MK-4716 for certain advanced solid tumors
Official title: A Phase 1, Open-Label, Multicenter Study to Assess Safety, Tolerability, Pharmacokinetics, and Efficacy of MK-4716 as Monotherapy and as Part of Combination Therapy in Participants With KRAS-Altered Advanced or Metastatic Solid Tumors
Run by Merck Sharp & Dohme LLC · NCT07247110 · Data updated 2026-11-12
This trial will test whether the oral drug MK-4716, given alone or with pembrolizumab or cetuximab, is safe and tolerable for people with advanced or metastatic solid tumors that have KRAS gene changes.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 250 (estimated) |
| Sponsor | Merck Sharp & Dohme LLC Industry-sponsored |
| Drugs / interventions | Cetuximab, Pembrolizumab, immunotherapy, prednisone |
| Locations | 21 sites (New Brunswick, New Jersey and 20 other locations) |
| Status | Recruiting |
| Started | December 16, 2025 |
| Main results expected | December 1, 2030 |
| Study ends | December 1, 2030 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT07247110 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with measurable, locally advanced or metastatic solid tumors harboring KRAS alterations—untreated metastatic non‑small cell lung cancer for the pembrolizumab arm or previously treated disease for the dose‑escalation and cetuximab arms—who can take oral medication.
✕Probably not a fit
Patients without KRAS alterations, those with significant immunodeficiency or on chronic high‑dose steroids (for the pembrolizumab arm), or those unable to swallow oral medication are unlikely to be eligible or receive 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 1 dose‑escalation study tests MK-4716 as monotherapy and in combination with pembrolizumab or cetuximab to define safety, tolerability, and a recommended dose. Participants are assigned to arms based on tumor type and prior treatment, with the pembrolizumab arm enrolling untreated metastatic non‑small cell lung cancer and other arms enrolling previously treated KRAS‑altered solid tumors. Primary outcomes include dose‑limiting toxicities, adverse events, and pharmacokinetics, while investigators will also record preliminary anti‑tumor activity. The trial is sponsored by Merck and conducted at three U.S. clinical sites.
Why it matters
Potential benefit: If successful, MK-4716 could provide a new targeted treatment option for patients with KRAS‑altered advanced tumors and potentially control disease with manageable side effects.
How similar studies have gone: Other drugs targeting specific KRAS mutations (such as G12C inhibitors) have shown clinical benefit, but MK-4716 and its combinations represent a newer approach with limited prior clinical data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subset of arm MK-4716 Dose Escalation and subset of arm MK-4716 + Cetuximab: Has a confirmed diagnosis of locally advanced unresectable or metastatic solid tumor * Subset of arm MK-4716 Dose Escalation and subset of arm MK-4716 + Cetuximab: Must demonstrate presence of Kirsten rat sarcoma viral oncogene homolog (KRAS) alteration * Subset of arm MK-4716 Dose Escalation and subset of arm MK-4716 + Cetuximab: Has received at least 1 prior line of systemic therapy for locally advanced unresectable or metastatic disease * Arm MK-4716 + Pembrolizumab: Has a confirmed diagnosis of metastatic non-small cell lung cancer * Arm MK-4716 + Pembrolizumab: Must demonstrate presence of KRAS alteration * Arm MK-4716 + Pembrolizumab: Must be untreated * Has measurable disease * Has the ability to swallow and retain oral medication Exclusion Criteria: * Arm MK-4716 + Pembrolizumab: Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention * Arm MK-4716 + Pembrolizumab: Has received any prior immunotherapy and was discontinued from that treatment * Arm MK-4716 + Pembrolizumab: Has active autoimmune disease that has required systemic treatment in the past 2 years. Hormonal supplementation (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed * History of human immunodeficiency virus infection * Has a known additional malignancy that is progressing or has required active treatment within the past 2 years * Has a known active central nervous system metastases and/or carcinomatous meningitis * History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease * Has active infection requiring systemic therapy * Has Hepatitis B or Hepatitis C virus infection * History of stem cell/solid organ transplant * Has not adequately recovered from major surgery or has ongoing surgical complications
Where it's running
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Rutgers Cancer Institute of New Jersey ( Site 0052)
New Brunswick, New Jersey, United States Recruiting -
NEXT Oncology ( Site 0051)
Irving, Texas, United States Recruiting -
NEXT Virginia ( Site 0054)
Fairfax, Virginia, United States Recruiting -
Blacktown Hospital ( Site 0455)
Sydney, New South Wales, Australia Recruiting -
Monash Health ( Site 0452)
Clayton, Victoria, Australia Recruiting -
The Alfred Hospital ( Site 0453)
Melbourne, Victoria, Australia Recruiting
Show 15 more locations
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One Clinical Research ( Site 0454)
Nedlands, Western Australia, Australia Recruiting -
Princess Margaret Cancer Centre ( Site 0001)
Toronto, Ontario, Canada Recruiting -
Centre Hospitalier de l'Université de Montréal ( Site 0003)
Montreal, Quebec, Canada Recruiting -
Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0002)
Québec, Quebec, Canada Recruiting -
FALP-UIDO ( Site 0101)
Santiago, Region M. de Santiago, Chile Recruiting -
Pontificia Universidad Catolica de Chile-CICUC ( Site 0103)
Santiago, Region M. de Santiago, Chile Recruiting -
Bradfordhill ( Site 0102)
Santiago, Region M. de Santiago, Chile Recruiting -
Rambam Health Care Campus ( Site 0252)
Haifa, Israel Recruiting -
Rabin Medical Center ( Site 0253)
Petah Tikva, Israel Recruiting -
Sheba Medical Center ( Site 0251)
Ramat Gan, Israel Recruiting -
Seoul National University Hospital ( Site 0501)
Seoul, South Korea Recruiting -
Asan Medical Center ( Site 0502)
Seoul, South Korea Recruiting -
Hospital General Universitari Vall d Hebron ( Site 0360)
Barcelona, Spain Recruiting -
Hospital Clinic de Barcelona ( Site 0362)
Barcelona, Spain Recruiting -
Hospital Universitario Fundacion Jimenez Diaz ( Site 0361)
Madrid, Spain Recruiting
Study contacts
- Study coordinator: Toll Free Number
- Email: Trialsites@msd.com
- Phone: 1-888-577-8839
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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.