Drug intelligence / Profile preview

BMS-986466 + adagrasib + cetuximab

Development stage
Unknown
Lead developer
Bristol Myers Squibb
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
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Overview

BMS-986466 + adagrasib + cetuximab is an investigational **three-drug combination regimen** studied in the treatment of cancers harboring the **KRAS G12C mutation**, with a major focus on advanced solid tumors and especially colorectal cancer. BMS-986466 (also called BBP-398 or IACS-15509) is an oral small molecule **SHP2 inhibitor**; adagrasib (also known as MRTX849) is an oral **KRAS G12C inhibitor** approved for non-small cell lung cancer; and cetuximab is a monoclonal antibody targeting the **epidermal growth factor receptor (EGFR)** used for colorectal and head & neck cancers. The combination is designed to overcome resistance mechanisms and improve efficacy by inhibiting parallel pathways in the RAS/MAPK signaling axis. Early clinical studies tested the safety and tolerability of this regimen in patients with KRAS G12C mutant tumors, particularly in colorectal cancer, but the studies ended early due to business decisions—not for safety reasons.

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Targets

PTPN11 (Tyrosine-protein phosphatase non-receptor type 11)KRASG12C (Kirsten rat sarcoma viral oncogene homolog G12C)EGFR T790M (Epidermal growth factor receptor T790M mutant)

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