KQB548 for advanced solid tumors with a KRAS G12D mutation
Official title: A Phase 1a, Open-label, Multicenter, Study Evaluating the Safety, Tolerability, Pharmacokinetics and Efficacy of KQB548 in Participants With Advanced Solid Malignancies With a KRAS G12D Mutation
Run by Kumquat Biosciences Inc. · NCT07207707 · Data updated 2026-11-12
This trial will test whether KQB548 can shrink tumors and is safe in adults with advanced pancreatic, colorectal, or non-small cell lung cancer that have a KRAS G12D mutation after prior therapy.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 78 (estimated) |
| Sponsor | Kumquat Biosciences Inc. Industry-sponsored |
| Locations | 13 sites (La Jolla, California and 12 other locations) |
| Status | Recruiting |
| Started | September 16, 2025 |
| Main results expected | September 2026 |
| Study ends | March 2027 |
| Registry record updated | May 20, 2026 |
| Trial ID | NCT07207707 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with pathologically confirmed, locally advanced or metastatic pancreatic ductal adenocarcinoma, colorectal cancer, or non-small cell lung cancer carrying a KRAS G12D mutation who have progressed on or are intolerant to at least one line of standard systemic therapy, have measurable disease, and adequate organ function.
✕Probably not a fit
Patients previously treated with a KRAS G12D or pan‑RAS inhibitor, those with gastrointestinal conditions that prevent oral medication absorption or swallowing, with uncontrolled ascites or pleural effusion, or who require strong/moderate CYP3A modulators or proton-pump inhibitors are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 1, open-label interventional study gives escalating doses of KQB548 to adults with advanced solid tumors harboring KRAS G12D to identify the safest dose and dosing schedule. Participants must have measurable disease by RECIST v1.1 and adequate organ function and will have imaging at regular intervals to look for tumor shrinkage. Blood and other samples will be collected to characterize how the drug is absorbed, distributed, metabolized, and excreted and to monitor safety and side effects. Key exclusions include prior KRAS G12D or pan‑RAS inhibitor therapy and gastrointestinal conditions or concomitant medications likely to alter oral drug absorption.
Why it matters
Potential benefit: If successful, KQB548 could offer a new targeted treatment option that shrinks tumors in patients with KRAS G12D-driven cancers.
How similar studies have gone: KRAS-targeted drugs have shown clinical success for the G12C mutation, but G12D-specific inhibitors are newer and currently have limited clinical data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pathologically confirmed, locally advanced or metastatic PDAC, CRC, or NSCLC with a KRAS G12D mutation * Progressed on, or intolerant to at least one prior line of systemic standard of care therapy * Measurable disease according to RECIST v1.1 * Adequate organ function Exclusion Criteria: * Previous treatment with a KRAS G12D inhibitor or pan-RAS inhibitor * History of intestinal disease, uncontrolled inflammatory bowel disease (e.g., Crohn's disease, Ulcerative Colitis), major esophageal or gastric surgery, or other gastrointestinal conditions (e.g., uncontrolled nausea, vomiting, malabsorption syndrome) likely to alter absorption of study intervention or result in inability to swallow oral medications * Poorly controlled ascites and/or pleural effusion * Requires treatment with a strong and/or moderate CYP3A inhibitor or inducer * Requires treatment with a proton-pump inhibitor
Where it's running
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University of California, San Diego
La Jolla, California, United States Recruiting -
University of California, Los Angeles
Los Angeles, California, United States Recruiting -
SCRI - Denver
Denver, Colorado, United States Recruiting -
University of Miami - Sylvester Comprehensive Cancer Center
Miami, Florida, United States Recruiting -
START Midwest
Grand Rapids, Michigan, United States Recruiting -
The Christ Hospital
Cincinnati, Ohio, United States Recruiting
Show 7 more locations
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NEXT Oncology - Austin
Austin, Texas, United States Recruiting -
MD Anderson Cancer Center
Houston, Texas, United States Recruiting -
NEXT Oncology - Dallas
Irving, Texas, United States Recruiting -
NEXT Oncology - San Antonio
San Antonio, Texas, United States Recruiting -
University of Utah - Huntsman Cancer Institute
Salt Lake City, Utah, United States Recruiting -
NEXT Virginia
Fairfax, Virginia, United States Recruiting -
Fred Hutchison Cancer Center
Seattle, Washington, United States Recruiting
Study contacts
- Study coordinator: Kumquat Clinical Development
- Email: kumquatstudies@kumquatbio.com
- Phone: 858-214-2700
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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.