Study Comparing Divarasib, Sotorasib, and Adagrasib for Patients with Advanced or Metastatic KRAS G12C-Positive Non-Small Cell Lung Cancer

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What is this study about?

This clinical trial is focused on studying a type of lung cancer known as KRAS G12C-positive advanced or metastatic non-small cell lung cancer. This is a form of lung cancer that has a specific genetic mutation called KRAS G12C, which can make the cancer more challenging to treat. The study is comparing the effectiveness and safety of a new treatment called divarasib against two existing treatments, sotorasib and adagrasib. These treatments are designed to target the KRAS G12C mutation and are taken as film-coated tablets.

The purpose of the study is to evaluate how well these treatments work in preventing the cancer from getting worse, which is known as progression-free survival. Participants in the study will be randomly assigned to receive either divarasib, sotorasib, adagrasib, or a placebo. The study will monitor the participants over a period of time to see how the treatments affect their cancer and overall health. This includes looking at how long the treatments can keep the cancer from progressing and any side effects that may occur.

Throughout the study, participants will have regular check-ups and tests to assess their health and the status of their cancer. The study aims to provide valuable information on the best treatment options for patients with KRAS G12C-positive advanced or metastatic non-small cell lung cancer, potentially leading to improved outcomes for those affected by this condition.

1 joining the study

Upon joining the study, the patient will be informed about the trial’s purpose, which is to evaluate the effectiveness of divarasib compared to other treatments like sotorasib or adagrasib for a specific type of lung cancer.

The patient will be required to provide a tumor tissue sample to confirm the presence of a KRAS G12C mutation.

2 treatment assignment

The patient will be randomly assigned to receive either divarasib, sotorasib, or adagrasib.

All medications are administered orally in the form of film-coated tablets.

3 medication administration

If assigned to LUMYKRAS (sotorasib), the patient will take 120 mg tablets.

If assigned to KRAZATI (adagrasib), the patient will take 200 mg tablets.

The specific dosage and frequency will be determined by the study protocol and communicated to the patient.

4 monitoring and assessments

Throughout the trial, the patient’s health will be monitored regularly to assess the effectiveness of the treatment.

Progression-free survival, overall survival, and response to treatment will be evaluated.

The patient will undergo regular health checks, including vital signs, ECG, and laboratory tests.

5 reporting symptoms

The patient will be asked to report any symptoms or side effects experienced during the trial.

Common symptoms to report include diarrhea, nausea, vomiting, and others as specified in the study protocol.

6 completion of the trial

The trial is expected to continue until September 2028.

Upon completion, the patient’s overall health and response to the treatment will be evaluated.

Who Can Join the Study?

  • The patient must have a type of lung cancer called KRAS G12C-Positive Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC).
  • The cancer must be measurable according to a specific guideline called RECIST v1.1, which is a way to measure how the cancer responds to treatment.
  • The patient must have a confirmed presence of a KRAS G12C mutation, which is a specific change in the cancer cells, verified through a lab test.
  • The patient must have a test to check for a KEAP1 mutation, which is another specific change in the cancer cells, using a special lab test approved by the study sponsor.
  • The patient must provide a sample of their tumor, either in a block of tissue or as a set of slides, along with a report from a pathologist.
  • The patient must have a negative HIV test, meaning they do not have the HIV virus.
  • The patient must have a negative hepatitis B test, meaning they do not have the hepatitis B virus.
  • The patient must have a negative hepatitis C test, meaning they do not have the hepatitis C virus.
  • The patient must have adequate blood and organ function, which means their blood and organs are working well enough, as checked within 14 days before starting the study treatment.
  • The study is open to both male and female patients.

Who Cannot Join the Study?

  • Patients who have a different type of cancer than KRAS G12C-Positive Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) cannot participate.
  • Patients who are not within the specified age range for the study cannot participate.
  • Patients who are not able to follow the study procedures or take the study medication as required cannot participate.
  • Patients who have other serious health conditions that might interfere with the study cannot participate.
  • Patients who are pregnant or breastfeeding cannot participate.
  • Patients who have participated in another clinical trial recently may not be eligible.
  • Patients who have allergies or reactions to the study medication or similar medications cannot participate.
  • Patients who are unable to provide informed consent, which means they cannot understand the study and agree to participate, cannot participate.

Where you can join this trial?

Verified and Recommended Sites

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Verified Sites

Other Sites

Site Name City Country Status
Samodzielny Publiczny Szpital Kliniczny Nr 4 W Lublinie Lublin Poland
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Centre Antoine Lacassagne Nice France
Turku University Hospital Turku Finland
Hospital General Universitario Gregorio Maranon Madrid Spain
Hopital Beaujon Clichy France
Amphia Hospital Breda The Netherlands
Instituto Portugues De Oncologia Do Porto Francisco Gentil E.P.E. Porto Portugal
Klinikum Esslingen GmbH Esslingen Am Neckar Germany
CHU Bordeauxt Bordeaux France
Saarland University Hospital Homburg Germany
Centre Hospitalier De Saint-Quentin Saint Quentin France
Instytut Centrum Zdrowia Matki Polki Lodz Poland
LungenClinic Grosshansdorf GmbH Grosshansdorf Germany
Metropolitan Hospital Athens Greece
Chooqtyad Uwxmwbstgsarbs Sbyrompon Woluwe-Saint-Lambert Belgium
Gszxzqd Uatpfzuhtb Hdkhlfmi Ow Lyecahg Larissa Greece
Lklsg Gclwtio Hzucrgdb Of Aakmdt Athens Greece
Hijhabeh Vpzd dpgjsrpz Barcelona Spain
Hhrohx Hmsvbwgi Herlev Denmark
Uwvgzzf Ujsurkbwlf Hnebxbgt Uppsala Sweden
Sxvwilhsvkiv Hfwdpfmuj Glwg Heilbronn Germany
Hnfuyswr Ufzaqeetas Crklxlb Hpnmwxis Helsinki Finland
Ikygs Ojzfiuhi Pyhmbbmjjld Syj Myirrxd Genoa Italy
Cyiekj Hvijqwnbhjz Ujeeeoylxtigt Da Mvhjsteftrf Montpellier France
Clhvap Hdxfvzxhrp E Udhyqnddjuqle Dw Ccgbpzb Eorkrp Coimbra Portugal
Kdgbpbga dpo Silot Kttib gcsqi Cologne Germany
Uxfyqvdvrquobpgxrmspu Mgjwalcq Agn Munster Germany
Jhxtd Zeyawwlolb Hasselt Belgium
Gpjhmkopugoacvg Afvegzbww Antwerp Belgium
Akolxcu Odhappaltmr Utfigovldpqjg Fcpqgaau Iz Dg Nopmdj Naples Italy
Thhctkftpmqd Hjbgaggock gyems Heidelberg Germany
Cerkfn Hbvvvuaqba Uuswrovsapwbg Dc Skbwu Ammzler Eiifpn Porto Portugal
Ujvvbvbmqspapt Cdnhtdb Kxklqmkaq Gdansk Poland
Hbknhdsz Do Lz Sgkwu Claw I Skpr Pvy Barcelona Spain
Cdaynz Lxas Bxkguw Lyon France
Uzrywlript Oq Acmtkpq Edegem Belgium
Arditbx Ougtzgkkfor Ppop Gtqhemlu Xxtjo Bergamo Italy
Ueblzfllnchfrkzeicqdr Edann Adu Essen Germany
Islgfj Ispwoxev Fbcgljzmkctbl Oafuzocspur Rome Italy
Cjtgpj htbjvdchxdz uraockyzaamoy dz Lsanb Liege Belgium
Adkiiptyp Kfwnav Guvspnw Gpxd Gauting Germany
Uzzskkpuvoclszjoezwqq Snsfojmomluyqjzpmp Aib Kiel Germany
Auzjkwp Sremesltw Uusqjmcwetvtu Fgzocz Ckksiily Udine Italy
Cekwku Hbtgkhvegyf Ljvm Smr Pierre Benite France
Vifpz Ugbmvgdpjqqg Bgbqmie Jette Belgium
Omzyvxnabgydygxuhsbjoabxbn Aalst Belgium
Iysmaqlu Coifdo Dvtogkwkqdutarqmh L'hospitalet De Llobregat Spain
Cihvpw Hvxszmdshij Ryqgeajc Dbtxjaotlozkfp Angers France
Ajxiroeg Zlarsgqenj Dknbq Roeselare Belgium
Igyorcyt Twtlgv Bpuo Gqtlmdyt Puykt Il Bari Italy
Cnlbrp Hhfkdvcghty Uwjdkgudkactw Dmdieo Ghnlzbz Soeuhvmawdjtxdhelyyqhnjbae Namur Belgium
Ksfikprppco Nynv Kfyrvw Fatyfzjlrap Vienna Austria
Vsoio Sint-Niklaas Belgium
Czyv Coodef Czcdcrl Aozsnafmu Bajsf Aslkcjwrau Braga Portugal
Hpugnjtt Usdxhxvtczehtv Skseogytsn &sqchqp Hteqpfi dp Hvlvdzxzwdo STRASBOURG, Alsace France
Aalycrw Oeamjdjbyun Ulldjwqvydxam Pjmrwl Pisa Italy
Iapbkxgs Oycruxlilu Vgkyyq Padua Italy
Hez Scyfon Apwn Toulon France
Wdqsxmfbnluaupfvddo Csixwdt Cdtzua Pubh W Omssxgtuc Olsztyn Poland
Tjuxjjyvek Cbzbvk Hocirvbe Thessaloniki Greece
Aaackka Oohcznvhxcf Ocpncnbu Rkdhagp Vedim Sokch Cnbtarkx Palermo Italy
Kxouzbiy Pikyphegm Cqltdya Prflvvpbxkcl W Bsohasjknc Sgfzn Bydgoszcz Poland
Uogkzogsqcwupejfcgewz Rldcfruhli Ade Regensburg Germany
Ahwboa Ucytufhisc Hbvqapit Aarhus Denmark
Cpokhuaeeyev Cgmeanxm Cjdzrv Lisbon Portugal
Hfgvsevr Ujozrytzutmoz Vryjwu Di Vdgqw Sevilla Spain
Rbnbic Mtakaucaxft Herning Denmark
Mhplkoe Cayqpl Hykhszxomo Leidschendam The Netherlands
Nrrdudff Isarwysr Oexaehczy Iej Meexy Sgjunlalxengznqxfgdekdqepduh Iyflycyx Bzoiqlqm Cracow Poland
Mvdlrnud Kzvnqx gsjhe Munich Germany
Lbrhshfmwilm Hvhkl Downjdghc Gehxgiyhaghnxucnmrimgwagtflai Gfmj Hemer Germany
Scv Lfsvbxniixnv Hbxcppma Sqrv Thessaloniki Greece
Wbdfttrohezws Chswrrl Pzedkzqufpvk I Tajjsrohhertkfo Iee Egbphvq I Jprxkdx Zmnzpggky Poznan Poland
Klctfqe Nvtaqcvzskxrqacqvtj Saz z ovvk Radom Poland
Afetvms Uhscy Sizoalnmm Llxdot Dhpud Rlfqqcu Faenza Italy
Pnaobxwwotngn hivymncahmbtcye Kuopio Finland
Krnjhlho Wgxuuuzul Mvsat gsjou Wuerzburg Germany
Aggnbdf Osfftqzykzz Uknzbdlgmgsor Pkwly Parma Italy
Crgxwil Obemoqmht Itt Pqhws Fijfffkyel Lfnbratxwoc W Bdxxlfwjgf Bydgoszcz Poland
Rgcnwuxwk Zjbmafifhe Sxbqvlbxk Arnhem The Netherlands
Igfwe Kwshwrdbm Sooigrgoe Zwolle The Netherlands
Jkcghl Bwjyd Zlffbnibvr Stiwlmino S-Hertogenbosch The Netherlands
Uhoyzbbnmf Mptsg Geugxpk Oh Cxmytpmtn Catanzaro Italy
Nupnppjv Ieqvqnzrz Of Tmfofwazhwko App Lvpv Dlzxihen Warsaw Poland
Hijmai Kbvuwztq Ejce vad Bmlsimo Gqra Berlin Germany
Dyaoygvrlvhc Cfkygdf Oozdnrveh Ponaguskbwvi I Hqgldsmuaym Wroclaw Poland
Eajfumcdquba Lilqefyptoxl Bgsjze Khfucgeecizufgeetul gewdf Berlin Germany
Zzcjxlbbub Sc Juedvbn Harderwijk The Netherlands
Hylcl Dclyxp Hbavuxqm Cgqmsl Athens Greece
Kpftxrmq Eouueyzdevjtraxjziwszfeb Huuqpucotuicuysku Essen Germany
Kvtdwtclx Shwwkiy Stknrivuigtfkyw il Jvug Puewx Is Cracow Poland
Rlafgl Giczzmamij Gavle Sweden

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
12.09.2024
Belgium Belgium
Not recruiting
12.09.2024
Denmark Denmark
Not recruiting
12.09.2024
Finland Finland
Not recruiting
12.09.2024
France France
Not recruiting
12.09.2024
Germany Germany
Not recruiting
12.09.2024
Greece Greece
Not recruiting
12.09.2024
Italy Italy
Not recruiting
12.09.2024
Poland Poland
Not recruiting
12.09.2024
Portugal Portugal
Not recruiting
12.09.2024
Spain Spain
Not recruiting
12.09.2024
Sweden Sweden
Not recruiting
12.09.2024
The Netherlands The Netherlands
Not recruiting
12.09.2024

Trial locations

Divarasib is a medication being studied for its effectiveness in treating advanced or metastatic non-small cell lung cancer that has a specific genetic mutation known as KRAS G12C. This medication is being compared to other treatments to see if it can help patients live longer without their cancer getting worse.

Sotorasib is a medication used to treat non-small cell lung cancer with the KRAS G12C mutation. It works by targeting and inhibiting the activity of the mutated KRAS protein, which is involved in the growth and spread of cancer cells.

Adagrasib is another treatment option for non-small cell lung cancer with the KRAS G12C mutation. Like sotorasib, it targets the KRAS protein to help stop the cancer from growing and spreading. This study is comparing its effectiveness to divarasib.

KRAS G12C-Positive Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) – This is a type of lung cancer characterized by a specific genetic mutation in the KRAS gene, known as G12C. It primarily affects the cells lining the lungs and is classified as non-small cell, which is the most common type of lung cancer. The disease is considered advanced or metastatic when it has spread beyond the lungs to other parts of the body. As the cancer progresses, it can lead to symptoms such as persistent cough, chest pain, and difficulty breathing. The presence of the KRAS G12C mutation can influence the behavior of the cancer and its response to certain treatments. Understanding the mutation is crucial for developing targeted therapies aimed at slowing the progression of the disease.

Trial ID:
2024-510908-37-00
Protocol code:
BO45217
Trial Phase:
Therapeutic confirmatory (Phase III)

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