A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics/Pharmacodynamics of HSK46256 in Patients With Advanced Solid Tumors

This is a Phase 1, open-label, multicenter study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of HSK46256 tablets, a selective PARP1 inhibitor, in patients with advanced solid tumors. The study consists of a dose escalation phase and a dose expansion phase. In the dose escalation phase, a 3+3 dose escalation design will be used to evaluate multiple dose levels. The dose expansion phase will enroll patients into expansion cohorts at selected dose levels to further evaluate safety and preliminary efficacy.

Inclusion Criteria: * Age ≥18 years, voluntarily participate and provide signed informed consent, * ECOG performance status 0-1 or KPS \>60; estimated life expectancy ≥12 weeks, * Histologically or cytologically confirmed locally advanced or metastatic solid tumors, failed prior standard therapy, intolerant to standard therapy, or no available standard therapy, * Dose escalation: prior treatment with one line of non-selective PARP inhibitor allowed, * Documented HRR gene mutation, * Agree to provide tumor tissue and/or blood samples, * Fertile participants must agree to use effective contraception during study and for 3 months after last dose; negative pregnancy test for females, Exclusion Criteria: * Other malignancies within past 2 years (except adequately treated basal cell carcinoma, squamous cell carcinoma, cervical carcinoma in situ, thyroid papillary carcinoma); * Uncontrolled moderate to large pleural, pericardial, or peritoneal effusions; * Prior anticancer therapy or concomitant use of CYP3A4 strong/moderate inhibitors/inducers within protocol-specified washout periods; * Prior anticancer treatment toxicity not resolved to CTCAE ≤Grade 1 (except alopecia, skin toxicity); * Any condition affecting drug swallowing or significantly impacting drug absorption/PK; * Severe or uncontrolled cardiac disease (QTcF prolongation, significant arrhythmia, LVEF \