New drug combo aims to block Cancer's growth signals
NCT ID NCT07446725
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests two experimental oral drugs, GH55 and GH21, taken together by people with advanced solid tumors that have a specific genetic change in the MAPK pathway. The trial has two phases: first, to find the safest dose (Phase 1), and then to see if the combination can shrink tumors or slow their growth (Phase 2). About 152 participants who have exhausted standard treatments will be enrolled.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GH55 and GH21 capsules (oral drugs that block cancer growth signals)
- What this could lead to
- If this works, it could offer a new treatment option for people with advanced solid tumors that have not responded to standard therapies.
- What could go wrong
- This is an early, small study (Phase 1/2) focused on safety and dosing, so it is not yet known if the combination will be effective. Side effects are possible, and the drugs may not shrink tumors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 152 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Aged 18-80 years (inclusive), regardless of gender. * 2\. Histologically or cytologically confirmed locally advanced or metastatic solid tumor with aberrantly activated MAPK signaling pathway (RAS/RAF/MEK/ERK). * 3\. Failed standard treatment, has no standard treatment options, refuses standard treatment, or is not eligible for standard treatment at the current stage. * 4\. Has at least one measurable tumor lesion per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. * 5\. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. * 6\. Estimated survival time ≥ 3 months. * 7\. Essential organ function is basically normal, with screening laboratory results meeting the following criteria: * Hematological system (no blood transfusion or hematopoietic stimulants within 14 days) * Absolute Neutrophil Count (ANC) ≥1.5×109/L * Platelet (PLT) ≥75×109/L * Hemoglobin (Hb) ≥90g/L * Liver function * Albumin (ALB) ≥3.0g/dL * Total Bilirubin (TBIL) ≤1.5×Upper Limit of Normal (ULN); \<br/\>For patients with --Gilbert syndrome: ≤3×ULN * Alanine Aminotransferase (ALT) ≤2.5×ULN; \<br/\>For patients with liver metastasis or liver cancer: ≤5×ULN * Aspartate Aminotransferase (AST) ≤2.5×ULN; \<br/\>For patients with liver metastasis or liver cancer: ≤5×ULN * Renal function * Creatinine (Cr) ≤1.5×ULN * Creatinine Clearance (Ccr) ≥50ml/min (calculated by Cockcroft-Gault formula) * Coagulation function * Activated Partial Thromboplastin Time (APTT) ≤1.5×ULN * International Normalized Ratio (INR) ≤1.5×ULN * Cardiac function * Left Ventricular Ejection Fraction (LVEF) ≥50% * Fridericia-corrected QT interval (QTcF) Male\<450ms; Female\<470ms * 8\. Eligible patients of childbearing potential (male and female) must agree to use reliable contraceptive methods (hormonal, barrier, or abstinence) with their partners during the trial and for at least 3 months after the last dose; female patients of childbearing potential must have a negative serum pregnancy test within 1 week before the first dose. * 9\. Must understand the study requirements, voluntarily sign a written informed consent form before the trial. Exclusion Criteria: * 1\. Received chemotherapy within 3 weeks, or radiotherapy, biological therapy, endocrine therapy, targeted therapy, immunotherapy, or other anti-tumor treatments within 4 weeks before the first dose, except: * \- Nitrosourea or mitomycin C: within 6 weeks before the first dose; * \- Oral fluoropyrimidines, small-molecule targeted drugs, or traditional Chinese medicine with anti-tumor indications: within 2 weeks before the first dose; * \- Local palliative radiotherapy: within 2 weeks before the first dose. * 2\. Received other unmarketed clinical research drugs or treatments within 4 weeks before the first dose. * 3\. Underwent major organ surgery (excluding needle biopsy) or suffered significant trauma within 4 weeks before the first dose. * 4\. Used strong inhibitors or inducers of CYP3A4 or P-gp within 1 week before the first dose. * 5\. Previously received other selective ERK inhibitors and/or SHP2 inhibitors. * 6\. Previously received hematopoietic stem cell transplantation or organ transplantation. * 7\. Adverse reactions from previous anti-tumor treatment have not recovered to NCI CTCAE v5.0 Grade ≤ 1 (except for toxicities judged by investigators to be safe, such as alopecia, Grade 2 peripheral neuropathy, or hypothyroidism stabilized with hormone replacement therapy). * 8\. Symptomatic parenchymal brain metastasis or meningeal metastasis, deemed unsuitable for enrollment by investigators. * 9\. Has an active infection requiring intravenous anti-infective treatment. * 10\. Has a history of immunodeficiency, including positive HIV antibody test. * 11\. Active hepatitis B (HBsAg positive and HBV-DNA \> 500 IU/ml, 1000 cps/ml, or the study center's lower limit of detection \[if higher\]); antiviral therapy (excluding interferon) is allowed. Active hepatitis C (patients with positive HCV antibody but HCV-RNA \< the study center's lower limit of detection are eligible). * 12\. Has a history of severe cardiovascular and cerebrovascular diseases, including but not limited to: * \- Severe cardiac arrhythmia or conduction abnormalities requiring clinical intervention (e.g., ventricular arrhythmia, third-degree atrioventricular block); * \- Acute coronary syndrome, congestive heart failure, aortic dissection, stroke, or other Grade ≥ 3 cardiovascular and cerebrovascular events within 6 months before the first dose; * \- New York Heart Association (NYHA) cardiac function class ≥ III; * \- Clinically uncontrolled hypertension; * \- Any factors increasing the risk of QTc prolongation or arrhythmia (e.g., heart failure, intractable hypokalemia, congenital long QT syndrome, family history of long QT syndrome, use of any known drugs that prolong the QT interval \[see Appendix 8\]). * 13\. Has a history of other malignant tumors (except cured in situ cancers with no recurrence for 5 years, such as basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ of the cervix, as deemed eligible by investigators; eligible in the dose escalation phase at the discretion of investigators). * 14\. Has a history of retinal vein occlusion or central serous chorioretinopathy. * 15\. Unable to swallow oral medications, or has conditions severely affecting gastrointestinal absorption (e.g., chronic diarrhea, intestinal obstruction) as judged by investigators. * 16\. Uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage (once a month or more frequently). * 17\. Has a history of interstitial pneumonia within 6 months before the first dose, or any evidence of clinically active interstitial lung disease. * 18\. Has aberrantly activated PI3K-mTOR pathway (including PI3K activating mutations, AKT activating mutations, and PTEN deletion or inactivation). * 19\. Has known alcohol or drug dependence. * 20\. Has a mental disorder or poor compliance. * 21\. Has a history of severe allergies or allergies to multiple drugs. * 22\. Is pregnant or lactating. * 23\. Deemed unsuitable for the study by investigators for other reasons.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Shanghai Goboard Cancer Hospital
Shanghai, Shanghai Municipality, 200000, China
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