New drug combo targets Hard-to-Treat lung cancer mutation
NCT ID NCT07252739
First seen Jun 25, 2026 · Last updated Sep 03, 2026 · Updated 8 times
Summary
This study tests a new targeted therapy pill called MK-1084, alone or with other drugs, for people with advanced non-small cell lung cancer that has a specific genetic change called KRAS G12C. The goal is to see if the treatment is safe and can shrink tumors. About 130 participants will be enrolled in this Phase 2 trial.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MK-1084 (a targeted therapy pill for KRAS G12C mutations) combined with pembrolizumab (Keytruda), cetuximab, carboplatin, or pemetrexed
- What this could lead to
- If successful, this could provide a new first-line treatment option for people with a specific genetic subtype of lung cancer, potentially shrinking tumors and delaying progression.
- What could go wrong
- This is an early Phase 2 study with a small number of participants, so results may not apply broadly. The drug combination may cause side effects or fail to improve outcomes compared to existing therapies.
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 140 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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May 2032
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 histologically or cytologically confirmed diagnosis of advanced or metastatic nonsquamous Non-Small Cell Lung Cancer (NSCLC) * Has tumor tissue or circulating tumor deoxyribonucleic acid (ctDNA) that demonstrates the presence of Kirsten rat sarcoma viral oncogene homolog (KRAS) G12C mutations * Can provide an archival tumor tissue sample or newly obtained core, incisional, excisional biopsy of a tumor lesion not previously irradiated * Has recovered to ≤Grade 1 or baseline from any Adverse events (AEs) due to previous anticancer therapies and/or ≤Grade 2 neuropathy and/or endocrine-related AEs adequately treated with hormone replacement * Has well controlled human immunodeficiency virus (HIV) on antiretroviral therapy (ART) if HIV-infected * Has undetectable hepatitis B (HBV) viral load and have received HBV antiviral therapy for at least 4 weeks if hepatitis B surface antigen (HBsAg) positive * Has undetectable hepatitis C (HCV) viral load if HCV-infected Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * Has a diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements * Has HIV-infection with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease * Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing * Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease * Has uncontrolled, clinically significant cardiovascular disease or cerebrovascular disease, including New York Heart Association Class III or IV congestive heart failure, unstable angina, myocardial infarction, uncontrolled symptomatic arrhythmia, prolongation of corrected QT interval corrected for heart rate by Fridericia's formula (QTcF) interval to \>470 ms, and/or other serious cardiovascular and cerebrovascular diseases within the 6 months preceding study intervention * Has received prior systemic anticancer therapy for advanced or metastatic NSCLC * Has received any prior immunotherapy and was discontinued from that treatment due to a Grade 3 or higher immune-related adverse event (irAE) (except endocrine disorders that can be treated with replacement therapy) or was discontinued from that treatment due to Grade 2 myocarditis or recurrent Grade 2 pneumonitis * Has received previous treatment with an agent targeting KRAS * Has received prior systemic anticancer therapy within 4 weeks or 5 half-lives (whichever is shorter) and has not recovered to grade ≤ 1 or baseline from AE associated with anticancer therapy before allocation/randomization * Has received radiation therapy to the lung that is \>30 Gray within 6 months of start of study intervention * Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention * Has a known additional malignancy that is progressing or has required active treatment within the past 3 years * Has a known active central nervous system (CNS) metastases and/or carcinomatous meningitis * Has an active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed * Has a history of (noninfectious) pneumonitis/interstitial lung disease (ILD) that required steroids, has current pneumonitis/ILD, or has suspected ILD or pneumonitis that cannot be ruled out by standard diagnostic assessments at screening * 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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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
38 sites in 13 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.
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Bangkok Metropolitan Administration Medical College and Vajira Hospital ( Site 0351)
RECRUITINGBangkok, Bangkok, 10300, Thailand
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Baskent University Dr. Turgut Noyan Research and Training Center ( Site 0141)
RECRUITINGAdana, 1250, Turkey (Türkiye)
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Bradfordhill ( Site 0168)
RECRUITINGSantiago, Region M. de Santiago, 8420383, Chile
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COMMUNAL NONPROFIT ENTERPRISE CLINICAL CENTER OF ONCOLOGY, HEMATOLOGY, TRANSPLANTOLOGY AND PALLIATI ( Site 0139)
RECRUITINGCherkasy, Cherkasy Oblast, 18009, Ukraine
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Centro de Oncología de Precisión ( Site 0160)
RECRUITINGSantiago, Region M. de Santiago, 7560908, Chile
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Clermont Oncology Center ( Site 0041)
RECRUITINGClermont, Florida, 34711, United States
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Communal Non-Commercial Enterprise "Prykarpatski Clinical On-Surgery department #2 ( Site 0132)
RECRUITINGIvano-Frankivsk, Ivano-Frankivsk Oblast, 76018, Ukraine
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Communal Noncommercial Enterprise "Podillia Regional Oncolog-Cardiothoracic department ( Site 0131)
RECRUITINGVinnitsya, Vinnytsia Oblast, 21029, Ukraine
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Deventer Ziekenhuis ( Site 0272)
RECRUITINGDeventer, Overijssel, 7416 SE, Netherlands
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Erciyes University ( Site 0145)
RECRUITINGTalas, Kayseri, 38039, Turkey (Türkiye)
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Evangelismos General Hospital of Athens ( Site 0200)
RECRUITINGAthens, Attica, 106 76, Greece
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Faculty of Medicine Siriraj Hospital ( Site 0350)
RECRUITINGBangkok, Bangkok, 10700, Thailand
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Fondazione IRCCS Istituto Nazionale Dei Tumori ( Site 0175)
RECRUITINGMilan, Lombardy, 20133, Italy
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Fundacion Arturo Lopez Perez ( Site 0167)
RECRUITINGSantiago, Region M. de Santiago, 7500921, Chile
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HYKS Syöpätautien klinikka ( Site 0260)
RECRUITINGHelsinki, Uusimaa, 00290, Finland
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Hacettepe Universite Hastaneleri ( Site 0140)
RECRUITINGAnkara, 6230, Turkey (Türkiye)
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Hong Kong Integrated Oncology Centre ( Site 0232)
RECRUITINGCentral, 0000, Hong Kong
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Hong Kong United Oncology Centre ( Site 0231)
RECRUITINGKowloon, Hong Kong
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Hospital Universitario Virgen de la Macarena ( Site 0093)
RECRUITINGSeville, 41009, Spain
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Koç Üniversitesi Hastanesi ( Site 0142)
RECRUITINGAdana, 34010, Turkey (Türkiye)
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Kuopion Yliopistollinen Sairaala ( Site 0261)
RECRUITINGKuopio, Northern Savonia, 70200, Finland
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LIMITED LIABILITY COMPANY "MEDICAL CENTER "DOBROBUT-CLINIC" ( Site 0138)
RECRUITINGKyiv, 03151, Ukraine
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Leids Universitair Medisch Centrum ( Site 0273)
RECRUITINGLeiden, South Holland, 2333 ZA, Netherlands
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Limited Liability Company Ukrainian Center of Tomotherapy-Department of Chemotherapy ( Site 0467)
RECRUITINGKropyvnytskyi, Kirovohrad Oblast, 25011, Ukraine
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Liv Hospital Ankara ( Site 0146)
RECRUITINGAnkara, 06680, Turkey (Türkiye)
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Lviv Territorial Medical Union Multidisciplinary Clinical Hospital ( Site 0133)
RECRUITINGLviv, Lviv Oblast, 79059, Ukraine
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Medical Center "Mriya Med-Service"-Clinical Research Department ( Site 0465)
RECRUITINGKryvyi Rih, Dnipropetrovsk Oblast, 50000, Ukraine
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Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School ( Site 0318)
RECRUITINGNanjing, Jiangsu, 210000, China
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Queen Mary Hospital ( Site 0230)
RECRUITINGHong Kong, Hong Kong
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Sanford Cancer Center Oncology Clinic ( Site 0038)
RECRUITINGSioux Falls, South Dakota, 57104, United States
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Sanford Health Roger Maris Cancer Center ( Site 0039)
RECRUITINGFargo, North Dakota, 58102, United States
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Severance Hospital Yonsei University Health System ( Site 0080)
RECRUITINGSeoul, 03722, South Korea
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The First affiliated hospital of Nanchang University (Xianghu campus) ( Site 0306)
RECRUITINGNanchang, Jiangxi, 330209, China
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Turku University Hospital ( Site 0262)
RECRUITINGTurku, Southwest Finland, 20520, Finland
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Uzhhorod Municipal Multidisciplinary Clinical Hospital of Uzhhorod City Council ( Site 0137)
RECRUITINGUzhhorod, Zakarpattia Oblast, 88000, Ukraine
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VISION PARTNER Medical Centre ( Site 0135)
ACTIVE_NOT_RECRUITINGKyiv, 03022, Ukraine
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Vaasan Keskussairaala ( Site 0263)
RECRUITINGVaasa, Pohjanmaa, 65130, Finland
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West China Hospital, Sichuan University ( Site 0315)
RECRUITINGChengdu, Sichuan, 610066, China
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Zhongshan Hospital Fudan University ( Site 0319)
RECRUITINGShanghai, Shanghai Municipality, 200032, China
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