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PAS-004

Phase 1

NF1 Mutation | Small molecule | Oncology |Pasithea Therapeutics Corp.|Trials Updated: Dec 4, 2025

PAS-004 target and mechanism

Molecular targetMEK
Target classKinase
ModalitySmall molecule

Also known as PAS-004 Capsules, PAS-004 Tablets

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials2
Total Enrollment104

FDA Designations

FAST_TRACKRARE_PEDIATRIC_DISEASE

PAS-004 clinical trials

PAS-004 · 2 trials · 8 indications

Phase 1 2
NCT06961565PAS-004 in Adults Who Have Neurofibromatosis Type 1 With Plexiform NeurofibromasNF1 Mutation
RECRUITING56 Analytics
NCT06299839PAS-004 in Patients With Advanced Solid TumorsRAS Mutation
RECRUITING48 Analytics
PHASE1RECRUITING
PAS-004 in Adults Who Have Neurofibromatosis Type 1 With Plexiform Neurofibromas
NF1 MutationUnlock trial analytics
PHASE1RECRUITING
PAS-004 in Patients With Advanced Solid Tumors
RAS MutationUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A: To evaluate the safety and tolerability of PAS-004 when administered for one 28-day treatment cycle
Part A from enrollment (Day 1) through Day 28 (completion of Cycle 1)

Endpoint/Outcome Measures: Number of participants with dose-limiting toxicities (DLTs), with Adverse Events (AEs), AEs leading to interruption or discontinuation of study drug, with clinically significant findings on clinical laboratory tests, with abnormal cardiac and visual function exams using the Common Terminology Criteria for Adverse Events (CTCAE Version 5).

Part B: To evaluate the safety and tolerability of PAS-004 when administered for six 28-day treatment cycle
Part B from enrollment (Day 1) through Day 168 (completion of Cycle 6) [each cycle is 28 days]

Endpoint/Outcome Measures: Number of participants with dose-limiting toxicities (DLTs), with Adverse Events (AEs), AEs leading to interruption or discontinuation of study drug, with clinically significant findings on clinical laboratory tests, with abnormal cardiac and visual function exams using the Common Terminology Criteria for Adverse Events (CTCAE Version 5).

Evaluation of dose limiting toxicities (DLTs)
Day 1 through Day 35 (Cycle 1)

Pre-defined DLTs will be assessed for dose escalation and expansion determinations.

Evaluation of adverse events (AEs)
Screening through Day 1 through Day 35 (Cycle 1), and 30 days after discontinuation of study drug

The number and severity of AEs will be evaluated for dosing cohorts to inform dose escalation and expansion decisions, and support selection of a preliminary recommended phase 2 dose (RP2D).

Evaluation of AEs leading to discontinuation of investigational product (IP), PAS-004.
Screening through Day 1 through Day 35 (Cycle 1), and 30 days after discontinuation of study drug

The number and severity of AEs leading to discontinuation of study drug will be evaluated for dosing cohorts to inform dose escalation and expansion decisions, and support selection of a preliminary recommended phase 2 dose (RP2D).

Evaluation of hematology laboratory parameters
Screening through Day 1 through Day 35 (Cycle 1), and 30 days after discontinuation of study drug

Lab parameters will be evaluated for to assess the safety profile of the study drug, and support selection of a preliminary recommended phase 2 dose (RP2D).

Evaluation of clinical chemistry laboratory parameters
Screening through Day 1 through Day 35 (Cycle 1), and 30 days after discontinuation of study drug

Lab parameters will be evaluated for to assess the safety profile of the study drug, and support selection of a preliminary recommended phase 2 dose (RP2D).

Secondary Endpoints

Peak Plasma Concentration (Cmax)
Day 28 (predose, and 1 , 3 , 6 , and 24 hours post-dose) [end of Cycle 1]
Plasma predose or trough concentration (Ctau/Ctrough)
Day 28 (predose, and 1 , 3 , 6 , and 24 hours post-dose) [end of Cycle 1]
Time of maximum plasma concentration (Tmax)
Day 28 (predose, and 1 , 3 , 6 , and 24 hours post-dose) [end of Cycle 1]
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part AEXPERIMENTALSequential dose escalation: 4 mg, 8 mg, 12 mg, and 18 mg
Part BEXPERIMENTALTwo parallel cohorts dosing at 2 levels selected based on Part A safety results
PAS-004 CapsulesEXPERIMENTALSequential dose escalation: 2 mg, 4 mg, 8 mg, 15 mg, 22 mg, 30 mg, 37 mg, and 45 mg
PAS-004 TabletsEXPERIMENTALA single cohort at the 4mg dose using tablet formulation of PAS-004

Interventions

NameTypeDescription
PAS-004 TabletsDRUGA mitogen-activated protein kinase/extracellular signal-regulated kinase kinase (MAPK/ERK kinase, or MEK) 1/2 inhibitor presented in 1m and 4mg strength tablets, intended for oral administration once daily.
PAS-004 CapsulesDRUGA mitogen-activated protein kinase/extracellular signal-regulated kinase kinase (MAPK/ERK kinase, or MEK) 1/2 inhibitor presented in 1 mg, 4mg, and 10 mg strength capsules, intended for oral administration once daily.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Participant is capable of providing informed consent, which includes compliance with the requirements, prohibitions and restrictions listed in the informed consent form. 2. Participant has been informed both verbally and in writing about the objectives of the clinical study, ...

Countries:United StatesAustraliaSouth KoreaBulgariaRomania
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Competitive Landscape -Genetic Mutations 12 trials (matched to "NF1 Mutation")

Frequently asked questions about PAS-004

What is PAS-004 used for?

PAS-004 is an investigational oral small molecule being studied in adults with NF1 mutation and RAS mutation driven cancers. Its clinical program includes neurofibromatosis type 1 related plexiform neurofibromas and advanced solid tumors. It has not been approved for any indication and remains in Phase 1 development.

What does PAS-004 target?

PAS-004 targets MEK, a kinase in the RAS/MAPK signaling pathway. MEK inhibition is intended to block signaling driven by upstream mutations such as NF1 and RAS alterations. PAS-004 is a small molecule MEK inhibitor in Phase 1 testing.

Who is developing PAS-004?

PAS-004 is being developed by Pasithea Therapeutics Corp., which trades under the ticker KTTA. The company is the sponsor of the Phase 1 clinical program evaluating PAS-004 in biomarker selected adult patient populations.

What phase is PAS-004 in?

PAS-004 is in Phase 1 clinical development. It is investigational and has not received FDA approval. The program includes two recruiting Phase 1 trials, one in NF1 related plexiform neurofibromas and one in advanced solid tumors with RAS, NF1, or RAF mutations.

What clinical trials is PAS-004 in?

PAS-004 is being evaluated in two recruiting Phase 1 trials. NCT06961565 studies PAS-004 in adults with neurofibromatosis type 1 and plexiform neurofibromas across the United States, Australia, and South Korea. NCT06299839 studies PAS-004 in patients with advanced solid tumors in the United States, Bulgaria, and Romania.

Is PAS-004 the same as PAS-004 Capsules or PAS-004 Tablets?

Yes. PAS-004 Capsules and PAS-004 Tablets are alternative names for PAS-004, the same investigational MEK inhibitor developed by Pasithea Therapeutics Corp. under ticker KTTA. Searches for any of these names refer to the same Phase 1 drug candidate.