KRAS Inhibitor ETX-929 in advanced solid tumors
Official title: A Phase 1/2, First-in-Human Study of ETX-929, a Pan-KRAS Inhibitor, as Monotherapy and in Combination With Other Anticancer Therapies in Participants With KRAS-Altered Advanced Solid Tumors
Run by Ensem Therapeutics · NCT07912593 · Data updated 2026-11-12
This trial tests ETX-929, alone or with cetuximab, in people whose cancers have KRAS mutations and have progressed after prior therapy.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 320 (estimated) |
| Sponsor | Ensem Therapeutics Industry-sponsored |
| Drugs / interventions | cetuximab |
| Locations | 1 site (Fairfax, Virginia) |
| Status | Recruiting |
| Started | October 22, 2026 |
| Main results expected | October 30, 2028 |
| Study ends | April 30, 2029 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07912593 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with metastatic or unresectable solid tumors harboring a KRAS mutation and adequate organ function, who have progressed after at least one prior therapy.
✕Probably not a fit
Patients without KRAS-mutant tumors, or those who do not respond to ETX-929, cetuximab, or their combination, 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 is a phase 1/2, open-label study evaluating ETX-929 in participants with KRAS-mutant advanced solid tumors. Part A tests escalating doses of ETX-929 as a standalone therapy; Part B tests ETX-929 with a fixed dose of cetuximab; Parts C and D expand enrollment at the recommended doses for monotherapy and combination. Each participant undergoes a 28-day screening before starting treatment, with ongoing safety, pharmacokinetic, pharmacodynamic, and preliminary efficacy assessments. Eligible cancers include metastatic colorectal cancer, pancreatic ductal adenocarcinoma, non-squamous non-small cell lung cancer, endometrial adenocarcinoma, and ovarian adenocarcinoma.
Why it matters
Potential benefit: If successful, participants may experience tumor shrinkage or disease stabilization and gain clinical benefit from a KRAS-directed therapy.
How similar studies have gone: KRAS-targeted approaches have shown preliminary signals in early-phase trials for related mutations, but this specific combination strategy is exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Metastatic or locally advanced and unresectable solid tumor that has progressed on or after at least one available therapy. * Tumor harboring a KRAS mutation. * An ECOG performance status score of 0 or 1. * Adequate organ function. Exclusion Criteria: * Has history (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied. * Has symptomatic brain or spinal metastases or a known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement. * Has received treatment with any local or systemic anticancer therapy or investigational anticancer agent within 14 days prior to start of treatment. * Has toxicities from previous anticancer therapies that have not resolved to baseline levels with the exception of alopecia and peripheral neuropathy. * Has had radiotherapy outside the target tumor lesions within 14 days prior to start of treatment.
Where it's running
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Next
Fairfax, Virginia, United States Recruiting
Study contacts
- Study coordinator: Lori Cykowski
- Email: lori.cykowski@Ensemtx.com
- Phone: 1-617-383-4993
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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.