# InxMed Announces Publication in The Lancet Oncology Featuring Encouraging Antitumor Activity of Ifebemtinib in Combination with Garsorasib in Previously Treated Metastatic Colorectal Cancer (CRC) Harboring KRAS G12C Mutation

- Link: https://www.thailand-business-news.com/pr-news/inxmed-announces-publication-in-the-lancet-oncology-featuring-encouraging-antitumor-activity-of-ifebemtinib-in-combination-with-garsorasib-in-previously-treated-metastatic-colorectal-cancer-crc-harb
- Published: 2026-08-28T18:00:00+07:00
- Author: PR Newswire

NANJING, China, Aug. 28, 2026 /PRNewswire/ — InxMed Co., Ltd ("InxMed"), a clinical-
stage biotechnology company dedicated to developing innovative therapies targeting
cancer treatment resistance and metastasis, today announced that the clinical results
of ifebemtinib (IN10018), a highly selective focal adhesion kinase (FAK) inhibitor,
in combination with garsorasib (D-1553), a potent KRAS G12C inhibitor, in previously
treated KRAS G12C-mutant metastatic colorectal cancer (CRC), have been published
online in The Lancet Oncology.

The data were derived from a phase Ib/II trial (NCT06166836/NCT05379946) evaluating
the efficacy and safety of ifebemtinib plus garsorasib in KRAS G12C-mutant solid
tumors, where ifebemtinib plus garsorasib, as an all-oral, chemotherapy-free regimen,
demonstrated encouraging antitumor activity in patients with previously treated 
KRAS G12C-mutant metastatic CRC. This is the first clinical study, to our knowledge,
to evaluate the efficacy and safety of FAK inhibitors in combination with KRAS G12C
inhibitors in KRAS G12C-mutant solid tumors.

**Encouraging Antitumor Efficacy and Manageable Safety Profile**

The CRC cohort of this trial contains two parts: Part 1-single-arm study and Part
2-randomized study. In Part 1-single-arm study, 15 previously-treated KRAS G12C-
mutant metastatic CRC patients were enrolled and received ifebemtinib (100mg once
a day) plus garsorasib (600mg twice a day) orally. And in Part 2-randomized study,
36 previously-treated KRAS G12C-mutant metastatic CRC patients were enrolled and
randomly assigned (1:1) to receive ifebemtinib plus garsorasib or garsorasib alone(
600mg twice a day) orally. By the data cutoff on June 30, 2025, the median follow-
up was 23.8 months in the single-arm study, and in the randomized study the median
follow-up was 10•3 months for the combination group and 10•9 months for the monotherapy
group. Key findings published in this paper were summarized below:

**Objective Response Rate (ORR): **In the single-arm study, 15 patients were enrolled
with 14 patients evaluable, and the confirmed ORR was 46.7% (95% CI: 21.3–73.4) 
in the full population and 50.0% (95% CI: 23.0–77.0) in the evaluable population.
In the randomized study, the confirmed ORR was 38.9% (95% CI: 17.3–64.3) in the 
ifebemtinib plus garsorasib group versus 16.7% (95% CI: 3.6–41.4) in the garsorasib
monotherapy group, representing an absolute improvement of 22.2% in the combination
group.

**Progression-Free Survival (PFS): **In the single-arm study, the median PFS was
6.9 months (95% CI: 2.8–12.0). In the randomized study, ifebemtinib plus garsorasib
achieved a median PFS of 7.7 months (95% CI: 3.0–NE) versus 4.0 months (95% CI: 
2.0–5.6) with garsorasib monotherapy group (HR 0.48, 95% CI: 0.22–1.04), pointing
to a favorable PFS trend in favor of the combination.

**Overall Survival (OS): **In the single-arm study, the median OS was 14.3 months(
95% CI: 4.7–NE). In the randomized study, the median OS was not estimable (95% CI:
10.2–NE) in ifebemtinib plus garsorasib group versus 7.5 months (95% CI: 5.3–NE)
in garsorasib monotherapy group (HR 0.34, 95% CI: 0.11–1.12), suggesting a favorable
OS trend in the combination group.

**Manageable safety profile: **Across all 33 patients receiving ifebemtinib plus
garsorasib, 32 patients (97%) reported treatment-related adverse events (TRAE) with
most of them reported as grade 1-2 and grade 3 TRAEs reported in 30% of patients.
No grade 4 TRAEs, treatment-related deaths or TRAEs leading to study drug discontinuation
were reported across all cohorts. The most common TRAEs occurring in all 33 patients
receiving ifebemtinib plus garsorasib were diarrhoea, proteinuria, and nausea.

**Overcoming Resistance by FAK Inhibition When Targeting KRAS**

KRAS G12C mutations occur in approximately 3–4% of patients with metastatic colorectal
cancer. Currently, KRAS G12C inhibitor monotherapy shows limited efficacy in this
patient population, and two KRAS G12C inhibitors plus anti-EGFR antibody regimens
demonstrated synergistic activity and have been approved by FDA for the treatment
of adult patients with _KRAS _G12C-mutated locally advanced or metastatic CRC who
have received prior treatment with fluoropyrimidine-, oxaliplatin-, and irinotecan-
based chemotherapy. However, anti-EGFR antibody requires intravenous administration
and are commonly associated with dermatological toxicities. How to further enhance
the efficacy of KRAS G12C-targeted therapy while providing a more convenient and
tolerable treatment option has become a clinical imperative.

InxMed’s translational research found out that KRAS G12C inhibition alone triggers
adaptive hyperactivation of the FAK–YAP signaling pathway, promotes fibrogenesis
in the tumor microenvironment, and thereby enhances tumor cell survival. FAK inhibition
by ifebemtinib disrupts this resistance mechanism, sensitizing tumor cells to KRAS
G12C inhibition and prolonging the duration of treatment response. The clinical 
data reported herein provide further support for ifebemtinib in combination with
KRAS G12C inhibitors in the treatment of previously treated KRAS G12C-mutant metastatic
CRC.

**Advancing the Clinical Development**

The study demonstrates that the dual-oral, chemotherapy-free regimen of ifebemtinib
plus garsorasib has shown encouraging antitumor activity and a manageable safety
profile in patients with previously treated KRAS G12C-mutant metastatic CRC. These
findings warrant a pivotal trial of this combination regimen to further establish
its clinical benefit. The company has submitted an IND application in China, for
a phase III trial evaluating the efficacy and safety of ifebemtinib plus garsorasib
versus investigators’ choice of standard therapy for treatment of previously treated
metastatic colorectal cancer harboring _KRAS G12C_ mutation.

Based on a robust translational medicine foundation and compelling clinical evidence,
Ifebemtinib is poised to become a revolutionary therapeutic that could fundamentally
reshape the RAS-targeted treatment paradigm. InxMed is strategically driving a comprehensive
development program for Ifebemtinib across RAS-mutant tumors, with combination regimens
already initiated or in preparation not only with KRAS G12C inhibitors, but also
with KRAS G12D inhibitors and multi-RAS inhibitors, among other novel classes, underscoring
the company’s commitment to transforming the future of RAS-addicted cancers.

**About Ifebemtinib (IN10018)**

Ifebemtinib (IN10018) is an orally available, highly potent, and selective small-
molecule inhibitor of focal adhesion kinase (FAK). InxMed holds exclusive global
development and commercialization rights. Clinically, ifebemtinib has demonstrated
excellent safety and tolerability in over 700 subjects globally, showing vast potential
as a "backbone" combination partner across multiple modalities, including RAS inhibitors,
immune checkpoint blockades, and antibody-drug conjugates (ADCs). It has received
multiple Breakthrough Therapy Designations from the NMPA and Fast Track Designation
from the U.S. FDA.

**About InxMed**

Founded in 2017, InxMed is a late clinical-stage biotechnology company dedicated
to tackling a central challenge in cancer therapy—drug resistance caused by tumor
defense mechanisms. Our strategy focuses on critical signaling hubs shared across
multiple tumor types, most notably the focal adhesion kinase (FAK) and integrin 
pathways, which play pivotal roles in tumor cell survival and contribute to treatment
failure across various therapeutic modalities. In parallel, we target cancer-associated
fibroblasts (CAFs) to dismantle the protective barrier around tumor cells. Through
these integrated efforts, we aim to redefine cancer treatment and pioneer new frontiers
in therapeutic innovation. For more information, please visit en.inxmed.com. 

 

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