Advanced Solid TumorPhase 1/2NCT06959615
A Phase I/IIa Study of JAB-23E73 in Patients With Advanced Solid Tumors Harboring KRAS Gene Alteration
A Phase 1/2 study testing JAB-23E73 in people with Advanced Solid Tumor, run by Jacobio Pharmaceuticals Co., Ltd. at 32 sites in China.
Trial summary
This is a multicenter, open-label, phase I/IIa to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of pan-KRAS inhibitor JAB-23E73 in patients with advanced solid tumors harboring KRAS mutations or amplification. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Advanced Solid Tumor
- What is being tested?
- JAB-23E73
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 334 participants
- Where
- 32 sitesChina
- Study dates
- 22 Nov 2024to 31 Aug 2027
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Histological or cytologically proven diagnosis of a locally advanced, unresectable, and/or metastatic solid tumor cancer with evidence of KRAS gene alteration (including gene mutation and wild type amplification).
- Able to provide an archived tumor tissue sample or fresh biopsy sample.
- Life expectancy ≥3 months at the start of treatment.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- ≥1 measurable lesion per RECIST v1.1.
- Adequate organ function.
Who cannot join
- Unable to swallow oral medications or with gastrointestinal dysfunction or gastrointestinal disease that significantly alters the absorption of medication.
- Previous treatment with rat sarcoma (RAS) targeting agents.
- Symptomatic, untreated, or actively progressing known central nervous system (CNS) metastases.
- Impaired cardiovascular function or clinically significant cardiac disease.
- Mean QT interval corrected using Fridericia's formula (QTcF) >470 msec.
- Females who are pregnant or breastfeeding.
Trial locations and contacts
32 sites in 1 country. Contact the study team or a site near you to ask about taking part.
32 sites in 1 country
China32 sites, 32 recruiting
- Recruiting
National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Beijing, Beijing Municipality, 100021
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100032
- Recruiting
Beijing Chest Hospital
Beijing, Beijing Municipality, 100032
- Recruiting
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100032
- Not yet recruiting
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
- Not yet recruiting
Hunan Cancer Hospital
Changsha, Hunan, 200032
- Not yet recruiting
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
- Not yet recruiting
Fujian cancer Hospital
Fuzhou, Fujian, 350014
- Recruiting
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, 510120
- Recruiting
Harbin Medical University Cancer Hospital
Haerbin, Heilongjiang, 150081
- Recruiting
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310005
- Not yet recruiting
The Second Affiliate Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009
- Not yet recruiting
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310014
- Not yet recruiting
Anhui Provincial Cancer Hospital
Hefei, Anhui, 230001
- Recruiting
National Cancer Center/Cancer Hospital- Langfang Campus, Chinese Academy of Medical Sciences and Peking Union Medical College
Langfang, Hebei, 065000
- Recruiting
The First Affiliated hospital of Nanchang University
Nanchang, Jiangxi, 330006
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, 210008
- Not yet recruiting
Jiangsu Cancer Hospital
Nanjing, Jiangsu, 210009
- Recruiting
Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
- Recruiting
Guangxi Medical University Cancer Hospital
Nanning, Guangxi, 530012
- Not yet recruiting
Shanghai Jiaotong University School of Medicine Ruijin Hospital
Shanghai, Shanghai Municipality, 200025
- Not yet recruiting
Fudan University Zhongshan Hospital
Shanghai, Shanghai Municipality, 200032
- Not yet recruiting
Huashan Hospital Fudan University
Shanghai, Shanghai Municipality, 200040
- Recruiting
The First Hospital of China Medical University
Shenyang, Liaoning, 110001
- Not yet recruiting
The First Affiliate of Soochow University
Suzhou, Jiangsu, 215006
- Recruiting
ShanXi Cancer Hospital
Taiyuan, Shanxi, 650118
- Not yet recruiting
Tianjin Medical University Cancer Institute&Hospital
Tianjin, Tianjin Municipality, 300211
- Not yet recruiting
Tongji Hospital
Wuhan, Hubei, 430030
- Recruiting
Zhongnan Hospital of Wuhan University
Wuhan, Hubei, 430071
- Not yet recruiting
The First Affiliated hospital of Xi'an Jiaotong University
Xi’an, Shanxi, 710061
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450003
- Recruiting
The First Affiliated hospital of Zhengzhou University
Zhengzhou, Henan, 450052
About this study
Official title: A Multicenter, Open Phase I/IIa Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of JAB-23E73 in Patients With Advanced Solid Tumors Harboring KRAS Gene Alteration
This is a multicenter, open-label, phase I/IIa to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of pan-KRAS inhibitor JAB-23E73 in patients with advanced solid tumors harboring KRAS mutations or amplification. The study consists of 2 phases: Phase 1 Dose Escalation and Phase IIa Dose Expansion.
Read the detailed description
Study JAB-23E73-1001 is a global multicenter, open-label Phase 1/2a study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary anticancer activity of JAB-23E73 as a single agent in adult patients with advanced solid tumors with KRAS alteration. This study consists of a Phase 1a dose-escalation, followed by Phase 1b dose-expansion (dose optimization) and Phase 2a indication expansion. After completing dose-escalation, the MTD or preliminary RP2D of JAB-23E73 will be determined. Then, two of the alternative dosages of JAB-23E73 will be selected to further evaluate the efficacy, safety and PK in patients with KRAS-alternated NSCLC or other tumors, and patients may be further selected by certain/several types of KRAS-alternations based on dose escalation data. The RP2D will be determined according to the safety, efficacy and PK data from phase 1b.
- Conditions
- Advanced Solid Tumor
- Being tested
- JAB-23E73
- Keywords
- KRAS, KRAS mutation, KRAS G12C, KRAS G12D, KRAS G12V, KRAS G12S, KRAS G12A, KRAS G12D, Pan-KRAS, NSCLC, Pancreas cancer, Colorectal cancer, KRAS-mutant tumor, Targeted Therapy, JAB-23E73
- Medical subject headings
- Pancreatic Neoplasms, Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
JAB-23E73Drug
Administered orally
JAB-23E73Drug
Administered orally
| Study group | Role | What they receive |
|---|---|---|
| Phase 1 Dose Exploration | Experimental | Monotherapy, dose escalation Receives: Drug: JAB-23E73 |
| Phase 2a Dose Expansion | Experimental | Monotherapy, dose expansion Receives: Drug: JAB-23E73 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase 1: Number of participants with dose limiting toxicities (DLT)
Incidence of dose limiting toxicities (DLTs) in the dose escalation phase. DLTs will be defined as the occurrence of any of the toxicities as described in the protocol.
Measured: Up to 21 days
Phase 2a: Objective response rate (ORR)
ORR is defined as the proportion of patients with a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) per RECIST v1.1.
Measured: Up to approximately 2 years
Secondary outcomes (10)
Phase 1/2a: Adverse events
Incidence and severity of treatment-emergent Adverse Events (TEAEs), treatment-related Adverse Events (TRAEs) and serious Adverse Events (SAEs)
Measured: Up to approximately 2 years
Phase 1/2a: Pharmacokinetic (PK): Maximum concentration (Cmax) of JAB-23E73
PK: Cmax of JAB-23E73
Measured: Up to approximately 2 years
Phase 1/2a: PK: Time to Maximum Concentration (Tmax) of JAB-23E73
PK: Tmax of JAB-23E73
Measured: Up to approximately 2 years
Phase 1/2a: PK: Area Under the Concentration Versus Time Curve (AUC) of JAB-23E73
PK: AUC of JAB-23E73
Measured: Up to approximately 2 years
Phase 1: ORR
ORR is defined as the proportion of patients with a BOR of confirmed CR or confirmed PR per RECIST v1.1.
Measured: Up to approximately 2 years
Phase 1/2a: Time to Response (TTR)
TTR is defined as the time from the date of first dose of study drug to first documentation of response as assessed by the investigator per RECIST v1.1
Measured: Up to approximately 2 years
Phase 1/2a: Progression Free Survival (PFS)
PFS is defined as the time from the date of the first dose of study drug to the date of the first documentation of progressive disease assessed by the investigator per RECIST v1.1 or death, whichever occurs first.
Measured: Up to approximately 2 years
Phase 1/2a: Disease Control Rate (DCR)
DCR is defined as the proportion of patients with CR, PR, or stable disease (SD) as assessed by the investigator per RECIST v1.1
Measured: Up to approximately 2 years
Phase 1/2a: Duration of Response (DoR)
DOR is defined as the time from the first determination of an objective response per RECIST v1.1 until the first documentation of disease progression or death, whichever occurs first as assessed by the investigator.
Measured: Up to approximately 2 years
Phase 2a: Overall Survival (OS)
OS is defined as the time from the date of first dose of study drug until the date of death from any cause.
Measured: Up to approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2025
- Study start22 Nov 2024
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Aug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Solid TumorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 334 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jacobio Pharmaceuticals Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06959615
- Sponsor's protocol ID
- JAB-23E73-1001
- Status last verified
- Jan 2026
- First submitted
- 28 Apr 2025
- Last updated
- 20 Jan 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open Phase I/IIa Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of JAB-23E73 in Patients With Advanced Solid Tumors Harboring KRAS Gene Alteration
- ClinicalTrials.gov ID
- NCT06959615
- Acronym / sponsor ID
- JAB-23E73-1001
- Conditions
- Advanced Solid Tumor
- Keywords
- KRAS, KRAS mutation, KRAS G12C, KRAS G12D, KRAS G12V, KRAS G12S, KRAS G12A, KRAS G12D, Pan-KRAS, NSCLC, Pancreas cancer, Colorectal cancer, KRAS-mutant tumor
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 334 participants (estimated)
- Lead sponsor
- Jacobio Pharmaceuticals Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 22 Nov 2024 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Aug 2027 (estimated)
- First posted
- 6 May 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, open-label, phase I/IIa to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of pan-KRAS inhibitor JAB-23E73 in patients with advanced solid tumors harboring KRAS mutations or amplification. The study consists of 2 phases: Phase 1 Dose Escalation and Phase IIa Dose Expansion.
Detailed description
Study JAB-23E73-1001 is a global multicenter, open-label Phase 1/2a study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary anticancer activity of JAB-23E73 as a single agent in adult patients with advanced solid tumors with KRAS alteration. This study consists of a Phase 1a dose-escalation, followed by Phase 1b dose-expansion (dose optimization) and Phase 2a indication expansion. After completing dose-escalation, the MTD or preliminary RP2D of JAB-23E73 will be determined. Then, two of the alternative dosages of JAB-23E73 will be selected to further evaluate the efficacy, safety and PK in patients with KRAS-alternated NSCLC or other tumors, and patients may be further selected by certain/several types of KRAS-alternations based on dose escalation data. The RP2D will be determined according to the safety, efficacy and PK data from phase 1b.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Phase 1 Dose Exploration | Experimental | Drug: JAB-23E73Monotherapy, dose escalation |
| Phase 2a Dose Expansion | Experimental | Drug: JAB-23E73Monotherapy, dose expansion |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- Histological or cytologically proven diagnosis of a locally advanced, unresectable, and/or metastatic solid tumor cancer with evidence of KRAS gene alteration (including gene mutation and wild type amplification).
- Able to provide an archived tumor tissue sample or fresh biopsy sample.
- Life expectancy ≥3 months at the start of treatment.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- ≥1 measurable lesion per RECIST v1.1.
Key exclusion criteria (6 listed)
- Unable to swallow oral medications or with gastrointestinal dysfunction or gastrointestinal disease that significantly alters the absorption of medication.
- Previous treatment with rat sarcoma (RAS) targeting agents.
- Symptomatic, untreated, or actively progressing known central nervous system (CNS) metastases.
- Impaired cardiovascular function or clinically significant cardiac disease.
- Mean QT interval corrected using Fridericia's formula (QTcF) >470 msec.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| JAB-23E73Administered orally | Drug | Phase 1 Dose Exploration |
| JAB-23E73Administered orally | Drug | Phase 2a Dose Expansion |
Primary outcome
Phase 1: Number of participants with dose limiting toxicities (DLT)
Time frame: Up to 21 days
Incidence of dose limiting toxicities (DLTs) in the dose escalation phase. DLTs will be defined as the occurrence of any of the toxicities as described in the protocol.
Phase 2a: Objective response rate (ORR)
Time frame: Up to approximately 2 years
ORR is defined as the proportion of patients with a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) per RECIST v1.1.
10 secondary outcomes
Phase 1/2a: Adverse events
Time frame: Up to approximately 2 years
Phase 1/2a: Pharmacokinetic (PK): Maximum concentration (Cmax) of JAB-23E73
Time frame: Up to approximately 2 years
Phase 1/2a: PK: Time to Maximum Concentration (Tmax) of JAB-23E73
Time frame: Up to approximately 2 years
Phase 1/2a: PK: Area Under the Concentration Versus Time Curve (AUC) of JAB-23E73
Time frame: Up to approximately 2 years
Phase 1: ORR
Time frame: Up to approximately 2 years
Phase 1/2a: Time to Response (TTR)
Time frame: Up to approximately 2 years
Phase 1/2a: Progression Free Survival (PFS)
Time frame: Up to approximately 2 years
Phase 1/2a: Disease Control Rate (DCR)
Time frame: Up to approximately 2 years
Phase 1/2a: Duration of Response (DoR)
Time frame: Up to approximately 2 years
Phase 2a: Overall Survival (OS)
Time frame: Up to approximately 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
32 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing JAB-23E73 in people with Advanced Solid Tumor, run by Jacobio Pharmaceuticals Co., Ltd. at 32 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 20 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 32 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Jacobio Pharmaceuticals (86 10 56315466, clinicaltrials@jacobiopharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase 1: Number of participants with dose limiting toxicities (DLT) (time frame: Up to 21 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jan 2026.