Extracted Insight

  • The U.S. Food and Drug Administration granted Fast Track Designation to Verastem Oncology’s investigational KRAS G12D inhibitor VS‑7375 for the treatment of KRAS G12D‑mutated non‑small cell lung cancer (NSCLC).
  • The designation applies to adult patients with unresectable locally advanced or metastatic NSCLC who have received platinum‑based chemotherapy and an anti‑PD‑(L)1 antibody.
  • VS‑7375 previously received Fast Track for KRAS G12D‑mutated pancreatic cancer in July 2025.
  • VS‑7375 is an oral selective KRAS G12D inhibitor that binds both active and inactive KRAS G12D states.
  • Phase 1/2 TARGET‑D 101 trial started June 2025; early data expected in the first half of 2026, mature data in the second half of 2026.
  • Phase 2 TARGET‑D 202 open‑label study evaluates VS‑7375 at 900 mg once daily in patients who have received one to two prior therapy lines.
  • March 2026 data from TARGET‑D 101 (23 patients, doses 400‑900 mg) showed the drug was generally well tolerated, with no drug‑related liver function test abnormalities or Grade > 2 neutropenia as of the 30 January 2026 data cutoff.
  • NSCLC represents roughly 80‑85 % of all lung cancer cases; the KRAS G12D mutation occurs in about 5 % of NSCLC patients, affecting more than 8,000 patients in the United States each year.
  • No FDA‑approved therapies currently target KRAS G12D mutations.
  • Following the announcement, Verastem’s shares rose approximately 4 % in after‑hours trading on Wednesday.