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OncoMatch/Clinical Trials/NCT06007924

A Study of Avutometinib and Defactinib in People With Thyroid Cancer

Official title: Phase II of Avutometinib (VS-6766) and Defactinib In RAF Dimer-Driven RAI-Refractory Differentiated and Anaplastic Thyroid Cancer Patients

Is NCT06007924 recruiting? Yes, currently enrolling (Oct 2026). This Phase 2 trial studies multiple treatments including Avutometinib and Defactinib for thyroid cancer.

Phase 2RecruitingMemorial Sloan Kettering Cancer CenterNCT06007924Data as of Oct 2026

Treatment: Avutometinib · Defactinib — The researchers are doing this study to find out if the combination of avutometinib and defactinib is an effective treatment for RAF dimer-driven radioiodine-refractory differentiated thyroid cancer or anaplastic thyroid cancer. The researchers will also test whether avutometinib and defactinib is a safe treatment that causes few or mild side effects. Funding Source- FDA OOPD.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

AvutometinibDefactinib

Cancer type

Thyroid Gland Carcinoma

Biomarker criteria

Required: KRAS mutation

RAS mutation

Required: NRAS mutation

RAS mutation

Required: HRAS mutation

RAS mutation

Required: NF1 mutation

NF1 mutation

Required: RET rearrangement

RET rearrangement

Required: NTRK1 rearrangement

NTRK rearrangement

Required: NTRK2 rearrangement

NTRK rearrangement

Required: NTRK3 rearrangement

NTRK rearrangement

Required: ALK rearrangement

ALK rearrangement

Required: BRAF class 2 or 3 mutation (non-v600e/k) or rearrangement

Class 2 or 3 BRAF alterations (non-V600E/K mutations or rearrangements)

Required: BRAF v600e

anaplastic thyroid cancer harboring a Class 1 BRAF alteration (V600E/K/D/R) also would be eligible if the patient has previously been treated with BRAF-targeted therapy

Required: BRAF v600k

anaplastic thyroid cancer harboring a Class 1 BRAF alteration (V600E/K/D/R) also would be eligible if the patient has previously been treated with BRAF-targeted therapy

Required: BRAF v600d

anaplastic thyroid cancer harboring a Class 1 BRAF alteration (V600E/K/D/R) also would be eligible if the patient has previously been treated with BRAF-targeted therapy

Required: BRAF v600r

anaplastic thyroid cancer harboring a Class 1 BRAF alteration (V600E/K/D/R) also would be eligible if the patient has previously been treated with BRAF-targeted therapy

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: MEK 1/2 inhibitor

Exception: patients who received these therapies for a defined period of time to enhance radioiodine activity or as part of treatment for BRAF V600E/K/D/R mutant anaplastic thyroid cancer

Prior therapy with a MEK 1/2 inhibitor

Cannot have received: inhibitor that targets Class II/Class III BRAF alterations

Exception: patients who received these therapies for a defined period of time to enhance radioiodine activity

inhibitor that targets Class II/Class III BRAF alterations

Cannot have received: FAK inhibitor

Exception: patients who received these therapies for a defined period of time to enhance radioiodine activity

FAK inhibitor

Lab requirements

Blood counts

WBC ≥ 2000/μL; Neutrophils ≥ 1000/μL; Platelets ≥ 100 x10^3 /μL; Hemoglobin > 9.0 g/dL; INR < 1.5 and PTT < 1.5 x ULN in absence of anticoagulation or therapeutic levels in presence of anticoagulation

Kidney function

Serum creatinine ≤ 1.5 x ULN or creatinine clearance (CrCl) ≥ 50 mL/min

Liver function

AST/ALT ≤ 2.5 x ULN (or < 5x ULN in patients with liver metastases); Total Bilirubin ≤ 1.5 x ULN (except Gilbert Syndrome < 3.0 mg/dL); Albumin ≥ 3.0 g/dL; CPK ≤ 2.5 x ULN

Cardiac function

Baseline QTc interval < 460 ms for women and ≤450 ms for men (Frederica's formula); LVEF >50% by ECHO or MUGA

Screening laboratory values must meet the following criteria: ... (see full text for details)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities) · Basking Ridge, New Jersey
  • Memorial Sloan Kettering Monmouth (Limited Protocol Activities) · Middletown, New Jersey
  • Memorial Sloan Kettering Bergen (Limited Protocol Activities) · Montvale, New Jersey
  • Memorial Sloan Kettering Cancer Center Suffolk - Commack (Limited Protocol Activities) · Commack, New York
  • Memorial Sloan Kettering Westchester (Limited Protocol Activities) · Harrison, New York

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Frequently asked questions

Is NCT06007924 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior MEK 1/2 inhibitor, inhibitor that targets Class II/Class III BRAF alterations, FAK inhibitor disqualifies patients from enrollment.

Does this trial require KRAS?

Yes, KRAS mutation is a required biomarker for enrollment.

Does this trial require NRAS?

Yes, NRAS mutation is a required biomarker for enrollment.

Does this trial require HRAS?

Yes, HRAS mutation is a required biomarker for enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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