A Study of Adagrasib Plus Pembrolizumab Plus Chemotherapy vs. Placebo Plus Pembrolizumab Plus Chemotherapy in Participants With Previously Untreated Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation (KRYSTAL-4)

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

About this trial

This is a trial to evaluate the efficacy, safety, and tolerability of adagrasib plus pembrolizumab plus platinum-doublet chemotherapy versus placebo plus pembrolizumab plus platinum-doublet chemotherapy in participants with previously untreated, locally advanced or metastatic NSCLC with KRAS G12C mutation

Eligibility criteria

Qualifiers

Histologically or cytologically confirmed diagnosis of non-squamous NSCLC with evidence of KRAS G12C mutation via tumor sample and/or circulating tumor deoxyribonucleic acid (ctDNA).

Locally advanced or metastatic disease.

Measurable disease via computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST v1.1 criteria of at least 1 lesion.

No prior systemic anti-cancer therapy given for advanced or metastatic disease.

Disqualifiers

Participants with an active autoimmune or inflammatory disease requiring systemic treatment within 2 years.

Uncontrolled or significant cardiovascular conditions within 6 months prior to enrollment that are ongoing or with risk of recurrence.

Inadequate bone marrow or liver function or electrocardiogram (ECG) abnormalities.

Ongoing treatment with concomitant medication known to cause prolonged QTc interval and that cannot be switched to alternative treatment prior to study entry.

Trial design

Treatments tested in this trial

  • Adagrasib
  • Pembrolizumab
  • Carboplatin
  • Pemetrexed
  • Placebo
  • Cisplatin

Treatment groups

630 Participants
are divided into 2 treatment groups

Locations

352
Argentina
Instituto Alexander FlemingC1426ANZ, Ciudad Autónoma de Buenos AiresBuenos Aires, Argentina
IDIM - Instituto de Investigaciones MetabólicasC1012AAR, Ciudad de Buenos AiresBuenos Aires, Argentina
Hospital Universitario Austral1629, PilarBuenos Aires, Argentina
Hospital Italiano de Buenos AiresC1199ABB, ABBBuenos Aires F.D., Argentina

Sponsors and collaborators

Mirati Therapeutics Inc.

Lead sponsor