VSTM: VS-7375 shows strong activity in KRAS G12D NSCLC; U.S. IND cleared
Rhea-AI Filing Summary
Verastem reported updated safety and preliminary efficacy from the GFH375/VS-7375 Phase 1/2 study in advanced KRAS G12D solid tumors conducted by partner GenFleet in China. The safety population totaled 142 patients (including 28 NSCLC, 85 PDAC, 29 other) with median follow-up of 4.5 months. Tumor responses were seen across doses.
At the recommended Phase 2 dose of 600 mg once daily, the overall response rate (ORR) was 68.8% (11/16) and disease control rate (DCR) 93.8% (15/16). Across 26 evaluable NSCLC patients, ORR was 57.7% (15/26) and DCR 88.5% (23/26). Treatment-related adverse events occurred commonly (diarrhea, vomiting, nausea, anemia, neutropenia, elevated liver enzymes); TRAEs>Grade 3 were 27.5% (39/142), severe events 7.7% (11/142), 11 dose reductions and 6 discontinuations due to TRAEs, with no TRAE-related deaths. Verastem has a cleared U.S. IND and initiated a Phase 1/2a trial in mid-2025; GenFleet began dosing in China in 2024.
Positive
- High preliminary efficacy: ORR of 68.8% (11/16) at the 600 mg recommended Phase 2 dose and 57.7% (15/26) ORR across evaluable NSCLC patients.
- Advancement toward U.S. development: U.S. IND cleared and Phase 1/2a trial initiated, enabling U.S. clinical data generation.
- No TRAE-related deaths: Safety profile included no treatment-related deaths despite observed adverse events.
Negative
- Safety events of note: TRAEs >Grade 3 occurred in 27.5% (39/142) of patients and severe adverse events in 7.7% (11/142).
- Discontinuations and dose management: 11 patients required dose reductions and 6 discontinued treatment due to TRAEs.
- Small sample size and short follow-up: Key efficacy figures at the recommended dose are based on 16 patients with median follow-up of 4.5 months, limiting durability and generalizability.
Insights
TL;DR: High early response rates in KRAS G12D NSCLC at 600 mg with manageable, mostly low-grade toxicities—encouraging for further development.
The reported 68.8% ORR at the recommended Phase 2 dose and 57.7% ORR across evaluable NSCLC patients represent strong preliminary anti-tumor activity for a targeted KRAS G12D inhibitor. Common TRAEs were primarily gastrointestinal and hematologic and predominantly Grade 1–2, which supports tolerability, though 27.5% experiencing >Grade 3 TRAEs and 6 discontinuations indicate the need for continued safety monitoring and optimized management in larger cohorts. Short median follow-up (4.5 months) limits durability assessment; longer follow-up and randomized data will be needed to confirm benefit.
TL;DR: Positive clinical signals and U.S. IND clearance materially advance Verastem's lead program and could be value-driving if findings hold.
The combination of a cleared U.S. IND, initiation of a Phase 1/2a in the U.S., and compelling early ORR figures in NSCLC are material commercial and de-risking milestones for Verastem's collaboration with GenFleet. Key commercial-readiness indicators include the 600 mg recommended Phase 2 dose and absence of TRAE-related deaths. Caveats include small sample sizes at the pivotal dose (16 patients) and limited follow-up; investors should view these results as promising but preliminary until larger, controlled datasets and durability metrics are available.