Clinical trial Recruiting at 38 sites Phase 2 Interventional Ages 18 and up

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.

More Pancreatic Ductal Adenocarcinoma (PDAC) trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment185 (estimated)
SponsorVerastem, Inc.
Industry-sponsored
Drugs / interventionscetuximab, Radiation
Locations38 sites (Los Angeles, California and 37 other locations)
StatusRecruiting
StartedJune 16, 2026
Main results expectedJune 2027
Study endsDecember 2028
Registry record updatedNovember 6, 2026
Trial IDNCT07644559 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

  • 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
  • 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

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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.