Actively Recruiting
A Phase 3 Study of MK-1084 with Subcutaneous Pembrolizumab and Berahyaluronidase Alfa Versus Pembrolizumab with Chemotherapy for KRAS G12C-Mutant Advanced Nonsquamous NSCLC
Led by Merck Sharp & Dohme LLC · Updated on 2026-06-08
675
Participants Needed
175
Research Sites
139 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying whether the medicines calderasib and subcutaneous pembrolizumab can be used together to treat non-small cell lung cancer NSCLC in people with a specific KRAS G12C mutation. The main goal is to find out if patients receiving calderasib plus pembrolizumab live longer without their cancer growing or spreading compared to those receiving pembrolizumab with chemotherapy. Participants will be randomly assigned to one of two groups one group will receive pembrolizumab and berahyaluronidase alfa as a subcutaneous injection every 6 weeks for up to about 2 years plus calderasib pills daily until treatment needs to stop. The other group will receive the same pembrolizumab and berahyaluronidase alfa injections plus chemotherapy drugs pemetrexed with either carboplatin or cisplatin delivered by intravenous infusion at specific days during the treatment cycles. Throughout the study, participants will be closely monitored for how long they live without cancer progression, overall survival, response to treatment, and quality of life using questionnaires and other assessments. The study will track side effects and any reasons for stopping treatment over several years, with evaluations continuing for up to about 81 months. This long-term follow-up helps researchers understand the safety and impact of these treatments over time.
CONDITIONS
Brief Title
A Clinical Study of Calderasib (MK-1084) and Other Treatments for Participants With Non-Small Cell Lung Cancer (MK-1084-007/KANDLELIT-007)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Has nonsquamous non-small cell lung cancer (NSCLC) at Stage IIIB, IIIC, or IV not eligible for curative surgery or chemoradiation
- If HIV positive, must have well-controlled HIV on antiretroviral therapy
- Adults aged 18 years or older
You will not qualify if you...
- Has small cell lung cancer or mixed tumors with small cell elements
- Has active inflammatory bowel disease requiring immunosuppressive medication or a history of inflammatory bowel disease
- Has uncontrolled significant cardiovascular or cerebrovascular disease
- Has a gastrointestinal disorder affecting drug absorption
- HIV positive with history of Kaposi's sarcoma or Multicentric Castleman's Disease
- Has received prior systemic anticancer therapy for advanced or metastatic NSCLC
- Has another progressing malignancy requiring treatment within the past 3 years
- Has active central nervous system metastases or carcinomatous meningitis
- Has active autoimmune disease treated systemically in the past 2 years
- History or current pneumonitis or interstitial lung disease requiring steroids
- Has an active infection requiring systemic therapy (except as allowed by protocol)
- History of stem cell or solid organ transplant
- Not fully recovered from major surgery or has ongoing surgical complications
Research Team
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