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Updated June 2026 · ClinicalTrials.gov

RECRUITINGPhase 1 / Phase 2INTERVENTIONAL

A Study of RNK08954 in Subjects With Advanced Solid Tumors With KRAS ((Kirsten Rat Sarcoma) G12D Mutation

A Phase 1/2, First-in-Human, Open-label Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of RNK08954 in Patients With Advanced Solid Tumors With a KRAS G12D Mutation TRIAD1 (Trial of RNK08954 In KRAS G12D Mutation)

A Study of RNK08954 in Subjects With Advanced Solid Tumors With KRAS ((Kirsten Rat Sarcoma) G12D Mutation (NCT06667544) is a Phase 1 / Phase 2 interventional studying KRAS G12D Mutation, sponsored by Ranok Therapeutics (Hangzhou) Co., Ltd.. RECRUITING as of the most recent ClinicalTrials.gov update. Talk to your doctor before contacting the trial site.

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This is a first in human (FIH), Phase 1/2 open-label multi-center, dose escalation and expansion study to evaluate the safety, tolerability and pharmacokinetics of RNK08954 to determine the optimal dose and recommended dose for expansion and evaluate clinical activity in patients with advanced solid tumors with KRAS G12D mutation. This is a 2-part study: dose exploration/indication expansion and dose optimization ( to identify a dose that preserves clinical benefit with optimal tolerability).

What Stage of Research Is This?

Phase 1 trials test a new treatment for the first time in humans, focusing on safety, dosing, and how the body processes the drug. For KRAS G12D Mutation, a Phase 1 study typically enrolls a small number of participants — often healthy volunteers or patients who have exhausted standard treatment options. Phase 1 results determine whether a treatment moves into larger Phase 2 efficacy studies.

This trial is currently recruiting participants. The sponsor has registered the study with ClinicalTrials.gov as actively enrolling, which means new applicants who meet the eligibility criteria can be considered for screening. Trial status can change between updates — confirm current recruiting status with the study contact before traveling for a screening visit.

Target enrollment of 152 participants puts this in the typical range for a Phase 2-style efficacy study or a moderate Phase 3 trial in a focused KRAS G12D Mutation subpopulation. At this scale, the study has enough statistical power to detect a clear treatment effect but is not the largest cohort in the field.

Who May Be Eligible (Plain English)

Who May Qualify: 1. Must be 18 years of age or older. 2. Must have pathologically documented locally advanced or metastatic malignancy harboring KRAS G12D mutations identified through deoxyribonucleic acid (DNA) sequencing of tumor tissues or circulating deoxyribonucleic acid (ctDNA) performed locally. 3. Must have received prior standard therapy appropriate for their tumor type, or in the opinion of the investigator, would be unlikely to derive further clinically meaningful benefit from appropriate standard of care therapy. 4. Must have measurable lesion(s) per Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 by Computed tomography (CT) scan with contrast (magnetic resonance imaging (MRI), if the patient is allergic to contrast media). - Measurable disease may be in the field of prior irradiation; however, at least 3 weeks must have elapsed between the completion of radiation therapy and the baseline scan documenting disease status. - Bone disease is considered radiologically measurable only if there is at least a 50% lytic component. NOTE: Bone disease consisting of only blastic lesion is not considered measurable. NOTE: in Phase 1a, patients must have measurable or evaluable disease. 5. Archival or fresh tumor tissue must be available for evaluating relevant biomarkers. Formalin-fixed paraffin-embedded (FFPE)block preferred, or a minimum of 3 unstained FFPE slides of one archived block is required. NOTE: cytology samples from fine needle aspirates or brushing biopsies are not sufficient. NOTE: Phase 1a and 1b: Patients are additionally encouraged to undergo pre-treatment tumor biopsy. 6. Must have adequate performance status, Appendix D. o Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score of 0, or 1. 7. Must be able to take oral medications and willing to record daily adherence to the investigational product. 8. Must have adequate laboratory parameters at baseline: ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

These are translations of the protocol\'s inclusion and exclusion criteria, simplified for patients and caregivers. The original clinical text appears below. Eligibility is ultimately confirmed by the trial site\'s screening process — this summary is a starting point for a conversation with your doctor, not a final determination.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: 1. Must be 18 years of age or older. 2. Must have pathologically documented locally advanced or metastatic malignancy harboring KRAS G12D mutations identified through deoxyribonucleic acid (DNA) sequencing of tumor tissues or circulating deoxyribonucleic acid (ctDNA) performed locally. 3. Must have received prior standard therapy appropriate for their tumor type, or in the opinion of the investigator, would be unlikely to derive further clinically meaningful benefit from appropriate standard of care therapy. 4. Must have measurable lesion(s) per Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 by Computed tomography (CT) scan with contrast (magnetic resonance imaging (MRI), if the patient is allergic to contrast media). * Measurable disease may be in the field of prior irradiation; however, at least 3 weeks must have elapsed between the completion of radiation therapy and the baseline scan documenting disease status. * Bone disease is considered radiologically measurable only if there is at least a 50% lytic component. NOTE: Bone disease consisting of only blastic lesion is not considered measurable. NOTE: in Phase 1a, patients must have measurable or evaluable disease. 5. Archival or fresh tumor tissue must be available for evaluating relevant biomarkers. Formalin-fixed paraffin-embedded (FFPE)block preferred, or a minimum of 3 unstained FFPE slides of one archived block is required. NOTE: cytology samples from fine needle aspirates or brushing biopsies are not sufficient. NOTE: Phase 1a and 1b: Patients are additionally encouraged to undergo pre-treatment tumor biopsy. 6. Must have adequate performance status, Appendix D. o Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score of 0, or 1. 7. Must be able to take oral medications and willing to record daily adherence to the investigational product. 8. Must have adequate laboratory parameters at baseline: * Absolute neutrophil count ≥ 1.2 x 109/L. * Hemoglobin greater than or equal to (≥) 9 g/dL. * Platelet count ≥ 75 x 109/L. * Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than or equal to (≤) 2.5 x upper limit of normal (ULN) (≤ 5 x ULN in presence of liver metastases). * Total bilirubin ≤ 1.5 x institutional ULN \[less than (\<) 2.5 x ULN for patients with documented Gilbert's syndrome or \< 3.0 x ULN for patients for whom the indirect bilirubin level suggests an extrahepatic source of elevation\]. * Calculated creatinine clearance greater than (\>) 60 mL/min. Actual body weight should be used for calculating creatinine clearance (e.g. using the Cockcroft-Gault formula). For patients with a Body Mass Index (BMI) \> 30 Kg/m2, lean body weight should be used instead. * Acceptable coagulation parameters: Fibrinogen ≥ 1.5 g/dL, or partial thromboplastin time (PTT) ≤ 1.5 X institutional ULN, or international normalized ratio (INR) \< 1.5 X institutional ULN or within target range if a patient is on prophylactic anti-coagulant therapy. * Serum albumin ≥ 3.0 g/dL. 9. Must have life expectancy of \> 12 weeks according to the Investigator's clinical judgment. 10. Females of childbearing potential must have a negative pregnancy test at screening and additional pregnancy test prior to first dose. NOTE: Positive pregnancy test may occur in approximately 10% of cancer patients, who are otherwise postmenopausal. This is due to Human Chorionic Gonadotrophin (HCG) secreted by some tumor types such as ovarian or colorectal cancer (CRC), even in postmenopausal women. A quantitative test should be performed in patients with a positive serum pregnancy test, otherwise thought to be postmenopausal. 11. Males and females of childbearing potential must agree to use a highly effective method of contraception during treatment and for at least 6 months after the last dose of study treatment. These include, but not limited to: o Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (i.e. intravaginal or transdermal). * Progestogen-only hormonal contraception associated with inhibition of ovulation (i.e. injectable or implantable). * Intrauterine device. * Bilateral tubal occlusion. * Vasectomized partner. * Sexual abstinence (defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments) is intended. The true abstinence is when this is in line with the preferred and usual lifestyle of the patient. (Periodic abstinence \[e.g. calendar, ovulation, symptom-thermal, post-ovulation methods\] and withdrawal are not acceptable methods of contraception). NOTE: A patient is not considered in childbearing potential if any of the following criteria is met: * has had a hysterectomy, bilateral salpingectomy, or bilateral oophorectomy. * Age ≥ to 60 years and is amenorrhoeic. * Age \< 60 years and has been amenorrhoeic for ≥12 months (including no irregular menses or spotting) in the absence of any medication which induces a menopausal state and has ovarian failure as indicated by serum estradiol and follicle-stimulating hormone levels. NOTE: Male patients will be advised to arrange for the freezing of sperm samples prior to the start of the study, and not to donate sperm until 6 months after discontinuation of study treatment. 12. Must be able to understand and comply with the conditions of the protocol and must have read and understood the consent form and provided written informed consent. Food Effect Assessment- Specific Inclusion Criteria 13. Must be able to eat a standardized high-fat, high-caloric meal within 30 minutes. 14. Must be able to fast for a minimum of 10 hours. Phase 1b and Phase 2 Specific inclusion criteria 15. Patient must have received at least one but no more than two prior lines of systemic cytotoxic chemotherapy in locally advanced or metastatic setting. 16. The status of KRAS G12D mutations will be performed in a central laboratory chosen by the Sponsor. Exclusion Criteria: A patient is not eligible to participate in the study if any of the following criteria are met: 1. Concurrent anticancer therapy \[chemotherapy, monoclonal antibodies, targeted therapy, hormonal therapy or investigational agents\] within the lesser of 28 days or 5 half-lives before study Day 1. NOTE: Patient must agree not to participate in any other interventional clinical studies during their participation in this trial while on study treatment. NOTE: patients receiving hormonal ablation therapy for breast cancer or hormone refractory prostate cancer are allowed. NOTE: Patients taking part in surveys or observational studies are eligible to participate in this study. 2. Significant acute decline in clinical status including: -Decline in ECOG PS to \>1 between baseline visit and within 72 hours prior to starting study treatment. -Weight loss of ≥10% during screening. 3. Presence of active or symptomatic untreated central nervous system (CNS) metastases. NOTE: Patients with asymptomatic or stable CNS metastases are eligible, provided that the CNS metastases are radiologically and clinically stable for at least 2 weeks prior to enrollment, or on a stable or decreasing dose of ≤ 10 mg daily prednisone (or equivalent). 4. Unresolved toxicities from prior anticancer therapy, defined as not having resolved according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 Grade ≤ 1, or to levels dictated in the eligibility criteria, with the exception of alopecia. NOTE: Grade 2 or 3 toxicities from prior anticancer therapy that are considered irreversible (present and stable for \>6 months) may be allowed if they are not otherwise described in the exclusion criteria and after a consultation between the Medical Monitor and the Investigator. 5. Prior radiotherapy to the only area of measurable disease, unless there is documented disease progression. NOTE: Patients must have completed treatment and recovered from all acute treatment-related toxicities prior to administration of the first dose of RNK08954. 6. Presence of gastrointestinal (GI) tract disease causing inability to take oral medication, such as malabsorption syndrome, requirement for intravenous alimentation, uncontrolled inflammatory GI disease, e.g. Crohn's disease or ulcerative colitis, or any other severe acute or chronic condition that may increase the risk of study participation including, e.g. history of abdominal fistula, GI perforation, peptic ulcer. 7. Current or history within 6 months prior to study enrollment of medically significant cardiovascular disease including symptomatic congestive heart failure \> New York Heart Association (NYHA) Class II, unstable angina pectoris, clinically significant cardiac arrhythmia, or a history of long QT Syndrome (the heart's electrical activity as graphed on an electrocardiogram) or a family member with this condition. NOTE: patients with a marked baseline prolongation of QT/QTc (corrected) interval (e.g. repeated demonstration of a corrected QT (QTc) interval ≥ 470 mSec (one thousandth of a second) will be excluded. A consistent method of QTc calculation must be used for each patient's QTc measurements. QTcF (Fridericia's formula) is preferred. 8. Use of concomitant medications that have the potential to cause clinically relevant drug-drug interactions with RNK08954; including but not limited to: * All herbal medicines (e.g. St John's wort). * Use of strong inhibitors of Polymeric P-glycoprotein) P-gp within two weeks prior to Study Day 1. * Use of strong inducers or inhibitors of Cytochrome P450 3A4 (CYP3A4) within two weeks prior to Study Day 1. * Use of known 3A4, or C member 19 (2C19) sensitive substrates (with a narrow therapeutic window) within two weeks prior to Study Day 1. NOTE: other supplemental medicines, vitamins received by the patients within 3 weeks of the study enrollment will be reviewed and acknowledged or approved by the Investigator and the Sponsor Medical Monitor. 9. Pregnancy or breast-feeding or planning to breast feed during the study or within 6 months after study treatment. 10. Untreated human immunodeficiency virus (HIV). NOTE: Patients with a known history of HIV infection should have a cluster of differentiation 4 (CD4)+ thymus (T)-cell (CD4+) count ≥ 350 cells/mL to be eligible. 11. Active infection requiring systemic antibiotics, antiviral or antifungal treatment. NOTE: Patient must be medically stable, afebrile, and not taking antimicrobial treatment for ≤ 3 days prior to the first dose of study drug. 12. Known hepatitis B virus, or Hepatitis C virus: * Positive Hepatitis B Surface Antigen (Hep B sAg) (indicative of chronic Hepatitis B), positive Hepatitis total core antibody with negative Hep B sAg (suggestive of occult hepatitis B). * Detectable Hepatitis C virus (HCV) Ribonucleic acid (RNA) by Polymerase chain reaction (PCR) (indicative of active Hepatitis C), or positive Hepatitis C Antibody (Hep C Ab). NOTE: testing at screening is not required unless clinically indicated by the Investigator. NOTE: Patients with a history of hepatitis B or C are allowed if hepatitis B virus (HBV )DNA or hepatitis C virus (HCV) RNA are undetectable. 13. Known hypersensitivity to any of the components of the study drug. 14. Other conditions, psychiatric illness/social situations or any other serious uncontrolled medical disorders in the opinion of the Investigator that would limit compliance with study requirements. Phase 1b and Phase 2 Specific exclusion criteria 15. History of other malignancies except adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumors curatively treated by surgery alone or surgery plus radiotherapy with no evidence of disease for \>2 years. 16\. Prior treatment with KRAS G12D or Pan KRAS inhibitor. \-

Treatments Being Tested

DRUG

RNK08954-01

Once daily oral treatment for a 3 week cycle

Locations (6)

Trial sites listed on ClinicalTrials.gov for this study. Site activation status can vary — confirm with the specific site before traveling for a screening visit.

Guangxi Medical University Cancer Hospital
Nanning, Guangxi, China
Henan Cancer Hospital
Zhengzhou, Henan, China
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, China
Ruijin Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, China
Shanghai Chest Hospital
Shanghai, China

How to Talk to Your Doctor About This Trial

Bring the printable summary of this trial — including the NCT ID (NCT06667544), the sponsor (Ranok Therapeutics (Hangzhou) Co., Ltd.), and the key eligibility criteria — to your next appointment. Your doctor can review the inclusion and exclusion criteria against your medical history, lab values, and current treatments to assess whether you are likely to qualify. They can also help you weigh whether trial participation makes sense alongside your existing care plan.

Useful questions to walk through together: What does the trial protocol require beyond standard care? How long is the active treatment phase, and how long is follow-up? Are there study visits at sites I can reach? Who pays for the trial-specific procedures, and who pays for standard-of-care portions? See our 25 questions to ask about clinical trials guide for a more complete checklist.

Authoritative Sources

The official record for this trial lives on ClinicalTrials.gov — the federal registry maintained by the National Library of Medicine at NIH. For background on how this trial fits into the FDA approval pathway, see the FDA drug approval process. For oncology-specific guidance for patients considering trials, the National Cancer Institute publishes patient-oriented overviews. International trial registries are aggregated by the WHO ICTRP.

Frequently Asked Questions

What is the NCT06667544 clinical trial studying?

This is a first in human (FIH), Phase 1/2 open-label multi-center, dose escalation and expansion study to evaluate the safety, tolerability and pharmacokinetics of RNK08954 to determine the optimal dose and recommended dose for expansion and evaluate clinical activity in patients with advanced solid tumors with KRAS G12D mutation. This is a 2-part study: dose exploration/indication expansion and dose optimization ( to identify a dose that preserves clinical benefit with optimal tolerability). The full protocol is registered on ClinicalTrials.gov and includes the primary outcome measures, eligibility criteria, and study endpoints.

Who can participate in NCT06667544?

Eligibility for this trial depends on the specific inclusion and exclusion criteria set by the sponsor. The plain-English summary above translates the most important criteria into accessible language; the official clinical text is preserved in the collapsible section underneath. Whether you fit any specific trial is a medical decision your doctor needs to confirm — bring the trial information to your treating physician for a full review against your medical history.

How do I contact the trial site for NCT06667544?

Contact information registered with ClinicalTrials.gov is shown in the sidebar of this page. Before reaching out, confirm with your treating physician that this trial is appropriate for your situation. The trial site will then walk you through the screening process to determine final eligibility.

Is participating in a clinical trial safe?

Clinical trials in the United States are regulated by the FDA and overseen by Institutional Review Boards (IRBs) that review the protocol for safety. Risk varies by trial — Phase 1 studies test new treatments in humans for the first time, while Phase 3 trials use treatments that have already passed earlier safety screening. The informed consent document for any specific trial details the known risks and what to expect. Discuss those risks with your physician before deciding whether to participate.

Where can I verify the data on this page?

Every detail on this page comes directly from the ClinicalTrials.gov API. Click "View on ClinicalTrials.gov" in the sidebar to see the official, unmodified record. The federal record is always authoritative; this page is a structured presentation with a plain-English eligibility translation. For background on how clinical trials are regulated, see the FDA drug approval process documentation.

How This Page Is Built

Every field on this page is pulled directly from the ClinicalTrials.gov API v2 — no estimates, no proxies. The plain-English eligibility translation is generated from the original protocol text and reviewed for fidelity to the underlying clinical criteria. The original clinical text remains visible in the collapsible section above so users and clinicians can verify the translation. Read the full methodology for the data pipeline and known limitations.

Source: ClinicalTrials.gov API v2 record for NCT06667544. Maintained by the National Library of Medicine at NIH. Public domain. Cite as: "TrialFinderData. NCT06667544. Data: ClinicalTrials.gov."

Medical disclaimer: This page is informational, not medical advice. Talk to your doctor about whether a clinical trial is right for you.

Last updated 2026-06-07 · Data from ClinicalTrials.gov.