Clinical trial Recruiting at 30 sites Phase 2 Interventional Ages 18 and up

VS-7375 with or without antibodies for KRAS G12D colorectal cancer

Official title: A Phase 2, Open-label Study of VS-7375, an Oral KRAS G12D (ON/OFF) Inhibitor, With and Without an Anti-EGFR Antibody, and With an Anti-EGFR Antibody and Chemotherapy, in Patients With Metastatic KRAS G12D-Mutated Colorectal Adenocarcinoma (TARGET-D 203)

Run by Verastem, Inc. · NCT07659795 · Data updated 2026-11-12

This study tests VS-7375 alone and in combination with cetuximab or panitumumab (and cetuximab plus mFOLFOX6) in people with metastatic KRAS G12D colorectal cancer to see if it is safe and effective.

More Colorectal Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment150 (estimated)
SponsorVerastem, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, Radiation, cetuximab, panitumumab
Locations30 sites (Scottsdale, Arizona and 29 other locations)
StatusRecruiting
StartedJuly 28, 2026
Main results expectedJune 2027
Study endsDecember 2028
Registry record updatedOctober 26, 2026
Trial IDNCT07659795 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with metastatic colorectal cancer carrying KRAS G12D, measurable disease, ECOG 0-1, and adequate organ function.

Probably not a fit

Patients with other concurrent RAS mutations, recent anti-cancer therapy, or recent major procedures may not benefit from this approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 2 trial evaluates the safety and potential effectiveness of VS-7375 as a single agent and in combination with EGFR inhibitors (cetuximab or panitumumab) or with cetuximab plus mFOLFOX6 in patients whose colorectal cancer has metastasized and carries the KRAS G12D mutation. Participants must have measurable disease, confirmed KRAS G12D status, and good performance status. The study includes both second-line or later patients as well as those who are treatment-naïve or have had limited prior therapy. Key exclusions include other common RAS mutations, recent anti-cancer therapy, major surgery, or recent radiation therapy.

Why it matters

Potential benefit: If successful, the regimen could offer a new targeted option for patients with KRAS G12D-mutated metastatic colorectal cancer.

How similar studies have gone: Prior work in the field supports combining targeted agents with EGFR inhibitors in KRAS-mutant colorectal cancer, but this specific KRAS G12D strategy is investigational.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histopathology confirmed metastatic CRC
* Measurable disease per RECIST 1.1
* Local testing confirmed KRAS G12D mutation (tissue required for confirmatory central testing)
* ECOG PS=0 or 1

  2L+ patients:
* Must have received at least 1 standard chemotherapy for metastatic colorectal adenocarcinoma
* Have documented disease progression during or following their most recent prior line of therapy
* Have either stable disease, partial response (PR), or complete response (CR) by RECIST v1.1 as the best overall response (BOR) during at least 1 prior systemic therapy.

  1L patients:
* Treatment-naïve or received no more than 1 cycle of standard systemic therapy for metastatic disease.

Exclusion Criteria:

* Have any other documented co-existing common RAS mutation(s)
* Prior anti-cancer Tx within 4 weeks or drug-specific timeline within first treatment dose, whichever shorter
* Major surgery within 4 weeks of first treatment dose
* Radiation therapy (RT) within 1 week of first treatment dose
* Receipt of prior direct RAS inhibitor
* Receipt of more than 1 investigational therapy
* Untreated or symptomatic CNS metastasis
* Receipt of strong CYP3A4 inhibitor/inducer or CYP3A4 sensitive substrates with narrow therapeutic index within 14 days or drug-specific timeline within first treatment dose, whichever is shorter
* Receipt of PPI or H2 blocker within 5 days
* Inability to swallow oral medication
* Other protocol-defined inclusion/exclusion criteria may apply

Where it's running

  • HonorHealth
    Scottsdale, Arizona, United States
    Recruiting
  • START Los Angeles
    Los Angeles, California, United States
    Recruiting
  • Cedars-Sinai Medical Center
    Los Angeles, California, United States
    Recruiting
  • Valkyrie Clinical Trials (contact for more locations)
    Los Angeles, California, United States
    Recruiting
  • BRCR - Coral Springs
    Coral Springs, Florida, United States
    Recruiting
  • BRCR - Tamarac
    Tamarac, Florida, United States
    Recruiting
Show 24 more locations
  • Moffitt Cancer Center
    Tampa, Florida, United States
    Recruiting
  • Indiana University, Simon Comprehensive Cancer Center
    Indianapolis, Indiana, United States
    Recruiting
  • START Midwest
    Grand Rapids, Michigan, United States
    Recruiting
  • Washington University
    St Louis, Missouri, United States
    Recruiting
  • START New Jersey
    East Brunswick, New Jersey, United States
    Recruiting
  • Perlmutter Cancer Center at NYU Langone Health (contact for more locations)
    New York, New York, United States
    Recruiting
  • University of North Carolina
    Chapel Hill, North Carolina, United States
    Recruiting
  • Case Western, University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Recruiting
  • Sarah Cannon Research Institute Oncology Partners
    Nashville, Tennessee, United States
    Recruiting
  • START Dallas Fort Worth
    Fort Worth, Texas, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Huntsman Cancer Institute - University of Utah
    Salt Lake City, Utah, United States
    Recruiting
  • START Mountain Region
    West Valley City, Utah, United States
    Recruiting
  • UVA Comprehensive Cancer Center
    Charlottesville, Virginia, United States
    Recruiting
  • Virginia Cancer Specialists
    Fairfax, Virginia, United States
    Recruiting
  • Virginia Mason Medical Center
    Seattle, Washington, United States
    Recruiting
  • University of Wisconsin
    Madison, Wisconsin, United States
    Recruiting
  • Macquarie University Hospital
    Macquarie Park, New South Wales, Australia
    Recruiting
  • Calvary Mater Newcastle
    Waratah, New South Wales, Australia
    Recruiting
  • Icon Cancer Centre Townsville
    Hyde Park, Queensland, Australia
    Recruiting
  • Icon Cancer Centre South Brisbane
    South Brisbane, Queensland, Australia
    Recruiting
  • Icon Cancer Centre Adelaide
    Kurralta Park, South Australia, Australia
    Recruiting
  • Icon Cancer Centre Hobart
    Hobart, Tasmania, Australia
    Recruiting
  • Alfred Hospital
    Melbourne, Victoria, Australia
    Recruiting

Study contacts

Similar studies

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

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.