Clinical Trials
Numerous clinical trials spanning early to late phases evaluate garsorasib (D-1553) as monotherapy or combination regimens for KRAS G12C-mutated non-small cell lung cancer, colorectal cancer, advanced solid tumors, and pharmacokinetic profiling in healthy subjects. Sponsored by commercial entities, such as InventisBio Co. Ltd and InxMed (Shanghai) Co. Ltd., alongside academic institutions like Sun Yat-sen University and Guangdong Provincial People's Hospital, these studies encompass recruitment statuses ranging from not yet recruiting and active to completed.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT07294261 | NOT_YET_RECRUITING | Local Advanced or Metastatic NSCLC |
Sun Yat-sen University |
2025-12-23 | PHASE2 |
| NCT07174908 | RECRUITING | Non-Small Cell Lung Cancer |
InxMed (Shanghai) Co., Ltd. |
2025-09-10 | PHASE3 |
| NCT07601048 | NOT_YET_RECRUITING | KRAS G12C-positive Advanced or Metastatic Non-Small Cell Lung Cancer Patients Who Have Failed Standard Treatment |
Shandong Suncadia Medicine Co., Ltd. |
2026-06 | PHASE3 |
| NCT07472478 | NOT_YET_RECRUITING | Lung Cancer (NSCLC); KRAS G12C Lung Cancer |
Guangdong Provincial People's Hospital |
2026-03-15 | PHASE2 |
| NCT05379946 | ACTIVE_NOT_RECRUITING | Solid Tumor |
InventisBio Co., Ltd |
2022-10-12 | PHASE1; PHASE2 |
| NCT06166836 | ACTIVE_NOT_RECRUITING | Solid Tumor |
InxMed (Shanghai) Co., Ltd. |
2022-10-12 | PHASE1; PHASE2 |
| NCT06435455 | NOT_YET_RECRUITING | Locally Advanced or Metastatic Solid Tumors Harboring KRAS G12C Mutation |
Suzhou Genhouse Bio Co., Ltd. |
2024-07-01 | PHASE1; PHASE2 |
| NCT07318649 | NOT_YET_RECRUITING | Locally Advanced or Metastatic Solid Tumors |
Suzhou Genhouse Bio Co., Ltd. |
2025-12-30 | PHASE2 |
| NCT06300177 | RECRUITING | Non Small Cell Lung Cancer |
Chia Tai Tianqing Pharmaceutical Group Co., Ltd. |
2024-03-28 | PHASE3 |
| NCT05492045 | TERMINATED | NSCLC |
InventisBio Co., Ltd |
2022-09-13 | PHASE1; PHASE2 |
| NCT04585035 | ACTIVE_NOT_RECRUITING | Solid Tumor, Adult; NSCLC; CRC |
InventisBio Co., Ltd |
2020-10-02 | PHASE1; PHASE2 |
| NCT06105255 | COMPLETED | Healthy Male |
InventisBio Co., Ltd |
2023-05-24 | PHASE1 |
| NCT06233916 | COMPLETED | Mass Balance Study |
InventisBio Co., Ltd |
2023-12-08 | PHASE1 |
| NCT06233916 | Completed | Mass Balance Study |
InventisBio Co. Ltd |
2023-12-08 | Phase 1 |
| NCT05383898 | COMPLETED | NSCLC |
InventisBio Co., Ltd |
2021-03-16 | PHASE1; PHASE2 |
| NCT06105255 | Active not recruiting | Healthy Male |
InventisBio Co. Ltd |
2023-05-24 | Phase 1 |
| NCT06166836 | Recruiting | Solid Tumor |
InxMed (Shanghai) Co. Ltd.|InventisBio Co. Ltd |
2022-10-12 | Phase 1|Phase 2 |
| NCT05492045 | Recruiting | NSCLC |
InventisBio Co. Ltd |
2022-09-13 | Phase 1|Phase 2 |
| NCT05383898 | Active not recruiting | NSCLC |
InventisBio Co. Ltd |
2021-03-16 | Phase 1|Phase 2 |
(data from https://clinicaltrials.gov, updated on 2025-12-19)
Compliance for Clinical Use
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).