New drug targets hard-to-treat cancer mutation in early trial
NCT ID NCT06818812
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.
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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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30 people
The number who actually took part.
- Started
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Mar 2025
- Expected to finish
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Mar 2027
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.
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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
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Florida Cancer Specialists
Sarasota, Florida, 34232, United States
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Georgetown University Hospital
Washington D.C., District of Columbia, 20007, United States
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Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
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Jefferson University Hospitals
Philadelphia, Pennsylvania, 19107, United States
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Md Anderson Cancer Center
Houston, Texas, 77030, United States
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Sarah Cannon Research Institue At Healthone
Denver, Colorado, 80218, United States
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Scri Oncology Partners
Nashville, Tennessee, 37203, United States
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Sidney Kimmel Comprehensive Cancer Center At Johns Hopkins
Baltimore, Maryland, 21287-7049, United States
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UCLA Healthcare Hematology-Oncology
Santa Monica, California, 90404, United States
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