Ovarian CancerPhase 1NCT06846099
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Efficacy and Indications of RP903
A Phase 1 study testing RP903 in people with Ovarian Cancer and Cervical Cancer, run by Risen (Suzhou) Pharma Tech Co., Ltd. at 23 sites in China.
Trial summary
This is an open phase I/Ib clinical study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, and initial efficacy of RP903 in patients with advanced malignancies who have failed standard treatment or have no standard treatment options. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Ovarian Cancer, Cervical Cancer, Endometrial Cancer
- What is being tested?
- RP903
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 69 participants
- Where
- 23 sitesChina
- Study dates
- 7 Dec 2022to 30 May 2025
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Agreement to provide fresh or archived tumor tissue sample within 3 years
- Ia (dose escalation phase and dose expansion phase):patients with pathologically confirmed advanced Malignant solid tumour who have experienced Treatment failure, are unable to tolerate standard treatment, or have no standard treatment
- Ib: Patients with advanced malignant solid tumours who have PIK3CA activating mutations, experience treatment failure, are intolerant to standard treatment, or have no standard treatment
- Phase Ia: Solid tumour, not limited to specific types; dose expansion phase will prioritize cervix carcinoma, endometrial cancer, ovarian cancer, and breast cancer.
- Phase Ib:Cervix carcinoma (Expanded Cohort 1):Having received first-line (including Platinum-based chemotherapy ± bevacizumab) or second-line treatment and having disease progression during or after treatment; (recurrence during or within 12 months after neoadjuvant or adjuvant treatment in previous treatment will be regarded as one treatment line)
- Phase Ib:Endometrial cancer (extension cohort 2):Progression during or after first-line (including platinum) or second-line treatment of advanced or metastatic disease; (recurrence during or within 12 months after neoadjuvant or adjuvant treatment in previous treatment will be considered as one treatment line);Sarcoma type not included
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- Ovarian cancer (expanded cohort 3) (PIK3CA mutation):
- Ovarian cancer, fallopian tube cancer, or primary peritoneal carcinoma who have experienced treatment failure or are intolerant to at least one line of cytotoxic therapy ± PARP inhibitor; (recurrence during or within 12 months after neoadjuvant or adjuvant therapy will be considered one line of therapy)
- Pathological types include high-grade serous carcinoma, clear cell carcinoma, or Endometrioid carcinoma
- Breast cancer (extension cohort 4) (PIK3CA mutation):
- Advanced, recurrent and metastatic breast cancer;
- Prior systemic treatment in at least 1 line and no more than 3 lines (patients who have relapsed during or within 12 months after completion of neoadjuvant/adjuvant endocrine therapy will be considered as one line of endocrine therapy)
- At least one measurable lesion as per RECIST v1.1 (except the dose-escalation phase of monotherapy)
- Eastern Cooperative Oncology Group (ECOG) performance status score: 0-1
- Adequate hematologic and organ function
Who cannot join
- Patients with known allergy to any component of RP903
- Previously treated with PI3K, mTOR or AKT inhibitors
- Systemic anti-tumor therapy within 4 weeks prior to the first dose
- Presence of leptomeningeal or meningeal metastasis, or presence of signs of carcinomatous Meningitis
- Metastases to bone marrow
- Child-Pugh grade B or C
- Active hepatitis B or C
- History of type I Diabetes mellitus,gestational diabetes or uncontrolled type II Diabetes mellitus
Trial locations and contacts
23 sites in 1 country.
23 sites in 1 country
China23 sites
Beijing Cancer Hospital
Beijing
The First Affiliated Hospital of Bengbu Medical College
Bengbu
Jilin Cancer Hospital
Changchun
Jilin University First Hospital
Changchun
Sichuan Cancer Hospital
Chengdu
Chongqing University Cancer Hospital
Chongqing
Fujian Cancer Hospital
Fuzhou
Fujian Medical University Union Hospital
Fuzhou
Sir Run Run Shaw Hospital
Hangzhou
Zhejiang Cancer Hospital
Hangzhou
Harbin Medical University Cancer Hospital
Harbin
Shandong Cancer Hospital & Institute
Jinan
Affiliated Hospital of Jining Medical College
Jining
Linyi Cancer Hospital
Linyi
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang
Guangxi Medical University Cancer Hospital
Nanning
The Affiliated Hospital of Qingdao University
Qingdao
Affiliated Cancer Hospital of Fudan University
Shanghai
Liaoning Cancer Hospital&Institute
Shenyang
Suining Central Hospital
Suining
Hubei Cancer Hospital
Wuhan
Ceneral Hosipital of Ningxia Medical University
Yinchuan
Henan Cancer Hospital
Zhengzhou
About this study
Official title: A Phase I/Ib Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Efficacy and Indications of Pl3Kα-Selective Inhibitor RP903 (JS105) in Subjects With Advanced Malignancies
This is an open phase I/Ib clinical study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, and initial efficacy of RP903 in patients with advanced malignancies who have failed standard treatment or have no standard treatment options. The study was divided into two parts: dose escalation and dose extension (Phase Ia) and clinical extension (Phase Ib).
Read the detailed description
Phase Ia is divided into two phases of dose escalation and dose extension: This part includes dose escalation and dose extension of RP903 single agent to investigate the safety, tolerability, maximum tolerated dose and pharmacokinetic (PK) characteristics of RP903 single agent.
Phase Ib is the clinical indication expansion phase, and the primary purpose of this phase is to evaluate the initial safety and anti-tumor efficacy in a selected indication target population. After determining RP903 monotherapy RP2D in Phase Ia, SMC will select four advanced malignant tumors with PIK3CA mutations (cervical cancer, endometrial cancer, breast cancer, and ovarian cancer) as indications for clinical expansion studies based on phase Ia efficacy, safety, and pharmacokinetic (PK) data. The dose was determined according to the results of the dose escalation phase and the dose extension phase.
- Being tested
- RP903
- Medical subject headings
- Ovarian Neoplasms, Uterine Cervical Neoplasms, Endometrial Neoplasms, Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RP903Drug
Ia:RP903 50mg, 100mg, 200mg, 300mg,350mg,or other dose, po qd for each 28-day cycle; Ib: RP903,RP2D,po qd for each 28-day cycle
| Study group | Role | What they receive |
|---|---|---|
| RP903 arm | Experimental | Ia:Participants will receive RP903 in escalating dose levels with starting dose of 50mg, po qd for each 28-day cycle Ib:Participants will receive RP903 with RP2D, po qd for each 28-day cycle Receives: Drug: RP903 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Ia:dose-limiting toxicity(DLTs)
Incidence and severity of dose-limiting toxicity (DLTs)
Measured: 28 days
Ia:Adverse Events
Incidence and severity of Adverse Events(AEs) according to NCI-CTCAE
Measured: 2 years
Ia: serious adverse events
Incidence and severity of serious adverse events(SAEs) according to NCI-CTCAE
Measured: 2 years
Ia: Abnormal changes in Laboratory test and other abnormalities
Incidence and severity of abnormal changes in Laboratory test and other tests with clinically significant according to NCI-CTCAE
Measured: 2 years
Ia: MTD
Maximum Tolerated Dose(MTD)
Measured: 2 years
Ia: MAD
Maximum Administrated Dose(MAD)
Measured: 2 years
Ia:RP2D
Recommended Phase II Dose(RP2D)
Measured: 2 years
Ib:objective response rate(ORR);
Efficacy evaluated by the investigator according to RECIST v1.1: objective response rate (ORR);
Measured: 2 years
Ib:AE
Type, frequency, duration, severity and characteristics of Adverse Events (AEs) according to NCI-CTCAE
Measured: 2 years
Ib:SAE
Type, frequency, duration, severity and characteristics of serious adverse events(SAEs) according to NCI-CTCAE
Measured: 2 years
Secondary outcomes (32)
Ia:the concentration of RP903 or its metabolites (if applicable)
the concentration of RP903 or its metabolites (if applicable) in individual subjects at different time points after administration;
Measured: 1 years
Ia:Cmax
peak concentration
Measured: 1 years
Ia:Ctrough
trough concentration
Measured: 1 years
Ia:Tmax
time to peak
Measured: 1 years
Ia:AUC0-t and AUC0-∞
area under the plasma drug concentration-time curve
Measured: 1 years
Ia:Vd/F
distribution volume
Measured: 1 years
Ia:CL/F
clearance
Measured: 1 years
Ia:t1/2
half-life
Measured: 1 years
Ia:Rac
cumulative factor
Measured: 1 years
Ia:ORR
objective response rate
Measured: 1 years
Ia:DoR
duration of response
Measured: 1 years
Ia:DCR
disease control rate
Measured: 1 years
Ia:TTR
time to response
Measured: 1 years
Ia:PFS
progression-free survival
Measured: 1 years
Ia:OS
overall survival
Measured: 1 years
Ib:safety:AE
Type, frequency, duration, severity and characteristics of serious adverse events(SAEs) according to NCI-CTCAE
Measured: 2 years
Ib:safety:SAE
Type, frequency, duration, severity and characteristics of serious adverse events(SAEs) according to NCI-CTCAE
Measured: 2 years
Ib:safety:Body temperature
Body temperature changes according to NCI-CTCAE
Measured: 2 years
Ib:safety:pulse
pulse changes according to NCI-CTCAE
Measured: 2 years
Ib:safety:respiratory rate
respiratory rate changes according to NCI-CTCAE
Measured: 2 years
Ib:safety: blood pressure
blood pressure changes according to NCI-CTCAE
Measured: 2 years
Ib:safety:laboratory test
laboratory test changes according to NCI-CTCAE
Measured: 2 years
Ib:safety:heart rate
heart rate changes according to NCI-CTCAE
Measured: 2 years
Ib:safety:QT
QT changes according to NCI-CTCAE
Measured: 2 years
Ib:safety:QTcF
QTcF changes according to NCI-CTCAE
Measured: 2 years
Ib:safety:PR
PR changes according to NCI-CTCAE
Measured: 2 years
Ib:DoR
duration of response
Measured: 1 years
Ib:DCR
disease control rate
Measured: 1 years
Ib:TTR
time to response
Measured: 1 years
Ib:PFS
progression-free survival
Measured: 1 years
Ib:OS
overall survival
Measured: 2 years
Ib:Concentrations of RP903 or its metabolites
Concentrations of RP903 or its metabolites (if applicable) in individual subjects at different time points after dosing.
Measured: 1 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Feb 2025
- Study start7 Dec 2022
- Primary completion30 May 2025
- Study completion30 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Ovarian CancerStudies 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
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- once daily on Days 1-28 of each 28-day cycle
- Masking
- None (open label)
- Enrolment
- 69 participants (actual)
Sponsor and investigators
- Lead sponsor
- Risen (Suzhou) Pharma Tech Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06846099
- Sponsor's protocol ID
- JS105-001-I
- Status last verified
- Dec 2025
- First submitted
- 19 Jan 2025
- Last updated
- 23 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/Ib Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Efficacy and Indications of Pl3Kα-Selective Inhibitor RP903 (JS105) in Subjects With Advanced Malignancies
- ClinicalTrials.gov ID
- NCT06846099
- Acronym / sponsor ID
- JS105-001-I
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 69 participants (actual)
- Lead sponsor
- Risen (Suzhou) Pharma Tech Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 7 Dec 2022 (actual)
- Primary completion
- 30 May 2025 (actual)
- Study completion
- 30 May 2025 (actual)
- First posted
- 25 Feb 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 an open phase I/Ib clinical study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, and initial efficacy of RP903 in patients with advanced malignancies who have failed standard treatment or have no standard treatment options. The study was divided into two parts: dose escalation and dose extension (Phase Ia) and clinical extension (Phase Ib).
Detailed description
Phase Ia is divided into two phases of dose escalation and dose extension: This part includes dose escalation and dose extension of RP903 single agent to investigate the safety, tolerability, maximum tolerated dose and pharmacokinetic (PK) characteristics of RP903 single agent.
Phase Ib is the clinical indication expansion phase, and the primary purpose of this phase is to evaluate the initial safety and anti-tumor efficacy in a selected indication target population. After determining RP903 monotherapy RP2D in Phase Ia, SMC will select four advanced malignant tumors with PIK3CA mutations (cervical cancer, endometrial cancer, breast cancer, and ovarian cancer) as indications for clinical expansion studies based on phase Ia efficacy, safety, and pharmacokinetic (PK) data. The dose was determined according to the results of the dose escalation phase and the dose extension phase.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- once daily on Days 1-28 of each 28-day cycle
| Arm | Type | Receives |
|---|---|---|
| RP903 arm | Experimental | Drug: RP903Ia:Participants will receive RP903 in escalating dose levels with starting dose of 50mg, po qd for each 28-day cycle Ib:Participants will receive RP903 with RP2D, po qd for each 28-day cycle |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Agreement to provide fresh or archived tumor tissue sample within 3 years
- Ia (dose escalation phase and dose expansion phase):patients with pathologically confirmed advanced Malignant solid tumour who have experienced Treatment failure, are unable to tolerate standard treatment, or have no standard treatment
- Ib: Patients with advanced malignant solid tumours who have PIK3CA activating mutations, experience treatment failure, are intolerant to standard treatment, or have no standard treatment
- Phase Ia: Solid tumour, not limited to specific types; dose expansion phase will prioritize cervix carcinoma, endometrial cancer, ovarian cancer, and breast cancer.
- Phase Ib:Cervix carcinoma (Expanded Cohort 1):Having received first-line (including Platinum-based chemotherapy ± bevacizumab) or second-line treatment and having disease progression during or after treatment; (recurrence during or within 12 months after neoadjuvant or adjuvant treatment in previous treatment will be regarded as one treatment line)
Key exclusion criteria (8 listed)
- Patients with known allergy to any component of RP903
- Previously treated with PI3K, mTOR or AKT inhibitors
- Systemic anti-tumor therapy within 4 weeks prior to the first dose
- Presence of leptomeningeal or meningeal metastasis, or presence of signs of carcinomatous Meningitis
- Metastases to bone marrow
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 |
|---|---|---|
| RP903Ia:RP903 50mg, 100mg, 200mg, 300mg,350mg,or other dose, po qd for each 28-day cycle; Ib: RP903,RP2D,po qd for each 28-day cycle | Drug | RP903 arm |
Primary outcome
Ia:dose-limiting toxicity(DLTs)
Time frame: 28 days
Incidence and severity of dose-limiting toxicity (DLTs)
Ia:Adverse Events
Time frame: 2 years
Incidence and severity of Adverse Events(AEs) according to NCI-CTCAE
Ia: serious adverse events
Time frame: 2 years
Incidence and severity of serious adverse events(SAEs) according to NCI-CTCAE
Ia: Abnormal changes in Laboratory test and other abnormalities
Time frame: 2 years
Incidence and severity of abnormal changes in Laboratory test and other tests with clinically significant according to NCI-CTCAE
Ia: MTD
Time frame: 2 years
Maximum Tolerated Dose(MTD)
Ia: MAD
Time frame: 2 years
Maximum Administrated Dose(MAD)
Ia:RP2D
Time frame: 2 years
Recommended Phase II Dose(RP2D)
Ib:objective response rate(ORR);
Time frame: 2 years
Efficacy evaluated by the investigator according to RECIST v1.1: objective response rate (ORR);
Ib:AE
Time frame: 2 years
Type, frequency, duration, severity and characteristics of Adverse Events (AEs) according to NCI-CTCAE
Ib:SAE
Time frame: 2 years
Type, frequency, duration, severity and characteristics of serious adverse events(SAEs) according to NCI-CTCAE
32 secondary outcomes
Ia:the concentration of RP903 or its metabolites (if applicable)
Time frame: 1 years
Ia:Cmax
Time frame: 1 years
Ia:Ctrough
Time frame: 1 years
Ia:Tmax
Time frame: 1 years
Ia:AUC0-t and AUC0-∞
Time frame: 1 years
Ia:Vd/F
Time frame: 1 years
Ia:CL/F
Time frame: 1 years
Ia:t1/2
Time frame: 1 years
Ia:Rac
Time frame: 1 years
Ia:ORR
Time frame: 1 years
Ia:DoR
Time frame: 1 years
Ia:DCR
Time frame: 1 years
Ia:TTR
Time frame: 1 years
Ia:PFS
Time frame: 1 years
Ia:OS
Time frame: 1 years
Ib:safety:AE
Time frame: 2 years
Ib:safety:SAE
Time frame: 2 years
Ib:safety:Body temperature
Time frame: 2 years
Ib:safety:pulse
Time frame: 2 years
Ib:safety:respiratory rate
Time frame: 2 years
Ib:safety: blood pressure
Time frame: 2 years
Ib:safety:laboratory test
Time frame: 2 years
Ib:safety:heart rate
Time frame: 2 years
Ib:safety:QT
Time frame: 2 years
Ib:safety:QTcF
Time frame: 2 years
Ib:safety:PR
Time frame: 2 years
Ib:DoR
Time frame: 1 years
Ib:DCR
Time frame: 1 years
Ib:TTR
Time frame: 1 years
Ib:PFS
Time frame: 1 years
Ib:OS
Time frame: 2 years
Ib:Concentrations of RP903 or its metabolites
Time frame: 1 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Dec 2025.
- Individual participant dataSharing planned: No
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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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
23 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing RP903 in people with Ovarian Cancer and Cervical Cancer, run by Risen (Suzhou) Pharma Tech Co., Ltd. at 23 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 15 inclusion and 8 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: finished, as of the sponsor's last update on 23 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 23 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 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.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Ia:dose-limiting toxicity(DLTs) (time frame: 28 days). The study lists 10 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 23 Dec 2025.