Last updated 39 days ago

A Study of First-Line Olomorasib (LY3537982) and Pembrolizumab With or Without Chemotherapy in Patients With Advanced KRAS G12C-Mutant Non-small Cell Lung Cancer

1016 patients around the world
Available in Spain, Brazil, Mexico, United States
Dose Optimization, Part A, and Part B are randomized. Safety Lead-In for Part B is single arm, non-randomized.
Eli Lilly and Company
28Research sites
1016Patients around the world

This study is for people with

Lung cancer
Non-small cell lung carcinoma

Requirements for the patient

From 18 Years
All Gender

Medical requirements

Histologically or cytologically confirmed NSCLC with Stage IIIB-IIIC or Stage IV disease, not suitable for curative intent radical surgery or radiation therapy.
Part B and Safety Lead-In Part B: the histology of the tumor must be predominantly non-squamous (in line with pemetrexed label).
Must have disease with evidence of KRAS G12C mutation.
Must have known programmed death-ligand 1 (PD-L1) expression
Part A: Greater than or equal to (≥)50 percent (%).
Part B: 0% to 100%.
Must have measurable disease per RECIST v1.1.
Must have an ECOG performance status of 0 or 1.
Estimated life expectancy ≥12 weeks.
Ability to swallow capsules.
Must have adequate laboratory parameters.
Contraceptive use should be consistent with local regulations for those participating in clinical studies.
Women of childbearing potential must
Have a negative pregnancy test.
Not be breastfeeding during treatment and after study intervention for at least 180 days.
Have a documented additional validated targetable oncogenic driver mutation or alteration in genes such as epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), BRAF (V600E), human epidermal growth factor receptor 2 (HER2), MET (exon 14), ROS1, rearranged during transfection (RET), or neurotrophic tyrosine receptor kinase (NTRK)1/2/3.
Have had any of the following prior to randomization:
Prior systemic therapy (chemotherapy, immunotherapy, targeted therapy, or biological therapy) for advanced or metastatic NSCLC.
1 cycle of standard-of-care treatment prior to study enrollment will be allowed for cases where immediate treatment is clinically indicated:
Have known active central nervous system metastases and/or carcinomatous meningitis.
Exclusion Criteria for Participants receiving Pemetrexed and Platinum (Part B and Safety Lead-In Part B)
Squamous cell and/or mixed small cell/nonsmall cell histology is not permitted.
Is unable to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs)
Is unable or unwilling to take folic acid or vitamin B12 supplementation.

Sites

Instituto Do Câncer Do Ceará ICC
Rua Papi Júnior, 1222 - Rodolfo Teófilo, Fortaleza - CE, 60430-230
Hospital Sírio- Libanês Brasilia
SGAS 613/614 Conjunto E Lote 95, SGAS II SGAS 613 - Asa Sul, Brasília - DF, 70200-730
Hospital Brasília
Shis Qi 15 - SHIS QI 15 - Lago Sul, Brasília - DF, Brazil
Hospital São Domingos
Av. Jerônimo de Albuquerque, nº 540, Bequimão São Luís - MA
Oncominas
Rua Benedito Valdetário e Silva, 80 - Fatima, Pouso Alegre - MG, 37550-000, Brazil
Hospital Do Cancer de Londrina
Londrina, 86015-520
Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica
Natal, Rio Grande Do Norte, 59075-740
ONCOSITE - Centro de Pesquisa Clinica em Oncologia
Ijui, 98700-000
Centro Universitário Faculdade de Medicina do ABC (FMABC)
Av. Lauro Gomes, 2000 - Vila Sacadura Cabral, Santo André - SP, 09060-870
Beneficência Portuguesa de São Paulo
R. Maestro Cardim, 637 - Bela Vista, São Paulo - SP, 01323-001
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