New hope for Hard-to-Treat lung cancer: targeted pill shows promise
NCT ID NCT05445843
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This study tests a new drug called JDQ443 in people with advanced lung cancer that has a specific genetic change (KRAS G12C mutation) and does not respond well to standard treatments. The drug is taken as a pill and aims to shrink or control the cancer. About 95 participants will receive JDQ443 alone as their first treatment for advanced disease.
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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95 people
The number who actually took part.
- Started
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Dec 2022
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- 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 to 100 years
- 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.
Key Inclusion criteria * Histologically confirmed locally advanced (stage IIIb/IIIc not eligible for definitive chemoradiation or surgical resection with curative intent) or metastatic (stage IV) NSCLC without previous systemic treatment for metastatic disease. Prior (neo)adjuvant treatment with chemotherapy and/or immunotherapy, or prior radiotherapy administered sequentially or concomitantly with chemotherapy and/or immunotherapy for localized or locally advanced disease are accepted if the time between therapy completion and enrollment is \> 12 months. * Presence of a KRAS G12C mutation (all participants) and: * Cohort A: PD-L1 expression \< 1%, regardless of STK11 mutation status * Cohort B: PD-L1 expression ≥ 1% and an STK11 co-mutation * At least one measurable lesion per RECIST 1.1. * ECOG performance status ≤ 1. * Participants capable of swallowing study medication. Key Exclusion criteria * Participants whose tumors harbor an EGFR-sensitizing mutation and/or ALK rearrangement by local laboratory testing. Participants with other known druggable alterations will be excluded, if required by local guidelines * Previous use of a KRAS G12C inhibitor or previous systemic treatment for metastatic NSCLC. * A medical condition that results in increased photosensitivity (i.e., solar urticaria, lupus erythematosus, etc.). * Known active central nervous system (CNS) metastases and/or carcinomatous meningitis * Participants who are taking a prohibited medication (strong CYP3A inducers) that cannot be discontinued at least seven days prior to the first dose of study treatment and for the duration of the study. Other inclusion/exclusion criteria may apply
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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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Novartis Investigative Site
Pilar, Buenos Aires, B1629AHJ, Argentina
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Novartis Investigative Site
Córdoba, Córdoba Province, X5016KEH, Argentina
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Novartis Investigative Site
Buenos Aires, C1426AGE, Argentina
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Novartis Investigative Site
Córdoba, X5000JHQ, Argentina
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Novartis Investigative Site
Feldkirch, 6807, Austria
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Novartis Investigative Site
Wels, 4600, Austria
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Novartis Investigative Site
Sint-Niklaas, Oost Vlaanderen, 9100, Belgium
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Novartis Investigative Site
Roeselare, West-Vlaanderen, 8800, Belgium
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Novartis Investigative Site
Salvador, Estado de Bahia, 40170-110, Brazil
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Novartis Investigative Site
Belo Horizonte, 30360-680, Brazil
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Novartis Investigative Site
Rio de Janeiro, 22271-110, Brazil
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Novartis Investigative Site
Wuhan, Hubei, 430030, China
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Novartis Investigative Site
Changsha, Hunan, 410013, China
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Novartis Investigative Site
Beijing, 100036, China
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Novartis Investigative Site
Marseille, Bouches Du Rhone, 13915, France
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Novartis Investigative Site
Bron, 69677, France
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Novartis Investigative Site
Montpellier, 34070, France
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Novartis Investigative Site
Saint-Herblain, 44805, France
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Novartis Investigative Site
Strasbourg, 67091, France
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Novartis Investigative Site
Kempten (Allgäu), Bavaria, 87439, Germany
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Novartis Investigative Site
Halle, Saxony-Anhalt, 06120, Germany
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Novartis Investigative Site
Hamburg, 21075, Germany
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Novartis Investigative Site
Oldenburg, 26121, Germany
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Novartis Investigative Site
Tübingen, 72076, Germany
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Novartis Investigative Site
Athens, 11526, Greece
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Novartis Investigative Site
Mátraháza, 3200, Hungary
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Novartis Investigative Site
Thellakom Kottayam, Kerala, 686016, India
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Novartis Investigative Site
Varanasi, Uttar Pradesh, 221005, India
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Novartis Investigative Site
Bari, BA, 70124, Italy
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Novartis Investigative Site
Rozzano, MI, 20089, Italy
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Novartis Investigative Site
Roma, RM, 00128, Italy
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Novartis Investigative Site
Orbassano, TO, 10043, Italy
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Novartis Investigative Site
George Town, Pulau Pinang, 10450, Malaysia
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Novartis Investigative Site
Kuching, Sarawak, 93586, Malaysia
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Novartis Investigative Site
Breda, North Brabant, 4818 CK, Netherlands
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Novartis Investigative Site
Leeuwarden, Provincie Friesland, 8934 AD, Netherlands
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Novartis Investigative Site
Porto, 4100-180, Portugal
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Novartis Investigative Site
Barcelona, 08035, Spain
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Novartis Investigative Site
Madrid, 28041, Spain
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Novartis Investigative Site
Bangkok, 10700, Thailand
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Novartis Investigative Site
Istanbul, Bagcilar, 34214, Turkey (Türkiye)
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Novartis Investigative Site
Diyarbakır, Sur, 21280, Turkey (Türkiye)
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Novartis Investigative Site
Ankara, Yenimahalle, 06500, Turkey (Türkiye)
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Novartis Investigative Site
Torquay, TQ2 7AA, United Kingdom
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The Brown University Oncology Group
Providence, Rhode Island, 02903, 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