Phase 2 Trial of Adagrasib Monotherapy and in Combination With Pembrolizumab and a Phase 3 Trial of Adagrasib in Combination in Patients With a KRAS G12C Mutation KRYSTAL-7

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorMirati Therapeutics Inc.

About this trial

The Phase 2 portion of this study evaluates the efficacy and safety of MRTX849 monotherapy and in combination with pembrolizumab in cohorts of patients with advanced NSCLC with KRAS G12C mutation and any PD-L1 TPS and who are candidates for first-line treatment.

The Phase 3 portion of the study compares the efficacy of adagrasib in combination with pembrolizumab versus pembrolizumab in patients with unresectable, locally advanced or metastatic squamous or nonsquamous NSCLC with KRAS G12C mutation and PD-L1 TPS \>=50% and who are candidates for first line treatment.

Eligibility criteria

Qualifiers

Phase 2: Histologically confirmed diagnosis of unresectable or metastatic NSCLC with KRAS G12C mutation and any PD-L1 TPS

Phase 3: Histologically confirmed diagnosis of unresectable or metastatic squamous or nonsquamous NSCLC with KRAS G12C mutation and PD-L1 TPS>=50%

Phase 3: Presence of measurable disease per RECIST1.1

No evidence of brain metastases

Disqualifiers

Phase 2 and Phase 3: Prior systemic treatment for locally advanced or metastatic NSCLC including chemotherapy, immune checkpoint inhibitor therapy, or a therapy targeting KRAS G12C mutation (e.g., AMG 510).

Phase 2: Active brain metastases

Any untreated brain lesions > 2.0 cm in size

Any brainstem lesions

Trial design

Treatments tested in this trial

  • Adagrasib
  • Adagrasib
  • Adagrasib
  • Adagrasib
  • Pembrolizumab

Treatment groups

626 Participants
are divided into 5 treatment groups

Locations

770
Argentina
Aresma - Clinica Adventista BelgranoC1430EGF, BelgranoBuenos Aires, Argentina
Fundacion Respirar1426, Ciudad Autonoma de Buenos AiresBuenos Aires, Argentina
Instituto Argentino de Diagnostico y TratamientoC1427ARO, Ciudad Autonoma de Buenos AiresBuenos Aires, Argentina
Local Institution - Unk043C1199ABB, Ciudad Autonoma de Buenos AiresBuenos Aires, Argentina

Sponsors and collaborators

Mirati Therapeutics Inc.

Lead sponsor