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avutometinib and sotorasib

Phase 2

Non Small Cell Lung Cancer | Small molecule | Oncology |Verastem, Inc.|Last Updated: Jan 12, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials3
Total Enrollment328
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04620330A Study of Avutometinib (VS-6766) + Defactinib in Recurrent KRAS G12V, Other KRAS and BRAF Non-Small Cell Lung CancerPHASE2 COMPLETED 90Dec 31, 2020Dec 12, 2023Jan 12, 202445 United States, France +3
NCT05375994Study of Avutometinib (VS-6766) + Adagrasib in KRAS G12C NSCLC PatientsPHASE1 ACTIVE NOT_RECRUITING 85Aug 1, 2022Jan 1, 2026May 18, 20258 United States
NCT05074810Phase 1/2 Study of Avutometinib (VS-6766) + Sotorasib With or Without Defactinib in KRAS G12C NSCLC PatientsPHASE1 ACTIVE NOT_RECRUITING 153Apr 12, 2022Apr 1, 2027Jan 12, 202635 United States, Belgium +4
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Study Endpoints
Primary Endpoints
To determine the optimal regimen, either avutometinib (VS-6766) monotherapy or avutometinib (VS-6766) in combination with defactinib, in KRAS-G12V NSCLC
From start of treatment to confirmation of response; 24 weeks

Confirmed overall response rate per RECIST 1.1

To evaluate the initial efficacy of avutometinib (VS-6766) in combination with defactinib in BRAF-MT NSCLC
From start of treatment to confirmation of response; 24 weeks

Confirmed overall response rate per RECIST 1.1

To determine efficacy in KRAS-other (non-G12V) NSCLC
From start of treatment to confirmation of response; 24 weeks

Confirmed overall response rate per RECIST 1.1

To determine the efficacy of avutometinib (VS-6766) in combination with defactinib in BRAF-MT NSCLC
From start of treatment to confirmation of response; 24 weeks

Confirmed overall response rate per RECIST 1.1

Part A: To determine RP2D for avutometinib(VS-6766) in combination with adagrasib
From start of treatment to confirmation of RP2D; 28 days

Assessment of Dose-limiting toxicities (DLTs)

To determine the efficacy of the optimal regimen identified from Part A
From start of treatment to confirmation of response; 16 weeks

Confirmed overall response rate per RECIST 1.1

Part A: To determine RP2D for avutometinib in combination with sotorasib and the Alt-RP2D for avutometinib in combination with sotorasib and defactinib
From start of treatment to confirmation of RP2D; 28 days

Assessment of Dose-limiting toxicities (DLTs)

Part B: To determine the efficacy of the RP2D and/or Alt-RP2D identified from Part A
From start of treatment to confirmation of response; 16 weeks

Confirmed overall response rate per RECIST 1.1

Secondary Endpoints
To characterize the safety and toxicity profile of VS-6766 as a monotherapy and in combination with defactinib in KRAS-MT NSCLC and in BRAF-MT NSCLC
24 weeks
Overall Response Rate per RECIST 1.1 as assessed by Investigator
From start of treatment to confirmation of response; 24 weeks
Duration of Response (DOR)
Time from the first documentation of response to first documentation of progressive disease or death due to any cause, greater than or equal to 6 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1: avutometinib (VS-6766) monotherapyEXPERIMENTALin patients with NSCLC KRAS-G12V tumor
Arm 2: avutometinib (VS-6766) in combination with defactinibEXPERIMENTALin patients with a NSCLC KRAS-G12V tumor
Arm 3: avutometinib (VS-6766) in combination with defactinibEXPERIMENTALin patients with a NSCLC KRAS-other (non-G12V) tumor
Arm 4: avutometinib (VS-6766) in combination with defactinibEXPERIMENTALin patients with a NSCLC BRAF-V600E tumor
Arm 5:avutometinib (VS-6766) in combination with defactinibEXPERIMENTALin patients with a NSCLC BRAF-non-V600E tumor
avutometinib(VS-6766)+adagrasibEXPERIMENTALTo determine the recommended phase 2 dose (RP2D) for VS-6766 in combination with adagrasib in G12C inhibitor exposed patients
avutometinib (VS-6766)+adagrasib RP2DEXPERIMENTALTo determine the efficacy of the RP2D identified from Part A in G12C inhibitor exposed patients
avutometinib (VS-6766)+sotorasibEXPERIMENTALTo determine the recommended phase 2 dose (RP2D) for avutometinib (VS 6766) in combination with sotorasib in KRAS G12C inhibitor naïve and exposed patients
avutometinib (VS-6766)+sotorasib - KRAS G12C inhibitor naïveEXPERIMENTALTo determine the efficacy of the RP2D identified from Part A in KRAS G12C inhibitor naïve patients
avutometinib (VS-6766)+sotorasib - KRAS G12C inhibitor exposedEXPERIMENTALTo determine the efficacy of the RP2D identified from Part A in KRAS G12C inhibitor exposed patients
avutometinib (VS-6766)+sotorasib+defactinibEXPERIMENTALTo determine the recommended phase 2 dose (RP2D) for avutometinib (VS-6766) in combination with sotorasib and defactinib in KRAS G12C inhibitor exposed patients
avutometinib (VS-6766)+sotorasib+defactinib - KRAS G12C inhibitor naiveEXPERIMENTALTo determine the efficacy of the RP2D identified from Part A in KRAS G12C inhibitor naïve patients
avutometinib (VS-6766)+sotorasib+defactinib - KRAS G12C inhibitor exposedEXPERIMENTALTo determine the efficacy of the RP2D identified from Part A in KRAS G12C inhibitor exposed patients
Interventions
NameTypeDescription
avutometinib (VS-6766)DRUGMonotherapy
avutometinib (VS-6766) and DefactinibDRUGCombination therapy
avutometinib (VS-6766) and adagrasibDRUGThe RP2D of VS-6766 + adagrasib determined in Part A will be used in Part B dose expansion
avutometinib and sotorasibDRUGThe RP2D of avutometinib + sotorasib determined in Part A will be used in Part B dose expansion
avutometinib and sotorasib and defactinibDRUGThe RP2D of avutometinib + sotorasib + defactinib determined in Part A will be used in Part B dose expansion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites45

Inclusion Criteria: * Male or female subjects ≥ 18 years of age * Histologic or cytologic evidence of NSCLC * Known KRAS or BRAF mutation * The subject must have received appropriate prior therapy * Measurable disease according to RECIST 1.1 * An Eastern Cooperative Group (ECOG) performance status ...

Countries:United StatesFranceGermanyItalySpainBelgiumNetherlandsUnited Kingdom
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Competitive Landscape -Non-Small Cell Lung Cancer 406 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK25PHASE3Pembrolizumab, Olaparib, Etoposide, Carboplatin, Cisplatin
Amgen Inc.AMGN5PHASE3AMG 510, Docetaxel, ABP 234, Pembrolizumab, Sotorasib
AstraZeneca PLCAZN63PHASE3Datopotamab deruxtecan, Durvalumab, Carboplatin, Pembrolizumab, Cisplatin
Revolution Medicines, Inc.RVMD8PHASE3daraxonrasib, docetaxel, RMC-6291, Elironrasib, Daraxonrasib
Eli Lilly and CompanyLLY19PHASE3Selpercatinib, Carboplatin, Cisplatin, Pemetrexed, Pembrolizumab
AbbVie, Inc.ABBV10PHASE3Telisotuzumab Vedotin, Docetaxel, Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab
Bristol-Myers Squibb CompanyBMY20PHASE3Repotrectinib, Crizotinib, Nivolumab, Carboplatin, Cisplatin
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Docetaxel, PM8002, Carboplatin, Pemetrexed
Gilead Sciences, Inc.GILD4PHASE3Sacituzumab Govitecan-hziy, Docetaxel, Zimberelimab, Domvanalimab, Pembrolizumab
GSK plc Sponsored ADRGSK4PHASE3Cobolimab, Dostarlimab, Docetaxel, Belrestotug, Pembrolizumab
Johnson & JohnsonJNJ18PHASE3Lazertinib, Amivantamab, Pemetrexed, Carboplatin, Osimertinib
Pfizer Inc.PFE21PHASE3Lorlatinib, Crizotinib, Avelumab, Lorlatanib, Talazoparib
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib, Drug: Furmonertinib, Furmonertinib, JAB-21822, JAB 21822
Novartis AG Sponsored ADRNVS9PHASE3JDQ443, docetaxel, TNO155, tislelizumab, DKY709
Summit Therapeutics IncSMMT2PHASE3Ivonescimab, Pembrolizumab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib, Crizotinib, AB-106
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Pembrolizumab, Docetaxel, Rina-S, GEN1042
Incyte CorporationINCY1PHASE3Retifanlimab, Pemetrexed, Cisplatin, Carboplatin, Paclitaxel
Regeneron Pharmaceuticals, Inc.REGN6PHASE2cemiplimab, Platinum Doublet, fianlimab, Pemetrexed, Paclitaxel
BeOne Medicines Ltd. Sponsored ADRONC6PHASE3Tislelizumab, Cisplatin, Paclitaxel, Pemetrexed Disodium, Carboplatin
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05375994primaryCompletionDate: changed
LOWMay 26, 2026NCT05074810primaryCompletionDate: changed
LOWMay 24, 2026NCT05375994studyFirstPostDate: changed
LOWMay 24, 2026NCT05074810studyFirstPostDate: changed