Clinical trial Recruiting at 6 sites Phase1; Phase2 Interventional Ages 18 and up

BMS-986523 alone and with other cancer medicines for advanced KRAS-altered solid tumors

Official title: A Phase 1/2a, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of BMS-986523 As Monotherapy and in Combination With Anti-Cancer Agents in Participants With Advanced Solid Malignancies

Run by Bristol-Myers Squibb · NCT07223047 · Data updated 2026-11-12

This treatment tests whether BMS-986523, alone or combined with chemotherapy or immunotherapy, helps people with advanced KRAS-altered lung, colorectal, or pancreatic cancers.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment252 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Drugs / interventionsradiation
Locations8 sites (Baltimore, Maryland and 7 other locations)
StatusRecruiting
StartedNovember 25, 2025
Main results expectedOctober 13, 2028
Study endsOctober 13, 2028
Registry record updatedMay 28, 2026
Trial IDNCT07223047 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with unresectable or metastatic NSCLC, colorectal cancer, or pancreatic ductal adenocarcinoma who have a confirmed KRAS alteration and who have received, are ineligible for, or decline standard therapies (with PD-L1 ≥50% required for one arm).

Probably not a fit

Patients with untreated central nervous system metastases, active interstitial lung disease or recent other malignancies, or those without a KRAS alteration are unlikely to benefit from participation.

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

What this trial studies

Bristol-Myers Squibb is running a phase 1/2 program of the investigational agent BMS-986523 given alone or together with agents such as gemcitabine, nab‑paclitaxel, cetuximab, or pembrolizumab in adults with unresectable or metastatic solid tumors that have KRAS alterations. Phase 1 focuses on safety, tolerability, and dose-finding while phase 2 explores preliminary anti-tumor activity across disease-specific arms including NSCLC, CRC, and PDAC, with one arm requiring PD-L1 ≥50%. Key outcomes include adverse events, tolerability, and measures of tumor response and disease control. Eligible participants must have a confirmed KRAS mutation or amplification and have received, be ineligible for, or decline standard treatments.

Why it matters

Potential benefit: If successful, this approach could offer a new targeted treatment option for patients with KRAS-altered advanced solid tumors and potentially improve response rates or survival.

How similar studies have gone: Related targeted and combination approaches have shown benefit in certain KRAS-selected groups (for example KRAS G12C inhibitors), but BMS-986523 is investigational and its effectiveness across KRAS alterations remains exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Participants must have a histologically confirmed diagnosis of a locally advanced and unresectable or metastatic solid tumor malignancy with a known Kirsten rat sarcoma viral oncogene homolog (KRAS) alteration (mutation or amplification).
* Participants must, for Arm D, have a PD-L1 expression (≥50%).
* Participants must have previously received, be ineligible for, or decline (after having been provided adequate information to make an informed decision) the protocol defined standard of care (SoC) treatments.

Exclusion Criteria

* Participants must not have untreated central nervous system (CNS) metastases.
* Participants must not have concurrent malignancy (present during screening) requiring treatment or history of prior malignancy active within 2 years prior to treatment.
* Participants must not have a history of, or any evidence of, interstitial lung disease or active, non-infectious pneumonitis. A history of radiation pneumonitis in the radiation field is permitted.
* Participants must not have a history of prior severe cutaneous adverse reactions (SCARs), including Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN).
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Johns Hopkins Hospital
    Baltimore, Maryland, United States
    Recruiting
  • NEXT Oncology
    San Antonio, Texas, United States
    Recruiting
  • START Mountain Region
    West Valley City, Utah, United States
    Recruiting
  • NEXT Virginia
    Fairfax, Virginia, United States
    Recruiting
  • BC Cancer Vancouver
    Vancouver, British Columbia, Canada
    Recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario, Canada
    Recruiting
Show 2 more locations
  • Local Institution - 0006
    Badalona, Barcelona [Barcelona], Spain
    Not yet recruiting
  • Local Institution - 0008
    Hortaleza, Madrid, Spain
    Not yet recruiting

Study contacts

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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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.
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.