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
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 252 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Drugs / interventions | radiation |
| Locations | 8 sites (Baltimore, Maryland and 7 other locations) |
| Status | Recruiting |
| Started | November 25, 2025 |
| Main results expected | October 13, 2028 |
| Study ends | October 13, 2028 |
| Registry record updated | May 28, 2026 |
| Trial ID | NCT07223047 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
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Local Institution - 0006
Badalona, Barcelona [Barcelona], Spain Not yet recruiting -
Local Institution - 0008
Hortaleza, Madrid, Spain Not yet recruiting
Study contacts
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.