RecruitingPhase 2NCT05853575

Trial of Two Adagrasib Dosing Regimens in NSCLC With KRAS G12C Mutation (KRYSTAL 21)

A Randomized Study of Two Dosing Regimens of Adagrasib in Patients With Previously Treated Non-Small Cell Lung Cancer With KRAS G12C Mutation


Sponsor

Mirati Therapeutics Inc.

Enrollment

200 participants

Start Date

Feb 16, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study will evaluate the efficacy of two dosing regimens of adagrasib (600 mg BID versus 400 mg BID) in patients with NSCLC with KRAS G12C mutation.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Are at least 18 years old (or old enough to legally make their own treatment decisions, according to local laws).
  • Have advanced NSCLC or metastatic NSCLC (NSCLC that started in the lungs and then spread to other parts of the body) with the KRAS G12C mutation.
  • Have had previous treatment with 1) chemotherapy that included a drug called cisplatin or a drug called carboplatin and 2) a type of drug called an immune checkpoint inhibitor.
  • Have recovered from their prior treatment and blood tests are within a safe range.

Exclusion Criteria4

  • Have had previous treatment with a drug that targets KRAS G12C.
  • Have cancer that can potentially be removed with surgery.
  • Patients with brain lesions are not eligible if 1) any untreated brain lesions are \> 2.0 cm in size 2) any brainstem lesions are present 3) ongoing steroid dosing \>10 mg daily prednisone (or equivalent) and 4) poorly controlled (\> 1/week) generalized or complex partial seizures or neurologic progression/instability due to brain lesions.
  • Have certain medical conditions or need to take certain medications that, in the opinion of a trial doctor, could make it unsafe for them to participate or difficult to complete the trial assessments, or are pregnant.

Interventions

DRUGAdagrasib

KRAS G12C inhibitor


Locations(120)

Local Institution - 101

Santa Rosa, California, United States

Local Institution - 104

Chicago, Illinois, United States

Local Institution - 103

Minneapolis, Minnesota, United States

Kansas City VA Hospital

Kansas City, Missouri, United States

Veterans Affairs Medical Center (VAMC) - Durham - Oncology

Durham, North Carolina, United States

VA North Texas Healthcare System/Dallas VA Medical Center

Dallas, Texas, United States

Ensino e Terapia de Inovação Clinica AMO-ÉTICA / Ética Pesquisa e Ensino

Salvador, Estado de Bahia, Brazil

Uniao Brasileira de Educacao E Assistencia

Porto Alegre, Rio Grande do Sul, Brazil

Clinica de Neoplasias Litoral

Itajaí, Santa Catarina, Brazil

Oncocentro Belo Horizonte

Belo Horizonte, São Paulo, Brazil

A.C. Camargo Cancer Center

São Paulo, Brazil

A.C. Camargo Cancer Center

São Paulo, Brazil

Klinički bolnički centar Sestre milosrdnice

Zagreb, City of Zagreb, Croatia

Local Institution - 525

Pula, Istria County, Croatia

Specijalna Bolnica Medico - Rijeka

Rijeka, Primorje-Gorski Kotar County, Croatia

CHU de Grenoble

Grenoble, Auvergne-Rhône-Alpes, France

Hopital Haut-Leveque - Maladies respiratoires

Pessac, Gironde, France

Institut de Cancerologie de I'Ouest - Service d'Oncologie Medicale - Service d'Oncologie Médicale

Saint-Herblain, Loire-Atlantique, France

Centre Hospitalier Universitaire D' Angers Hôpital Larrey - PNEUMOLOGIE - Département de PNEUMOLOGIE

Angers, Maine-et-Loire, France

CHU de Nantes - Hôpital Nord LaÃ"nnec (HGRL) - Service dOncologie medicale â€" Unite dOncologie thoracique

Nantes, Pays de la Loire Region, France

Centre Hospitalier Universitaire de Poitiers - Service d'oncologie Médicale Oncologie Medicale - Cancerolo

Poitiers, Poitou-Charentes, France

Centre Hospitalier Universitaire de Nice

Nice, Provence-Alpes-Côte d'Azur Region, France

AP-HM Hopital Nord

Marseille, Rhône, France

Centre Hosptalier De Villefranche-Sur-Saone - Oncologie Medicale - Cancerolo

Villefranche-sur-Saône, Rhône, France

Centre Hôspitalier de Bretagne Sud - Hôpital du Scorff

Lorient, France

GIE Groupe hospitalier Paris Saint-Joseph/Vinci

Paris, France

Centre Hospitalier de Cornouaille

Quimper, France

Hôpital Bégin - Service d'Oncologie

Saint-Mandé, France

Local Institution - 577

Pátrai, Achaïa, Greece

General Hospital of Athens "Alexandra"

Athens, Attica, Greece

Local Institution - 582

Athens, Attica, Greece

Attikon Hospital - 2nd Critical Care

Haidari - Athens, Pella, Greece

St. Luke's Hospital S.A.

Panórama, Greece

Theageneio Cancer Hospital

Thessaloniki, Greece

General Hospital Of Thessaloniki Papageorgiou

Thessaloniki, Greece

Local Institution - 600

Szolnok, Jász-Nagykun-Szolnok, Hungary

Local Institution - 603

Debrecen, Hungary

Shaare Zedek Medical center

Jerusalem, Jerusalem, Israel

Bnai Zion Medical Center Rheumatology Unit

Haifa, Tel Aviv, Israel

Assuta Medical Center

Tel Aviv, Tel Aviv, Israel

Rambam Health Care Campus

Haifa, Israel

Tel Aviv Sourasky Medical Center - Oncology - Hematology/Oncology

Tel Aviv, Israel

Azienda Sanitaria Territoriale Pesaro Urbino (AST PU)

Pesaro, Pesaro E Urbino, Italy

Azienda Ospedaliero-Universitaria Maggiore Della Carita

Novara, Piedmont, Italy

Istituto di Candiolo, IRCCS

Candiolo, Torino, Italy

IEO - Istituto Europeo di Oncologia, IRCCS

Milan, Italy

Ospedale S.Maria della Misericordia, AO di Perugia, Università degli Studi di Perugia

Perugia, Italy

Istituto Nazionale Tumori Regina Elena - IRCCS - IFO

Roma, Italy

Ehime University Hospital

Tōon, Ehime, Japan

Local Institution - 403

Nishinomiya, Hyôgo [Hyogo], Japan

National Cancer Center Hospital East

Kashiwa, Tiba [Chiba], Japan

Local Institution - 400

Osaka, Ôsaka [Osaka], Japan

Local Institution - 128

Tuxtla Gutiérrez, Chiapas, Mexico

Local Institution - 129

Colonia Nápoles, Mexico City, Mexico

Local Institution - 127

Colonia Roma, Mexico City, Mexico

Local Institution - 125

Toluca, Mexico

Local Institution - 802

Breda, North Brabant, Netherlands

Anthoni van Leeuwenhoek Ziekenhuis, Nederlands Kanker Instit

Amsterdam, North Holland, Netherlands

St. Antonius Hospital

Utrecht, Netherlands

Local Institution - 152

San Martín de Porres, Lima region, Peru

Local Institution - 151

Surquillo, Lima region, Peru

Local Institution - 650

Krakow, Lesser Poland Voivodeship, Poland

Local Institution - 651

Gdynia, Pomeranian Voivodeship, Poland

Local Institution - 653

Lublin, Poland

Medisprof - Medical Oncology

Cluj-Napoca, Cluj, Romania

Ovidius Clinical Hospital

Ovidiu, Constanța County, Romania

Local Institution - 727

Craiova, Dolj, Romania

Oncolab - Medical Oncology

Craiova, Dolj, Romania

Centrul de Oncologie Sf Nectarie - Medical Oncology

Craiova, Dolj, Romania

Oncocenter- Oncologie Clinica - Medical Oncology

Timișoara, Timiș County, Romania

Local Institution - 726

Bucharest, Romania

Centrul de Oncologie Euroclinic

Iași, Romania

Spitalul Clinic Judetean De Urgenta Sibiu

Sibiu, Romania

Sigmedical Services S.R.L.

Suceava, Romania

Local Institution - 750

Kamenitz, Vojvodina, Serbia

University Clinical Center of Nis, Clinic for Pediatrics-Department for Pulmonology

Nis, Vojvodina, Serbia

Local Institution - 753

Belgrade, Serbia

Local Institution - 751

Belgrade, Serbia

University Clinical Center of Kragujevac, Center for Internal Oncology

Kragujevac, Šumadijski Okrug, Serbia

National Cancer Center

Goyang-si, Gyeonggido [Kyonggi-do], South Korea

Samsung Medical Center

Seoul, Seoul Teugbyeolsi [Seoul-T'ukpyolshi], South Korea

Local Institution - 328

Seoul, Seoul Teugbyeolsi [Seoul-T'ukp, South Korea

Local Institution - 326

Seoul, Seoul Teugbyeolsi [Seoul-T'ukp, South Korea

Complejo Hospitalario Universitario De Santiago - Oncología Médica

Santiago de Compostela, A Coruña, Spain

Hospital Regional Universitario De Málaga

Málaga, Andalusia, Spain

Hospital Universitario Son Espases

Palma de Mallorca, Balearic Islands, Spain

Local Institution - 686

Santander, Cantabria, Spain

Local Institution - 676

Oviedo, Principality of Asturias, Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, Spain

Hospital Universitari Dexeus Grupo Quironsalud

Barcelona, Spain

Hospital Universitario Vall d'Hebron - Oncología Médica

Barcelona, Spain

Local Institution - 689

Barcelona, Spain

Hospital General Universitario Gregorio Marañón

Madrid, Spain

Local Institution - 679

Madrid, Spain

Hospital Clínico San Carlos

Madrid, Spain

Hospital Universitario Virgen de la Macarena - Oncología Médica

Seville, Spain

Hospital Clinico Universitario De Valencia - Oncologia Médica y Hematologia

Valencia, Spain

Local Institution - 684

Valencia, Spain

Local Institution - 351

Kaohsiung City, Kaohsiung, Taiwan

Chang Gung Medical Foundation - Kaohsiung Chang Gung Memorial Hospital

Kaohsuing City, Kaohsiung, Taiwan

Chung Shan Medical University Hospital - Internal Medicine

Taichung, Taichung, Taiwan

China Medical University Hospital - Internal Medicine

Taichung, Taichung, Taiwan

China Medical University Hospital - Internal Medicine

Taichung, Taichung, Taiwan

Local Institution - 355

Taichung, Taichung, Taiwan

Local Institution - 354

Taipei City, Taipei, Taiwan

Local Institution - 376

Muang, Chiang Mai, Thailand

Local Institution - 377

Bangkok, Krung Thep Maha Nakhon [Bangko, Thailand

Local Institution - 375

Khon Kaen, Thailand

Holistic Center for Cancer Study and Care

Songkhla, Thailand

Memorial Ankara Hastanesi

Ankara, Ankara/Cankaya, Turkey (Türkiye)

Gülhane Eğitim ve Araştırma Hastanesi

Ankara, Etlik/Ankara, Turkey (Türkiye)

Local Institution - 709

Istanbul, Samsun, Turkey (Türkiye)

Istanbul Oncology Hospital - Medical Oncology

Istanbul, Samsun, Turkey (Türkiye)

Local Institution - 703

Istanbul, Samsun, Turkey (Türkiye)

Dr Abdurrahman Yurtaslan Training and Research Hospital - Medical Oncology

Ankara, Turkey (Türkiye)

Ankara Liv Hospital

Ankara, Turkey (Türkiye)

Ankara City Hospital - Medical Oncology

Ankara, Turkey (Türkiye)

Trakya Univ Hastanesi Ic Hastal

Edirne, Turkey (Türkiye)

Goztepe SuleymanYalcin Sehir Hast

Istanbul, Turkey (Türkiye)

Ege University Medical Faculty - Pulmonary

Izmir, Turkey (Türkiye)

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NCT05853575


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