Phase 1/2 Trial of S241656 in Selected RAS/MAPK Mutation- Positive Malignancies

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This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

BDTX-4933-101 is a first-in-human, open-label, Phase 1/2 dose escalation, dose optimization and expansion study designed to evaluate the safety and tolerability of S241656 as monotherapy and in combination with other anti-cancer therapies in participants with selected advanced malignancies. The study population for the Dose Escalation part of the study comprises adults with recurrent advanced/metastatic non-small cell lung cancer (NSCLC), Gastrointestinal (GI) cancers, and other solid tumors harboring KRAS, HRAS, NRAS, BRAF, and/or CRAF (Rapidly Accelerated Fibrosarcoma (RAF1)) mutations or alterations. A dose optimization part in adults with NSCLC may follow the dose escalation phase if the sponsor, in consultation with the safety review committee, decides it is necessary to further characterize the optimal dose. However, the study may also proceed directly to the expansion phase. The study population for the Dose Expansion part of the study comprises adults with advanced/metastatic NSCLC with KRAS and/or BRAF mutations, and with Pancreatic Ductal AdenoCarcinoma (PDAC), ColoRectal Cancer (CRC), and Biliary Tract Cancer (BTC) with KRAS, HRAS, NRAS, BRAF, and/or CRAF (RAF1) mutations and alterations. All patients will self-administer S241656 orally in 28-day cycles until disease progression, toxicity, withdrawal of consent, or termination of the study.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • •Oczekiwana długość życia co najmniej 12 tygodni
  • •Zaawansowany lub przerzutowy nowotwór potwierdzoną mutacją RAS lub RAF
  • •Wystarczająca funkcja szpiku kostnego i narządów
  • •Wyzdrowienie z efektów ubocznych poprzednich terapii przeciwnowotworowych
  • •Rak płuca (NSCLC) z odpowiednimi mutacjami OR nowotwory przewodu pokarmowego OR inne zaawansowane nowotwory z określonymi mutacjami

✗ Disqualifies

  • •Nowotwór z mutacją MEK1/2
  • •Alergia na składniki leku S241656 lub leki stosowane w kombinacji
  • •Wcześniejsza hipersensytywność na komponenty badanego preparatu

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Last updated (source)
September 16, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (49)

Banner Health- MD Anderson Cancer Center

Gilbert, United States

The Angeles clinic - A cedars SINAI AFFILIATE

Los Angeles, United States

USC Norris Comprehensive Cancer Center

Los Angeles, United States

University of California, San Francisco (UCSF)

San Francisco, United States

University of Colorado - Aurora Cancer Center

Aurora, United States

Yale University School of Medicine - Yale Cancer Center

New Haven, United States

Georgetown University Lombardi Cancer Center

Washington D.C., United States

Sibley Memorial Hospital

Washington D.C., United States

Dana-Farber Cancer Institute

Boston, United States

South Texas Accelerated Research Therapeutics (START) Midwest

Grand Rapids, United States

Masonic Cancer Center University of Minnesota

Minneapolis, United States

Washington University

St Louis, United States

NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute)

New York, United States

Memorial Sloan Kettering Cancer Center

New York, United States

Duke University School of Medicine

Durham, United States

Cleveland Clinic

Cleveland, United States

Sarah Canon Research Institute (SCRI) Oncology Partners

Nashville, United States

MD Anderson Cancer Center

Houston, United States

START San Antonio

San Antonio, United States

NEXT Virginia

Fairfax, United States

Fred Hutchinson Cancer Research Center

Seattle, United States

Peter MacCallum Cancer Centre

East Melbourne, Australia

Westmead Hospital

Westmead, Australia

Beijing Cancer Hospital

Beijing, China

Shandong Cancer Hospital (Cancer Hospital of Shandong First Medical University)

Jinan, China

Fudan University Zhongshan Hospital

Shanghai, China

The Second Affiliated Hospital of Soochow University

Suzhou, China

Center for Cancer and Organ Diseases - Rigshospitalet

Copenhagen, Denmark

Centre Georges Francois Leclerc

Dijon, France

Institut Curie

Paris, France

AP-HP Hopital Europeen Georges Pompidou

Paris, France

Centre Eugene Marquis

Rennes, France

Institut Gustave Roussy

Villejuif, France

Queen Mary Hospital

Hong Kong, Hong Kong

Prince of Wales

Shatin, Hong Kong

Istituto Europeo di Oncologia

Milan, Italy

IFO - Istituto Nazionale dei Tumori Regina Elena

Rome, Italy

Istituto Clinico Humanitas

Rozzano, Italy

Kanagawa Cancer Center

Kanagawa, Japan

Kyoto University Hospital

Kyoto, Japan

National Cancer Center Hospital

Tokyo, Japan

Hospital Universitario Vall d'Hebron

Barcelona, Spain

South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jimenez Diaz

Madrid, Spain

South Texas Accelerated Research Therapeutics (START) Madrid - CIOCC

Madrid, Spain

Clinica Universidad de Navarra - Pamplona

Pamplona, Spain

Hospital Clinico Universitario de Valencia

Valencia, Spain

University College London Hospital

London, United Kingdom

Hammersmith Hospital

London, United Kingdom

The Christie NHS Foundation Trust

Manchester, United Kingdom

Trial contact

Institut de Recherches Internationales Servier (I.R.I.S.), Clinical Studies Department

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 9/17/2026.

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