KRAS G12D-mutant non-small cell lung cancer: test VS-7375 alone and with cetuximab
Official title: A Phase 2, Open-label Study of VS-7375, an Oral KRAS G12D (ON/OFF) Inhibitor, in Patients With Previously Treated, Advanced KRAS G12D-Mutated Non-Small Cell Lung Cancer (TARGET-D 202)
Run by Verastem, Inc. · NCT07659782 · Data updated 2026-11-12
This study tests VS-7375, by itself and with cetuximab, in people whose advanced NSCLC has a KRAS G12D mutation.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 105 (estimated) |
| Sponsor | Verastem, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, Radiation, cetuximab |
| Locations | 24 sites (Scottsdale, Arizona and 23 other locations) |
| Status | Recruiting |
| Started | July 22, 2026 |
| Main results expected | June 2027 |
| Study ends | December 2028 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07659782 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with unresectable locally advanced or metastatic NSCLC and a confirmed KRAS G12D mutation, who have progressed after platinum chemotherapy and an immune checkpoint inhibitor, and meet performance status and organ function criteria.
✕Probably not a fit
Patients without KRAS G12D mutation, without measurable disease, or who do not meet prior therapy or performance criteria may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 2 trial evaluates the safety and potential effectiveness of VS-7375 as a single agent and in combination with cetuximab for adults with unresectable or metastatic NSCLC carrying a KRAS G12D mutation. Participants must have measurable disease, confirmed KRAS G12D, and have progressed after platinum-based chemotherapy and immune checkpoint inhibitor therapy. The study includes patients with 2L/3L NSCLC and, for those with brain metastases, specific criteria such as asymptomatic status and limited prior therapies. Primary assessments focus on safety, with secondary measures likely including tumor response and duration of benefit. Locations include centers in Arizona and California, led by Verastem, Inc.
Why it matters
Potential benefit: If successful, patients could experience tumor shrinkage or slowed disease progression and an additional treatment option for KRAS G12D-mutant NSCLC.
How similar studies have gone: Similar targeted approaches in KRAS-mutant NSCLC have shown signals of activity in early-phase trials, but this exact combination is investigational.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histopathology confirmed unresectable locally advanced or metastatic NSCLC * Measurable disease per RECIST 1.1 * Local testing confirmed KRAS G12D mutation (tissue required for confirmatory central testing) * ECOG PS=0 or 1 * Adequate organ function * Received prior treatment with a platinum-based chemotherapy regimen and an immune checkpoint inhibitor in the advanced, non-resectable setting. * Have documented disease progression during or following their most recent prior line of therapy. Patients with 2L/3L on stable or preferred dose: * Received at least 1 and no more than 2 prior systemic lines of therapy for advanced (in the unresectable locally advanced or metastatic setting) NSCLC. Patients with 2L-4L with brain metastases: * Received at least 1 and no more than 3 prior systemic lines of therapy for advanced (in the unresectable locally advanced or metastatic setting) NSCLC. * Have asymptomatic and untreated brain metastases * At least 1 untreated measurable brain lesion per mRECIST v1.1 with a long axis ≥ 0.5 cm and ≤ 3 cm. Exclusion Criteria: * Have any other documented co-existing common RAS mutation(s) * Prior anti-cancer Tx within 4 weeks or drug-specific timeline within first treatment dose, whichever shorter * Major surgery within 4 weeks of first treatment dose * Radiation therapy (RT) within 1 week of first treatment dose * History of drug-induced Interstitial Lung Disease * Receipt of prior direct RAS inhibitor * Untreated or symptomatic CNS metastasis * Receipt of strong CYP3A4 inhibitor/inducer or CYP3A4 sensitive substrates with narrow therapeutic index within 14 days or drug-specific timeline within first treatment dose, whichever is shorter * Receipt of PPI or H2 blocker within 5 days * Inability to swallow oral medication * Other protocol-defined inclusion/exclusion criteria may apply
Where it's running
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HonorHealth Research Institute
Scottsdale, Arizona, United States Recruiting -
Start la
Los Angeles, California, United States Recruiting -
Cedars-Sinai Medical Center
Los Angeles, California, United States Recruiting -
Valkyrie Clinical Trials
Los Angeles, California, United States Recruiting -
University of Colorado Cancer Center
Aurora, Colorado, United States Recruiting -
BRCR Global - Coral Springs
Coral Springs, Florida, United States Recruiting
Show 18 more locations
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BRCR Global- Tamarac
Tamarac, Florida, United States Recruiting -
Moffit Cancer Centre
Tampa, Florida, United States Recruiting -
Emory Winship Cancer Institute
Atlanta, Georgia, United States Recruiting -
University of Chicago
Chicago, Illinois, United States Recruiting -
START New Jersey
East Brunswick, New Jersey, United States Recruiting -
NYU
New York, New York, United States Recruiting -
Memorial Sloan Kettering Cancer Center
New York, New York, United States Recruiting -
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States Recruiting -
START Fort Worth
Fort Worth, Texas, United States Recruiting -
MD Anderson Cancer Center
Houston, Texas, United States Recruiting -
University of Utah
Salt Lake City, Utah, United States Recruiting -
University of Virginia
Charlottesville, Virginia, United States Recruiting -
Virginia Cancer Specialists
Fairfax, Virginia, United States Recruiting -
Chris O'Brien Lifehouse
Camperdown, New South Wales, Australia Recruiting -
Macquarie University Hospital
Sydney, New South Wales, Australia Recruiting -
ICON Cancer Centre South Brisbane
Brisbane, Queensland, Australia Recruiting -
BRCR Global- San Juan
San Juan, Puerto Rico Recruiting -
BRCR Global- Yauco
Yauco, Puerto Rico Recruiting
Study contacts
- Study coordinator: Verastem Call Center
- Email: VS-7375-202TrialSupport@verastem.com
- Phone: 7812924204
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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.