New hope for Hard-to-Treat colorectal cancer: targeted drug enters human trials
NCT ID NCT07535112
First seen Jun 27, 2026 · Last updated Jul 07, 2026 · Updated 2 times
Summary
This early-stage trial tests a new drug, BAY 3771249, that targets a specific cancer-driving mutation called KRAS G12D. It is for people with advanced or metastatic colorectal cancer who have this mutation and have tried other treatments. The drug is given alone or with another cancer drug, cetuximab. The study aims to find a safe dose and see if it can shrink tumors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BAY 3771249 (a drug that blocks the mutated KRAS G12D protein) and cetuximab (a cancer drug given by IV)
- What this could lead to
- If successful, this could lead to a new targeted treatment option for people with advanced colorectal cancer that has a specific KRAS G12D mutation, especially those who have run out of other options.
- What could go wrong
- This is an early Phase 1 trial, so the drug may not prove safe or effective. Side effects are unknown, and the mutation is rare, so results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 130 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Jul 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * KRAS G12D mutated solid tumor * Participant must be ≥18 years old or the legal age of consent in the jurisdiction in which the study is taking place when signing the screening ICF * At least one measurable lesion as per RECIST v1.1. outside the CNS * Eastern Cooperative Oncology Group performance status (ECOG PS) of ≤1 * Male or Female: Contraceptive use by participant or participant's partners should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. * Life expectancy of at least 3 months in the opinion of the Investigator * Histologically/pathologically documented diagnosis of advanced/metastatic adenocarcinoma of the colon and rectum. * Adequate hematologic and end-organ function Exclusion Criteria: * Leptomeningeal disease or carcinomatous meningitis * Uncontrolled and/or active/symptomatic brain metastases. * Significant traumatic injury or major surgical procedure within 4 weeks of first dose of study intervention * Known hypersensitivity to any component of study intervention * Previous (within 3 years) or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in the respective substudy. * Active infection requiring systemic anti-infective therapy within 14 days of first dose of study intervention * Known HIV infection * Active Hepatitis B virus (HBV) infection * Active Hepatitis C virus (HCV) infection; * Significant cardiac disorder * History of risk factors for torsade de pointes (TdP) (e.g., heart failure, family history of long QT syndrome) * Participants with inadequately managed diabetes as assessed by the Investigator * Toxicities from prior anticancer therapy, defined as not having resolved to Grade ≤1 or as specified in the respective substudy protocol as per NCI CTCAE v.6.0 with the following exceptions: Alopecia of any grade, Peripheral neuropathy Grade ≤2, Autoimmune endocrine disorders Grade ≤2 managed with stable endocrine replacement therapy * History of (non-infectious) pneumonitis/interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis (unless it has resolved without sequelae without use of steroids), or any evidence of clinically-active pneumonitis/ILD * History of the following eye disorders: keratitis, ulcerative keratitis
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites in 10 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Border Medical oncology - Albury Wodonga Regional Cancer Centre
NOT_YET_RECRUITINGAlbury, New South Wales, 2640, Australia
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Cabrini Health Oncology Research
NOT_YET_RECRUITINGMalvern, Victoria, 3144, Australia
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Calvary Mater Hospital Newcastle - Oncology
RECRUITINGWaratah, New South Wales, 2298, Australia
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City of Hope - Duarte Cancer Center
NOT_YET_RECRUITINGDuarte, California, 91010, United States
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Fase I
NOT_YET_RECRUITINGRoma, 00128, Italy
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Ghent University Hospital | Drug Research Unit Department
NOT_YET_RECRUITINGGhent, 9000, Belgium
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HUS-Yhtymä, Helsingin yliopistollinen sairaala (HUS) - Syöpäkeskus
NOT_YET_RECRUITINGHelsinki, Uusimaa, 00029, Finland
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Hospital Universitari Vall D Hebron | Oncologia
NOT_YET_RECRUITINGBarcelona, 08035, Spain
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Hospital Universitario Hm Sanchinarro | Oncologia
NOT_YET_RECRUITINGMadrid, 28050, Spain
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Icahn School of Medicine at Mount Sinai - Oncology
NOT_YET_RECRUITINGNew York, New York, 10029, United States
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Karolinska Universitetssjukhuset - Fas I-enheten Solna CKC
NOT_YET_RECRUITINGStockholm, Stockholm County, 171 76, Sweden
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Mayo Clinic - Cancer Center - Phoenix
NOT_YET_RECRUITINGPhoenix, Arizona, 85054, United States
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NEXT Dallas - Oncology Department
RECRUITINGIrving, Texas, 75039, United States
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National Cancer Center Singapore - Oncology Department
RECRUITINGSingapore, 168583, Singapore
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National University Hospital Medical Centre
NOT_YET_RECRUITINGSingapore, 119074, Singapore
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Nederlands Kanker Instituut
NOT_YET_RECRUITINGAmsterdam, North Holland, 1066 CX, Netherlands
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Odense University Hospital - Oncology Department
NOT_YET_RECRUITINGOdense, Region Syddanmark, 5000, Denmark
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Rigshospitalet - Kræftbehandling
NOT_YET_RECRUITINGCopenhagen, Capital Region, 2100, Denmark
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START | San Antonio
NOT_YET_RECRUITINGSan Antonio, Texas, 78229, United States
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Sarah Cannon Research Institute at HCA HealthONE Presbyterian St. Luke's
NOT_YET_RECRUITINGDenver, Colorado, 80218, United States
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UC San Diego Health - Moores Cancer Center
NOT_YET_RECRUITINGSan Diego, California, 92037, United States