part 2 NSCLC subjects)
  • Documented MAPK pathway mutations within last 5 years (Part 1)
  • Documented KRAS p.G12C mutation within last 5 years (Part 2)
  • Refractory or intolerable to standard treatments or no available standard of care (Part 1)
  • Received at least one prior systemic therapy including KRAS p.G12C inhibitor (Part 2)
  • Measurable disease per RECIST v1.1 (Part 2)
  • Agree to provide tumor tissue and blood samples for genetic analysis (Part 2)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  • Adequate organ and marrow function
  • Compliance with reproductive and contraceptive requirements
Not Eligible

You will not qualify if you...

  • Prior treatment without adequate washout period as defined in protocol
  • Mixed small-cell lung cancer, large cell neuroendocrine histology, or sarcomatoid carcinoma (Part 2)
  • Uncontrolled or untreated brain metastases (Part 1)
  • Active or uncontrolled illness including infections, cardiovascular disease, serious gastrointestinal conditions, or psychiatric illness limiting study compliance
  • Unresolved treatment-related toxicities of Grade 2 or higher except vitiligo or alopecia
  • Active gastrointestinal disease or conditions interfering with oral drug absorption
  • Concurrent chemotherapy, immunotherapy, targeted therapy, cell therapy, biologic or hormonal therapy, or medical devices for cancer treatment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 24 months or until disease progression or discontinuation

Participants receive oral D3S-002 alone or in combination with D3S-001 as part of dose escalation and dose expansion to evaluate safety, dosing, and pharmacokinetics.

Regular visits for dosing and assessments during treatment (frequency as per protocol)

Follow-up

Duration - 30 days after last dose

Participants are monitored for adverse events and safety up to 30 days after the last dose.

1 to 2 visits post-treatment

Trial Site Locations

Total: 14 locations

1

D3 Bio Investigative Site

Detroit, Michigan, United States, 48202

Actively Recruiting

2

D3 Bio Investigative Site

New York, New York, United States, 10029

Completed

3

D3 Bio Investigative Site

Nashville, Tennessee, United States, 37203

Actively Recruiting

4

D3 Bio Investigative Site

Blacktown, New South Wales, Australia, 2148

Completed

5

D3 Bio Investigative Site

Macquarie Park, New South Wales, Australia, 2109

Actively Recruiting

6

D3 Bio Investigative Site

Bedford Park, South Australia, Australia, 5042

Completed

7

D3 Bio Investigative Site

Nedlands, Western Australia, Australia, 6009

Completed

8

D3 Bio Investigative Site

Beijing, Beijing Municipality, China, 100142

Actively Recruiting

9

D3 Bio Investigative Site

Guangzhou, Guangdong, China, 510080

Actively Recruiting

10

D3 Bio Investigative Site

Harbin, Heilong Jiang, China, 150081

Completed

11

D3 Bio Investigative Site

Wuhan, Hubei, China, 430079

Actively Recruiting

12

D3 Bio Investigative Site

Shanghai, Shanghai Municipality, China, 201801

Active, Not Recruiting

13

D3 Bio Investigative Site

Hangzhou, Zhejiang, China, 310009

Actively Recruiting

14

D3 Bio Investigative Site

Seoul, South Korea, 03722

Actively Recruiting

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Research Team

M

Medical Director

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

Frequently Asked Questions

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