New hope for elderly lung cancer patients: targeted pill shows promise
NCT ID NCT05673187
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 2 times
Summary
This study tests a daily pill called adagrasib in 68 patients with a specific type of advanced lung cancer (KRAS G12C mutation) who are either 70 or older or have poor physical health. The goal is to see if the drug can shrink tumors or stop them from growing. Patients take the medication twice a day until their disease gets worse or side effects become too severe.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 68 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Histologically or cytologically confirmed stage IV NSCLC. 2. KRASG12C-mutation by local testing (by tissue or ctDNA). 3. Prior treatment with at least one line of systemic therapy for NSCLC (e.g., platinum-based doublet chemotherapy and/or immune-checkpoint inhibition or both). 4. Life expectancy ≥12 weeks. 5. Measurable disease according to RECIST v1.1. 6. Age ≥18 years with ECOG PS 2 (cohort 1), or age ≥70 years with ECOG PS 0-1 (cohort 2). 7. Adequate haematological, renal and liver function 8. Men and women of childbearing potential must agree to use use highly effective contraceptive methods. 9. Women of childbearing potential, including women who had their last menstruation in the last 2 years, must have a negative urinary or serum beta HCG pregnancy test within 5 weeks before enrolment. Pregnancy test must be repeated within 7 days before the first dose of adagrasib treatment.Ability to comply with the trial protocol, in the investigator's judgment. 10. Written IC for study participation must be signed and dated by the patient and the investigator prior to any study-related intervention, including the submission of mandatory biomaterial. Exclusion Criteria: 1. Prior investigational therapy within 28 days or at least 5 half-lives before enrolment. 2. Prior treatment with an agent targeting KRASG12C. 3. Leptomeningeal disease or untreated brain metastases. * Patient should be neurologically stable for at least 2 weeks before enrolment, without the need for corticosteroids, except for prednisone (or its equivalent) at a dose of ≤10 mg daily. * For patients with definitively treated brain metastases, a time period of minimum of 2 weeks must have elapsed from the last day of radiotherapy. 4. History of intestinal disease or major gastric surgery likely to alter absorption of study treatment or inability to swallow oral medications. 5. Any of the following cardiac abnormalities: * Unstable angina pectoris or myocardial infarction within 6 months prior to enrolment. * Symptomatic or uncontrolled atrial fibrillation within 6 months prior to enrolment. * Congestive heart failure ≥NYHA Class 3 within 6 months prior to enrolment. * Prolonged QTc interval \>480 ms or family or medical history of congenital Long QT Syndrome. 6. History of stroke or transient ischemic attack within 6 months prior to enrolment. 7. Ongoing need for treatment with concomitant medication with any of the following characteristics: known risk of Torsades de Pointes; substrate of CYP3A with narrow therapeutic index; strong inducer of CYP3A and/or P-gp; strong inhibitor of BCRP; and proton pump inhibitors that cannot be switched to alternative treatment prior to enrolment. 8. Known human immunodeficiency virus (HIV) infection. 9. Acute or chronic hepatitis B or C infection. 10. Women who are pregnant or in the period of lactation. 11. Sexually active men and women of childbearing potential who are not willing to use an effective contraceptive method during the study. 12. Judgement by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AULSS2 Marca Trevigiana Treviso
Treviso, Italy
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Alicante University Hospital
Alicante, Spain
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Beaumont Hospital
Dublin, Ireland
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Christie NHS Manchester
Manchester, United Kingdom
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Complejo Hospitalario Universitario a Coruña
A Coruña, Spain
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Hospital General Universitario de Valencia (University Hospital Valencia)
Valencia, Spain
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Hospital Universitario Fundacion Jimenez Diaz
Madrid, Spain
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Hospital Universitario Puerta de Hierro
Madrid, Spain
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Hospital de Basurto
Bilbao, Spain
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Hôpital de Marseille
Marseille, France
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ICO Badalona - Hospital Germans Trias i Pujol
Badalona, Spain
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ICO Bellvitge -H. Duran i Reynals / H. Bellvitge
L'Hospitalet de Llobregat, Spain
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Instiute Jules Bordet
Brussels, Belgium
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Istituto Nazionale Tumori "Regina Elena"
Rome, Italy
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Le Mans - CHG
Le Mans, France
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Santa Maria della Misericordia Hospital
Perugia, Italy
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University Hospital Limerick
Limerick, Ireland
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University Hospital Waterford
Waterford, Ireland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can zapping brain tumors boost immunotherapy against lung cancer?
- Double attack on mutant KRAS: can two targeted drugs outsmart resistant cancers?
- New antibody drug targets Cancer-Related fluid in the lungs
- New drug cocktail shows promise for Hard-to-Treat lung cancer
- New pill targets Hard-to-Treat lung cancer in patients who Can't have standard therapy
- New hope for drug-resistant lung cancer: combo therapy enters trial