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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Verastem, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, Radiation, cetuximab, panitumumab |
| Locations | 30 sites (Scottsdale, Arizona and 29 other locations) |
| Status | Recruiting |
| Started | July 28, 2026 |
| Main results expected | June 2027 |
| Study ends | December 2028 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07659795 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
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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
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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
- Study coordinator: Verastem Call Center
- Email: VS-7375-203TrialSupport@verastem.com
- Phone: 7812924204
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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.