Clinical Trials

Numerous clinical trials, spanning Phase 1 through Phase 3, evaluate avutometinib as a monotherapy and in combination regimens for malignancies including KRAS-mutant non-small cell lung cancer, pancreatic adenocarcinoma, thyroid cancer, low-grade serous ovarian cancer, and pediatric central nervous system tumors. Sponsored by pharmaceutical entities such as Verastem, Inc. and academic institutions including Memorial Sloan Kettering Cancer Center, these studies encompass active, recruiting, and completed stages. Ultimately, these evaluations aim to establish the efficacy and safety profile of avutometinib across refractory and advanced neoplastic conditions.

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
NCT05608252 RECRUITING
Breast Cancer; Hormone Receptor-positive Breast Cancer; Hormone Receptor Positive HER-2 Negative Breast Cancer
Adrienne G. Waks
2023-02-23 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
NCT05200442 SUSPENDED
Colorectal Cancer; Colorectal Adenocarcinoma; Colorectal Cancer Metastatic; Advanced Colorectal Carcinoma; Advanced Colorectal Adenocarcinoma
University of Chicago
2022-08-22 PHASE1; 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
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
NCT05375994 COMPLETED
Non Small Cell Lung Cancer; KRAS Activating Mutation; Advanced Cancer; Metastatic Cancer; Malignant Neoplasm of Lung; Malignant Neoplastic Disease
Verastem, Inc.
2022-08-01 PHASE1; PHASE2
NCT05074810 ACTIVE_NOT_RECRUITING
Non Small Cell Lung Cancer; KRAS Activating Mutation
Verastem, Inc.
2022-04-12 PHASE1; PHASE2
NCT06682572 ACTIVE_NOT_RECRUITING
Low Grade Serous Ovarian Cancer; Ovarian Cancer
Verastem, Inc.
2024-10-30 PHASE2
NCT04625270 ACTIVE_NOT_RECRUITING
Low Grade Ovarian Serous Adenocarcinoma; Ovarian Cancer
Verastem, Inc.
2020-12-21 PHASE2
NCT06104488 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 Phase 1
NCT04620330 COMPLETED
Non Small Cell Lung Cancer; KRAS Activating Mutation
Verastem, Inc.
2020-12-31 PHASE2
NCT05375994 Recruiting
Non Small Cell Lung Cancer|KRAS Activating Mutation|Advanced Cancer|Metastatic Cancer|Malignant Neoplasm of Lung|Malignant Neoplastic Disease
Verastem Inc.|Mirati Therapeutics Inc.
2022-08-01 Phase 1|Phase 2

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

Check the Avutometinib (Ro5126766, CH5126766) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Avutometinib functions as a dual RAF/MEK inhibitor that potently targets BRAF, CRAF, and MEK1, suppressing downstream MAPK/ERK pathway signaling within hyperactive cancer cells. By disrupting this central kinase cascade, the compound arrests cell cycle progression and impairs cell survival, thereby inhibiting tumor growth in clinical contexts such as KRAS-mutant non-small cell lung cancer and pancreatic adenocarcinoma.

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.