Clinical trial Recruiting at 1 site Phase1; Phase2 Interventional Ages 18 and up

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

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment320 (estimated)
SponsorEnsem Therapeutics
Industry-sponsored
Drugs / interventionscetuximab
Locations1 site (Fairfax, Virginia)
StatusRecruiting
StartedOctober 22, 2026
Main results expectedOctober 30, 2028
Study endsApril 30, 2029
Registry record updatedNovember 3, 2026
Trial IDNCT07912593 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

  • Next
    Fairfax, Virginia, United States
    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.