With the clearance of an investigational new drug application from the FDA, a phase 1/2a study will evaluate VS-7375 in KRAS G12D-mutant solid tumors.
The IND application of VS-7375 (GFH375), an investigational KRAS G12D inhibitor, has been cleared by the FDA, and a phase 1/2a study in patients with advanced solid tumors harboring a KRAS G12D mutationplans to begin enrollment mid 2025.1
“We’re excited to advance the clinical program for VS-7375 in the US and build on the initial dose escalation work conducted by GenFleet in China that demonstrated oral bioavailability and no dose-limiting toxicities across 6 dose levels, with partial responses achieved among multiple patients with both pancreatic and advanced lung cancers,” said Dan Paterson, president and chief executive officer of Verastem Oncology, manufacturer of VS-7375, in a press release.
“We believe there remains a significant opportunity to improve on the efficacy seen to date with other KRAS G12D-selective agents. VS-7375’s dual inhibition of both the ON/OFF states has the potential to drive deep and durable cancer responses and allow for better combinability with other agents,” added Paterson.
Further, Verastem announced that an abstract on the phase 1/2 dose-escalation study of VS-7375 has been accepted into a rapid oral presentation session at the 2025 American Society of Clinical Oncology (ASCO) Annual Meeting taking place May 30 to June 3, 2025, in Chicago, Illinois.
VS-7375 was approved in China in June 2024, and the first patient was dosed in the phase 1/2 dose-escalation study in July 2024.
Microscopic, photorealistic image of tumor cells - Generated with Adobe Firefly
This new phase 1/2a study of VS-7375 will evaluate the safety and efficacy of VS-7375 in patients with advanced solid tumors harboring a KRAS G12D mutation. In phase 2a, investigators will evaluate VS-7375 as a monotherapy and in combination with other agents in tumors including pancreatic, colorectal, and non–small cell lung cancers.
KRAS G12D is the most prevalent KRAS mutation in human cancers, representing 26% of all KRASmutations. KRAS G12D mutations are most commonly observed in pancreatic, colorectal, endometrial, and non–small cell lung cancers.
As there are no currently approved therapies in the US specifically targeting KRAS G12D, the clinical development of VS-7375 could prove important in filling gaps in the treatment landscape.
In January 2025, the FDA granted priority review to Verastem’s avutometinib (VS-6766) and defactinib (VS-6063) for the treatment of adult patients with recurrent low-grade serous ovarian cancer harboring a KRAS mutation.2 A decision on the new drug application is expected in late June 2025.