Clinical trial Recruiting at 24 sites Phase 2 Interventional Ages 18 and up

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.

More Non-Small Cell Lung Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment105 (estimated)
SponsorVerastem, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, Radiation, cetuximab
Locations24 sites (Scottsdale, Arizona and 23 other locations)
StatusRecruiting
StartedJuly 22, 2026
Main results expectedJune 2027
Study endsDecember 2028
Registry record updatedNovember 6, 2026
Trial IDNCT07659782 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

  • 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
  • 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

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.