Clinical trial Recruiting at 21 sites Phase 1 Interventional Ages 18 and up

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

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment250 (estimated)
SponsorMerck Sharp & Dohme LLC
Industry-sponsored
Drugs / interventionsCetuximab, Pembrolizumab, immunotherapy, prednisone
Locations21 sites (New Brunswick, New Jersey and 20 other locations)
StatusRecruiting
StartedDecember 16, 2025
Main results expectedDecember 1, 2030
Study endsDecember 1, 2030
Registry record updatedOctober 30, 2026
Trial IDNCT07247110 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • MK-2010 with Sac-TMT in advanced solid tumors

    This study tests MK-2010 combined with sacituzumab tirumotecan (sac-TMT) to see if it can help people with advanced solid tumors.

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  • Belzutifan in adolescents with solid tumors

    This study tests belzutifan in teenagers whose solid tumors can't be removed by surgery or have spread.

    Recruiting at 10 sites Phase 2 Merck Sharp & Dohme LLC · Iowa City, Iowa and 9 other locations · NCT07700758

  • Ifinatamab Deruxtecan in kids with relapsed or refractory solid cancers

    This study tests whether I-DXd can help children whose solid tumors have come back or not responded to previous treatments.

    Recruiting at 35 sites Phase 1/2 Merck Sharp & Dohme LLC · Los Angeles, California and 34 other locations · NCT07630974

  • MK-4884 safety in advanced solid tumors

    This early-phase study tests different doses of MK-4884 to see if it is safe and tolerable for adults with certain advanced solid cancers.

    Recruiting at 10 sites Phase 1 Merck Sharp & Dohme LLC · St Louis, Missouri and 9 other locations · NCT07600749

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  • Dabrafenib and trametinib for rare cancers with BRAF V600 mutations

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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.