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OncoMatch/Clinical Trials/NCT05609578

Combination Therapies With Adagrasib in Patients With Advanced NSCLC With KRAS G12C Mutation

Is NCT05609578 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Adagrasib oral dose of 400 mg twice daily tablets and Pembrolizumab for advanced nsclc.

Phase 2RecruitingMirati Therapeutics Inc.NCT05609578Data as of May 2026

Treatment: Adagrasib oral dose of 400 mg twice daily tablets · Pembrolizumab · Chemotherapy: Pemetrexed · Cisplatin/CarboplatinStudy CA239-0010 is an open-label, Phase 2 clinical trial evaluating the clinical efficacy of adagrasib in combination with pembrolizumab and chemotherapy in the first-line setting for patients with advanced NSCLC with TPS ≥ 1%, TPS \<50% and KRAS G12C mutation

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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Biomarker criteria

Required: KRAS G12C mutation

KRASG12C mutation

Required: PD-L1 (CD274) TPS ≥1% (TPS ≥1%)

PD-L1 TPS ≥1%

Required: PD-L1 (CD274) TPS <50% (TPS <50%)

PD-L1 TPS < 50%

Disease stage

Metastatic disease required

untreated and unresectable or metastatic NSCLC; Presence of measurable disease per RECIST v1.1

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Must have received: platinum-based chemotherapy (pembrolizumab) — induction

previously completed 4 cycles of standard-of-care platinum based induction chemotherapy with pembrolizumab AND experienced stable disease, partial response, or complete response per investigator's assessment after 4 cycles OR if patients received <4 cycles of a platinum-based induction, was stopped early due to intolerable toxicity

Cannot have received: KRAS inhibitor

Any prior therapy targeting KRASG12C mutation in any setting

Cannot have received: systemic therapy

Exception: adjuvant or neoadjuvant therapy allowed if last dose >1 year prior to first dose of study treatment

Prior systemic therapy for locally advanced or metastatic NSCLC, including chemotherapy, immune checkpoint inhibitor therapy or chemoimmunotherapy (note: prior systemic therapy or chemoradiation given in the adjuvant or neoadjuvant setting are allowed if last dose of prior systemic treatment was >1 year prior to first dose of study treatment)

Cannot have received: maintenance therapy (pembrolizumab, pemetrexed)

received maintenance therapy (e.g, pembrolizumab and/or pemetrexed following completion of 4-6 cycles of a platinum-based regimen administered in the first-line setting

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Local Institution - Unk025 · Anchorage, Alaska
  • Local Institution - 017-591 · Glendale, Arizona
  • Local Institution - 017-821 · Phoenix, Arizona
  • Local Institution - Unk047 · Anaheim, California
  • Local Institution - 017-936C · Fountain Valley, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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