Clinical trial Recruiting at 6 sites Phase 1 Interventional Ages 18 and up

BAY 3771249 for advanced colorectal cancer with KRAS G12D mutation

Official title: Master Protocol: An Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of BAY 3771249 as Monotherapy or Combination With Other Cancer Treatments in Participants With Solid Tumors Harboring a KRAS G12D Mutation. Substudy Protocol: An Open-label, Multi-cohort Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Anti-tumor Activity of BAY 3771249 as Monotherapy and in Combination With Cetuximab in Participants With Advanced/Metastatic Colorectal Adenocarcinoma Harboring a KRAS G12D Mutation

Run by Bayer · NCT07535112 · Data updated 2026-11-12

This trial will test whether BAY 3771249, alone or with cetuximab, helps people with advanced or metastatic colorectal cancer that has a KRAS G12D mutation.

More Metastatic Colorectal Adenocarcinoma trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment130 (estimated)
SponsorBayer
Industry-sponsored
Drugs / interventionsradiation, cetuximab
Locations21 sites (Phoenix, Arizona and 20 other locations)
StatusRecruiting
StartedApril 7, 2026
Main results expectedJuly 27, 2029
Study endsJuly 9, 2030
Registry record updatedOctober 5, 2026
Trial IDNCT07535112 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) with histologically confirmed advanced or metastatic colorectal adenocarcinoma carrying a KRAS G12D mutation, at least one measurable lesion outside the CNS, ECOG ≤1, and adequate hematologic and organ function are ideal candidates.

Probably not a fit

Patients without the KRAS G12D mutation, those with uncontrolled or symptomatic brain metastases or leptomeningeal disease, recent major surgery or significant traumatic injury within the protocol window, or inadequate organ function are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a phase 1, interventional trial enrolling adults with advanced or metastatic colorectal adenocarcinoma harboring the KRAS G12D mutation. Participants must have measurable disease, ECOG performance status ≤1, and adequate organ function, and they will receive BAY 3771249 either as monotherapy or combined with cetuximab. The study focuses on safety, tolerability, dose finding, and early signals of anti-tumor activity. Sites include three US cancer centers and treatment involves on-site visits for dosing and monitoring.

Why it matters

Potential benefit: If successful, this could provide a targeted treatment option that slows tumor growth for people with KRAS G12D–mutant metastatic colorectal cancer.

How similar studies have gone: While KRAS G12C inhibitors have shown clinical success, targeted therapies for KRAS G12D remain largely early-stage and this approach is relatively novel in the clinic.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* KRAS G12D mutated solid tumor
* Participant must be ≥18 years old or the legal age of consent in the jurisdiction in which the study is taking place when signing the screening ICF
* At least one measurable lesion as per RECIST v1.1. outside the CNS
* Eastern Cooperative Oncology Group performance status (ECOG PS) of ≤1
* Male or Female: Contraceptive use by participant or participant's partners should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
* Life expectancy of at least 3 months in the opinion of the Investigator
* Histologically/pathologically documented diagnosis of advanced/metastatic adenocarcinoma of the colon and rectum.
* Adequate hematologic and end-organ function

Exclusion Criteria:

* Leptomeningeal disease or carcinomatous meningiti
* Uncontrolled and/or active/symptomatic brain metastases.
* Significant traumatic injury or major surgical procedure within 4 weeks of first dose of study intervention
* Known hypersensitivity to any component of study intervention
* Previous (within 3 years) or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in the respective substudy.
* Active infection requiring systemic anti-infective therapy within 14 days of first dose of study intervention
* Known HIV infection
* Active Hepatitis B virus (HBV) infection
* Active Hepatitis C virus (HCV) infection
* Significant cardiac disorder
* History of risk factors for torsade de pointes (TdP) (e.g., heart failure, family history of long QT syndrome)
* Participants with inadequately managed diabetes as assessed by the Investigator
* Toxicities from prior anticancer therapy, defined as not having resolved to Grade ≤1 or as specified in the respective substudy protocol as per NCI CTCAE v.6.0 with the following exceptions: Alopecia of any grade, Peripheral neuropathy Grade ≤2, Autoimmune endocrine disorders Grade ≤2 managed with stable endocrine replacement therapy
* History of (non-infectious) pneumonitis/interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis (unless it has resolved without sequelae without use of steroids), or any evidence of clinically-active pneumonitis/ILD
* History of the following eye disorders: keratitis, ulcerative keratitis

Where it's running

  • City of Hope - Duarte Cancer Center
    Duarte, California, United States
    Recruiting
  • NEXT Dallas - Oncology Department
    Irving, Texas, United States
    Recruiting
  • START | San Antonio
    San Antonio, Texas, United States
    Recruiting
  • Calvary Mater Hospital Newcastle - Oncology
    Waratah, New South Wales, Australia
    Recruiting
  • National University Hospital Medical Centre
    Singapore, Singapore
    Recruiting
  • National Cancer Center Singapore - Oncology Department
    Singapore, Singapore
    Recruiting
Show 15 more locations
  • Mayo Clinic - Cancer Center - Phoenix
    Phoenix, Arizona, United States
    Not yet recruiting
  • UC San Diego Health - Moores Cancer Center
    San Diego, California, United States
    Not yet recruiting
  • Sarah Cannon Research Institute at HCA HealthONE Presbyterian St. Luke's
    Denver, Colorado, United States
    Withdrawn
  • Icahn School of Medicine at Mount Sinai - Oncology
    New York, New York, United States
    Not yet recruiting
  • Border Medical oncology - Albury Wodonga Regional Cancer Centre
    Albury, New South Wales, Australia
    Not yet recruiting
  • Cabrini Health Oncology Research
    Malvern, Victoria, Australia
    Not yet recruiting
  • Ghent University Hospital | Drug Research Unit Department
    Ghent, East Flanders, Belgium
    Not yet recruiting
  • Rigshospitalet Copenhagen University Hospital | Oncology Department
    Copenhagen, Capital Region / Region Hovedstaden, Denmark
    Not yet recruiting
  • Odense University Hospital | Svendborg Sygehus - Oncology Department
    Odense, Region of Southern Denmark / Region Syddanmark, Denmark
    Not yet recruiting
  • HUS-Yhtymä, Helsingin yliopistollinen sairaala (HUS) - Syöpäkeskus
    Helsinki, Uusimaa, Finland
    Not yet recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Fase I
    Roma, Italy
    Not yet recruiting
  • Nederlands Kanker Instituut
    Amsterdam, North Holland, Netherlands
    Not yet recruiting
  • Hospital Universitari Vall D Hebron | Oncologia
    Barcelona, Barcelona, Spain
    Not yet recruiting
  • Hospital Universitario Hm Sanchinarro | Oncologia
    Madrid, Madrid, Spain
    Not yet recruiting
  • Karolinska Universitetssjukhuset - Solna - Fas I-enheten Solna CKC
    Stockholm, Stockholm County, Sweden
    Not yet recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.