Study Comparing Adagrasib and Docetaxel for Patients with Advanced Non-Small Cell Lung Cancer with KRAS G12C Mutation

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What is this study about?

This clinical trial is focused on studying a type of lung cancer known as Advanced Non-Small Cell Lung Cancer (NSCLC) that has a specific genetic change called the KRAS G12C mutation. The study is comparing two treatments for this condition. One treatment is an investigational drug called Adagrasib, also known by its code name MRTX849, which is taken as a film-coated tablet. The other treatment is a medication called Docetaxel, which is given as an infusion into a vein.

The purpose of the study is to evaluate how effective Adagrasib is compared to Docetaxel in patients who have already received treatment for their lung cancer. Participants in the study will be randomly assigned to receive either Adagrasib or Docetaxel. The study will monitor the participants over time to see how their cancer responds to the treatment and to check for any side effects. Some participants may receive a placebo, which is a substance with no active medication, to help compare the effects of the actual treatments.

Throughout the study, researchers will collect information on how long patients live without their cancer getting worse, as well as overall survival rates and how patients feel during the treatment. The study will also look at the safety of the treatments by tracking any adverse events or side effects. This information will help determine the best treatment option for patients with this type of lung cancer.

1 joining the study

Upon joining the study, a diagnosis of advanced non-small cell lung cancer with a specific mutation (KRAS G12C) is confirmed.

Eligibility is determined based on previous treatment history and readiness to receive docetaxel.

2 randomization

Participants are randomly assigned to receive either the investigational agent MRTX849 or docetaxel.

This process ensures that each participant has an equal chance of receiving either treatment.

3 treatment administration

If assigned to MRTX849, the medication is taken orally in the form of film-coated tablets.

If assigned to docetaxel, the medication is administered intravenously as a solution for infusion.

4 monitoring and assessments

Regular monitoring is conducted to assess the progression of the disease and the response to treatment.

Assessments include measuring progression-free survival, overall survival, and response rates.

5 safety evaluations

Safety is evaluated by monitoring adverse events, laboratory abnormalities, and any discontinuation of treatment due to adverse effects.

Patient-reported outcomes are collected using specific questionnaires to assess symptoms and quality of life.

6 crossover option

Participants initially receiving docetaxel may have the option to switch to MRTX849 if disease progression is observed.

Eligibility for crossover is based on specific criteria, including performance status and disease progression.

7 completion of study

The study is estimated to conclude by the end of 2024.

Final assessments will be conducted to evaluate the overall outcomes and effectiveness of the treatments.

Who Can Join the Study?

  • Must have a confirmed diagnosis of Non-Small Cell Lung Cancer (NSCLC) with a specific change in the KRAS gene called G12C mutation. This means that tests have shown the presence of this type of lung cancer and the specific genetic change.
  • Must be eligible to receive treatment with a drug called docetaxel. This means the patient can safely take this medication as part of their treatment plan.
  • For those switching treatments, there must be evidence of disease progression according to specific criteria called RECIST 1.1 after receiving docetaxel. This means the cancer has continued to grow or spread despite treatment.
  • For those switching treatments, the patient must have an ECOG performance status of 0 to 2. This is a scale that measures how well a patient can perform daily activities, with 0 being fully active and 2 indicating some limitations but still able to care for themselves.
  • Both male and female patients are eligible to participate.
  • Participants should not be part of a vulnerable population, meaning they should be able to give informed consent and participate fully in the study.

Who Cannot Join the Study?

  • Patients who have not been previously treated for their lung cancer.
  • Patients without the specific genetic change called KRAS G12C mutation in their cancer.
  • Patients with a type of lung cancer other than Non-Small Cell Lung Cancer.
  • Patients who are part of a vulnerable population, which means they might need special protection or care.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Institut Gustave Roussy Villejuif France
Centr Georges Francois Leclerc Dijon France
Hopital Cardiologique Lille France
Hospital Universitario Y Politecnico La Fe Valencia Spain
Specjalistyczna Praktyka Lekarska Slawomir Mandziuk Lublin Poland
Medisprof S.R.L. Cluj Napoca Romania
Centre Hospitalier Intercommunal Creteil Creteil France
Hospital Clinico San Carlos Madrid Spain
University Hospital Maastricht Maastricht The Netherlands
Centre Hospitalier Regional Et Universitaire De Brest Brest France
Hospital Universitario De Navarra Pamplona Spain
CHU Grenoble Alpes La Tronche France
Comite Entreprise Paul Papin Angers France

Other Sites

Site Name City Country Status
Centre Antoine Lacassagne Nice France
Ospedale Vito Fazzi Lecce Lecce Italy
Azienda Ospedaliero-Universitaria Policlinico G. Rodolico-San Marco Di Catania Catania Italy
Azienda Sanitaria Territoriale Di Pesaro E Urbino Pesaro Italy
Centrul De Oncologie-Euroclinic S.R.L. Iasi Romania
Istituto Europeo Di Oncologia S.r.l. Milan Italy
Zentralklinik Bad Berka GmbH Bad Berka Germany
Hospital Universitario Puerta De Hierro De Majadahonda Majadahonda Spain
Hospital Santa Maria Della Misericordia Perugia Italy
Amphia Hospital Breda The Netherlands
Algemeen Ziekenhuis Delta Roeselare Belgium
Hospital Universitari Dexeus Grupo Quironsalud Barcelona Spain
University Hospital Limerick Limerick Ireland
ARNAS Garibaldi Di Catania Catania Italy
Az Maria Middelares Gent Gent Belgium
Istituto Tumori Bari Giovanni Paolo II Bari Italy
Instituto Portugues De Oncologia Do Porto Francisco Gentil E.P.E. Porto Portugal
Geniko Nosokomeio Thessalonikis George Papanikolaou Thessaloniki Greece
Grand Hopital De Charleroi Charleroi Belgium
Oncolab S.R.L. Craiova Romania
Instituto Portugues De Oncologia De Coimbra Francisco Gentil E.P.E. Coimbra Portugal
Hospital Cuf Descobertas S.A. Lisbon Portugal
Hospital Clinico Universitario Lozano Blesa Zaragoza Spain
Hospital Universitario Virgen De Las Nieves Granada Spain
Spitalul Judetean De Urgenta Dr. Constantin Opris Baia Mare Baia Mare Romania
Complejo Hospitalario Universitario Insular Materno Infantil Las Palmas De Gran Canaria Spain
Mruk-Med I Sp. z o.o. Rzeszow Poland
Institutul Oncologic Prof. Dr. Alexandru Trestioreanu Bucuresti Bucharest Romania
Ovidius Clinical Hospital S.R.L. Ovidiu Romania
AORN San Giuseppe Moscati Avellino Avellino Italy
Henry Dunant Hospital Center Athens Greece
Hyperclinica MedLife Policlinica de Diagnostic Rapid Turnului Brasov Brasov Romania
SLK-Kliniken Heilbronn GmbH Heilbronn Germany
Landeskrankenanstalten-Betriebsgesellschaft Kabeg Klagenfurt am Wörthersee Austria
General University Hospital Of Larissa Larissa Greece
Centrul De Oncologie SF Nectarie S.R.L. Craiova Romania
Virgen del Rocío University Hospital Sevilla Spain
Istituto Di Candiolo Fondazione Del Piemonte Per Loncologia IRCCS Candiolo Italy
Hospital Clinic De Barcelona Barcelona Spain
Semmelweis University Budapest Hungary
St. Antonius Ziekenhuis Nieuwegein The Netherlands
Hospital Universitario De Cruces Barakaldo Spain
Hospital Universitario Fundacion Jimenez Diaz Madrid Spain
Instituto Portugues De Oncologia De Lisboa Francisco Gentil E.P.E. Lisbon Portugal
IRCCS Ospedale Policlinico San Martino Genoa Italy
Hospital Universitario De Leon Leon Spain
Centre Hospitalier Universitaire De Montpellier Montpellier France
Oncocenter Oncologie Clinica S.R.L. Timisoara Romania
Jessa Ziekenhuis Hasselt Belgium
Oncomed S.R.L. Timisoara Romania
Justus-Liebig-Universitaet Giessen Giessen Germany
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca Cluj Napoca Romania
Muenchen Klinik gGmbH Munich Germany
Azienda Ospedaliero-Universitaria Maggiore Della Carita Novara Italy
Groupe Hospitalier De La Region De Mulhouse Et Sud Alsace Mulhouse France
University Hospital Olomouc Olomouc Czechia
General Oncological Hospital Of Kifissia Agioi Anargyroi Kifissia Greece
Centre Hospitalier Lyon Sud Pierre Benite France
Vrije Universiteit Brussel Jette Belgium
Universita Degli Studi Di Brescia Brescia Italy
Servei De Salut De Les Illes Balears Palma Spain
Centre Hospitalier Universitaire Dinant Godinne Sainte-Elisabeth-UCL-Namur Namur Belgium
Fondazione I.R.C.C.S. Istituto Neurologico Besta Milan Italy
Centre Hospitalier Universitaire De Caen Normandie Caen France
Beaumont Hospital Dublin Ireland
Centre Regional Lutte Contre Le Cancer STRASBOURG, Alsace France
Centre Francois Baclesse Caen France
Les Hopitaux Nord-Ouest Villefranche sur Saône France
Metropolitan Hospital Athens Greece
Mazowieckie Centrum Leczenia Chorob Pluc I Gruzlicy Otwock Poland
I.R.C.C.S-Azienda Ospedaliera Metropolitana Ospedale Villa Scassi Genoa Italy
Igkeps Iorjddnj Fkcfzbrkqlqsx Ocqeawwkett Rome Italy
Haozieps Ukipyjtlhewsg Mtvctsf Dv Vmpzruvgyp Santander Spain
My Pylekxx Jgmeuz Mjfbbxzmqd Koqceohqr Ssqcroltwvfrbyrvxc Snxnsa Jdyvn Lublin Poland
Lisds Gnvvwzh Hgrabkqn Oc Alxets Athens Greece
Czqpgy Hgjvrukjhcd Ed Uqhahhdtyjhfa Du Lcqaidu Limoges France
Aebztvxnkc Pdtvuqse Hbikuirw Df Mtlwlrfbo Marseille France
Spfyfjqgj Rwrunsb Ufjnwhrkql Mukmxtx Cbaeav Nijmegen The Netherlands
Cbamgs Hiznrucgzcz Rrinujbt Ukhoelwugodxv Dw Tamyl Tours France
Ahxavt Mdyljym Cwhyub Sgmc Thessaloniki Greece
Nszpgdde Iudqyzuf Oepmjldzi Ite Mrgsq Syjevjkrmsrbrabxdiijjonotvqe Izqwhjac Bdlmqyod Cracow Poland
Ufvbbjvamk Od Afszgor Edegem Belgium
Iujdqkis Covrbu Dwsqumccnzyydjwpo L'hospitalet De Llobregat Spain
Hlcgzzyi Vhvi dhlvjuuj Barcelona Spain
Hqgpkztx Uremhmjolncft dr A Cyoctr A Coruna Galicia Spain
Hiaoyeee Ulavqxjbjteskw Swmassiwvi &qhurlf Hhwemct dc Huiflqnpduh STRASBOURG, Alsace France
Cfgbtp Hrtusufbmd E Undzzpqhmezym Da Cqjwkqx Egqutw Coimbra Portugal

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not recruiting
01.02.2021
Belgium Belgium
Not recruiting
01.02.2021
Czechia Czechia
Not recruiting
01.02.2021
France France
Not recruiting
01.02.2021
Germany Germany
Not recruiting
01.02.2021
Greece Greece
Not recruiting
01.02.2021
Hungary Hungary
Not recruiting
01.02.2021
Ireland Ireland
Not recruiting
01.02.2021
Italy Italy
Not recruiting
01.02.2021
Poland Poland
Not recruiting
01.02.2021
Portugal Portugal
Not recruiting
01.02.2021
Romania Romania
Not recruiting
01.02.2021
Spain Spain
Not recruiting
01.02.2021
The Netherlands The Netherlands
Not recruiting
01.02.2021

Trial locations

Investigated drugs:

MRTX849 is an investigational medication being studied for its effectiveness in treating non-small cell lung cancer (NSCLC) in patients who have a specific genetic mutation known as KRAS G12C. This medication is being tested to see if it can help control the cancer in patients who have already received other treatments.

Docetaxel is a chemotherapy drug that is commonly used to treat various types of cancer, including non-small cell lung cancer. It works by interfering with the growth and spread of cancer cells in the body. In this study, docetaxel is being used as a comparison to evaluate the effectiveness of the investigational medication MRTX849.

Investigated diseases:

Advanced Non-Small Cell Lung Cancer – This is a type of lung cancer that begins in the cells lining the lungs and is characterized by its advanced stage, meaning it has spread beyond the lungs to other parts of the body. It is the most common type of lung cancer, accounting for about 85% of cases. The disease progresses as cancer cells grow and form tumors, which can interfere with normal lung function and spread to other organs. Symptoms may include persistent cough, chest pain, and difficulty breathing. The progression of the disease can vary, with some patients experiencing rapid growth and others having a slower course.

Trial ID:
2023-507263-19-00
Protocol code:
849-012
NCT ID:
NCT04685135
Trial Phase:
Therapeutic confirmatory (Phase III)

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