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DRUG CLASS:

KRAS G12D inhibitor

1d
New P3 trial
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KRAS (KRAS proto-oncogene GTPase)
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gemcitabine • paclitaxel • 5-fluorouracil • irinotecan • leucovorin calcium • Teysuno (gimeracil/oteracil/tegafur)
3d
New P1/2 trial
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KRAS (KRAS proto-oncogene GTPase)
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Erbitux (cetuximab) • gemcitabine • paclitaxel
3d
A targeted combination therapy achieves effective pancreatic cancer regression and prevents tumor resistance. (PubMed, Proc Natl Acad Sci U S A)
Likewise, a combination of selective inhibitors of KRAS (RMC-6236/daraxonrasib), EGFR family (afatinib), and STAT3 (SD36) induced the complete regression of orthotopic PDAC tumors with no evidence of tumor resistance for over 200 d posttreatment...Of importance, this combination therapy was well tolerated. In sum, these results should guide the development of new clinical trials that may benefit PDAC patients.
Journal
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EGFR (Epidermal growth factor receptor) • KRAS (KRAS proto-oncogene GTPase) • TP53 (Tumor protein P53)
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TP53 mutation • KRAS mutation
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Gilotrif (afatinib) • MRTX1133 • daraxonrasib (RMC-6236)
9d
iEXPLORE: iExosomes in Treating Participants With Metastatic Pancreas Cancer With KrasG12D Mutation (clinicaltrials.gov)
P1/2, N=28, Recruiting, M.D. Anderson Cancer Center | Phase classification: P1 --> P1/2
Phase classification
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KRAS (KRAS proto-oncogene GTPase)
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KRAS mutation • KRAS G12D • KRAS G12
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Undisclosed MSC-derived Exosomes with KrasG12D siRNA
9d
Trial completion
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itraconazole • rifampicin
14d
New P2 trial
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KRAS (KRAS proto-oncogene GTPase)
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paclitaxel • TheraCIM (nimotuzumab) • HRS-4642
17d
New P3 trial
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KRAS (KRAS proto-oncogene GTPase)
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HRS-4642
18d
GFH375X1201: A Phase II Study to Evaluate GFH375 in Patients With KRAS G12D Mutant Metastatic Pancreatic Cancer (clinicaltrials.gov)
P2, N=0, Withdrawn, Genfleet Therapeutics (Shanghai) Inc. | N=83 --> 0 | Not yet recruiting --> Withdrawn | Trial primary completion date: Dec 2027 --> Aug 2027
Enrollment change • Trial withdrawal • Trial primary completion date
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KRAS (KRAS proto-oncogene GTPase)
18d
Enrollment change
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TheraCIM (nimotuzumab) • HRS-4642
28d
ALAFOSS-01: A Phase I/IIa Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Efficacy of AZD0022 as Monotherapy and in Combination With Anti-cancer Agents in Adult Participants With Tumours Harbouring a KRASG12D Mutation (clinicaltrials.gov)
P1/2, N=17, Active, not recruiting, AstraZeneca | Recruiting --> Active, not recruiting | N=430 --> 17 | Trial completion date: Jan 2028 --> Jun 2026 | Trial primary completion date: Jan 2028 --> Oct 2025
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
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KRAS (KRAS proto-oncogene GTPase)
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Erbitux (cetuximab)
1m
Enrollment change
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KRAS (KRAS proto-oncogene GTPase)
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Erbitux (cetuximab) • 5-fluorouracil • irinotecan • leucovorin calcium • Zynyz (retifanlimab-dlwr) • INCA33890
1m
Hybrid nanovesicles enhance antitumor efficacy in KRAS-mutant non-small cell lung cancer. (PubMed, J Control Release)
We evaluated this nanocarrier-based therapeutic strategy for delivering the KRASG12D inhibitor MRTX1133 in KRASG12D-mutant cell lines and animal models...Mechanistically, it reprograms the tumor microenvironment by sustaining MAPK and PI3K pathway inhibition, reducing EGFR phosphorylation, enhancing CD8+ T-cell infiltration, and restoring antitumor immunity through PD-L1 blockade. By exploiting the signaling vulnerabilities of KRAS-driven tumors, our hybrid nanovesicle platform provides a promising therapeutic strategy for overcoming resistance and improving therapeutic response in KRAS-mutant NSCLC.
Journal • PD(L)-1 Biomarker • IO biomarker
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KRAS (KRAS proto-oncogene GTPase) • CD8 (cluster of differentiation 8)
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PD-L1 expression • KRAS mutation • KRAS G12D
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MRTX1133