Drugs / Defactinib
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Defactinib

Small molecule targets PTK2, PTK2B via inhibition

Developed for
non-small cell lung carcinoma · malignant pancreatic neoplasm · ovarian cancer · ovarian serous tumor · endometrioid adenocarcinoma · glioblastoma · malignant ovarian serous tumor · malignant pleural mesothelioma
+26 more · pancreatic adenocarcinoma · pancreatic ductal adenocarcinoma · plasma cell myeloma · acute myeloid leukemia · adult lymphoma · cancer · cervical cancer · chronic myelomonocytic leukemia · colorectal cancer · cutaneous melanoma · diffuse gastric cancer · diffuse glioma, H3 G34 mutant · endometrial cancer · lung adenocarcinoma · malignant epithelial tumor of ovary · mesonephric neoplasm · mesothelioma · metastatic malignant neoplasm · metastatic malignant neoplasm in the brain · mucinous ovarian cancer · myelodysplastic syndrome · ovarian serous adenocarcinoma · pancreatic neoplasm · refractory malignant neoplasm · thyroid cancer · uveal melanoma
Investigated by
Verastem, Inc. · National Cancer Institute (NCI) · Merck Sharp & Dohme LLC · Memorial Sloan Kettering Cancer Center · Washington University School of Medicine · Cancer Research UK
+32 more · Emory University · European Network of Gynaecological Oncological Trial Groups (ENGOT) · GOG Foundation · Institute of Cancer Research, United Kingdom · M.D. Anderson Cancer Center · The Foundation for Barnes-Jewish Hospital · Amgen · Australia New Zealand Gynaecological Oncology Group · Australian National University · Cambridge University Hospitals NHS Foundation Trust · Clinical Hub for Interventional Research (CHOIR) · Japanese Gynecologic Oncology Group · Korean Gynecologic Oncology Group · Lei Zheng · Michael McHale · Minderoo Foundation · NHS Greater Glasgow and Clyde · Nine Girls Ask · Queen's University, Belfast · Raphael Bueno, MD · Royal Marsden NHS Foundation Trust · Ryan H. Moy, MD, PhD · The University of New South Wales · Thomas Jefferson University · University of Cambridge · University of Edinburgh · University of Glasgow · University of Leicester · University of Oklahoma · University of Southampton · University of Utah · University of Virginia

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved US (FDA) AVMAPKI FAKZYNJA CO-PACK (COPACKAGED) — 2025-05-08 fda.gov ↗
Filed US (FDA) — KRAS-mutant low-grade serous ovarian cancer 2024-10-31

“Verastem completed its rolling New Drug Application (NDA) submission to the to the U.S. Food and Drug Administration (FDA), for the investigational combination of avutometinib...” verastem.com ↗

“Initiated rolling NDA submission for avutometinib and defactinib combination in recurrent low-grade serous ovarian cancer in Q2 2024” verastem.com ↗

“Verastem has initiated a rolling NDA submission for avutometinib and defactinib combination in adults with recurrent LGSOC” verastem.com ↗

Trials 37

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT05798507 Jul 2023 → Dec 2026 expected glioblastoma Emory University Active not recruiting No outcome recorded
Phase 110 trials · 1 met primary
Phase 1 NCT07318324 May 2026 → Aug 2028 expected endometrial cancer M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1 NCT05636514 Dec 2022 → Aug 2026 overdue acute myeloid leukemia, chronic myelomonocytic leukemia, myelodysplastic syndrome Clinical Hub for Interventional Research (CHOIR) Recruiting No outcome recorded
Phase 1 NCT04201145 Sep 2020 → Dec 2021 malignant pleural mesothelioma Raphael Bueno, MD Withdrawn No outcome recorded Stop: Business
Phase 1 NCT03875820 Dec 2017 → Apr 2023 overdue endometrioid adenocarcinoma, malignant pancreatic neoplasm, non-small cell lung carcinoma, ovarian serous tumor Institute of Cancer Research, United Kingdom Active not recruiting Met primary
Phase 1 NCT02943317 Oct 2016 → Aug 2018 malignant epithelial tumor of ovary Verastem, Inc. Terminated No outcome recorded
Phase 1 NCT02546531 Feb 2016 → Nov 2017 malignant pancreatic neoplasm Washington University School of Medicine Completed No outcome recorded
Phase 1 NCT02913716 Aug → Sep 2015 — Verastem, Inc. Completed No outcome recorded
Phase 1 NCT01943292 Sep 2013 → Jun 2014 — Verastem, Inc. Completed No outcome recorded
Phase 1 NCT01778803 Feb 2013 → Feb 2015 ovarian cancer Verastem, Inc. Completed No outcome recorded
Phase 1 NCT00787033 Dec 2008 → Mar 2011 cancer Verastem, Inc. Completed No outcome recorded
Phase 1/27 trials
Phase 1/2 NCT07824960 Oct 2026 → Apr 2029 expected pancreatic ductal adenocarcinoma University of Virginia Not yet recruiting No outcome recorded
Phase 1/2 NCT06630260 Nov 2024 → Sep 2029 expected diffuse glioma, H3 G34 mutant, glioblastoma Institute of Cancer Research, United Kingdom Recruiting No outcome recorded
Phase 1/2 NCT06194929 Mar 2024 → Jan 2028 expected cutaneous melanoma, metastatic malignant neoplasm in the brain University of Utah Recruiting No outcome recorded
Phase 1/2 NCT05669482 Mar 2023 → Aug 2026 overdue malignant pancreatic neoplasm, metastatic malignant neoplasm Verastem, Inc. Active not recruiting No outcome recorded
Phase 1/2 NCT05074810 Apr 2022 → Jun 2026 overdue non-small cell lung carcinoma Verastem, Inc. Active not recruiting No outcome recorded
Phase 1/2 NCT03287271 Feb 2018 → Apr 2025 overdue ovarian cancer Michael McHale Recruiting No outcome recorded
Phase 1/2 NCT02758587 Jul 2017 → May 2019 mesothelioma, non-small cell lung carcinoma, pancreatic neoplasm NHS Greater Glasgow and Clyde Unknown No outcome recorded
Phase 218 trials · 1 met primary
Phase 2 NCT07126158 Apr 2026 → Apr 2030 expected pancreatic adenocarcinoma Washington University School of Medicine Recruiting No outcome recorded
Phase 2 NCT06369259 Feb 2025 → Feb 2029 expected colorectal cancer M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT06682572 Oct 2024 → Dec 2025 overdue ovarian cancer, ovarian serous tumor Verastem, Inc. Active not recruiting No outcome recorded
Phase 2 NCT06487221 Oct 2024 → Nov 2028 expected diffuse gastric cancer Ryan H. Moy, MD, PhD Recruiting No outcome recorded
Phase 2 NCT06495125 Jul 2024 → Mar 2029 expected lung adenocarcinoma Emory University Recruiting No outcome recorded
Phase 2 NCT06394804 Apr 2024 → Apr 2027 expected malignant ovarian serous tumor Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 2 NCT06007924 Aug 2023 → Aug 2027 expected thyroid cancer Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 2 NCT05787561 Mar 2023 → Mar 2027 expected mesonephric neoplasm Memorial Sloan Kettering Cancer Center Active not recruiting No outcome recorded
Phase 2 NCT05512208 Feb 2023 → Dec 2027 expected cervical cancer, endometrioid adenocarcinoma, malignant ovarian serous tumor, mucinous ovarian cancer University of Oklahoma Recruiting No outcome recorded
Phase 2 NCT04331041 Aug 2021 → Feb 2026 overdue pancreatic adenocarcinoma Washington University School of Medicine Active not recruiting No outcome recorded
Phase 31 trial
Phase 3 NCT06072781 Mar 2024 → Oct 2028 expected ovarian serous tumor Verastem, Inc. Recruiting No outcome recorded
Comparator or background therapy2 trials
Phase 1 NCT02372227 Background Jan → Oct 2015 malignant mesothelioma Verastem, Inc. Terminated No outcome recorded
Phase 2 NCT01870609 Comparator Sep 2013 → Jan 2016 malignant pleural mesothelioma Verastem, Inc. Terminated No outcome recorded

News releases announcing trial results or a regulatory action · 48

DateIssuerRelease
2026-10-02 Verastem, Inc. Results Verastem Oncology Announces New RAMP 201 Molecular Profiling and External Control Arm Analyses Describing Outcomes for Avutometinib Plus Defactinib in Recurrent Low-Grade Serous Ovarian Cancer to be Presented at IGCS 2026 verastem.com ↗
RAMP 201 molecular profiling showed clinically meaningful activity in KRAS wild-type recurrent LGSOC, including ORRs of 22% in patients with NRAS- or BRAF-mutated tumors and 18% in patients with KRAS/NRAS/BRAF triple wild-type tumors
2026-09-28 Verastem, Inc. Results Verastem Oncology Announces Publication in Gynecologic Oncology of Two-Year Median Follow-Up Data from RAMP 201 Study of AVMAPKI® FAKZYNJA® CO-PACK (avutometinib capsules; defactinib tablets) in Recurrent Low-Grade Serous Ovarian Cancer verastem.com ↗
Across patients with KRAS wild-type and KRAS-mutated recurrent LGSOC, the combination had a median duration of response of 31.1 months, median progression free survival of 12.9 months, and a safety profile consistent with the primary analysis
2026-06-17 Verastem, Inc. Results Verastem Oncology Announces Positive Updated Results from RAMP 205 Evaluating Avutometinib Plus Defactinib in Combination with Standard-of-Care Chemotherapy in First-Line Metastatic Pancreatic Cancer verastem.com ↗
The updated data from the RAMP 205 trial provide important clinical insights into the potential impact of combined RAF/MEK and FAK inhibition as a therapeutic option for pancreatic cancer.
2026-04-10 Verastem, Inc. Results Verastem Oncology Announces Two-Year Median Follow-Up Data on AVMAPKI® FAKZYNJA® Combination Therapy (avutometinib capsules; defactinib tablets) in Recurrent Low-Grade Serous Ovarian Cancer at the SGO 2026 Annual Meeting on Women’s Cancers verastem.com ↗
Patients in the Phase 2 RAMP 201 clinical trial demonstrated sustained clinical benefits across multiple efficacy measures highlighting durability of response with a median follow-up of two years
2025-12-29 Verastem, Inc. Results Verastem Oncology Provides Update on RAMP 203 Phase 1/2 Clinical Trial for Advanced KRAS G12C Mutant Non-Small Cell Lung Cancer verastem.com ↗
While avutometinib plus defactinib combined well with a G12C inhibitor to drive early and sustained anti-tumor responses, next generation G12C inhibitors are establishing a new benchmark with higher response rates.
2025-07-11 Verastem, Inc. Results Verastem Oncology Announces Publication of the Primary Results from the Phase 2 RAMP 201 Trial of Avutometinib in Combination with Defactinib in Patients with Recurrent Low-Grade Serous Ovarian Cancer in the Journal of Clinical Oncology verastem.com ↗
The data reported in the publication showed that avutometinib plus defactinib demonstrated a confirmed overall response rate (ORR) of 31% in all patients with recurrent low-grade serous ovarian cancer (LGSOC).
2025-06-30 Verastem, Inc. Results Verastem Oncology Announces Nature Medicine Publication of the Results from the First-in-Human Phase 1 FRAME Study of Avutometinib in Combination with Defactinib in Solid Tumors, including Low-Grade Serous Ovarian Cancer verastem.com ↗
FRAME study demonstrated a 42.3% ORR and 20.1 months median PFS for all patients with low-grade serous ovarian cancer (LGSOC), regardless of KRAS mutation; for patients with KRAS-mutated LGSOC, ORR and mPFS were 58.3% and 30.8 months, respectively
2025-05-22 Verastem, Inc. Results Verastem Oncology Announces Positive Updated Results from RAMP 205 Evaluating Avutometinib Plus Defactinib in Combination with Standard-of-Care Chemotherapy in Frontline Metastatic Pancreatic Ductal Adenocarcinoma verastem.com ↗
today announced positive updated safety and efficacy results from the RAMP 205 Phase 1/2 trial evaluating avutometinib plus defactinib in combination with gemcitabine and Nab-paclitaxel in the front-line for patients with metastatic pancreatic ductal adenocarcinoma (PDAC).
2025-05-08 Verastem, Inc. Regulatory FDA Approves the AVMAPKI™ FAKZYNJA™ Combination Therapy as the First-Ever Treatment for Adult Patients with KRAS-mutated Recurrent Low-Grade Serous Ovarian Cancer verastem.com ↗
AVMAPKI FAKZYNJA CO-PACK is the first and only FDA-approved medicine for this disease.
2025-03-25 Verastem, Inc. Results Verastem Oncology Announces Multiple Presentations Focused on RAS/MAPK Pathway Inhibition at AACR Annual Meeting 2025 verastem.com ↗
In a patient-derived LGSOC xenograft model, an FAK inhibitor addition to avutometinib augmented tumor regression with stronger inhibition of MAPK, PI3K and YAP/TEAD signaling than either agent alone
2024-12-30 Verastem, Inc. Regulatory Verastem Oncology Announces FDA Acceptance and Priority Review of New Drug Application for Avutometinib in Combination with Defactinib for the Treatment of Recurrent KRAS Mutant Low-Grade Serous Ovarian Cancer verastem.com ↗
2024-12-18 Verastem, Inc. Results Verastem Oncology Provides a Clinical Update for RAMP 203 Trial in Advanced KRAS G12C Mutant Non-Small Cell Lung Cancer verastem.com ↗
No dose-limiting toxicities (DLTs) have been observed in the triplet combination.

All press releases naming this drug 64 releases

DateIssuerRelease

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 42 sources stand behind the page.

FieldValueCited text
Known as defactinib “VS-6063 (also known as defactinib or PF-04554878) is a second-generation inhibitor of focal adhesion kinase (FAK) and proline-rich tyrosine kinase-2 (Pyk2).” PMID 26334219 ↗ Sep 2015
34

NCT05512208 ↗

NCT06394804 ↗

NCT04331041 ↗

NCT05798507 ↗

NCT01943292 ↗

NCT07126158 ↗

NCT06487221 ↗

NCT07318324 ↗

NCT02546531 ↗

NCT06072781 ↗

Show 24 more sources

Known as DEFACITINIB ChEMBL registry synonym — accepted as the source's own label CHEMBL3137331 ↗
Known as defactinib (VS-6063) “defactinib (VS-6063)” NCT06072781 ↗
Known as defactinib hydrochloride “Patients receive defactinib hydrochloride (defactinib) orally (PO) 400 mg twice daily (BID) on days 1-28.” NCT04439331 ↗
Known as PF-04554878 “PURPOSE: VS-6063 (also known as defactinib or PF-04554878) is a second-generation inhibitor of focal adhesion kinase and proline-rich tyrosine kinase-2.” PMID 27025608 ↗ Mar 2016
1

NCT00787033 ↗

Known as VS-6063 “This study is a Phase 2, randomized, double-blind, placebo-controlled, multicenter study of defactinib (VS-6063) in subjects with malignant pleural mesothelioma (MPM)” NCT01870609 ↗
9

“VS-6063 (also known as defactinib or PF-04554878) is a second-generation inhibitor of focal adhesion kinase (FAK) and proline-rich tyrosine kinase-2 (Pyk2).” PMID 26334219 ↗ Sep 2015

“PURPOSE: VS-6063 (also known as defactinib or PF-04554878) is a second-generation inhibitor of focal adhesion kinase and proline-rich tyrosine kinase-2.” PMID 27025608 ↗ Mar 2016

“Avutometinib (VS-6766) + Defactinib (VS-6063)” NCT06682572 ↗

“Avutometinib (VS-6766) + Defactinib (VS-6063)” NCT07824960 ↗

“VS-6063” NCT03875820 ↗

NCT02943317 ↗

NCT02372227 ↗

NCT02004028 ↗

NCT03287271 ↗

Known as VS-6063 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL3137331 ↗
Action Inhibit “Protein tyrosine kinase 2 beta inhibitor” CHEMBL3137331 ↗
2

“Focal adhesion kinase 1 inhibitor” CHEMBL3137331 ↗

“a focal adhesion kinase inhibitor” NCT01943292 ↗

Modality Small molecule — CHEMBL3137331 ↗
Route Oral “Oral defactinib (VS-6063) administered twice daily” NCT01778803 ↗
Target PTK2 “Focal adhesion kinase 1 inhibitor” CHEMBL3137331 ↗
Target PTK2B “Protein tyrosine kinase 2 beta inhibitor” CHEMBL3137331 ↗