KRAS G12D-mutated pancreatic cancer: VS-7375 with or without cetuximab
Official title: A Phase 2, Open-label Study of VS-7375, an Oral KRAS G12D (ON/OFF) Inhibitor, as Monotherapy and With Cetuximab, in Patients With Metastatic KRAS G12D-Mutated Pancreatic Cancer (TARGET-D 201)
Run by Verastem, Inc. · NCT07644559 · Data updated 2026-11-12
This study tests whether VS-7375, alone or with cetuximab, can help people with metastatic PDAC that carries the KRAS G12D mutation.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 185 (estimated) |
| Sponsor | Verastem, Inc. Industry-sponsored |
| Drugs / interventions | cetuximab, Radiation |
| Locations | 38 sites (Los Angeles, California and 37 other locations) |
| Status | Recruiting |
| Started | June 16, 2026 |
| Main results expected | June 2027 |
| Study ends | December 2028 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07644559 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed metastatic PDAC harboring a KRAS G12D mutation, measurable disease, good performance status (ECOG 0-1), and adequate organ function.
✕Probably not a fit
Patients with non-G12D KRAS mutations, lack of measurable disease, poor organ function, or rapid disease progression may not benefit and may be excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2 interventional trial evaluating the safety and activity of VS-7375 as a single agent and in combination with cetuximab in patients with metastatic pancreatic ductal adenocarcinoma carrying the KRAS G12D mutation. Eligible participants have confirmed PDAC with measurable disease and a KRAS G12D mutation, good performance status, and adequate organ function. Cohorts include patients who have progressed after prior therapy and treatment-naïve or minimally treated patients in the metastatic setting. Exclusion criteria include other pathogenic KRAS mutations, recent anti-cancer treatment, recent major surgery or radiation, and history of drug-induced interstitial lung disease.
Why it matters
Potential benefit: If successful, the treatment could slow disease progression and potentially improve survival or symptoms for patients with this KRAS G12D-mutated PDAC.
How similar studies have gone: Prior studies targeting KRAS mutations in PDAC are limited, making this approach relatively novel but informed by emerging KRAS-targeted strategies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histologic or cytologic confirmed PDAC * 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 VS-7375 + cetuximab (2L PDAC) : -Received only 1 prior Tx in the metastatic setting; prior adjuvant counts as a line if progressed within 6 months VS-7375 + cetuximab (1L PDAC) : -Treatment-naïve or received ≤ 1 cycle of SoC for metastatic disease Exclusion criteria: * Have any documented co-existing pathogenic or likely pathogenic RAS mutation(s) in KRAS * 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; RT to brain or lung within 2 weeks 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, P-CABs, 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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START- Los Angeles
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 -
BRCR Global- Coral Springs
Coral Springs, Florida, United States Recruiting -
Mayo Clinical Florida
Jacksonville, Florida, United States Recruiting -
BRCR Global- Tamarac
Tamarac, Florida, United States Recruiting
Show 32 more locations
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Moffitt Cancer Center
Tampa, Florida, United States Recruiting -
University of Chicago
Chicago, Illinois, United States Recruiting -
Johns Hopkins University
Baltimore, Maryland, United States Recruiting -
Massachusetts General Hospital
Boston, Massachusetts, United States Recruiting -
Dana-Farber Cancer Institute
Boston, Massachusetts, United States Recruiting -
University of Michigan
Ann Arbor, Michigan, United States Recruiting -
START Midwest
Grand Rapids, Michigan, United States Recruiting -
Mayo Clinical Rochester
Rochester, Minnesota, United States Recruiting -
Washington University
St Louis, Missouri, United States Recruiting -
START New Jersey
East Brunswick, New Jersey, United States Recruiting -
NYU-Manhattan
New York, New York, United States Recruiting -
University of North Carolina
Chapel Hill, North Carolina, United States Recruiting -
Sarah Cannon Research Institute
Nashville, Tennessee, United States Recruiting -
START Dallas
Fort Worth, Texas, United States Recruiting -
MD Anderson Cancer Center
Houston, Texas, United States Recruiting -
START- San Antonio
San Antonio, Texas, United States Recruiting -
START- Mountain Region
West Valley City, Utah, United States Recruiting -
UVA Health
Charlottesville, Virginia, United States Recruiting -
Virginia Cancer Specialists
Fairfax, Virginia, United States Recruiting -
Virginia Mason
Seattle, Washington, United States Recruiting -
UW Health
Madison, Wisconsin, United States Recruiting -
Macquarie University Hospital
Sydney, New South Wales, Australia Recruiting -
Calvary Mater Newcastle
Waratah, New South Wales, Australia Recruiting -
ICON Cancer Centre Townsville
Hyde Park, Queensland, Australia Recruiting -
ICON Kurralta Park
Kurralta Park, South Australia, Australia Recruiting -
ICON Cancer Centre- Hobart
Hobart, Tasmania, Australia Recruiting -
Alfred Hospital
Melbourne, Victoria, Australia Recruiting -
ICON Cancer Centre
South Brisbane, Australia Recruiting -
Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada Recruiting -
Princess Margaret Cancer Center
Toronto, Ontario, Canada Recruiting -
BRCR Global- San Juan
San Juan, Puerto Rico Recruiting -
BRCR- Yauco
Yauco, Puerto Rico Recruiting
Study contacts
- Study coordinator: Verastem Call Center
- Email: VS-7375-201TrialSupport@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.