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A Phase 1/2a, Open-label Study of VS-7375, a KRAS G12D (ON/OFF) Inhibitor, as Monotherapy and in Combination, in Patients with Advanced KRAS G12D-Mutant Solid Tumors


Primary Investigator
Sahai, Vaibhav
Status
OPEN TO ACCRUAL
Phase
I
II
NCT Number
NCT07020221
UM Number
2025.116
Age Group
Adults
Management Group
CTSU - Oncology
Oncology Group
Multi-tumor Experimental Therapeutics
ID (Protocol)
63834
Secondary Protocol No
HUM00281173
Scope
Unspecified
Sponsor Type
Industry

Disease Site
Anus
Bones and Joints
Brain and Nervous System
Breast
Cervix
Colon
Corpus Uteri
Esophagus
Eye and Orbit
Ill-Defined Sites
Kaposi's Sarcoma
Kidney
Larynx
Lip, Oral Cavity and Pharynx
Liver
Lung
Melanoma, Skin
Other Digestive Organ
Other Endocrine System
Other Female Genital
Other Hematopoietic
Other Male Genital
Other Respiratory and Intrathoracic Organs
Other Skin
Other Urinary
Ovary
Pancreas
Prostate
Rectum
Small Intestine
Soft Tissue
Stomach
Thyroid
Unknown Sites
Urinary Bladder

Summary
This study will assess the safety and efficacy of VS-7375 alone and in combination in patients with advanced solid tumors harboring a KRAS G12D-mutation.

Eligibility: Inclusion Criteria
  •   Key
  •   * Individuals >=18 years of age.
  •   * Agreement to sign and date an informed consent form (ICF) approved by the Institutional Review Board (IRB)/Independent Ethics Committee (IEC).
  •   * Histologic or cytologic evidence of locally advanced unresectable or metastatic solid tumor harboring a KRAS G12D mutation.
  •   * Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
  •   * Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  •   * Adequate organ function
  •   * Adequate cardiac function
  •   * Recovered from all AEs due to previous therapies to Grade =1 or baseline.
  •   * Agreement to use highly effective contraception
  •   Key
Exclusion Criteria
  •   * Underwent major surgical procedure as defined by the Investigator, other than for diagnosis, within 4 weeks prior to Cycle 1 Day 1,
  •   * Receipt of chemotherapy, targeted therapy, or radiotherapy (excluding palliative radiation) within 4 weeks or 5 half-lives, whichever is shorter, or immunotherapy within 4 weeks prior to Cycle 1 Day 1
  •   * Treatment with any investigational drug at least 4 weeks or 5 half-lives, whichever is shorter, prior to Cycle 1 Day 1.
  •   * History of treatment with direct and specific KRAS G12D inhibitors.
  •   * Symptomatic, untreated, or actively progressing known central nervous system (CNS) metastases.
  •   * Inability to swallow oral medications.
  •   * Evidence or history of uncontrolled, clinically significant hematological, renal, hepatic, endocrine, pulmonary, gastrointestinal, cardiovascular, psychiatric, coagulation, neurologic, dermatologic, autoimmune, or allergic disease
  •   * Individuals who are pregnant or breastfeeding.