KRAS G12D mutation is one of the most prevalent subtypes in RAS mutant cancers. However, no results of KRAS G12D inhibitors from any clinical trials have been reported yet. HRS-4642 is a highly selective KRAS G12D inhibitor. Here, we report preliminary results of the dose escalation part of a first-in-human phase 1 study of HRS-4642 in patients (pts) with advanced KRAS G12D mutant solid tumors.