Clinical trial Recruiting at 13 sites Phase 1 Interventional Ages 18 and up

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

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment78 (estimated)
SponsorKumquat Biosciences Inc.
Industry-sponsored
Locations13 sites (La Jolla, California and 12 other locations)
StatusRecruiting
StartedSeptember 16, 2025
Main results expectedSeptember 2026
Study endsMarch 2027
Registry record updatedMay 20, 2026
Trial IDNCT07207707 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

  • 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
  • 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

Similar studies

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

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.