ClinicalTrials.gg
RecruitingNCT06218914Updated Sep 25, 2026

Phase 1 Study to Investigate TCRTs KRAS Mutation in Unresectable, Advanced, and/or Metastatic Solid Tumors

A Phase 1 interventional study of NT-112: Autologous, engineered T Cells targeting KRAS G12D and AZD0240: Autologous, engineered T Cells targeting KRAS G12D in Non-small Cell Lung Cancer, Colorectal Carcinoma and Pancreatic Ductal Adenocarcinoma, sponsored by AstraZeneca. Recruiting at 18 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by AstraZeneca · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2024; still recruiting 2 years 7 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
108
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 199 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca — 26 open to participants now, 77 under way, 28 of them phase 3. Carcinoma, Non-Small-Cell Lung · AstraZeneca.

Planned enrollment
73rd of 127
108 · median 155
Started
2024
with 19 others
Phase 1
32 of 199
4 open now
Primary completion
2027-08
later than 48 of 76 live
Registered
168th of 199
by date

Among the 199 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca, this one is the 73rd largest by planned enrollment of the 127 interventional ones, is one of 20 that started in 2024, is one of 32 in phase 1, reaches primary completion later than 48 of the 76 other live ones, and was the 168th registered.

By phase

199 studies; the count open now beside each. This study's row is marked.

Observational67 · 10 open
Phase 344 · 6 open
Phase 234 · 2 open
Phase 1this study32 · 4 open
Phase 410 · 1 open
Phase 1/28 · 2 open
No phase2 · 1 open
Other kind2 · 0 open

By the year they started

First in 2000; this study’s year is marked. 20 started in 2024.

Size and results

Median enrollment 155 across the 127 interventional studies, 350 across the 67 observational. Of the 114 that completed or were terminated, 41 (36%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 199 studies in Carcinoma, Non-Small-Cell Lung by AstraZeneca, or all of them as a file.
02

Study summary

Phase I Study, a master protocol to investigate TCR-Engineered T cells recognizing KRAS mutations in adult subjects with Unresectable, Advanced, and/or Metastatic Solid Tumors.

Read the detailed description

This is a Phase 1, open-label, Phase 1, Multi-Center Master Protocol to evaluate the safety and preliminary Anti-Tumor activity of TCR-Engineered T cells (KRAS TCRTs) recognizing KRAS mutations in adult subjects with Unresectable, Advanced, and/or Metastatic Solid Tumors.

03

Conditions studied

  • Non-small Cell Lung Cancer
  • Colorectal Carcinoma
  • Pancreatic Ductal Adenocarcinoma
  • Endometrial Cancer
  • Solid Tumor, Adult
  • KRAS G12D

Keywords

  • TCR-T cell therapy
  • KRAS
  • KRAS G12D
  • Autologous
  • PDAC
  • NSCLC
  • Colorectal Cancer
  • Solid tumors
  • Pancreatic Ductal Adenocarcinoma
  • HLA-C*08:02
  • HLA-A*11:01
  • HLA-A*11:02
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Age ≥18 years
  • Diagnosed with NSCLC, Colorectal adenocarcinoma, Pancreatic adenocarcinoma, Endometrial Cancer or any other solid tumor
  • Tumors must harbor a KRAS G12D variant mutation and subject must be HLA-C*08:02 positive, HLA-A*11:01 or HLA-A*11:02 positive in at least one allele
  • Subject has advanced solid cancer, defined as unresectable, advanced, and/or disease (Stage III or IV) after at least 1 line of approved systemic standard of care (SOC) treatment regimen and for which there are no available curative treatment options.
  • Presence of at least 1 per v1.1
  • (ECOG) performance status of 0 to 1 at the time of enrollment

Key Exclusion Criteria:

  • Any other primary within the 3 years prior to enrollment (except for non-melanoma skin cancer, carcinoma in situ (eg, cervix, bladder, breast) or low-grade prostate cancer
  • Known, active primary central nervous system (CNS) malignancy
  • History of prior adoptive cell and gene therapy, stem cell transplant or solid organ transplantation.
  • History of stroke or within the 12 months prior to enrollment.
  • History of cardiac disease within the 6 months prior to enrollment or heart failure at any time prior to enrollment.
  • Systemic therapy within at least 2 weeks or 3 half-lives, whichever is shorter, prior to enrollment.
  • Any form of primary immunodeficiency.
  • Active immune-mediated disease requiring systemic or other treatment (except if related to prior therapy)
  • Female of who is lactating or breast feeding at the time of enrollment
  • Prior treatment with pan-KRAS or KRAS G12D targeting agents unless presence of KRAS G12D mutation is confirmed after the completion of treatment with pan-KRAS or KRAS G12D targeting agents.
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
108 participants (estimated)

Study arms

  • Experimental
    NT-112

    Part A Dose Escalation and Part B Dose Expansion of NT-112

    Biological: NT-112: Autologous, engineered T Cells targeting KRAS G12D

  • Experimental
    AZD0240

    Part A Dose Escalation and Part B Dose Expansion of AZD0240

    Biological: AZD0240: Autologous, engineered T Cells targeting KRAS G12D

Interventions

  • BiologicalNT-112: Autologous, engineered T Cells targeting KRAS G12D

    NT-112 targets KRAS G12D in the context of HLA-C\*08:02

  • BiologicalAZD0240: Autologous, engineered T Cells targeting KRAS G12D

    AZD0240 targets KRAS G12D in the context of HLA-A\*11:01 or HLA-A\*11:02

06

What researchers measure

Primary outcomes

  1. Part A (Dose Escalation): Evaluate the safety of KRAS TCRTs in subjects with unresectable, advanced, and/or metastatic solid tumors

    Incidence of DLTs, treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)

    Time frame: Through study completion, an average of 2 years

  2. Part A (Dose Escalation): Evaluate MTD and recommended dose for expansion (RDE)

    Incidence of DLTs, treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)

    Time frame: 28 days after infusion

  3. Part B (Expansion): Further evaluate the safety of KRAS TCRTs at the RDE in subjects with unresectable, advanced, and/or metastatic solid tumors

    Incidence of DLTs, treatment-emergent adverse events (TEAEs), and serious adverse events (SAEs)

    Time frame: 28 days after infusion

Secondary outcomes

  1. Part A (Dose Escalation): Evaluate the preliminary anti-tumor activity of KRAS TCRTs in subjects with unresectable, advanced, and/or metastatic solid tumors

    Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, determined by Investigator assessment * Best objective response (BOR) * Duration of response (DOR) * Clinical benefit rate (CBR) (complete response \[CR\], partial response \[PR\], stable disease \[SD\]) * Time to response (TTR) * Progression-free survival (PFS) * Overall survival (OS)

    Time frame: Up to 24 months post-infusion

  2. Part B (Dose Expansion): Evaluate the preliminary anti-tumor activity of KRAS TCRTs at the RDE in subjects with unresectable, advanced, and/or metastatic solid tumors

    Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, determined by Investigator assessment * Best objective response (BOR) * Duration of response (DOR) * Clinical benefit rate (CBR) (complete response \[CR\], partial response \[PR\], stable disease \[SD\]) * Time to response (TTR) * Progression-free survival (PFS) * Overall survival (OS)

    Time frame: Up to 24 months post infusion

07

Study locations

18 of 18 sites recruiting
  • Research Site
    Duarte, California 91010, United States
    Recruiting
  • Research Site
    Los Angeles, California 90095, United States
    Recruiting
  • Research Site
    Newport Beach, California 92663, United States
    Recruiting
  • Research Site
    Jacksonville, Florida 32224, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60637, United States
    Recruiting
  • Research Site
    Westwood, Kansas 66205, United States
    Recruiting
  • Research Site
    Boston, Massachusetts 02115, United States
    Recruiting
  • Research Site
    St Louis, Missouri 63110, United States
    Recruiting
  • Research Site
    New York, New York 10016, United States
    Recruiting
  • Research Site
    New York, New York 10065, United States
    Recruiting
  • Research Site
    Portland, Oregon 97213, United States
    Recruiting
  • Research Site
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Research Site
    Pittsburgh, Pennsylvania 15237, United States
    Recruiting
  • Research Site
    Nashville, Tennessee 37203, United States
    Recruiting
  • Research Site
    Dallas, Texas 75246, United States
    Recruiting
  • Research Site
    Galveston, Texas 77555, United States
    Recruiting
  • Research Site
    Houston, Texas 77030, United States
    Recruiting
  • Research Site
    Milwaukee, Wisconsin 53226, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2024 (actual). Primary completion is estimated for Aug 2027, 41 months after the start.

Of 473 industry-sponsored phase 1 interventional studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 66. This study's planned 41 months is below that.

Counting every sponsor, half of 699 studies reached it within 50 months; a quarter within 31 and three quarters within 70.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 9, 2024
First posted
Jan 23, 2024
StartActual
Mar 22, 2024
Primary completionEst.
Aug 30, 2027
CompletionEst.
Nov 18, 2043
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06218914
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jan 23, 2024
Start date
Mar 22, 2024
Primary completion
Aug 30, 2027 (estimated)
Completion
Nov 18, 2043 (estimated)
Last update
Sep 25, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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