Actively Recruiting
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
Eligibility Criteria
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
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
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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)
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
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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