-
Phase 2/Phase 3
-
-
18+Age Range
-
292Locations
Menu
Thank you for submitting your question. You will get a reply within two business days to the email you provided. Thank you.
KRYSTAL -7 Trial Information
Learn more about the KRYSTAL-7 / 849-007 / CA239-0009 study
Recruiting
The purpose of this trial is to inform potential treatment options for squamous or non-squamous NSCLC that has spread to other parts of the body (metastatic) or cannot be surgically removed (unresectable). The trial will look at an investigational combination of a drug called adagrasib, which will be used together with immunotherapy (pembrolizumab) in comparison with pembrolizumab alone. This trial is for individuals whose cancer has a genetic change called KRASG12C, whose tumors have a high level of a protein called PD-L1 (50% or higher) and who have not received any treatment for this stage of cancer.
Download and print the details of this study to bring to your doctor.
Patients who are 18 years or older.
Have been diagnosed with NSCLC after a doctor has looked at a tumor sample under a microscope.
Will be receiving your first treatment for this stage of cancer.
Have metastatic or unresectable NSCLC.
Cancer must have a specific genetic mutation called KRASG12C. The tumors must have a high level of a protein called PD-L1, with a score of 50% or higher. This means that at least 50% of the cancer cells in the tumor exhibit this protein.
Brain metastases untreated up to 2 cm and/or treated and stable.
*There are other requirements for taking part in this clinical trial which the study staff can explain to you. Talk to your doctor or reach out to your nearest study site using the location finder.
A biomarker is any molecule, or tiny chemical substance, that can be measured in tissue, blood, or other body fluids. It may be a sign of an abnormal condition or disease. It may also be called a molecular marker, genotype, or signature molecule1
Biomarker testing is a way for the healthcare team to gather as much information as possible about your unique lung cancer. It also helps them decide what type of treatment option may be most appropriate for you.2
Immunotherapy drugs can block the interaction between PD-1 protein and PD-L1 protein to help boost the immune response against cancer cells. Examples of immunotherapy drugs include immune checkpoint inhibitors (ICIs).3
For example, pembrolizumab is a drug that is approved either as monotherapy or in combination with pemetrexed (a chemotherapy drug) and platinum-based chemotherapy as first-line treatment for patients with non-squamous NSCLC.4
Targeted therapy focuses on blocking the protein activity involved in making cancer cells behave differently from normal cells.
Which biomarkers help with selecting the right targeted therapy and immunotherapy?
Two types of biomarkers are currently used to determine if targeted therapy and immunotherapy are appropriate:
KRAS refers to a gene that produces a protein involved controlling how cells grow and multiply.7 Mutations in the KRAS gene are common in various types of cancer, including lung, colorectal, and pancreatic cancer, and can lead to uncontrolled cell growth.7 These mutations are often "driver mutations," meaning they directly contribute to the start and spread of cancer.7
Mutations in the KRAS gene can cause the K-Ras protein to become overactive, leading to non-stop messages for cell growth even when it's not needed. This can result in uncontrolled cell growth, which is a hallmark of cancer. 8
In non-small cell lung cancer (NSCLC), the KRAS gene is mutated in about 30% of cases.9 The KRASG12C mutation is found in about 14% of lung adenocarcinoma cases.10
The presence of KRAS mutations can influence treatment decisions. KRAS mutations can serve as a biomarker, meaning they can be used to identify patients who are likely to benefit from specific treatments.
Show References
Hide References
Adagrasib is a type of investigational drug known as a “targeted therapy” as it is thought to work by specifically targeting tumors that have an altered (mutated) protein called KRASG12C. Adagrasib (BMS-986503/ MRTX849) is an investigational oral pill.
Figure: This figure shows how adagrasib is thought to work in NSCLC
Reference: Hallin J, Engstrom LD, Hargis L, et al. Cancer Discov. 2020;10(1): 54-71
Globally, 550 patients will participate.
If you enroll, the length of time you will be involved in the study will depend on how your cancer responds to the study treatment.
Yes, you will know, which study drug you are taking, because this is an open-label study. This study is also randomized, which means that you will not know in advance to which study arm you will be assigned, in the standard of care arm with pembrolizumab alone, or in the combination of pembrolizumab and adagrasib.
Prescreening period:
The study doctor will conduct tests to see if your tumor is positive for the KRASG12C mutation and to determine the level of PD-L1 present.
Screening period:
The study doctor will then conduct a series of tests and assessments to evaluate if you meet the specific criteria for participation in the study. Eligible patients will then be enrolled in the study if they agree to participate and sign an informed consent form. If any of the tests show that you are not the right fit to be part of the study, your study doctor will explain to you why you are not eligible and will discuss other treatment options with you.
Treatment period:
Standard-of-care (SOC) treatment is one that is accepted and widely used by healthcare professionals and, in this trial, consists of pembrolizumab. The trial will look at an investigational study drug called adagrasib, which will be used together with SOC in comparison with SOC (pembrolizumab) alone.
Follow-up period, end of treatment (EoT), initial follow-up, long-term follow-up:
You will stop the study drugs but continue to meet with your study team to follow your disease status and any side effects.
Resources are also available for your healthcare team at KrystalTrialsHCP.com >