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New drug targets hard-to-treat cancer mutation in early trial

NCT ID NCT06818812

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Aug 26, 2026 · Updated 2 times

Summary

This early-stage study tests an experimental drug called INCB186748 in people with advanced or spreading solid tumors that have a specific genetic change called KRAS G12D. The main goals are to check the drug's safety and find the right dose. About 30 adults whose cancer has not responded to standard treatments will take part.

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

Phase 1

The first testing in people. Mainly checks safety and dose, usually in a small group.

Participants

30 people

The number who actually took part.

Started

Mar 2025

Expected to finish

Mar 2027

An estimate. End dates often move.

Lead sponsor

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

18 years and older

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * ≥18 years old. * Locally advanced or metastatic solid tumor with KRAS G12D mutation. * For Part 1 and Part 2 Combination Group 1: Disease progression on or after prior standard treatment, or intolerance to or ineligibility for standard treatment, or no standard available treatment to improve the disease outcome. * For Part 2 Combination Groups 2 and 3: No more than 1 prior standard treatment. * Cohort-specific requirements as follows: * Parts 1a and 1d: histologically or cytologically confirmed malignant solid tumor of any tissue origin. * Part 1b * Disease Group 1: diagnosis of PDAC and at least 1 but no more than 2 prior standard systemic regimens for pancreatic cancer. * Disease Group 2: diagnosis of CRC. * Part 1c: Confirmed diagnosis of PDAC or CRC. * Parts 2a and 2b * Combination Group 1 (INCB186748 in combination with cetuximab): * Diagnosis of PDAC or * Diagnosis of CRC and ∘ Prior treatment in the advanced setting with a fluoropyrimidine-based chemotherapy regimen containing either oxaliplatin or irinotecan and * In Part 2a: ≤ 3 prior standard regimens. * In Part 2b: ≤ 2 prior standard regimens. * Combination Group 2 (INCB186748 in combination with GEMNabP) and * Combination Group 3 (INCB186748 in combination with mFOLFIRINOX): * Diagnosis of PDAC. * ≤ 1 prior standard systemic regimen for pancreatic cancer. * Measurable disease according to RECIST v1.1. * ECOG performance status score of 0 or 1. Exclusion Criteria: * Prior treatment with any KRAS inhibitor. * Known additional invasive malignancy within 1 year of the first dose of study drug. * History of organ transplant, including allogeneic stem cell transplantation. * Significant, uncontrolled medical condition. * History or presence of an ECG abnormality. * Inadequate organ function. Other protocol-defined Inclusion/Exclusion Criteria may apply.

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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.

Contacts and locations

Locations

  • Florida Cancer Specialists

    Sarasota, Florida, 34232, United States

  • Georgetown University Hospital

    Washington D.C., District of Columbia, 20007, United States

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601, United States

  • Jefferson University Hospitals

    Philadelphia, Pennsylvania, 19107, United States

  • Md Anderson Cancer Center

    Houston, Texas, 77030, United States

  • Sarah Cannon Research Institue At Healthone

    Denver, Colorado, 80218, United States

  • Scri Oncology Partners

    Nashville, Tennessee, 37203, United States

  • Sidney Kimmel Comprehensive Cancer Center At Johns Hopkins

    Baltimore, Maryland, 21287-7049, United States

  • UCLA Healthcare Hematology-Oncology

    Santa Monica, California, 90404, United States

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