Clinical trial Recruiting at 22 sites Phase1; Phase2 Interventional Ages 18 and up

VS-7375 for adults with KRAS G12D-mutated advanced solid tumors.

Official title: A Phase 1/2, Open-label Study of VS-7375, a KRAS G12D (ON/OFF) Inhibitor, as Monotherapy and in Combination, in Patients With Advanced KRAS G12D-Mutated Solid Tumors

Run by Verastem, Inc. · NCT07020221 · Data updated 2026-11-12

This trial tests VS-7375, alone and combined with other cancer drugs, in adults with unresectable or metastatic solid tumors that have the KRAS G12D mutation.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment616 (estimated)
SponsorVerastem, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations22 sites (Los Angeles, California and 21 other locations)
StatusRecruiting
StartedJune 24, 2025
Main results expectedDecember 2028
Study endsDecember 2028
Registry record updatedNovember 10, 2026
Trial IDNCT07020221 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with locally advanced unresectable or metastatic solid tumors confirmed to carry a KRAS G12D mutation, measurable disease, ECOG 0–1, and adequate organ and cardiac function are the intended participants.

Probably not a fit

Patients without the KRAS G12D mutation, with poor performance status, inadequate organ function, or who cannot meet required treatment washout periods or recovery from recent procedures likely will not benefit from this study.

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, multicenter, dose-escalation and expansion trial of VS-7375 given alone and in combination with several standard therapies in patients whose tumors harbor the KRAS G12D mutation. Phase 1 will define safety, tolerability, and recommended doses, while Phase 2 will explore anti-tumor activity in specific tumor cohorts such as pancreatic, colorectal, and non–small cell lung cancers. Key eligibility includes adults with measurable, advanced or metastatic disease, ECOG 0–1, and adequate organ and cardiac function. The trial is being conducted at multiple academic centers in the United States and includes endpoints for safety and objective response by RECIST v1.1.

Why it matters

Potential benefit: If successful, VS-7375 could provide a targeted treatment option that shrinks tumors or prolongs disease control for patients with KRAS G12D-mutant cancers who currently have few targeted therapies.

How similar studies have gone: Targeting KRAS G12D is a relatively new approach with limited clinical precedent—while KRAS G12C inhibitors have shown success, effective G12D-directed therapies remain largely unproven in humans.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Individuals ≥18 years of age.
* Agreement to sign and date an informed consent form (ICF) approved by the Institutional Review Board (IRB)/Independent Ethics Committee (IEC).
* Histologic or cytologic evidence of locally advanced unresectable or metastatic solid tumor harboring a KRAS G12D mutation.
* Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
* Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
* Adequate organ function
* Adequate cardiac function
* Recovered from all AEs due to previous therapies to Grade ≤1 or baseline
* Agreement to use highly effective contraception

Key Exclusion Criteria:

* Underwent major surgical procedure as defined by the Investigator, other than for diagnosis, within 4 weeks prior to Cycle 1 Day 1
* Receipt of chemotherapy, targeted therapy, or radiotherapy (excluding palliative radiation) within 4 weeks or 5 half-lives, whichever is shorter, or immunotherapy within 4 weeks prior to Cycle 1 Day 1.
* Treatment with any investigational drug at least 4 weeks or 5 half-lives, whichever is shorter, prior to Cycle 1 Day 1.
* History of treatment with direct RAS inhibitors.
* Symptomatic, untreated, or actively progressing known central nervous system (CNS) metastases.
* Inability to swallow oral medications.
* Evidence or history of uncontrolled, clinically significant hematological, renal, hepatic, endocrine, pulmonary, gastrointestinal, cardiovascular, psychiatric, coagulation, neurologic, dermatologic, autoimmune, or allergic disease.
* Individuals who are pregnant or breastfeeding.

Where it's running

  • Cedars-Sinai Medical Center
    Los Angeles, California, United States
    Recruiting
  • Johns Hopkins University
    Baltimore, Maryland, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri, United States
    Recruiting
  • Laura & Isaac Perlmutter Cancer Center at NYU Langone
    New York, New York, United States
    Recruiting
Show 16 more locations
  • Univ of Pennsylvania, Abramson Cancer Center
    Philadelphia, Pennsylvania, United States
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Huntsman Cancer Institute
    Salt Lake City, Utah, United States
    Recruiting
  • University of Virginia
    Charlottesville, Virginia, United States
    Recruiting
  • Virginia Cancer Specialists
    Fairfax, Virginia, United States
    Recruiting
  • Virginia Mason Medical Center
    Seattle, Washington, United States
    Recruiting
  • Macquarie University
    Sydney, New South Wales, Australia
    Recruiting
  • Peninsula and Southeast Oncology
    Frankston, Victoria, Australia
    Recruiting
  • Centre Leon Berard
    Lyon, France
    Recruiting
  • Centre d'Essais Precoces en Cancerologie de Marseille (CEPCM)
    Marseille, France
    Recruiting
  • Institut Curie
    Paris, France
    Recruiting
  • Vall d'Hebron Instituto de Oncología
    Barcelona, Spain
    Recruiting
  • START Rioja - Hospital Universitario San Pedro
    Logroño, Spain
    Recruiting
  • START Madrid - FJD
    Madrid, Spain
    Recruiting
  • START Madrid CIOCC - Hospital HM Sanchinarro
    Madrid, Spain
    Recruiting

Study contacts

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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.