A Study of D3S-001 Monotherapy or Combination Therapy in Subjects With Advanced Solid Tumors With a KRAS p.G12C Mutation

Last updated: March 10, 2026
Sponsor: D3 Bio (Wuxi) Co., Ltd
Overall Status: Active - Recruiting

Phase

1/2

Condition

N/A

Treatment

Pembrolizumab

Carboplatin

Pemetrexed

Clinical Study ID

NCT05410145
D3S-001-100
2023-508517-16
  • Ages > 18
  • All Genders

Study Summary

This is a first-in-human (FIH), multicenter, open-label, dose-escalation, and dose-expansion Phase 1/2 clinical trial to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of D3S-001 or combination therapy in subjects with advanced KRAS p.G12C mutant solid tumors. D3S-001 will be taken daily by oral administration in 21-day treatment cycles.

Eligibility Criteria

Inclusion

Inclusion:

  • Subject must have a histologically or cytologically confirmed metastatic or locally advanced solid tumor which is progressing.

  • Subject must have documented KRAS p.G12C mutation identified within the last 5 years by a local test on tumor tissue or blood.

  • Subject must have measurable disease per RECIST v1.1.

  • Subject must have Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

  • Subject must have adequate organ and marrow function within the screening period.

Exclusion:

  • Subject has any prior treatment with other treatments without adequate washout periods as defined in the protocol.

  • 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.

  • 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.

  • Concurrent participation in any clinical research study involving treatment with any investigational drug, radiotherapy, or surgery, except for the nontreatment phases of these studies (e.g., follow-up phase).

Other protocol inclusion/exclusion criteria may apply

Study Design

Total Participants: 442
Treatment Group(s): 6
Primary Treatment: Pembrolizumab
Phase: 1/2
Study Start date:
August 03, 2022
Estimated Completion Date:
April 30, 2027

Connect with a study center

  • D3 Bio Investigative Site

    Sydney, New South Wales 2109
    Australia

    Site Not Available

  • D3 Bio Investigative Site 0102

    Sydney, New South Wales 2109
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site

    Sydney 2147714, New South Wales 2155400 2109
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site 0102

    Sydney 2147714, New South Wales 2155400 2109
    Australia

    Site Not Available

  • D3 Bio Investigative Site

    Malvern, Victoria 3144
    Australia

    Site Not Available

  • D3 Bio Investigative Site 0101

    Malvern, Victoria 3144
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site

    Melbourne, Victoria 3000
    Australia

    Site Not Available

  • D3 Bio Investigative Site 0105

    Melbourne, Victoria 3000
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site

    Malvern 2158952, Victoria 2145234 3144
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site 0101

    Malvern 2158952, Victoria 2145234 3144
    Australia

    Site Not Available

  • D3 Bio Investigative Site

    Melbourne 2158177, Victoria 2145234 3000
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site 0105

    Melbourne 2158177, Victoria 2145234 3000
    Australia

    Site Not Available

  • D3 Bio Investigative Site

    Nedlands, Western Australia 6009
    Australia

    Site Not Available

  • D3 Bio Investigative Site 0103

    Nedlands, Western Australia 6009
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site

    Nedlands 2064874, Western Australia 2058645 6009
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site 0103

    Nedlands 2064874, Western Australia 2058645 6009
    Australia

    Site Not Available

  • D3 Bio Investigative Site

    Bedford Park, 5042
    Australia

    Site Not Available

  • D3 Bio Investigative Site 0104

    Bedford Park, 5042
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site

    Bedford Park 2076918, 5042
    Australia

    Active - Recruiting

  • D3 Bio Investigative Site 0104

    Bedford Park 2076918, 5042
    Australia

    Site Not Available

  • D3 Bio Investigative Site

    Beijing, Beijing 100036
    China

    Site Not Available

  • D3 Bio Investigative Site 0303

    Beijing, Beijing Municipality 100036
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Beijing 1816670, Beijing Municipality 2038349 100036
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0303

    Beijing 1816670, Beijing Municipality 2038349 100036
    China

    Site Not Available

  • D3 Bio Investigative Site

    Guangzhou, Guangdong 510120
    China

    Site Not Available

  • D3 Bio Investigative Site 0306

    Guangzhou, Guangdong 510120
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Guangzhou 1809858, Guangdong 1809935 510120
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0306

    Guangzhou 1809858, Guangdong 1809935 510120
    China

    Site Not Available

  • D3 Bio Investigative Site 0305

    Hangzhou, Hangzhou 310022
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0305

    Hangzhou 1808926, Hangzhou 310022
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Harbin, Heilongjiang 150081
    China

    Site Not Available

  • D3 Bio Investigative Site 0307

    Harbin, Heilongjiang 150081
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Harbin 2037013, Heilongjiang 2036965 150081
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0307

    Harbin 2037013, Heilongjiang 2036965 150081
    China

    Site Not Available

  • D3 Bio Investigative Site

    Wuhan, Hubei 430079
    China

    Site Not Available

  • D3 Bio Investigative Site 0309

    Wuhan, Hubei 43000
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0312

    Wuhan, Hubei 430079
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Wuhan 1791247, Hubei 1806949 43000
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0309

    Wuhan 1791247, Hubei 1806949 43000
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0312

    Wuhan 1791247, Hubei 1806949 430079
    China

    Site Not Available

  • D3 Bio Investigative Site

    Nanchang, Jiangxi 330008
    China

    Site Not Available

  • D3 Bio Investigative Site 0304

    Nanchang, Jiangxi 330008
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Nanchang 1800163, Jiangxi 1806222 330008
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0304

    Nanchang 1800163, Jiangxi 1806222 330008
    China

    Site Not Available

  • D3 Bio Investigative Site

    Shenyang, Liaoning 110042
    China

    Site Not Available

  • D3 Bio Investigative Site 0302

    Shenyang, Liaoning 110042
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Shenyang 2034937, Liaoning 2036115 110042
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0302

    Shenyang 2034937, Liaoning 2036115 110042
    China

    Site Not Available

  • D3 Bio Investigative Site

    Jinan, Shandong 250117
    China

    Site Not Available

  • D3 Bio Investigative Site 0310

    Jinan, Shandong 250117
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Jinan 1805753, Shandong 1796328 250117
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0310

    Jinan 1805753, Shandong 1796328 250117
    China

    Site Not Available

  • D3 Bio Investigative Site

    Shanghai, Shanghai 201801
    China

    Site Not Available

  • D3 Bio Investigative Site 0301

    Shanghai, Shanghai Municipality 200030
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0308

    Shanghai, Shanghai Municipality 201801
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Shanghai 1796236, Shanghai Municipality 1796231 201801
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0301

    Shanghai 1796236, Shanghai Municipality 1796231 200030
    China

    Site Not Available

  • D3 Bio Investigative Site 0308

    Shanghai 1796236, Shanghai Municipality 1796231 201801
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Chengdu, Sichuan 610041
    China

    Site Not Available

  • D3 Bio Investigative Site 0316

    Chengdu, Sichuan 610041
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Chengdu 1815286, Sichuan 1794299 610041
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0316

    Chengdu 1815286, Sichuan 1794299 610041
    China

    Site Not Available

  • D3 Bio Investigative Site

    Hangzhou, Zhejiang 310003
    China

    Site Not Available

  • D3 Bio Investigative Site 0311

    Hangzhou, Zhejiang 310003
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Hangzhou 1808926, Zhejiang 1784764 310003
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0311

    Hangzhou 1808926, Zhejiang 1784764 310003
    China

    Site Not Available

  • D3 Bio Investigative Site

    Changsha, 410013
    China

    Site Not Available

  • D3 Bio Investigative Site 0315

    Changsha, 410013
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Changsha 1815577, 410013
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0315

    Changsha 1815577, 410013
    China

    Site Not Available

  • D3 Bio Investigative Site

    Hefei, 230000
    China

    Site Not Available

  • D3 Bio Investigative Site 0314

    Hefei, 230000
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Hefei 1808722, 230000
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0314

    Hefei 1808722, 230000
    China

    Site Not Available

  • D3 Bio Investigative Site

    Zhengzhou, 450003
    China

    Site Not Available

  • D3 Bio Investigative Site 0313

    Zhengzhou, 450003
    China

    Active - Recruiting

  • D3 Bio Investigative Site

    Zhengzhou 1784658, 450003
    China

    Active - Recruiting

  • D3 Bio Investigative Site 0313

    Zhengzhou 1784658, 450003
    China

    Site Not Available

  • D3 Bio Investigative Site

    Bordeaux, 33000
    France

    Site Not Available

  • D3 Bio Investigative Site 0804

    Bordeaux, 33000
    France

    Active - Recruiting

  • D3 Bio Investigative Site

    Bordeaux 3031582, 33000
    France

    Active - Recruiting

  • D3 Bio Investigative Site 0804

    Bordeaux 3031582, 33000
    France

    Site Not Available

  • D3 Bio Investigative Site

    Lyon, 69373
    France

    Site Not Available

  • D3 Bio Investigative Site 0803

    Lyon, 69373
    France

    Active - Recruiting

  • D3 Bio Investigative Site

    Lyon 2996944, 69373
    France

    Active - Recruiting

  • D3 Bio Investigative Site 0803

    Lyon 2996944, 69373
    France

    Site Not Available

  • D3 Bio Investigative Site

    Rennes, 35033
    France

    Site Not Available

  • D3 Bio Investigative Site 0801

    Rennes, 35033
    France

    Active - Recruiting

  • D3 Bio Investigative Site

    Rennes 2983990, 35033
    France

    Active - Recruiting

  • D3 Bio Investigative Site 0801

    Rennes 2983990, 35033
    France

    Site Not Available

  • D3 Bio Investigative Site

    Villejuif, 94805
    France

    Site Not Available

  • D3 Bio Investigative Site 0802

    Villejuif, 94805
    France

    Active - Recruiting

  • D3 Bio Investigative Site

    Villejuif 2968705, 94805
    France

    Active - Recruiting

  • D3 Bio Investigative Site 0802

    Villejuif 2968705, 94805
    France

    Site Not Available

  • D3 Bio Investigative Site 1003

    Cologne, North Rhine-Westphalia 45147
    Germany

    Active - Recruiting

  • D3 Bio Investigative Site

    Hamburg, 20249
    Germany

    Site Not Available

  • D3 Bio Investigative Site 1002

    Hamburg, 20249
    Germany

    Active - Recruiting

  • D3 Bio Investigative Site

    Hamburg 2911298, 20249
    Germany

    Active - Recruiting

  • D3 Bio Investigative Site 1002

    Hamburg 2911298, 20249
    Germany

    Site Not Available

  • D3 Bio Investigative Site

    Sha Tin, 999077
    Hong Kong

    Site Not Available

  • D3 Bio Investigative Site 0501

    Shatin, 999077
    Hong Kong

    Active - Recruiting

  • D3 Bio Investigative Site

    Shatin 1818920, 999077
    Hong Kong

    Active - Recruiting

  • D3 Bio Investigative Site 0501

    Shatin 1818920, 999077
    Hong Kong

    Site Not Available

  • D3 Bio Investigative Site

    Candiolo, 10060
    Italy

    Site Not Available

  • D3 Bio Investigative Site 0905

    Candiolo, 10060
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site

    Candiolo 3180861, 10060
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site 0905

    Candiolo 3180861, 10060
    Italy

    Site Not Available

  • D3 Bio Investigative Site 0902

    Milan, 20141
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site

    Milan 6951411, 20141
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site 0902

    Milan 6951411, 20141
    Italy

    Site Not Available

  • D3 Bio Investigative Site

    Milano, 20141
    Italy

    Site Not Available

  • D3 Bio Investigative Site

    Napoli, 80131
    Italy

    Site Not Available

  • D3 Bio Investigative Site 0904

    Napoli, 80131
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site

    Napoli 9031661, 80131
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site 0904

    Napoli 9031661, 80131
    Italy

    Site Not Available

  • D3 Bio Investigative Site

    Rome, 00144
    Italy

    Site Not Available

  • D3 Bio Investigative Site 0901

    Rome, 00144
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site

    Rome 3169070, 00144
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site 0901

    Rome 3169070, 00144
    Italy

    Site Not Available

  • D3 Bio Investigative Site 0903

    Siena, 53100
    Italy

    Active - Recruiting

  • D3 Bio Investigative Site 0903

    Siena 3166548, 53100
    Italy

    Site Not Available

  • D3 Bio Investigative Site 0601

    Kashiwa, 277-8577
    Japan

    Active - Recruiting

  • D3 Bio Investigative Site 0601

    Kashiwa 1859924, 277-8577
    Japan

    Site Not Available

  • D3 Bio Investigative Site 0602

    Tokyo, 104-0045
    Japan

    Active - Recruiting

  • D3 Bio Investigative Site

    Tokyo 1850147, 104-0045
    Japan

    Active - Recruiting

  • D3 Bio Investigative Site 0602

    Tokyo 1850147, 104-0045
    Japan

    Site Not Available

  • D3 Bio Investigative Site

    Cheongju-si, North Chungcheong 28644
    Korea, Republic of

    Site Not Available

  • D3 Bio Investigative Site

    Seoul, 120-752
    Korea, Republic of

    Site Not Available

  • D3 Bio Investigative Site 0204

    Cheongju-si, North Chungcheong 28644
    South Korea

    Active - Recruiting

  • D3 Bio Investigative Site

    Cheongju-si 1845604, North Chungcheong 1845106 28644
    South Korea

    Active - Recruiting

  • D3 Bio Investigative Site 0204

    Cheongju-si 1845604, North Chungcheong 1845106 28644
    South Korea

    Site Not Available

  • D3 Bio Investigative Site 0201

    Seoul, 138-736
    South Korea

    Site Not Available

  • D3 Bio Investigative Site 0202

    Seoul, 06591
    South Korea

    Active - Recruiting

  • D3 Bio Investigative Site 0203

    Seoul, 120-752
    South Korea

    Active - Recruiting

  • D3 Bio Investigative Site

    Seoul 1835848, 138-736
    South Korea

    Active - Recruiting

  • D3 Bio Investigative Site 0201

    Seoul 1835848, 138-736
    South Korea

    Site Not Available

  • D3 Bio Investigative Site 0202

    Seoul 1835848, 06591
    South Korea

    Active - Recruiting

  • D3 Bio Investigative Site 0203

    Seoul 1835848, 120-752
    South Korea

    Site Not Available

  • D3 Bio Investigative Site

    Barcelona, 08023
    Spain

    Site Not Available

  • D3 Bio Investigative Site 0701

    Barcelona, 08035
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site 0706

    Barcelona, 08023
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site

    Barcelona 3128760, 08023
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site 0701

    Barcelona 3128760, 08035
    Spain

    Site Not Available

  • D3 Bio Investigative Site 0706

    Barcelona 3128760, 08023
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site

    Madrid, 28046
    Spain

    Site Not Available

  • D3 Bio Investigative Site 0704

    Madrid, 28046
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site 0705

    Madrid, 28050
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site

    Madrid 3117735, 28050
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site 0704

    Madrid 3117735, 28046
    Spain

    Site Not Available

  • D3 Bio Investigative Site 0705

    Madrid 3117735, 28050
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site

    Valencia, 46026
    Spain

    Site Not Available

  • D3 Bio Investigative Site 0702

    Valencia, 46026
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site 0703

    Valencia, 46010
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site

    Valencia 2509954, 46026
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site 0702

    Valencia 2509954, 46026
    Spain

    Active - Recruiting

  • D3 Bio Investigative Site 0703

    Valencia 2509954, 46010
    Spain

    Site Not Available

  • D3 Bio Investigative Site

    Orange, California 92868
    United States

    Site Not Available

  • D3 Bio Investigative Site 0402

    Orange, California 92868
    United States

    Active - Recruiting

  • D3 Bio Investigative Site 0407

    Palo Alto, California 94304-2205
    United States

    Active - Recruiting

  • D3 Bio Investigative Site

    San Francisco, California 94158
    United States

    Site Not Available

  • D3 Bio Investigative Site

    Orange 5379513, California 5332921 92868
    United States

    Active - Recruiting

  • D3 Bio Investigative Site 0402

    Orange 5379513, California 5332921 92868
    United States

    Site Not Available

  • D3 Bio Investigative Site 0407

    Palo Alto 5380748, California 5332921 94304-2205
    United States

    Site Not Available

  • D3 Bio Investigative Site

    Denver, Colorado 80218-1238
    United States

    Site Not Available

  • D3 Bio Investigative Site 0404

    Denver, Colorado 80218-1238
    United States

    Active - Recruiting

  • D3 Bio Investigative Site

    Denver 5419384, Colorado 5417618 80218-1238
    United States

    Active - Recruiting

  • D3 Bio Investigative Site 0404

    Denver 5419384, Colorado 5417618 80218-1238
    United States

    Site Not Available

  • D3 Bio Investigative Site

    Sarasota, Florida 34232-6410
    United States

    Site Not Available

  • D3 Bio Investigative Site 0406

    Sarasota, Florida 34232-6410
    United States

    Active - Recruiting

  • D3 Bio Investigative Site

    Sarasota 4172131, Florida 4155751 34232-6410
    United States

    Active - Recruiting

  • D3 Bio Investigative Site 0406

    Sarasota 4172131, Florida 4155751 34232-6410
    United States

    Site Not Available

  • D3 Bio Investigative Site

    Detroit, Michigan 48202-2608
    United States

    Site Not Available

  • D3 Bio Investigative Site 0401

    Detroit, Michigan 48202-2608
    United States

    Active - Recruiting

  • D3 Bio Investigative Site

    Detroit 4990729, Michigan 5001836 48202-2608
    United States

    Active - Recruiting

  • D3 Bio Investigative Site 0401

    Detroit 4990729, Michigan 5001836 48202-2608
    United States

    Site Not Available

  • D3 Bio Investigative Site

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • D3 Bio Investigative Site 0405

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • D3 Bio Investigative Site

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Active - Recruiting

  • D3 Bio Investigative Site 0405

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Site Not Available

  • D3 Bio Investigative Site

    Houston, Texas 77030
    United States

    Site Not Available

  • D3 Bio Investigative Site 0403

    Houston, Texas 77030
    United States

    Active - Recruiting

  • D3 Bio Investigative Site

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

  • D3 Bio Investigative Site 0403

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

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