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RecruitingInterventionalPhase 1

A Phase 1a/1b Open-Label Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of BBO-11818 in Subjects With Advanced KRAS Mutant Cancers

NCT ID: NCT06917079Sponsor: TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics)Last updated: 2026-06-02

Summary

A first in human study to evaluate the safety and preliminary antitumor activity of BBO-11818, a pan-KRAS inhibitor, in subjects with locally advanced unresectable or metastatic KRAS mutant solid tumors.

Detailed description

This is an open-label, multi-center, Phase 1 study designed to evaluate the safety, tolerability, pharmacokinetics, and efficacy of BBO-11818, a pan-KRAS inhibitor, alone and in combination with pembrolizumab, pembrolizumab + cis/carboplatin + pemetrexed, cetuximab, cetuximab + mFOLFOX6, BBO-10203 + mFOLFOX6, BBO-10203 +cetuximab, mFOLFIRINOX, gemcitabine + nab-paclitaxel, or BBO-10203 in subjects with locally advanced unresectable or metastatic KRAS mutant solid tumors. The study includes a dose escalation phase and a dose expansion phase.

Arms & interventions

  • DrugBBO-11818

    Participants will receive assigned dose of BBO-11818 orally (PO)

  • DrugPembrolizumab

    Patients will receive IV pembrolizumab

  • DrugPlatinum chemotherapy (cisplatin or carboplatin)

    Patients will receive IV platinum chemotherapy (cisplatin or carboplatin)

  • DrugPemetrexed

    Patients will receive IV pemetrexed

  • DrugCetuximab

    Patients will receive IV cetuximab

  • DrugmFOLFOX6

    Patients may receive IV mFOLFOX6

  • DrugmFOLFOX6

    Patients will receive IV mFOLFOX6

  • DrugBBO-10203

    Participants will receive BBO-10203 orally (PO)

  • DrugmFOLFIRINOX

    Patients will receive IV mFOLFIRINOX

  • DrugGemcitabine

    Patients will receive IV gemcitabine

  • DrugNab-paclitaxel

    Patients will receive IV nab-paclitaxel

Outcome measures

Primary

  • Incidence and severity of treatment emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs)

    Time frame: approximately 5 years

  • Determine recommended dose of BBO-11818 in combination with pembrolizumab ± cis/carboplatin + pemetrexed, cetuximab ± mFOLFOX6, BBO-10203 + mFOLFOX6, BBO-10203 + cetuximab, cetuximab, mFOLFIRINOX, gemcitabine + nab-paclitaxel, or BBO-10203

    Time frame: approximately 5 years

Secondary

  • Objective response rate (ORR) per RECIST v1.1 and CNS RECIST

    Time frame: approximately 5 years

  • Clinical benefit rate (CBR) per RECIST v1.1

    Time frame: approximately 5 years

  • Duration of Response (DOR) per RECIST v1.1

    Time frame: approximately 5 years

  • Progression-Free Survival (PFS) per RECIST v1.1

    Time frame: approximately 5 years

  • Overall Survival (OS)

    Time frame: approximately 5 years

  • Pharmacokinetics of BBO-11818, BBO-10203, irinotecan, and its metabolites (SN-38 and SN-38-G): Maximum blood concentration (Cmax)

    Time frame: approximately 5 years

  • Pharmacokinetics of BBO-11818, BBO-10203, irinotecan, and its metabolites (SN-38 and SN-38-G): Time to achieve maximum concentration (Tmax)

    Time frame: approximately 5 years

  • Pharmacokinetics of BBO-11818, BBO-10203, irinotecan, and its metabolites (SN-38 and SN-38-G): Area under the concentration-time curve (AUC)

    Time frame: approximately 5 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Histologically documented locally advanced and unresectable or metastatic NSCLC, PDAC, CRC, or other solid tumor with KRAS G12A, G12C, G12D, G12S, or G12V mutation * Measurable disease by RECIST v1.1 * Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1 * Life expectancy \>24 weeks * Adequate organ function Exclusion Criteria: * Malignancy within the last 2 years as specified in the protocol * Untreated brain metastases Other inclusion/exclusion criteria are specified in the protocol.

Study locations (16)

The Angeles Clinic and Research Institute - West Los Angeles Office

Los Angeles, California, 90025

Recruiting
· Contact

University of California Davis

Sacramento, California, 95817

Recruiting
· Contact

University of California San Diego Moores Cancer Center

San Diego, California, 92037

Recruiting
· Contact

University of California San Francisco Helen Diller Family Comprehensive Cancer Center

San Francisco, California, 94158

Recruiting
· Contact

Yale University

New Haven, Connecticut, 06510

Recruiting
· Contact

Moffitt Cancer Center

Tampa, Florida, 33612

Recruiting
· Contact

OSF Healthcare Cancer Institute

Peoria, Illinois, 61637

Recruiting
· Contact

Massachusetts General Hospital

Boston, Massachusetts, 02114

Recruiting
· Contact

NYU Langone Health

New York, New York, 10016

Recruiting
· Contact

Columbia University Irving Medical Center

New York, New York, 10032

Recruiting
· Contact

Vanderbilt University Medical Center

Nashville, Tennessee, 37232

Recruiting
· Contact

Sarah Cannon Research Institute at Mary Crowley

Dallas, Texas, 75230

Recruiting
· Contact

The University of Texas MD Anderson Cancer Center

Houston, Texas, 77030

Recruiting
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NEXT Oncology

San Antonio, Texas, 78229

Recruiting
· Contact

Huntsman Cancer Institute

Salt Lake City, Utah, 84112

Recruiting
· Contact

Fred Hutchinson Cancer Center

Seattle, Washington, 98109

Recruiting
· Contact

References

  • Stahlhut C, Maciag AE, Sullivan KA, Singh K, Gitego N, Zhang Z, Chan AH, Sharma AK, Alexander PA, Shu J, Yang Y, Rigby M, Ma R, Setoodeh S, Smith BP, Pei J, Rabara D, Larsen EK, Turner DM, Zhang C, Feng C, Feng S, Stice JP, Xu R, Lin K, Stephen AG, Lightstone FC, Ji C, Wang K, Simanshu DK, Nissley DV, Wallace E, Wang B, Sinkevicius KW, McCormick F, Beltran PJ. Discovery of BBO-11818, a Potent and Selective Noncovalent Inhibitor of (ON) and (OFF) KRAS with Activity against Multiple Oncogenic Mutants. Cancer Discov. 2026 Apr 1;16(4):740-759. doi: 10.1158/2159-8290.CD-25-1280.(PubMed)