Colorectal CancerPhase 2TARGET-D 203NCT07659795
A Phase 2 Study of VS-7375 in Patients With KRAS G12D-Mutated Colorectal Cancer
A Phase 2 study testing VS-7375, cetuximab and panitumumab in people with Colorectal Cancer, run by Verastem, Inc. at 30 sites in 2 countries.
Trial summary
This study will assess the safety and efficacy of VS-7375 alone and in combination with cetuximab or panitumumab and cetuximab plus mFOLFOX in patients with metastatic KRAS G12D - mutated Colorectal Cancer Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Colorectal Cancer
- What is being tested?
- VS-7375, cetuximab and panitumumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 150 participants
- Where
- 30 sitesin 2 countries
- Study dates
- 28 Jul 2026to Dec 2028
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
Show all 10Show fewer
- 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.
Who cannot join
- 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
Show all 11Show fewer
- 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
Trial locations and contacts
30 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
Bina Tejura, MD contact
30 sites in 2 countries
United States23 sites, 23 recruiting
- Recruiting
University of North Carolina
Chapel Hill, North Carolina, 27514
Catherine Griffin, 919-966-4432, catherine_griffin@med.unc.edu
Michael Iglesia, MD, PhD
- Recruiting
UVA Comprehensive Cancer Center
Charlottesville, Virginia, 22908
Clinical Trials Navigator, 434-982-0539, UVACANCERTRIALS@uvahealth.org
Matthew Reilley, MD
- Recruiting
Case Western, University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Amit Mahipal, MD, (216)844-6031, Amit.Mahipal@UHhospitals.org
Amit Mahipal, MD
- Recruiting
BRCR - Coral Springs
Coral Springs, Florida, 33065
Sumit Sawhney, MD, 561-447-0614, ssawhney.md@brcrglobal.com
Sumit Sawhney, MD
- Recruiting
START New Jersey
East Brunswick, New Jersey, 08816
START Hope Team, 732-426-4750, hopeteam@startresearch.com
Bruno S Fang, M.D.
- Recruiting
Virginia Cancer Specialists
Fairfax, Virginia, 22031
VCS Research Referrals, 703-636-1473, vcsresearchreferrals@usoncology.com
- Recruiting
START Dallas Fort Worth
Fort Worth, Texas, 76104
START Hope Team, 682-350-3010, hopeteam@startresearch.com
Salwan Al Mutar, M.D., M.Sc.
- Recruiting
START Midwest
Grand Rapids, Michigan, 49546
START Hope Team, 616-954-5554, hopeteam@startresearch.com
Sreenivasa R Chandana, M.D., Ph.D.
- Recruiting
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
MD Anderson Cancer Center, GI Medical Oncology Dept, 855-982-0789, GIClinicalTrials@mdanderson.org
Christine Parseghian, MD
- Recruiting
Indiana University, Simon Comprehensive Cancer Center
Indianapolis, Indiana, 46202
Yvonne LaFary, 317-278-5613, ylafary@iu.edu
Anita Turk, M.D.
- Recruiting
START Los Angeles
Los Angeles, California, 90025
START Hope Team, 424-465-1820, hopeteam@startresearch.com
Navid Hafez, M.D., MPH
- Recruiting
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Cedars-Sinai Trial Information, 1-800-233-2771, GroupCancerTrialInformation@cshs.org
Jun Gong, MD
- Recruiting
Valkyrie Clinical Trials (contact for more locations)
Los Angeles, California, 90067
Trenis Palmer, PhD, 912-398-3205, trenis.palmer@vctcare.com
David Berz, MD, PhD, MPH
- Recruiting
University of Wisconsin
Madison, Wisconsin, 53792
UW Cancer Connect, 800-622-8922, cancerconnect@uwhealth.org
Dustin Deming, MD
- Recruiting
Sarah Cannon Research Institute Oncology Partners
Nashville, Tennessee, 37203
ASK SARAH, 877-691-7274, askSARAH@scresearch.net
Meredith Pelster, MD
- Recruiting
Perlmutter Cancer Center at NYU Langone Health (contact for more locations)
New York, New York, 10016
Rafael Winograd, MD, PhD, 646-501-7802, CancerTrials@nyulangone.org
Rafael Winograd, MD, PhD
- Recruiting
Huntsman Cancer Institute - University of Utah
Salt Lake City, Utah, 84112
Susan Sharry, 801-585-3453, susan.sharry@hci.utah.edu
Christopher Nevala-Plagemann, MD
- Recruiting
HonorHealth
Scottsdale, Arizona, 85258
Sunil Sharma, MD, 480-323-1350, ssharma@honorhealth.com
Sunil Sharma, MD
- Recruiting
Virginia Mason Medical Center
Seattle, Washington, 98101
Cancer Research Team, 206-287-6270, crp@benaroyaresearch.org
Jessica Lee, DO
- Recruiting
Washington University
St Louis, Missouri, 63110
Caroline Bumb, 314-747-4000, cbumb@wustl.edu
Kian-Huat Lim, M.D., Ph.D.
- Recruiting
BRCR - Tamarac
Tamarac, Florida, 33321
Diana Casas, 561-447-0614, dianac@brcrglobal.com
Andrew Schneider, MD
- Recruiting
Moffitt Cancer Center
Tampa, Florida, 33612
Cheyenne Schneider, 813-745-3691, Cheyenne.Schneider@moffitt.org
Tiago Biachi de Castria, MD, PhD
- Recruiting
START Mountain Region
West Valley City, Utah, 84119
START Hope Team, 801-907-4750, hopeteam@startresearch.com
José M Pacheco, M.D.
Australia7 sites, 7 recruiting
- Recruiting
Icon Cancer Centre Hobart
Hobart, Tasmania, 7000
Icon Cancer Centre Hobart, 03 6240 2600, hobart.research@icon.team
Louise Nott, BMedSci, MBBS(Hons), FRACP
- Recruiting
Icon Cancer Centre Townsville
Hyde Park, Queensland, 4812
Peyman Halvaeikhanekahdani, 61747957100, peyman.halvaeikhanekahdani@icon.team
Abhishek Joshi, MBBS, MD, DM, FRACP
- Recruiting
Icon Cancer Centre Adelaide
Kurralta Park, South Australia, 5037
Icon Cancer Centre Adelaide/Kurralta Park, 08 8474 0220, EthicsCoordinator@icon.team
Carolyn Bampton, MBBS, FRACP
- Recruiting
Macquarie University Hospital
Macquarie Park, New South Wales, 2109
Sam Ly, +612 9812 3538, sam.ly@mq.edu.au
Jignasa Mahida, +61 466 476 498, Jignasa.mahida@mq.edu.au
- Recruiting
Alfred Hospital
Melbourne, Victoria, 3004
Ben Markman, MBBS (Hons), FRACP, 390763129, ben.markman@monash.edu
Kate Sinn, 390760569, K.Sinn@alfred.org.au
- Recruiting
Icon Cancer Centre South Brisbane
South Brisbane, Queensland, 4101
Apryl Chelin, 07 3737 4700, Apryl.chelin@icon.team
Jermaine Coward, MBBS, MRCP (UK), FRACP, PhD
- Recruiting
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Emily Munn, 02 4014 3290, emily.munn@health.nsw.gov.au
Girish Mallesara, MBBS, MD, DM, FRACP
About this study
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)
This study will assess the safety and efficacy of VS-7375 alone and in combination with cetuximab or panitumumab and cetuximab plus mFOLFOX in patients with metastatic KRAS G12D - mutated Colorectal Cancer
- Conditions
- Colorectal Cancer
- Being tested
- VS-7375, cetuximab, panitumumab, Cetuximab + mFOLFOX6
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VS-7375Drug
Taken by mouth
cetuximabDrug
Intravenous infusion
panitumumabDrug
Intravenous infusion
Cetuximab + mFOLFOX6Drug
Intravenous infusion
| Study group | Role | What they receive |
|---|---|---|
| VS-7375 Monotherapy or Preferred Combination in 2L+ CRC | Experimental | Participants randomized to a treatment in 2:1 ratio Receives: Drug: VS-7375; Drug: cetuximab; Drug: panitumumab |
| VS-7375 with chosen regimen in 2L+ CRC | Experimental | Not described Receives: Drug: VS-7375; Drug: cetuximab; Drug: panitumumab |
| VS-7375 + cetuximab and mFOLFOX in 1L CRC | Experimental | Not described Receives: Drug: Cetuximab + mFOLFOX6 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Confirmed ORR by blinded independent central review (BICR) per RESIST v1.1 - 2L CRC only
Overall Response Rate per RECIST version 1.1, per blinded independent central review (BICR)
Measured: 6 months
To characterize the safety and tolerability of VS-7375 monotherapy or in combination with cetuximab or panitumumab, administered on a daily oral schedule in participants with KRAS G12D-mutated 2L+ CRC
Proportion/number of participants with AEs, TEAEs, TRAEs, SAEs, and dose interruptions/reductions and discontinuations
Measured: 6 months
To characterize the safety and tolerability of VS-7375 in combination with cetuximab + mFOLFOX, administered on a daily oral schedule in participants with KRAS G12D-mutated 1L CRC
Proportion/number of participants with AEs, TEAEs, TRAEs, SAEs, and dose interruptions/reductions and discontinuations
Measured: 6 months
Secondary outcomes (6)
Confirmed ORR per RECIST v1.1 assessed by BICR (primary) and Investigator (secondary) assessments
To evaluate additional efficacy parameters of VS-7375 monotherapy and VS-7375 in combination with cetuximab or panitumumab or cetuximab + mFOLFOX, administered on a daily oral schedule in participants with KRAS G12D-mutated CRC
Measured: 24 months
Plasma Pharmacokinetics (PK) of VS-7375 and relevant metabolites, Cmax
Maximum concentration (Cmax)
Measured: 20 weeks
Plasma Pharmacokinetics (PK) of VS-7375 and relevant metabolites, AUC
Area under plasma Concentration (AUC) 0 to t
Measured: 20 weeks
To evaluate Pharmacodynamics (PD) and other relevant blood tumor markers specific to tumor type
CA19-9, CEA, CA-125
Measured: Up to 2.5 years
To assess the health-related quality of life and disease based on European Organization for Research and Treatment of Cancer (EORTC) Quality of life Questionnaire Core module C30 (QLQ-C30)
The EORTC QLQ-C30 is a validated questionnaire to assess the quality of life of colorectal cancer patients
Measured: 24 months
Time to next therapy
To assess the interval between initiation of study treatment and initiation of subsequent treatment
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2026
- Study start28 Jul 2026
- Primary completionJun 2027 (estimated)
- Study completionDec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Colorectal CancerStudies of the same condition, open and under way.
- More trials run by Verastem, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 150 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Verastem, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07659795
- Sponsor's protocol ID
- VS-7375-203
- Other IDs
- 2026-526473-42-00
- Acronym
- TARGET-D 203
- Status last verified
- Jul 2026
- First submitted
- 15 Jun 2026
- Last updated
- 26 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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)
- ClinicalTrials.gov ID
- NCT07659795
- Acronym / sponsor ID
- TARGET-D 203 / VS-7375-203
- Conditions
- Colorectal Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 150 participants (estimated)
- Lead sponsor
- Verastem, Inc.Industry (pharma, biotech, devices)
- Study start
- 28 Jul 2026 (actual)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Dec 2028 (estimated)
- First posted
- 22 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the safety and efficacy of VS-7375 alone and in combination with cetuximab or panitumumab and cetuximab plus mFOLFOX in patients with metastatic KRAS G12D - mutated Colorectal Cancer
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| VS-7375 Monotherapy or Preferred Combination in 2L+ CRC | Experimental | Drug: VS-7375, Drug: cetuximab, Drug: panitumumabParticipants randomized to a treatment in 2:1 ratio |
| VS-7375 with chosen regimen in 2L+ CRC | Experimental | Drug: VS-7375, Drug: cetuximab, Drug: panitumumab |
| VS-7375 + cetuximab and mFOLFOX in 1L CRC | Experimental | Drug: Cetuximab + mFOLFOX6 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- 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
- Must have received at least 1 standard chemotherapy for metastatic colorectal adenocarcinoma
Key exclusion criteria (11 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VS-7375Taken by mouth | Drug | VS-7375 Monotherapy or Preferred Combination in 2L+ CRC, VS-7375 with chosen regimen in 2L+ CRC |
| cetuximabIntravenous infusion | Drug | VS-7375 Monotherapy or Preferred Combination in 2L+ CRC, VS-7375 with chosen regimen in 2L+ CRC |
| panitumumabIntravenous infusion | Drug | VS-7375 Monotherapy or Preferred Combination in 2L+ CRC, VS-7375 with chosen regimen in 2L+ CRC |
| Cetuximab + mFOLFOX6Intravenous infusion | Drug | VS-7375 + cetuximab and mFOLFOX in 1L CRC |
Primary outcome
Confirmed ORR by blinded independent central review (BICR) per RESIST v1.1 - 2L CRC only
Time frame: 6 months
Overall Response Rate per RECIST version 1.1, per blinded independent central review (BICR)
To characterize the safety and tolerability of VS-7375 monotherapy or in combination with cetuximab or panitumumab, administered on a daily oral schedule in participants with KRAS G12D-mutated 2L+ CRC
Time frame: 6 months
Proportion/number of participants with AEs, TEAEs, TRAEs, SAEs, and dose interruptions/reductions and discontinuations
To characterize the safety and tolerability of VS-7375 in combination with cetuximab + mFOLFOX, administered on a daily oral schedule in participants with KRAS G12D-mutated 1L CRC
Time frame: 6 months
Proportion/number of participants with AEs, TEAEs, TRAEs, SAEs, and dose interruptions/reductions and discontinuations
6 secondary outcomes
Confirmed ORR per RECIST v1.1 assessed by BICR (primary) and Investigator (secondary) assessments
Time frame: 24 months
Plasma Pharmacokinetics (PK) of VS-7375 and relevant metabolites, Cmax
Time frame: 20 weeks
Plasma Pharmacokinetics (PK) of VS-7375 and relevant metabolites, AUC
Time frame: 20 weeks
To evaluate Pharmacodynamics (PD) and other relevant blood tumor markers specific to tumor type
Time frame: Up to 2.5 years
To assess the health-related quality of life and disease based on European Organization for Research and Treatment of Cancer (EORTC) Quality of life Questionnaire Core module C30 (QLQ-C30)
Time frame: 24 months
Time to next therapy
Time frame: 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2026.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Bina Tejura, MD contact
30 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing VS-7375, cetuximab and panitumumab in people with Colorectal Cancer, run by Verastem, Inc. at 30 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 30 sites in United States, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Verastem Call Center (7812924204, VS-7375-203TrialSupport@verastem.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Confirmed ORR by blinded independent central review (BICR) per RESIST v1.1 - 2L CRC only (time frame: 6 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2026.