This clinical trial is focused on studying advanced solid tumors that have a specific mutation known as KRAS G12C. The types of cancer being studied include non-small cell lung cancer (NSCLC), colorectal cancer (CRC), pancreatic duct adenocarcinoma (PDAC), and biliary tract cancer (BTC). The trial will test a new treatment combination involving a medication called BMS-986466 with another drug named adagrasib, and in some cases, a third drug called cetuximab. The purpose of the study is to determine if this combination is safe and effective for patients with these types of cancer.
The study is divided into two parts. In the first part, patients with advanced KRAS G12C mutant cancers will receive BMS-986466 with adagrasib, and some will also receive cetuximab. The goal is to find the safest dose that patients can tolerate. In the second part, the study will compare the effectiveness of the treatment combinations. For patients with NSCLC, the study will compare BMS-986466 with adagrasib against adagrasib alone. For those with CRC, the study will compare BMS-986466 with adagrasib and possibly cetuximab against adagrasib plus cetuximab.
Throughout the study, researchers will monitor for any side effects and measure how well the treatment works against the cancer. The study aims to identify the best dose levels for further testing and to see if the treatment can help control the cancer. The trial is expected to continue until 2028, with recruitment starting in 2024.



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