Clinical trial • Phase III • Oncology

ADAGRASIB for Non-small cell lung cancer | KRAS G12C-mutated non-small cell lung cancer

Phase III trial of ADAGRASIB for Non-small cell lung cancer | KRAS G12C-mutated non-small cell lung cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-small cell lung cancer | KRAS G12C-mutated non-small cell lung cancer
Trial Stage
Phase III
Drug Modality
Small molecule | Monoclonal antibody

Key dates

Initial CTIS Submission Date
07-02-2025
First CTIS Authorization Date
03-06-2025

Trial design

Randomised, adagrasib plus pembrolizumab plus chemotherapy versus placebo plus pembrolizumab plus chemotherapy-controlled Phase III trial.

Randomised
Yes
Comparator
Adagrasib plus pembrolizumab plus chemotherapy versus Placebo plus pembrolizumab plus chemotherapy
Biomarker Stratified
True, biomarker: KRAS G12C mutation
Target Sample Size
373

Eligibility

Recruits 373 No vulnerable population selected (isVulnerablePopulationSelected: false). Consent is obtained from adult participants; no assent arrangements are described..

Vulnerable Population
No vulnerable population selected (isVulnerablePopulationSelected: false). Consent is obtained from adult participants; no assent arrangements are described.

Inclusion criteria

  • {"criterion_text":"- Histologically or cytologically confirmed diagnosis of non-squamous NSCLC."}
  • {"criterion_text":"- Locally advanced or metastatic disease."}
  • {"criterion_text":"- Measurable disease via computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST v1.1 criteria of at least 1 lesion."}
  • {"criterion_text":"- No prior systemic anti-cancer therapy given for advanced or metastatic disease."}
  • {"criterion_text":"- Not a candidate for definitive therapy (eg, chemoradiation or complete surgical resection)"}
  • {"criterion_text":"- Participants with brain metastases are eligible for enrollment, including those with untreated brain metastases. Brain metastases must be asymptomatic and not in need of immediate local therapy. Any untreated brain metastases must be ≤ 20 mm in diameter."}

Exclusion criteria

  • {"criterion_text":"- Participants with an active autoimmune or inflammatory disease requiring systemic treatment within 2 years prior to randomization.."}
  • {"criterion_text":"- Uncontrolled or significant cardiovascular conditions within 6 months prior to enrollment."}
  • {"criterion_text":"- Inadequate bone marrow function."}
  • {"criterion_text":"- Inadequate liver function."}
  • {"criterion_text":"- Ongoing treatment with concomitant medication known to cause prolonged QTc interval and that cannot be switched to alternative treatment prior to study entry."}
  • {"criterion_text":"- Treatment targeting KRAS G12C mutation (eg, sotorasib, adagrasib) in any setting."}
  • {"criterion_text":"- Certain significant ECG abnormalities."}
  • {"criterion_text":"- Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration."}
  • {"criterion_text":"- Evidence of active infection requiring parenteral therapy in the 2 weeks prior to randomization."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To compare PFS of adagrasib + pembrolizumab + chemotherapy to placebo + pembrolizumab + chemotherapy.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- To compare OS of adagrasib + pembrolizumab + chemotherapy to placebo + pembrolizumab + chemotherapy.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- PFS per RECIST v1.1 according to BICR.","definition_or_measurement_approach":"PFS assessed according to RECIST v1.1 as determined by Blinded Independent Central Review (BICR)."}

Recruitment

Planned Sample Size
373
Recruitment Window Months
84
Consent Approach
Informed consent is obtained from adult participants. Subject information and informed consent forms are provided per country; multiple country-specific ICFs are listed (documents available in English and multiple national languages as per country-specific documentation). No detailed assent process for minors is described.

Sponsor

Primary sponsor

Full Name
Bristol-Myers Squibb Services Unlimited Company
Organisation Type
Pharmaceutical company
Country Of Registered Address
Ireland

Contract research organisations

Name
Iqvia Holdings Inc.
Responsibilities
site payments
Name
Endpoint Clinical Inc.
Responsibilities
IVRS – treatment randomisation, Subject Number Assignment, Treatment/Arm Assignment, Drug (re) Supplies Assignment
Name
Medidata Solutions Inc.
Responsibilities
eClinical platform / data management (documented duties code 6)

Third parties

  • {"country":"United States","full_name":"Transperfect Translations International Inc.","duties_or_roles":"translation services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Routine clinical pathology testing, Clinical chemistry, Clinical haematology, Clinical microbiology, IHC Biomarker expression analysis (PD-L1), other APH","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Guardant Health Inc.","duties_or_roles":"Speciality Biomarker Laboratory","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Provides electronic payments, travel arrangements,electronic study-related comunications to patients","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Singapore","full_name":"Labcorp Development (Asia) Pte Ltd","duties_or_roles":"Central Lab","organisation_type":"Pharmaceutical company"}
  • {"country":"China","full_name":"Labcorp Pharmaceutical Research And Development (Shanghai) Co. Ltd.","duties_or_roles":"plasma sample analysis related to PK","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Iqvia Holdings Inc.","duties_or_roles":"site payments","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Massive Bio Inc.","duties_or_roles":"Patient Recruitment","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Early Development Laboratories Inc.","duties_or_roles":"plasma sample analysis related to PK","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Routine clinical pathology testing, Clinical chemistry, Clinical haematology, Clinical microbiology, Tumor blocks/slides storage,PGX spl, spl storage for vendors,IHC,Legacy LabCorp Central Lab","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"IVRS – treatment randomisation, Subject Number Assignment, Treatment/Arm Assignment, Drug (re) Supplies Assignment","organisation_type":"Pharmaceutical company"}
  • {"country":"Japan","full_name":"Labcorp Development Japan K.K.","duties_or_roles":"Central Lab, Sample mgmt, Kit building, Storage and distribution of samples to other vendors","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"RWS Life Sciences Inc.","duties_or_roles":"Licensing and translation services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"IVRS - treatment randomisation, PRO/eCOA","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Illumina Inc.","duties_or_roles":"Plasma ctDNA analysis","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"China","full_name":"Labcorp Pharmaceutical Research And Development (Shanghai) Co. Ltd.","duties_or_roles":"Routine clinical pathology testing, Clinical chemistry, Clinical haematology, Clinical microbiology, Central Lab","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Proprietary clinical data management / eClinical services (document code 6)","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
Adagrasib
Active Substance
ADAGRASIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Investigational Product Name
PEMBROLIZUMAB
Active Substance
PEMBROLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Investigational Product Name
PEMETREXED
Active Substance
PEMETREXED
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Investigational Product Name
CARBOPLATIN
Active Substance
CARBOPLATIN
Modality
Small molecule
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Investigational Product Name
CISPLATIN
Active Substance
CISPLATIN
Modality
Small molecule
Routes Of Administration
INTRAVENIOUS INFUSION
Route
INTRAVENIOUS INFUSION
Investigational Product Name
PALONOSETRON
Active Substance
PALONOSETRON
Modality
Small molecule
Routes Of Administration
INJECTION
Route
INJECTION
Investigational Product Name
tablets (placebo)
Modality
Other
Combination Treatment
Yes

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