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
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 616 (estimated) |
| Sponsor | Verastem, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, immunotherapy, radiation |
| Locations | 22 sites (Los Angeles, California and 21 other locations) |
| Status | Recruiting |
| Started | June 24, 2025 |
| Main results expected | December 2028 |
| Study ends | December 2028 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07020221 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
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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
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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
- Study coordinator: Verastem Call Center
- Email: clinicaltrials@verastem.com
- Phone: 1 781 292 4204
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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.