Status:

NOT_YET_RECRUITING

A Phase 3 Study of IN10018 in Combination With D-1553 Versus Standard Therapy for First Line Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation

Lead Sponsor:

InxMed (Shanghai) Co., Ltd.

Conditions:

Non-Small Cell Lung Cancer

Eligibility:

All Genders

18-80 years

Phase:

PHASE3

Brief Summary

This is a multicenter, randomized, open-label, phase III clinical study, to evaluate the efficacy and safety of IN10018 in combination with D-1553 as compared to anti-PD-1 monoclonal antibody (mAb) in...

Detailed Description

Preclinical studies indicate that IN10018 synergizes with D-1553 to enhance antitumor activity and delay resistance through multiple mechanisms, including suppression of FAK-YAP signaling pathway acti...

Eligibility Criteria

Inclusion

  • Able and willing to provide informed consent and comply with study requirements
  • Has histologically confirmed locally advanced (Stage IIIB/C) or metastatic (Stage IV) non-squamous NSCLC
  • Aged 18-80 years at the time of consent
  • Has KRAS G12C mutation confirmed by central laboratory
  • Has not received prior systemic therapy for advanced or metastatic NSCLC
  • Has at least one measurable lesion per RECIST v1.1
  • ECOG performance status of 0-1
  • Has adequate organ function
  • Life expectancy ≥3 months in the opinion of the Investigator
  • Male and female subjects of reproductive potential must agree to use effective contraception during and for 6 months after treatment

Exclusion

  • Has other histological subtypes of NSCLC (e.g., small cell or neuroendocrine)
  • Has active or untreated CNS metastases or carcinomatous meningitis
  • Prior treatment with KRAS G12C inhibitors, FAK inhibitors, or immune checkpoint inhibitors
  • Has another known driver mutation with approved targeted therapy (e.g., EGFR, ALK, ROS1)
  • Has uncontrolled cardiovascular disease, active severe infection, interstitial lung disease, or autoimmune disease requiring systemic therapy
  • Has history of another malignancy within 5 years, except those curatively treated and considered low risk (e.g., basal cell carcinoma, cervical carcinoma in situ)
  • Has gastrointestinal conditions that may interfere with absorption of oral drugs (if applicable)
  • Has known active hepatitis B, hepatitis C, or HIV infection
  • Has received a live vaccine within 30 days before first dose of study drug
  • Pregnant or breastfeeding women
  • Has psychiatric or substance abuse disorders that would interfere with study compliance
  • Is participating in another interventional clinical study
  • Any condition that, in the opinion of the Investigator, would interfere with participation or study results

Key Trial Info

Start Date :

September 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2030

Estimated Enrollment :

400 Patients enrolled

Trial Details

Trial ID

NCT07174908

Start Date

September 1 2025

End Date

September 1 2030

Last Update

September 16 2025

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