Trial of Two Adagrasib Dosing Regimens in NSCLC With KRAS G12C Mutation (KRYSTAL 21)
A Randomized Study of Two Dosing Regimens of Adagrasib in Patients With Previously Treated Non-Small Cell Lung Cancer With KRAS G12C Mutation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Expanded Access
Expanded Access
Approved
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Contact
Study Contact
- Name: First line of the email MUST contain NCT # and Site #.
Study Contact Backup
- Name: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Phone Number: 855-907-3286
- Email: Clinical.Trials@bms.com
Study Locations
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São Paulo, Brazil, 01509-900
- Local Institution - 102
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São Paulo, Brazil, 01509-900
- Local Institution - 175
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Estado de Bahia
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Salvador, Estado de Bahia, Brazil, 41950-640
- Local Institution - 181
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90610-000
- Local Institution - 177
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Santa Catarina
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Itajaí, Santa Catarina, Brazil, 88301-220
- Local Institution - 182
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São Paulo
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Belo Horizonte, São Paulo, Brazil, 30360-680
- Local Institution - 178
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City of Zagreb
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Zagreb, City of Zagreb, Croatia, 10000
- Local Institution - 527
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Primorje-Gorski Kotar County
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Rijeka, Primorje-Gorski Kotar County, Croatia, 51000
- Local Institution - 529
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Paris, France, 75014
- Local Institution - 562
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Quimper, France, 29000
- Local Institution - 558
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Saint-Mandé, France, 94163
- Local Institution - 550
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Auvergne-Rhône-Alpes
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Grenoble, Auvergne-Rhône-Alpes, France
- Local Institution - 559
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Gironde
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Pessac, Gironde, France, 33604
- Local Institution - 556
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Loire-Atlantique
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Saint-Herblain, Loire-Atlantique, France, 44800
- Local Institution - 553
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Maine-et-Loire
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Angers, Maine-et-Loire, France, 49933
- Local Institution - 554
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Morbihan
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Lorient, Morbihan, France, 56322
- Local Institution - 552
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Pays de la Loire Region
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Nantes, Pays de la Loire Region, France, 44093
- Local Institution - 555
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Poitou-Charentes
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Poitiers, Poitou-Charentes, France, 86000
- Local Institution - 557
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Provence-Alpes-Côte d'Azur Region
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Nice, Provence-Alpes-Côte d'Azur Region, France, 06000
- Local Institution - 561
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Rhône
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Marseille, Rhône, France, 13915
- Local Institution - 551
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Villefranche-sur-Saône, Rhône, France, 69655
- Local Institution - 560
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Thessaloniki, Greece, 54639
- Local Institution - 576
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Thessaloniki, Greece, 56429
- Local Institution - 581
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Achaïa
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Pátrai, Achaïa, Greece, 265 04
- Local Institution - 577
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Attica
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Athens, Attica, Greece, 11528
- Local Institution - 575
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North Aegean
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Thessaloniki, North Aegean, Greece, 552 36
- Local Institution - 580
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Pella
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Haidari - Athens, Pella, Greece, 12462
- Local Institution - 579
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Haifa, Israel, 3109601
- Local Institution - 627
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Tel Aviv, Israel, 6423906
- Local Institution - 626
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Jerusalem
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Jerusalem, Jerusalem, Israel, 9103102
- Local Institution - 625
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Tel Aviv
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Haifa, Tel Aviv, Israel, 31048
- Local Institution - 629
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Tel Aviv, Tel Aviv, Israel, 64239
- Local Institution - 628
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Milan, Italy, 20141
- Local Institution - 779
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Perugia, Italy, 6132
- Local Institution - 775
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Roma, Italy, 00144
- Local Institution - 776
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Pesaro E Urbino
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Pesaro, Pesaro E Urbino, Italy, 61122
- Local Institution - 778
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Piedmont
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Novara, Piedmont, Italy, 28100
- Local Institution - 777
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Torino
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Candiolo, Torino, Italy, 10060
- Local Institution - 780
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Ehime
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Tōon, Ehime, Japan, 791-0295
- Local Institution - 401
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Hyôgo [Hyogo]
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Nishinomiya, Hyôgo [Hyogo], Japan, 663-8501
- Local Institution - 403
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Tiba [Chiba]
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Kashiwa, Tiba [Chiba], Japan, 277-8577
- Local Institution - 402
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Ôsaka [Osaka]
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Osaka, Ôsaka [Osaka], Japan, 541-8567
- Local Institution - 400
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Toluca, Mexico, 50090
- Local Institution - 125
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Mexico City
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Colonia Nápoles, Mexico City, Mexico, 3810
- Local Institution - 129
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Colonia Roma, Mexico City, Mexico, 06760
- Local Institution - 127
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Utrecht, Netherlands, 3543 AZ
- Local Institution - 801
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North Holland
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Amsterdam, North Holland, Netherlands, 1066 CX
- Local Institution - 800
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Lublin, Poland, 20-064
- Local Institution - 653
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Lesser Poland Voivodeship
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Krakow, Lesser Poland Voivodeship, Poland, 30-727
- Local Institution - 650
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Pomeranian Voivodeship
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Gdynia, Pomeranian Voivodeship, Poland, 81-519
- Local Institution - 651
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Iași, Romania, 700106
- Local Institution - 733
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Sibiu, Romania, 550245
- Local Institution - 725
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Suceava, Romania, 720214
- Local Institution - 728
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Cluj
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Cluj-Napoca, Cluj, Romania, 400641
- Local Institution - 732
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Constanța County
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Ovidiu, Constanța County, Romania, 905900
- Local Institution - 731
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Dolj
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Craiova, Dolj, Romania, 200385
- Local Institution - 729
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Craiova, Dolj, Romania, 200746
- Local Institution - 734
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Timiș County
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Timișoara, Timiș County, Romania, 300166
- Local Institution - 730
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Vojvodina
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Nis, Vojvodina, Serbia, 11000
- Local Institution - 754
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Šumadijski Okrug
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Kragujevac, Šumadijski Okrug, Serbia, 34000
- Local Institution - 752
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Gyeonggido [Kyonggi-do]
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Goyang-si, Gyeonggido [Kyonggi-do], South Korea, 10408
- Local Institution - 327
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Seoul Teugbyeolsi [Seoul-T'ukp
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Seoul, Seoul Teugbyeolsi [Seoul-T'ukp, South Korea, 06273
- Local Institution - 328
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Seoul, Seoul Teugbyeolsi [Seoul-T'ukp, South Korea, 08308
- Local Institution - 326
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Seoul Teugbyeolsi [Seoul-T'ukpyolshi]
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Seoul, Seoul Teugbyeolsi [Seoul-T'ukpyolshi], South Korea, 6351
- Local Institution - 325
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Barcelona, Spain, 08025
- Local Institution - 683
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Barcelona, Spain, 08028
- Local Institution - 687
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Barcelona, Spain, 08035
- Local Institution - 681
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Madrid, Spain, 28007
- Local Institution - 675
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Madrid, Spain, 28033
- Local Institution - 679
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Madrid, Spain, 28040
- Local Institution - 688
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Seville, Spain, 41009
- Local Institution - 682
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Valencia, Spain, 46010
- Local Institution - 677
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A Coruña
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Santiago de Compostela, A Coruña, Spain, 15706
- Local Institution - 680
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Andalusia
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Málaga, Andalusia, Spain, 29010
- Local Institution - 678
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Balearic Islands
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Palma de Mallorca, Balearic Islands, Spain, 07120
- Local Institution - 685
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Principality of Asturias
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Oviedo, Principality of Asturias, Spain, 33011
- Local Institution - 676
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Kaohsiung
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Kaohsuing City, Kaohsiung, Taiwan, 833401
- Local Institution - 352
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Taichung
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Taichung, Taichung, Taiwan, 402306
- Local Institution - 353
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Taichung, Taichung, Taiwan, 404327
- Local Institution - 179
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Taichung, Taichung, Taiwan, 404327
- Local Institution - 350
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Khon Kaen, Thailand, 40002
- Local Institution - 375
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Songkhla, Thailand, 90110
- Local Institution - 378
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Chiang Mai
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Muang, Chiang Mai, Thailand, 50200
- Local Institution - 376
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Krung Thep Maha Nakhon [Bangko
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Bangkok, Krung Thep Maha Nakhon [Bangko, Thailand, 10700
- Local Institution - 377
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Ankara, Turkey (Türkiye), 06200
- Local Institution - 704
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Ankara, Turkey (Türkiye), 06680
- Local Institution - 701
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Ankara, Turkey (Türkiye), 06800
- Local Institution - 706
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Edirne, Turkey (Türkiye), 22030
- Local Institution - 700
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Istanbul, Turkey (Türkiye), 34722
- Local Institution - 707
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Izmir, Turkey (Türkiye), 35100
- Local Institution - 708
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Ankara/Cankaya
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Ankara, Ankara/Cankaya, Turkey (Türkiye), 06520
- Local Institution - 705
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Etlik/Ankara
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Ankara, Etlik/Ankara, Turkey (Türkiye), 06010
- Local Institution - 702
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Samsun
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Istanbul, Samsun, Turkey (Türkiye), 34214
- Local Institution - 709
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Istanbul, Samsun, Turkey (Türkiye), 34846
- Local Institution - 710
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California
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Santa Rosa, California, United States, 95403
- Local Institution - 101
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Missouri
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Kansas City, Missouri, United States, 64128
- Local Institution - 105
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North Carolina
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Durham, North Carolina, United States, 27705
- Local Institution - 100
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Texas
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Dallas, Texas, United States, 75216-7167
- Local Institution - 106
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Are at least 18 years old (or old enough to legally make their own treatment decisions, according to local laws).
- Have advanced NSCLC or metastatic NSCLC (NSCLC that started in the lungs and then spread to other parts of the body) with the KRAS G12C mutation.
- Have had previous treatment with 1) chemotherapy that included a drug called cisplatin or a drug called carboplatin and 2) a type of drug called an immune checkpoint inhibitor.
- Have recovered from their prior treatment and blood tests are within a safe range.
Key Exclusion Criteria:
- Have had previous treatment with a drug that targets KRAS G12C.
- Have cancer that can potentially be removed with surgery.
- Patients with brain lesions are not eligible if 1) any untreated brain lesions are > 2.0 cm in size 2) any brainstem lesions are present 3) ongoing steroid dosing >10 mg daily prednisone (or equivalent) and 4) poorly controlled (> 1/week) generalized or complex partial seizures or neurologic progression/instability due to brain lesions.
- Have certain medical conditions or need to take certain medications that, in the opinion of a trial doctor, could make it unsafe for them to participate or difficult to complete the trial assessments, or are pregnant.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Adagrasib 600mg BID
Adagrasib 600mg BID without regard to food
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KRAS G12C inhibitor
Other Names:
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Experimental: Adagrasib 400mg BID
Adagrasib 400mg BID with food
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KRAS G12C inhibitor
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective Response Rate (ORR) using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
Time Frame: 30 months
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ORR evaluation of subjects treated with adagrasib 600 mg BID without regard to food versus 400 mg BID with food having NSCLC with KRAS G12C mutation (Study Population) will be completed per blinded independent central radiology (BICR) review.
Objective response is the proportion of subjects that experience confirmed complete response (CR) or partial response (PR) based on RECIST v1.1 during the time period from 1st dose of adagrasib until last dose of adagrasib.
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30 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Evaluate Overall Survival (OS).
Time Frame: 45 months
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Overall survival is defined as time from date of randomization to date of death due to any cause.
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45 months
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Evaluate Progression Free Survival (PFS).
Time Frame: 30 months
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Progression-free survival is defined as time from date of randomization to date of first progression per RECIST 1.1 or death from any cause, whichever occurs first.
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30 months
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Evaluate Duration of Response (DOR).
Time Frame: 30 months
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Duration of response defined as the time from date of the first documentation of objective tumor response (CR or PR) to the first documentation of either PD (per BICR review) or death due to any cause, whichever occurs first.
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30 months
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Safety and tolerability in the study population.
Time Frame: 30 months
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Safety characterized by number of participants with AEs, with abnormal laboratory test results and number of patients modifying or discontinuing study treatment due to an AE:
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30 months
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Population pharmacokinetic (PK) Model Derived Area Under the Curve During the Dosing Interval at Steady State (AUCtau,ss).
Time Frame: Pre-dose and 4-6 hours post dose; up to 6 months.
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Sparse concentration data from this study will be pooled with other studies and analyzed using population PK methods to derive individual exposure parameters.
Data for this Outcome Measure will not be reported here since ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.
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Pre-dose and 4-6 hours post dose; up to 6 months.
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Patient-reported symptoms during adagrasib administration from first dose to 28 days after last dose of adagrasib.
Time Frame: 30 months
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Patient reported outcomes (PROs) will be used to assess symptomatic toxicity of adagrasib using the NCI Patient Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) Measurement System.
PRO items reflect the specific symptom 1) frequency, severity, interference with usual or daily activities, 2) amount, or 3) presence or absence.
PRO-CTCAE responses are scored from 0 (low) to 4 (high), or 0/1 for absent/present, and scores for each attribute (frequency, severity and/or interference) are presented descriptively.
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30 months
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Patient -reported quality of life during adagrasib administration from first dose to End of Treatment visit.
Time Frame: 30 months
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Patient reported quality of life questionnaire will be used to assess five dimensions of patient health: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using the 5-Level EQ-5D version (EQ-5D-5L) established by the EuroQol Group.
This is presented descriptively, and patient responses correspond to a value of 1 (low) or 5 (high).
Additionally, a one- page Visual Analog Scale (VAS) will be provided to patients so they may report their self-rated health from the best (100) and worst (0) health imaginable.
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30 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms by Site
- Neoplasms
- Respiratory Tract Diseases
- Lung Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Neoplastic Processes
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Pathological Conditions, Signs and Symptoms
- Lung Neoplasms
- Neoplasm Metastasis
- Carcinoma, Non-Small-Cell Lung
- Antineoplastic Agents
- adagrasib
Other Study ID Numbers
Other Study ID Numbers
- CA239-0012 (Other Identifier: Bristol-Myers Squibb Protocol ID)
- 849-021 (Other Identifier: Mirati Therapeutics Protocol ID)
- 2023-503523-25 (Other Identifier: EU CT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.