TLN-372 for advanced KRAS‑mutant solid tumors
Official title: An Open-Label, Multicenter, Phase 1 Trial to Evaluate the Safety, Pharmacokinetics, and Anti-Tumor Activity of TLN-372 as a Single Agent and in Combination With Other Anti-Tumor Agents, in Patients With Advanced KRAS Mutant Solid Tumors
Run by Treeline Biosciences, Inc. · NCT07204340 · Data updated 2026-11-12
This trial will test whether the experimental drug TLN-372, alone or with cetuximab or pembrolizumab, is safe and can control advanced KRAS‑mutant solid tumors.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 270 (estimated) |
| Sponsor | Treeline Biosciences, Inc. Industry-sponsored |
| Locations | 11 sites (Birmingham, Alabama and 10 other locations) |
| Status | Recruiting |
| Started | September 29, 2025 |
| Main results expected | December 3, 2031 |
| Study ends | April 1, 2032 |
| Registry record updated | July 28, 2026 |
| Trial ID | NCT07204340 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with measurable, locally advanced or metastatic KRAS‑mutant solid tumors who have ECOG performance status 0–1 and adequate organ function, and who are not pregnant and have no active CNS disease, are the intended participants.
✕Probably not a fit
Patients with active brain metastases or CNS involvement, significant cardiovascular or uncontrolled medical conditions, recent major surgery, pregnancy or lactation, or problems affecting drug absorption are unlikely to be eligible or to 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 interventional study tests TLN-372 as a single agent and in combination with cetuximab or pembrolizumab in adults with locally advanced or metastatic KRAS‑mutant solid tumors. The primary goals are to define safety, pharmacokinetics, and preliminary anti‑tumor activity in patients with measurable disease, ECOG 0–1, and adequate organ function. Key exclusions include active brain metastases or CNS involvement, recent major surgery, significant cardiovascular disease, pregnancy or lactation, and conditions that could affect drug absorption. The trial is sponsored by Treeline Biosciences and is being conducted at U.S. cancer centers including Dana‑Farber, University of Alabama at Birmingham, and START Midwest.
Why it matters
Potential benefit: If successful, TLN-372 could provide a new targeted option to shrink or control tumors in patients with KRAS‑mutant cancers that have limited current therapies.
How similar studies have gone: Some KRAS‑targeted drugs (notably for G12C mutations) have shown clinical benefit, but broader KRAS targeting remains challenging and combination strategies with immunotherapy or EGFR inhibitors have shown only early promising signals.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients must have measurable disease at study entry. 2. Patients must have locally advanced or metastatic KRAS mutant solid tumors. 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 4. Adequate organ function. Exclusion Criteria: 1. Patients must not have active brain metastases. 2. Patients must not have current or past history of central nervous system (CNS) involvement. 3. Patients must not have major surgery or severe trauma within 4 weeks prior to the start of the study. 4. Patients must not have any condition, including significant acute or chronic medical illness, active or uncontrolled infection, or the presence of laboratory abnormalities, that places patients at unacceptable risk of participating in this study. 5. Patients must not have clinically significant cardiovascular disease. 6. Pregnant or lactating. 7. Conditions that could affect drug absorption.
Where it's running
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University of Alabama at Birmingham
Birmingham, Alabama, United States Recruiting -
Dana-Farber Cancer Institute
Boston, Massachusetts, United States Recruiting -
START Midwest
Grand Rapids, Michigan, United States Recruiting -
Washington University Medical Campus
St Louis, Missouri, United States Recruiting -
Memorial Sloan Kettering Cancer Center
New York, New York, United States Recruiting -
Sarah Cannon Research Institute
Nashville, Tennessee, United States Recruiting
Show 5 more locations
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Peter MacCallum Cancer Centre
Melbourne, Victoria, Australia Recruiting -
Linear Clinical Research
Perth, Western Australia, Australia Recruiting -
Princess Margaret Cancer Centre
Toronto, Ontario, Canada Recruiting -
Hospital Universitary Vall d'Hebron
Barcelona, Spain Recruiting -
START Madrid_Hospital Universitario HM Sanchinarro_CIOCC
Madrid, Spain Recruiting
Study contacts
- Study coordinator: Treeline Clinical Operations
- Email: clinicaloperations@treeline.bio
- Phone: 857-228-0050
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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.