Clinical Trials

Defactinib (VS-6063) has been evaluated across multiple clinical trials spanning Early Phase 1 through Phase 3, encompassing phase 1 pharmacology studies in healthy volunteers alongside oncology indications such as advanced lung adenocarcinoma, pancreatic cancer, low-grade serous ovarian carcinoma, thyroid cancer, malignant pleural mesothelioma, and refractory solid neoplasms. Supported by sponsors including Verastem, Inc., the National Cancer Institute, and academic institutions such as Emory University, Washington University School of Medicine, and Memorial Sloan Kettering Cancer Center, trial recruitment statuses range from actively recruiting and completed to active, not recruiting and terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07743554 NOT_YET_RECRUITING
MPNST (Malignant Peripheral Nerve Sheath Tumor)
Girish Dhall, MD
2027-01-01 PHASE2
NCT07126158 RECRUITING
Pancreatic Adenocarcinoma; Cancer of the Pancreas; Pancreas Cancer; Pancreatic Cancer
Washington University School of Medicine
2026-04-10 PHASE2
NCT06104488 ACTIVE_NOT_RECRUITING
Refractory Cancer; CNS Tumors; CNS Tumor, Adult; CNS Tumor, Childhood; MAP Kinase Family Gene Mutation; NF1; Plexiform Neurofibroma; Low-grade Glioma; Optic Pathway Gliomas; Neuroblastoma; Primary Brain Tumor; Solid Tumor; Solid Tumor, Adult; Solid Carcinoma; Central Nervous System Tumor
Memorial Sloan Kettering Cancer Center
2023-10-20 PHASE1
NCT06630260 RECRUITING
Glioblastoma Multiforme (GBM); Glioblastoma Multiform (Grade IV Astrocytoma); Diffuse Hemispheric Glioma, H3 G34-Mutant; Malignant Primary Gliomas
Institute of Cancer Research, United Kingdom
2024-11-15 PHASE1; PHASE2
NCT06495125 RECRUITING
Advanced Lung Adenocarcinoma; Refractory Lung Adenocarcinoma; Stage III Lung Cancer AJCC v8; Stage IV Lung Cancer AJCC v8
Emory University
2024-07-31 PHASE2
NCT06369259 RECRUITING
Advanced Colorectal Cancer
M.D. Anderson Cancer Center
2025-02-24 PHASE2
NCT06487221 RECRUITING
Gastric Cancer; Stomach Cancer
Ryan H. Moy, MD, PhD
2024-10-28 PHASE2
NCT07778602 NOT_YET_RECRUITING
MGMT-unmethylated Glioblastoma (GBM); IDH Wildtype Glioblastoma
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2026-11-10 EARLY_PHASE1
NCT06072781 RECRUITING
Low Grade Serous Ovarian Cancer
Verastem, Inc.
2024-03-18 PHASE3
NCT07318324 RECRUITING
Phase IB; Avutometinib; RAS Pathway; Endometrial
M.D. Anderson Cancer Center
2026-05-13 PHASE1
NCT06194929 RECRUITING
Cutaneous Melanoma; Brain Metastases
University of Utah
2024-03-20 PHASE1; PHASE2
NCT05512208 RECRUITING
Endometrioid Cancer; Mucinous Ovarian Cancer; High Grade Serous Ovarian Cancer; Cervical Cancer; Solid Tumor
University of Oklahoma
2023-02-06 PHASE2
NCT06007924 RECRUITING
Thyroid Cancer
Memorial Sloan Kettering Cancer Center
2023-08-16 PHASE2
NCT07747506 NOT_YET_RECRUITING
Low Grade Ovarian Serous Adenocarcinoma; Ovarian Cancer
Verastem, Inc.
2026-08-03 PHASE2
NCT06394804 RECRUITING
Low-Grade Serous Ovarian Cancer
Memorial Sloan Kettering Cancer Center
2024-04-29 PHASE2
NCT05787561 RECRUITING
Mesonephric Gynecologic Cancer
Memorial Sloan Kettering Cancer Center
2023-03-15 PHASE2
NCT02465060 ACTIVE_NOT_RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Bladder Carcinoma; Breast Carcinoma; Cervical Carcinoma; Colon Carcinoma; Colorectal Carcinoma; Endometrial Carcinoma; Esophageal Carcinoma; Exocrine Pancreas Carcinoma; Gastric Carcinoma; Glioma; Head and Neck Carcinoma; Hematopoietic and Lymphoid Cell Neoplasm; Kidney Carcinoma; Liver Carcinoma; Lung Carcinoma; Lymphoma; Malignant Uterine Corpus Neoplasm; Malignant Uterine Neoplasm; Melanoma; Multiple Myeloma; Ovarian Carcinoma; Prostate Carcinoma; Rectal Carcinoma; Recurrent Bladder Carcinoma; Recurrent Breast Carcinoma; Recurrent Cervical Carcinoma; Recurrent Colon Carcinoma; Recurrent Colorectal Carcinoma; Recurrent Esophageal Carcinoma; Recurrent Gastric Carcinoma; Recurrent Glioma; Recurrent Head and Neck Carcinoma; Recurrent Liver Carcinoma; Recurrent Lung Carcinoma; Recurrent Lymphoma; Recurrent Malignant Solid Neoplasm; Recurrent Malignant Uterine Corpus Neoplasm; Recurrent Melanoma; Recurrent Multiple Myeloma; Recurrent Ovarian Carcinoma; Recurrent Pancreatic Carcinoma; Recurrent Prostate Carcinoma; Recurrent Rectal Carcinoma; Recurrent Skin Carcinoma; Recurrent Thyroid Gland Carcinoma; Refractory Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Multiple Myeloma; Skin Carcinoma; Thyroid Gland Carcinoma
National Cancer Institute (NCI)
2015-08-17 PHASE2
NCT05798507 ACTIVE_NOT_RECRUITING
Glioblastoma; Recurrent Glioblastoma
Emory University
2023-07-28 EARLY_PHASE1
NCT05669482 ACTIVE_NOT_RECRUITING
KRAS Activating Mutation; Metastatic Cancer; Pancreas Cancer; Neoplasms Pancreatic; Malignant Neoplasm of Pancreas
Verastem, Inc.
2023-03-22 PHASE1; PHASE2
NCT05636514 RECRUITING
Myelodysplastic Syndromes; Chronic Myelomonocytic Leukemia; Acute Myeloid Leukemia
Clinical Hub for Interventional Research (CHOIR)
2022-12-14 PHASE1
NCT05074810 ACTIVE_NOT_RECRUITING
Non Small Cell Lung Cancer; KRAS Activating Mutation
Verastem, Inc.
2022-04-12 PHASE1; PHASE2
NCT04331041 ACTIVE_NOT_RECRUITING
Pancreas Cancer; Cancer of the Pancreas; Pancreas Adenocarcinoma
Washington University School of Medicine
2021-08-24 PHASE2
NCT06682572 ACTIVE_NOT_RECRUITING
Low Grade Serous Ovarian Cancer; Ovarian Cancer
Verastem, Inc.
2024-10-30 PHASE2
NCT03727880 COMPLETED
Resectable Pancreatic Ductal Adenocarcinoma (PDAC); Pancreatic Ductal Adenocarcinoma
Lei Zheng
2019-06-04 PHASE2
NCT04625270 ACTIVE_NOT_RECRUITING
Low Grade Ovarian Serous Adenocarcinoma; Ovarian Cancer
Verastem, Inc.
2020-12-21 PHASE2
NCT04720417 TERMINATED
Metastatic Uveal Melanoma
Thomas Jefferson University
2021-01-26 PHASE2
NCT04620330 COMPLETED
Non Small Cell Lung Cancer; KRAS Activating Mutation
Verastem, Inc.
2020-12-31 PHASE2
NCT03287271 TERMINATED
Ovarian Cancer
Michael McHale
2018-02-06 PHASE1; PHASE2
NCT03875820 ACTIVE_NOT_RECRUITING
NSCLC; Low Grade Serous Ovarian Cancer; Endometrioid Carcinoma; Pancreatic Cancer
Institute of Cancer Research, United Kingdom
2017-12-12 PHASE1
NCT04201145 WITHDRAWN
Malignant Pleural Mesothelioma
Raphael Bueno, MD
2020-09 PHASE1
NCT04439331 ACTIVE_NOT_RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Hematopoietic and Lymphoid Cell Neoplasm; Refractory Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Multiple Myeloma
National Cancer Institute (NCI)
2015-11-19 PHASE2
NCT02004028 TERMINATED
Malignant Pleural Mesothelioma
Verastem, Inc.
2013-12-12 PHASE2
NCT02758587 UNKNOWN
Carcinoma, Non-small-cell Lung; Mesothelioma; Pancreatic Neoplasms
NHS Greater Glasgow and Clyde
2017-07-04 PHASE1; PHASE2
NCT02943317 TERMINATED
Epithelial Ovarian Cancer
Verastem, Inc.
2016-10 PHASE1
NCT02546531 COMPLETED
Advanced Solid Tumors; Solid Tumors; Pancreatic Cancer
Washington University School of Medicine
2016-02-03 PHASE1
NCT01951690 COMPLETED
Non Small Cell Lung Cancer; Lung Cancer
Verastem, Inc.
2013-09 PHASE2
NCT01870609 TERMINATED
Malignant Pleural Mesothelioma
Verastem, Inc.
2013-09 PHASE2
NCT02372227 TERMINATED
Relapsed Malignant Mesothelioma
Verastem, Inc.
2015-01 PHASE1
NCT02913716 COMPLETED
Healthy Subjects
Verastem, Inc.
2015-08 PHASE1
NCT01778803 COMPLETED
Ovarian Cancer
Verastem, Inc.
2013-02-26 PHASE1
NCT01943292 COMPLETED
Non Hematologic Cancers
Verastem, Inc.
2013-09-02 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-04)

Check the Defactinib (VS-6063) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Defactinib acts as a selective ATP-competitive inhibitor of focal adhesion kinase (FAK), suppressing FAK autophosphorylation at Tyr397 and disrupting downstream integrin-mediated signal transduction pathways such as Src, PI3K/Akt, and ERK/MAPK. This targeted enzymatic inhibition impairs focal adhesion turnover and cell motility, ultimately blocking tumor cell migration, invasion, and tumor-associated stromal remodeling in advanced lung adenocarcinoma, pancreatic cancer, and other refractory solid tumors currently evaluated in clinical trials.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.