New drug cocktail targets tough lung cancer mutation
NCT ID NCT05054725
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested a combination of two oral drugs, RMC-4630 and sotorasib, in 47 adults with advanced KRASG12C-mutant non-small cell lung cancer that had progressed after standard treatments. The goal was to see if the combination could shrink tumors. The study is now complete.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RMC-4630 and sotorasib (two oral drugs)
- What this could lead to
- If successful, this combination could offer a new treatment option for people with a specific type of advanced lung cancer that has stopped responding to other therapies.
- What could go wrong
- This is a small, early-phase trial with only 47 participants, so results may not apply to everyone. The drugs may cause side effects or fail to shrink tumors in many patients.
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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47 people
The number who actually took part.
- Started
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Dec 2021
- Finished
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Aug 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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: * Subject must be ≥18 years of age. * Subject must have pathologically documented, locally advanced or metastatic KRASG12C NSCLC (not amenable to curative surgery) that has progressed on prior standard therapies (no more than 3 prior lines of therapies are allowed) Exclusion Criteria * Primary central nervous system (CNS) tumors * Known or suspected leptomeningeal or brain metastases or spinal cord compression * Clinically significant cardiac disease * Known impairment of GI function that would alter the absorption * Active autoimmune disease requiring systemic treatment within past 2 years * History of severe allergic reactions to any of the study intervention components * Major surgical procedures within 28 days or non-study-related minor procedures within 7 days of treatment. * Prior therapy with KRASG12C inhibitor and/or SHP2 inhibitor
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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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APHM Hopital Nord, Service d'Oncologie Multidisciplinaire et innovations therapeutics
Marseille, 13015, France
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American Oncology Partners of Maryland, PA
Bethesda, Maryland, 20817, United States
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Asan Medical Center
Seoul, 05505, South Korea
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Asklepios Fachkliniken Munchen
Gauting, Bavaria, 82131, Germany
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Azienda Ospedaliera dei Colli
Naples, Campania, 80131, Italy
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Azienda Sanitaria Ospedaliera S Luigi Gonzaga
Orbassano, Piedmont, 10043, Italy
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BRCR Medical Center Inc.
Plantation, Florida, 33322, United States
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Bethanien Hospital Moers
Moers, North Rhine-Westphalia, 47441, Germany
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Blacktown Hospital
Blacktown, 2148, Australia
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CHRISTUS St. Michael-Colom and Carney Clinic P.A
Texarkana, Texas, 75503, United States
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Cancer Specialists of North Florida
Saint Augustine, Florida, 32086, United States
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Charite Benjamin Franklin Comprehensive Cancer center
Berlin, 12200, Germany
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Charleston Oncology
Charleston, South Carolina, 29414, United States
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Chungbuk National University Hospital
Cheongju-si, 28644, South Korea
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Clinica Universidad de Navarra
Pamplona, Navarre, 31008, Spain
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Clinica Universidad de Navarra
Madrid, 28027, Spain
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Clinical Research Alliance, Inc.
New York, New York, 10021, United States
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Complejo Hospitalario Universitario A Coruña
A Coruña, Galicia, 15006, Spain
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Comprehensive Cancer Center Mainfranken, University Wuerzburg
Homburg, Saarland, 66421, Germany
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Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169, United States
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Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
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E-DA Hospital
Kaohsiung City, 824, Taiwan
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Evangelische Lung Clinic
Berlin, 13125, Germany
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Florida Cancer Specialists
Fort Myers, Florida, 33901, United States
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GenHarp Clinical Solutions
Evergreen Park, Illinois, 60805, United States
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Goulburn Valley Health
Shepparton, 3630, Australia
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Hamato-Onkologie Hamburg
Hamburg, 20251, Germany
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Hematology Oncology Clinic
Baton Rouge, Louisiana, 70809, United States
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Hospital Clinic de Barcelona
Barcelona, Catalonia, 08036, Spain
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Hospital Larrey Universite Paul Sabatier
Toulouse, 31059, France
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Hospital Universitario Virgen Macarena
Seville, Andalusia, 41009, Spain
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Hospital Universitario y Politecnico La Fe
Valencia, 46026, Spain
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Istituto Europeo Di Oncologia
Milan, 20141, Italy
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Kaohsiung Medical University Chung Ho Memorial Hospital
Kaohsiung City, 807, Taiwan
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Klinikum Esslingen GmbH
Esslingen am Neckar, Baden-Wurttemberg, 73730, Germany
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Lung Cancer Center, University of Saarland
Homburg, Saarland, 66421, Germany
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Lungenklinik Hemer
Hemer, North Rhine-Westphalia, 58675, Germany
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Maryland Oncology Hematology, P.A.
Columbia, Maryland, 21044, United States
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Minnesota Oncology Hematology, P.A.
Minneapolis, Minnesota, 55404, United States
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National Cheng Kung University Hospital
Tainan, 704, Taiwan
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National Taiwan University Hospital
Taipei, 10002, Taiwan
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Nebraska Cancer Specialists
Omaha, Nebraska, 68130, United States
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New England Cancer Specialists
Scarborough, Maine, 04074, United States
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New Jersey Center for Cancer Research
Brick, New Jersey, 08724, United States
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Northwest Cancer specialists, P.C.
Vancouver, Washington, 98684, United States
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POIS Sachsen GmbH
Leipzig, Saxony, 04347, Germany
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Roswell Park cancer Institute
Buffalo, New York, 14263, United States
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Samsung Medical Center
Seoul, 06351, South Korea
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Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
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Seoul National University Hospital
Seoul, 03080, South Korea
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South West Oncology
Warrnambool, Victoria, 3280, Australia
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Taichung Veterans General Hospital
Taichung, 40705, Taiwan
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Tennessee Oncology
Chattanooga, Tennessee, 37404, United States
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The Christie NHS Foundation Trust
Manchester, Greater Manchester, M20 4BX, United Kingdom
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The Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT, United Kingdom
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University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico, 87131, United States
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Virginia Cancer Specialists
Fairfax, Virginia, 22031, United States
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Virginia Oncology Associates
Norfolk, Virginia, 23502, United States
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William Osler Health System
Mississauga, Ontario, L5N 5M8, Canada
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Zangmeister Cancer Center
Columbus, Ohio, 43219, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo targets stubborn KRAS lung cancer
- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can PET scan signals predict who beats lung cancer with immunotherapy?
- Two-Drug combo takes aim at Hard-to-Treat lung cancer