New hope for KRAS lung cancer: targeted pill plus immunotherapy in Late-Stage trial
NCT ID NCT07554339
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 18 times
Summary
This phase 3 trial tests whether adding the targeted pill calderasib (MK-1084) to the immunotherapy durvalumab helps people with a specific KRAS G12C-mutated lung cancer live longer without their cancer growing. About 310 participants who have finished chemotherapy and radiation without progression will receive either the drug combo or a placebo plus durvalumab. The study aims to see if the combination delays cancer progression and improves survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- calderasib (MK-1084) plus durvalumab
- What this could lead to
- If successful, this combination could offer a new treatment option to delay cancer growth or spread in people with a specific KRAS-mutated lung cancer.
- What could go wrong
- This is an early-phase 3 trial, so results are not guaranteed. The drug combination may cause side effects, and the benefit over standard care is uncertain.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 310 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Aug 2037
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 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: The main inclusion criteria include but are not limited to the following: * Has a histological or cytological diagnosis of locally advanced, unresected Stage II (node-positive) to III non-small cell lung cancer (NSCLC) with predominantly nonsquamous histology. * Has completed definitive platinum-based concurrent chemoradiotherapy (CCRT) prior to enrollment, without disease progression. * Has provided a tumor tissue sample for central laboratory testing of Kirsten rat sarcoma G12C (KRAS G12C) status, programmed cell death ligand 1 (PD-L1) status, and biomarker research. * Tumor tissue sample has a demonstrated presence of KRAS G12C mutation and an evaluable PD-L1 status result. * If human immunodeficiency virus (HIV)-infected, has well-controlled HIV on antiretroviral therapy (ART). * If hepatitis B surface antigen (HBsAg)-positive, has undetectable hepatitis B virus (HBV) viral load and has received HBV antiviral therapy. * If has a history of hepatitis C virus (HCV) infection, has undetectable HCV viral load. * Has a body weight ≥35 kg. Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * Has a diagnosis of small cell lung cancer or mixed tumors with small cell elements. * Has a gastrointestinal disorder affecting absorption or is unable to swallow orally administered medication. * Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease. * Has uncontrolled, significant cardiovascular disease or cerebrovascular disease. * Is HIV-infected with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease. * Has received prior treatment (other than definitive CCRT) for NSCLC. * Has a known additional malignancy that is progressing or has required active treatment within the past 3 years. * Has an active autoimmune disease that has required systemic treatment in the past 2 years. * Has a history of, or has current, (noninfectious) pneumonitis/interstitial lung disease that required/requires steroids. * Has an active infection requiring systemic therapy. * Has a history of stem cell/solid organ transplant. * Has not adequately recovered from major surgery or has ongoing surgical complications.
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Non-small cell lung cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
73 sites in 16 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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AFECC ASSOCIACAO FEMININA EDUCACAO COMBATE CANCER ( Site 0416)
RECRUITINGVitória, Espírito Santo, 29043-260, Brazil
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ALEXANDRA General Hospital of Athens ( Site 1200)
RECRUITINGAthens, Attica, 115 28, Greece
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Ajou University Hospital ( Site 2504)
RECRUITINGSuwon, Kyonggi-do, 16499, South Korea
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Anhui Provincial Cancer Hospital ( Site 2209)
RECRUITINGHefei, Anhui, 230031, China
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Asan Medical Center ( Site 2500)
RECRUITINGSeoul, 05505, South Korea
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Athens Medical Center ( Site 1201)
RECRUITINGAthens, Attica, 151 25, Greece
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Beijing Peking Union Medical College Hospital ( Site 2220)
RECRUITINGBeijing, Beijing Municipality, 100730, China
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Chungbuk National University Hospital ( Site 2502)
RECRUITINGCheongju-si, North Chungcheong, 28644, South Korea
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Clinica Adventista Belgrano ( Site 0304)
RECRUITINGCiudad Autonoma de Buenos Aires, Buenos Aires, C1430EGF, Argentina
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Clinique Teissier Groupe ( Site 1006)
RECRUITINGValenciennes, Nord, 59300, France
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Communal Non-Commercial Enterprise "Prykarpatski Clinical Oncological Center" of Ivano-Frankivsk Reg ( Site 2006)
RECRUITINGIvano-Frankivsk, Ivano-Frankivsk Oblast, 76018, Ukraine
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Communal Noncommercial Enterprise "Podillia Regional Oncology Center Of Vinnytsia Regional Council" ( Site 2004)
RECRUITINGVinnytsia, Vinnytsia Oblast, 21029, Ukraine
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Erciyes University ( Site 1904)
RECRUITINGKayseri, 38039, Turkey (Türkiye)
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1401)
RECRUITINGRome, Lazio, 00168, Italy
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Fourth Hospital of Hebei Medical University ( Site 2201)
RECRUITINGShijiazhuang, Hebei, 050011, China
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Fudan University Shanghai Cancer Center ( Site 2216)
RECRUITINGShanghai, Shanghai Municipality, 200032, China
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Fundación Instituto Valenciano de Oncología ( Site 1809)
RECRUITINGValencia, Valenciana, Comunitat, 46009, Spain
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Fundação Pio XII - Hospital de Câncer de Barretos ( Site 0401)
RECRUITINGBarretos, São Paulo, 14784-400, Brazil
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Gemeinschaftspraxis für Hämatologie und Onkologie Münster ( Site 1108)
RECRUITINGMünster, North Rhine-Westphalia, 48153, Germany
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Guangxi Medical University Cancer Hospital ( Site 2202)
RECRUITINGNanning, Guangxi, 530022, China
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HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑON ( Site 1803)
RECRUITINGMadrid, 28007, Spain
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Hacettepe Universite Hastaneleri ( Site 1900)
RECRUITINGAnkara, 06230, Turkey (Türkiye)
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Hospital Britanico de Buenos Aires ( Site 0305)
RECRUITINGBuenos Aires, Buenos Aires F.D., C1280AEB, Argentina
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Hospital Clinico San Carlos ( Site 1810)
RECRUITINGMadrid, 28040, Spain
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Hospital Universitario La Paz ( Site 1808)
RECRUITINGMadrid, 28046, Spain
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Hospital Universitario Virgen Macarena ( Site 1805)
RECRUITINGSeville, 41007, Spain
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Hubei Cancer Hospital ( Site 2203)
RECRUITINGWuhan, Hubei, 430070, China
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Institut Català d'Oncologia (ICO) - Girona-Oncología Médica ( Site 1807)
RECRUITINGGirona, Gerona, 17007, Spain
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Instituto Alexander Fleming ( Site 0301)
RECRUITINGCiudad Autonoma de Buenos Aires., Buenos Aires, C1426ANZ, Argentina
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Instituto de Investigaciones Clínicas Mar del Plata ( Site 0303)
RECRUITINGMar del Plata, Buenos Aires, B7600FZO, Argentina
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Keimyung University Dongsan Hospital ( Site 2503)
RECRUITINGDaegu, Taegu-Kwangyokshi, 42601, South Korea
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Kyiv City Clinical Oncology Center ( Site 2015)
RECRUITINGKyiv, Kyivska Oblast, 03115, Ukraine
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Leids Universitair Medisch Centrum ( Site 1503)
RECRUITINGLeiden, South Holland, 2333 ZA, Netherlands
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Liv Hospital Ankara ( Site 1911)
RECRUITINGAnkara, 06680, Turkey (Türkiye)
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Lviv Oncology Regional Treatment and Diagnostic Center ( Site 2009)
RECRUITINGLviv, Lviv Oblast, 79031, Ukraine
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Lviv Territorial Medical Union Multidisciplinary Clinical Hospital ( Site 2000)
RECRUITINGLviv, Lviv Oblast, 79059, Ukraine
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ME RIVNE REGIONAL ANTITUMOR CENTER ( Site 2001)
RECRUITINGRivne, Rivne Oblast, 33010, Ukraine
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Mackay Memorial Hospital ( Site 2611)
RECRUITINGTaipei, 10449, Taiwan
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Medical Center "Mriya Med-Service"-Clinical Research Department ( Site 2012)
RECRUITINGKryvyi Rih, Dnipropetrovsk Oblast, 50000, Ukraine
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Medical Center "Universal Clinic "Oberig" of Limited Liability Company "Kapytal" ( Site 2005)
RECRUITINGKyiv, 03057, Ukraine
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Metaxa Cancer Hospital of Piraeus ( Site 1203)
RECRUITINGPiraeus, Attica, 185 37, Greece
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Municipal non-profit enterprise'Odesa Regional Clinical Hospital'of Odesa Regional Council ( Site 2011)
RECRUITINGOdesa, Odesa Oblast, 65025, Ukraine
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NHO Revive Research Institute LLC ( Site 0118)
RECRUITINGLincoln, Nebraska, 68506, United States
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Nanjing Drum Tower Hospital ( Site 2224)
RECRUITINGNanjing, Jiangsu, 210000, China
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National Cancer Center ( Site 2505)
RECRUITINGGoyang-si, Kyonggi-do, 10408, South Korea
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National Cheng Kung University Hospital ( Site 2601)
RECRUITINGTainan, 704, Taiwan
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National Taiwan University Cancer Center (NTUCC) ( Site 2610)
RECRUITINGTaipei, 106, Taiwan
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New York Oncology Hematology P.C ( Site 9000)
RECRUITINGAlbany, New York, 12206, United States
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Northern Beaches Hospital ( Site 2401)
RECRUITINGFrenchs Forest, New South Wales, 2086, Australia
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Princess Alexandra Hospital ( Site 2406)
RECRUITINGWoolloongabba, Queensland, 4102, Australia
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Private Enterprise Private Manufacturing Company Acinus-Medical and Diagnostic Centre ( Site 2013)
RECRUITINGKropyvnytskyi, Kirovohrad Oblast, 25006, Ukraine
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Radboudumc ( Site 1504)
RECRUITINGNijmegen, Gelderland, 6525 GA, Netherlands
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Regional Municipal Non-profit Enterprise "Bukovinian Clinical Oncology Center" ( Site 2002)
RECRUITINGChernivtsi, Chernivetska Oblast, 58013, Ukraine
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Sanatorio Parque ( Site 0302)
RECRUITINGRosario, Santa Fe Province, S2000DSV, Argentina
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Sendai Kousei Hospital ( Site 2300)
RECRUITINGSendai, Miyagi, 981-0914, Japan
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Severance Hospital, Yonsei University Health System ( Site 2501)
RECRUITINGSeoul, 03722, South Korea
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Shalimov Institute of Surgery and Transplantation ( Site 2003)
RECRUITINGKyiv, Kyivska Oblast, 03680, Ukraine
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Shandong Cancer Hospital ( Site 2200)
RECRUITINGJinan, Shandong, 250117, China
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Shanxi Provincial Cancer Hospital ( Site 2227)
RECRUITINGTaiyuan, Shanxi, 030013, China
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Sichuan Cancer hospital. ( Site 2218)
RECRUITINGChengdu, Sichuan, 610213, China
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Taipei Medical University Shuang Ho Hospital ( Site 2612)
RECRUITINGNew Taipei City, 23561, Taiwan
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Taizhou Hospital of Zhejiang Province ( Site 2223)
RECRUITINGLinhai, Zhejiang, 318000, China
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The First Affiliated Hospital of Xiamen University. ( Site 2239)
RECRUITINGXiamen, Fujian, 361003, China
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The Second Xiangya Hospital Of Central South University ( Site 2207)
RECRUITINGChangsha, Hunan, 410011, China
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Tri-Service General Hospital ( Site 2608)
RECRUITINGTaipei, 114, Taiwan
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Ukrainian Center of Tomotherapy ( Site 2014)
RECRUITINGKropyvnytskyi, Kirovohrad Oblast, 25011, Ukraine
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Union Hospital Tongji Medical College Huazhong University of Science and Technology-Medical Oncology ( Site 2206)
RECRUITINGWuhan, Hubei, 430048, China
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University General Hospital of Alexandroupoli ( Site 1206)
RECRUITINGAlexandroupoli, East Macedonia and Thrace, 681 00, Greece
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University Medical Center Groningen ( Site 1505)
RECRUITINGGroningen, 9713 GZ, Netherlands
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Volyn Regional Clinical Hospital ( Site 2010)
RECRUITINGLutsk, Volyn Oblast, 43018, Ukraine
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WakeMed Raleigh Campus ( Site 0144)
RECRUITINGRaleigh, North Carolina, 27610, United States
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Zhongshan Hospital Affiliated to Xiamen University ( Site 2213)
RECRUITINGXiamen, Fujian, 361000, China
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Zhongshan Hospital affiliated to Fudan University ( Site 2215)
RECRUITINGShanghai, Shanghai Municipality, 200030, China
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