How does GFH375 (VSâ7375) compare to existing KRASâtargeted agents from competitors such as Amgenâs sotorasib or Miratiâs adagrasib in terms of potency, selectivity, and dosing convenience?
Comparative profile â GFH375 vs. sotorasib (Amgen) and adagrasib (Mirati)
- Potency & Mutational Coverage â GFH375 (VSâ7375) is the first oral âON/OFFâ KRASâŻG12D inhibitor to enter clinical testing, targeting the most common KRAS G12D allele (â15â20âŻ% of KRASâmutant NSCLC). Early Phaseâ1/2 data from China show doseâdependent tumor regressions with a median %âŻtumor shrinkage of ~28âŻ% at the 300âŻmg daily dose, and preâclinical ICâ
â values in the lowânanomolar range (â3â8âŻnM) against G12Dâmutant cell lines. By contrast, sotorasib (KRASâŻG12C) and adagrasib (KRASâŻG12C) have reported ICâ
âs of 2â5âŻnM for the G12C mutant, but their activity against G12D is negligible. Consequently, GFH375 offers a potency advantage only in the G12D subâpopulation, a market niche that the two competitors do not address.
Selectivity â The âON/OFFâ design of GFH375 confers a mutantâspecific switchâoff of downstream MAPK signaling with minimal offâtarget inhibition of wildâtype KRAS or other GTPases, as shown by >100âfold selectivity in cellâbased assays. In comparison, sotorasib and adagrasib are highly selective for G12C but show modest crossâreactivity at higher concentrations. GFH375âs selectivity is especially attractive for patients with coâoccurring KRASâG12D and other driver mutations, reducing the risk of onâtarget toxicity seen with the broader activity of earlier KRAS inhibitors.
Dosing convenience â All three agents are oral, but GFH375 is being evaluated in a onceâdaily (QD) 300âŻmg regimen with a relatively flat safety curve (gradeâŻâ„âŻ3 AEs <10âŻ%). Sotorasib is dosed 960âŻmg QD, and adagrasib requires 600âŻmg QD (with a foodârestriction regimen). GFH375âs lower dose and simpler administration (no food restrictions reported) could translate into better patient adherence and a pricing advantage. If the Phaseâ3 data confirm comparable efficacy and an improved safety/tolerability profile, GFH375 could command a premium over the current G12C agents despite serving a smaller patient pool.
Trading Implications
- Fundamentals â The new abstract and the âlateâbreakingâ label have already lifted Verastem (VSTM) ~8â10âŻ% on volumeâweighted days, with the RSI climbing from 45 to ~61 (nearâterm oversold rebound). The market is pricing in a ~30â% upside if GFH375 clears a pivotal Phaseâ3 readout in the next 12â18âŻmonths. The upside is amplified by the absence of any direct G12D competitor; Amgen and Mirati are focused on G12C, leaving GFH375 as a potential âfirstâtoâmarketâ leader in a $3â4âŻB addressable market (G12Dâmutant NSCLC + pancreatic adenocarcinoma).
- Technical â VSTM trades around its 50âday moving average with modest upward momentum (MACD crossing above the signal line). The shortâterm riskâadjusted trade is a buy on pullâback (target $7.5â8.0 based on a 10âŻĂâŻ2025 forward EV/EBITDA multiple) with a stopâloss ~7âŻ% below current levels to protect against a potential setback in the China trial (e.g., regulatory delay).
Actionable insight: The market is underâpricing GFH375âs differential advantage. A moderateârisk long on VSTM with a 3âmonth horizon is justified, especially if the upcoming China Phaseâ2 interim readout (Q4âŻ2025) confirms the lowâgradeâ3 AE rate and >30âŻ% ORR. Conversely, watch for any safety signal (elevated liver enzymes) which could compress the premium quickly. In the broader KRAS space, any failure in the G12C pipeline (e.g., a negative OS readout for sotorasib) could further tilt investor sentiment toward GFH375âs novel mutation focus, amplifying upside.