Solid TumorsPhase 1NCT07905924
A Study to Evaluate the Safety and Effectiveness of Different Doses of RO7836748 Alone or in Combination With Other Cancer Therapies in People With Solid Tumors With a Rat Sarcoma Viral Oncogene Homolog Glycine 12 Valine (RAS G12V) Mutation
A Phase 1 study testing RO7836748, Pembrolizumab and mFOLFIRINOX in people with Solid Tumors, run by Hoffmann-La Roche.
Trial summary
The study will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary clinical activity of RO7836748 as monotherapy and in combination with other anti-cancer therapies, including cetuximab, pembrolizumab, or modified (m)FOLFIRINOX in participants with Kirsten rat sarcoma viral… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumors
- What is being tested?
- RO7836748, Pembrolizumab and mFOLFIRINOX
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 540 participants
- Where
- No sites listed yet
- Study dates
- 31 Dec 2026to 30 Mar 2032
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants with measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.1 assessed by the Investigator
- Previously irradiated lesions can be considered as measurable disease only if progressive disease has been unequivocally documented at that site since radiation
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Adequate hematologic and end-organ function
- Life expectancy ≥12 weeks, as determined by the Investigator
- Presence of KRAS, neuroblastoma RAS viral oncogene homolog (NRAS) or Harvey rat sarcoma viral oncogene homolog (HRAS) G12V mutation in blood or tumor tissue previously determined by a local assay at any time prior to Screening
- Consent to provide archival tumor tissue, if available
Who cannot join
- Known hypersensitivity or medical contraindication to any component of the RO7836748 formulation
- Inability or unwillingness to swallow pills
- Refractory nausea and vomiting, malabsorption, external biliary shunt, or significant small bowel resection that would preclude adequate study treatment absorption
- Inability to comply with study and follow-up procedures
- Participants with chronic diarrhea, short bowel syndrome or significant upper GI surgery including gastric resection, a history of inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis) or any active bowel inflammation (including, but not limited to, peptic ulcer disease, and diverticulitis).
- Known and untreated or active central nervous system (CNS) metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control)
- Participants with any leptomeningeal disease
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
Reference Study ID Number: BP46856 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
About this study
Official title: A Phase I Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Clinical Activity of RO7836748 as Monotherapy and in Combination With Other Anti-Cancer Therapies in Participants With Advanced Solid Tumors With a RAS G12V Mutation
The study will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary clinical activity of RO7836748 as monotherapy and in combination with other anti-cancer therapies, including cetuximab, pembrolizumab, or modified (m)FOLFIRINOX in participants with Kirsten rat sarcoma viral oncogene homolog (KRAS) G12V-positive solid tumors such as non-small cell lung cancer (NSCLC), pancreatic ductal adenocarcinoma (PDAC), and colorectal cancer (CRC), and other solid tumors.
- Conditions
- Solid Tumors
- Being tested
- RO7836748, Pembrolizumab, mFOLFIRINOX, Cetuximab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RO7836748Drug
Participants will receive RO7836748 as per the schedule described in the protocol.
PembrolizumabDrug
Participants will receive pembrolizumab as per the schedule described in the protocol.
mFOLFIRINOXDrug
Participants will receive mFOLFIRINOX as per the schedule described in the protocol.
CetuximabDrug
Participants will receive cetuximab as per the schedule described in the protocol.
| Study group | Role | What they receive |
|---|---|---|
| Part 1A: RO7836748 Monotherapy (Dose Escalation) | Experimental | Participants with advanced solid tumors (second line or higher [2L+]) with a RAS G12V mutation will receive increasing doses of RO7836748. Receives: Drug: RO7836748 |
| Part 1B: RO7836748 Monotherapy Backfill Cohorts | Experimental | Participants with (2L+) NSCLC, PDAC, and CRC with a RAS G12V mutation will receive the selected doses of RO7836748 at sponsor's discretion Some participants enrolled may also participate in a food effect assessment and/or a drug-drug interaction (DDI) investigation, if necessary. Receives: Drug: RO7836748 |
| Part 2: RO7836748 Monotherapy (Dose Expansion) | Experimental | Participants with 2L+ NSCLC, PDAC, and CRC with a RAS G12V mutation will receive RO7836748 at the dose selected based on findings from Part 1A and 1B. Receives: Drug: RO7836748 |
| Part 3A: RO7836748 + Pembrolizumab (Dose Escalation and Randomized Expansion) | Experimental | Participants with untreated advanced (first line treatment [1L+]) or metastatic NSCLC with a KRAS G12V mutation and programmed death-ligand (PD-Ll ) tumor cell expression levels ≥ 1% will receive RO7836748 in combination with pembrolizumab at the dose selected based on findings from Parts 1 and 2. Receives: Drug: RO7836748; Drug: Pembrolizumab |
| Part 3B: RO7836748 + mFOLFIRINOX (Dose Escalation and Randomized Expansion) | Experimental | Participants with untreated advanced (1L) or metastatic PDAC will receive RO7836748 in combination with mFOLFIRINOX at the dose selected based on findings from Parts 1 and 2. Receives: Drug: RO7836748; Drug: mFOLFIRINOX |
| Part 3C: RO7836748 + Cetuximab (Dose Escalation and Randomized Expansion) | Experimental | Participants with CRC after second line/ third line (2L/3L) treatment will receive RO7836748 in combination with cetuximab at the dose selected based on findings from Parts 1 and 2. Receives: Drug: RO7836748; Drug: Cetuximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Parts 1A and 1B: Incidence and Severity of Adverse Events (AEs)
Measured: From first dose up to approximately 5 years
Part 2: Incidence and Severity of AEs
Measured: From first dose up to approximately 5 years
Parts 3A, 3B and 3C: Incidence and Severity of AEs
Measured: From first dose up to approximately 5 years
Parts 1A and 1B: Incidence of Dose-limiting Toxicities (DLTs)
Measured: From Cycle 1 Day 1 (C1D1) until C1D21 (Cycle 1 = 21 days)
Part 3A: Incidence of DLTs
Measured: From C1D1 until C1D21 (Cycle 1 = 21 days)
Parts 3B and 3C: Incidence of DLTs
Measured: From C1D1 until C1D28 (Cycle 1 = 28 days)
Parts 1A and 1B: Recommended Dose for Expansion (RDE) of RO7836748 Monotherapy
Measured: Up to approximately 5 years
Parts 3A, 3B, 3C: RDE of RO7836748 in Combination With Other Anti-Cancer Therapies
Measured: Up to approximately 5 years
Secondary outcomes (7)
Parts 1A, 1B and 2: Plasma Concentrations of RO7836748 and its Metabolites as Monotherapy
Measured: Up to approximately 5 years
Parts 3A, 3B and 3C: Plasma Concentrations of RO7836748 and its Metabolites in Combination With Other Anti-Cancer Therapies.
Measured: Up to approximately 5 years
All Parts: Objective response rate (ORR)
Measured: Up to approximately 5 years
All Parts: Duration of response (DoR)
Measured: Up to approximately 5 years
All Parts: Disease control rate (DCR)
Measured: Up to approximately 5 years
All Parts: Progression-free survival (PFS)
Measured: Up to approximately 5 years
All Parts: Overall survival (OS)
Measured: Up to approximately 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Oct 2026
- Study start31 Dec 2026 (estimated)
- Primary completion30 Mar 2032 (estimated)
- Study completion30 Mar 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Solid TumorsStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 540 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07905924
- Sponsor's protocol ID
- BP46586
- Other IDs
- 2026-526415-11-00
- Status last verified
- Oct 2026
- First submitted
- 23 Oct 2026
- Last updated
- 30 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Clinical Activity of RO7836748 as Monotherapy and in Combination With Other Anti-Cancer Therapies in Participants With Advanced Solid Tumors With a RAS G12V Mutation
- ClinicalTrials.gov ID
- NCT07905924
- Acronym / sponsor ID
- BP46586
- Conditions
- Solid Tumors
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 540 participants (estimated)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 31 Dec 2026 (estimated)
- Primary completion
- 30 Mar 2032 (estimated)
- Study completion
- 30 Mar 2032 (estimated)
- First posted
- 30 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary clinical activity of RO7836748 as monotherapy and in combination with other anti-cancer therapies, including cetuximab, pembrolizumab, or modified (m)FOLFIRINOX in participants with Kirsten rat sarcoma viral oncogene homolog (KRAS) G12V-positive solid tumors such as non-small cell lung cancer (NSCLC), pancreatic ductal adenocarcinoma (PDAC), and colorectal cancer (CRC), and other solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Part 1A: RO7836748 Monotherapy (Dose Escalation) | Experimental | Drug: RO7836748Participants with advanced solid tumors (second line or higher [2L+]) with a RAS G12V mutation will receive increasing doses of RO7836748. |
| Part 1B: RO7836748 Monotherapy Backfill Cohorts | Experimental | Drug: RO7836748Participants with (2L+) NSCLC, PDAC, and CRC with a RAS G12V mutation will receive the selected doses of RO7836748 at sponsor's discretion Some participants enrolled may also participate in a food effect assessment and/or a drug-drug interaction (DDI) investigation, if necessary. |
| Part 2: RO7836748 Monotherapy (Dose Expansion) | Experimental | Drug: RO7836748Participants with 2L+ NSCLC, PDAC, and CRC with a RAS G12V mutation will receive RO7836748 at the dose selected based on findings from Part 1A and 1B. |
| Part 3A: RO7836748 + Pembrolizumab (Dose Escalation and Randomized Expansion) | Experimental | Drug: RO7836748, Drug: PembrolizumabParticipants with untreated advanced (first line treatment [1L+]) or metastatic NSCLC with a KRAS G12V mutation and programmed death-ligand (PD-Ll ) tumor cell expression levels ≥ 1% will receive RO7836748 in combination with pembrolizumab at the dose selected based on findings from Parts 1 and 2. |
| Part 3B: RO7836748 + mFOLFIRINOX (Dose Escalation and Randomized Expansion) | Experimental | Drug: RO7836748, Drug: mFOLFIRINOXParticipants with untreated advanced (1L) or metastatic PDAC will receive RO7836748 in combination with mFOLFIRINOX at the dose selected based on findings from Parts 1 and 2. |
| Part 3C: RO7836748 + Cetuximab (Dose Escalation and Randomized Expansion) | Experimental | Drug: RO7836748, Drug: CetuximabParticipants with CRC after second line/ third line (2L/3L) treatment will receive RO7836748 in combination with cetuximab at the dose selected based on findings from Parts 1 and 2. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Participants with measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.1 assessed by the Investigator
- Previously irradiated lesions can be considered as measurable disease only if progressive disease has been unequivocally documented at that site since radiation
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Adequate hematologic and end-organ function
- Life expectancy ≥12 weeks, as determined by the Investigator
Key exclusion criteria (7 listed)
- Known hypersensitivity or medical contraindication to any component of the RO7836748 formulation
- Inability or unwillingness to swallow pills
- Refractory nausea and vomiting, malabsorption, external biliary shunt, or significant small bowel resection that would preclude adequate study treatment absorption
- Inability to comply with study and follow-up procedures
- Participants with chronic diarrhea, short bowel syndrome or significant upper GI surgery including gastric resection, a history of inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis) or any active bowel inflammation (including, but not limited to, peptic ulcer disease, and diverticulitis).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RO7836748Participants will receive RO7836748 as per the schedule described in the protocol. | Drug | Part 1A: RO7836748 Monotherapy (Dose Escalation), Part 1B: RO7836748 Monotherapy Backfill Cohorts, Part 2: RO7836748 Monotherapy (Dose Expansion), Part 3A: RO7836748 + Pembrolizumab (Dose Escalation and Randomized Expansion), Part 3B: RO7836748 + mFOLFIRINOX (Dose Escalation and Randomized Expansion), Part 3C: RO7836748 + Cetuximab (Dose Escalation and Randomized Expansion) |
| PembrolizumabParticipants will receive pembrolizumab as per the schedule described in the protocol. | Drug | Part 3A: RO7836748 + Pembrolizumab (Dose Escalation and Randomized Expansion) |
| mFOLFIRINOXParticipants will receive mFOLFIRINOX as per the schedule described in the protocol. | Drug | Part 3B: RO7836748 + mFOLFIRINOX (Dose Escalation and Randomized Expansion) |
| CetuximabParticipants will receive cetuximab as per the schedule described in the protocol. | Drug | Part 3C: RO7836748 + Cetuximab (Dose Escalation and Randomized Expansion) |
Primary outcome
Parts 1A and 1B: Incidence and Severity of Adverse Events (AEs)
Time frame: From first dose up to approximately 5 years
Part 2: Incidence and Severity of AEs
Time frame: From first dose up to approximately 5 years
Parts 3A, 3B and 3C: Incidence and Severity of AEs
Time frame: From first dose up to approximately 5 years
Parts 1A and 1B: Incidence of Dose-limiting Toxicities (DLTs)
Time frame: From Cycle 1 Day 1 (C1D1) until C1D21 (Cycle 1 = 21 days)
Part 3A: Incidence of DLTs
Time frame: From C1D1 until C1D21 (Cycle 1 = 21 days)
Parts 3B and 3C: Incidence of DLTs
Time frame: From C1D1 until C1D28 (Cycle 1 = 28 days)
Parts 1A and 1B: Recommended Dose for Expansion (RDE) of RO7836748 Monotherapy
Time frame: Up to approximately 5 years
Parts 3A, 3B, 3C: RDE of RO7836748 in Combination With Other Anti-Cancer Therapies
Time frame: Up to approximately 5 years
7 secondary outcomes
Parts 1A, 1B and 2: Plasma Concentrations of RO7836748 and its Metabolites as Monotherapy
Time frame: Up to approximately 5 years
Parts 3A, 3B and 3C: Plasma Concentrations of RO7836748 and its Metabolites in Combination With Other Anti-Cancer Therapies.
Time frame: Up to approximately 5 years
All Parts: Objective response rate (ORR)
Time frame: Up to approximately 5 years
All Parts: Duration of response (DoR)
Time frame: Up to approximately 5 years
All Parts: Disease control rate (DCR)
Time frame: Up to approximately 5 years
All Parts: Progression-free survival (PFS)
Time frame: Up to approximately 5 years
All Parts: Overall survival (OS)
Time frame: Up to approximately 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Oct 2026.
- Please use this form to submit your questions for a faster response: https://www.gene.com/contact-us/submit-medical-inquiry. Do not include or attach any medical records when emailing or completing the form. A nurse will respond within 24 business hours.Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Reference Study ID Number: BP46856 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
Clinical Trials study director
Hoffmann-La Roche
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing RO7836748, Pembrolizumab and mFOLFIRINOX in people with Solid Tumors, run by Hoffmann-La Roche.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Reference Study ID Number: BP46856 https://forpatients.roche.com/ No attachments to email below. (888-662-6728 (U.S. and Canada), global-roche-genentech-trials@gene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Parts 1A and 1B: Incidence and Severity of Adverse Events (AEs) (time frame: From first dose up to approximately 5 years). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.