Study of JDQ443 in Comparison With Docetaxel in Participants With Locally Advanced or Metastatic KRAS G12C Mutant Non-small Cell Lung Cancer

NCT ID: NCT05132075

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-15

Study Completion Date

2026-03-30

Brief Summary

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This is a phase III randomized open label study designed to compare JDQ443 as monotherapy to docetaxel in participants with advanced non-small cell lung cancer (NSCLC) harboring a KRAS G12C mutation who have been previously treated with a platinum-based chemotherapy and immune checkpoint inhibitor therapy either in sequence or in combination.

Detailed Description

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The study has been designed as a Phase III trial and consists of 2 parts:

* Randomized part will evaluate the efficacy and safety of JDQ443 as monotherapy in comparison with docetaxel. Participants randomized to docetaxel arm will have the opportunity to cross-over to JDQ443 at disease progression per RECIST 1.1 confirmed by BIRC.
* Extension part will be open after final progression-free survival (PFS) analysis (if the primary endpoint has met statistical significance) to allow participants randomized to docetaxel treatment to crossover to receive JDQ443 treatment regardless of progression on docetaxel.

The study population will include adult participants with locally advanced or metastatic (stage IIIB/IIIC or IV) KRAS G12C mutant non-small cell lung cancer (by tissue or plasma as determined by a Novartis-designated central laboratory or accepted local tests) who have received prior platinum-based chemotherapy and prior immune checkpoint inhibitor therapy administered either in sequence or as combination therapy.

Approximately 360 participants will be randomized to JDQ443 or docetaxel in a 1:1 ratio stratified by prior line of therapy and ECOG performance status.

Conditions

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Non-Small Cell Lung Cancer

Keywords

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NSCLC Non small cell lung cancer Lung cancer Cancer of the lung Cancer of lung Pulmonary Cancer Neoplasms, Lung Neoplasms, Pulmonary

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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JDQ443

Participants will be treated with JDQ443

Group Type EXPERIMENTAL

JDQ443

Intervention Type DRUG

JDQ443 tablets, orally administered

Docetaxel

Participant will be treated with docetaxel following local guidelines as per standard of care and product labels

Group Type ACTIVE_COMPARATOR

docetaxel

Intervention Type DRUG

docetaxel concentrated solution for infusion, intravenously administered

Interventions

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JDQ443

JDQ443 tablets, orally administered

Intervention Type DRUG

docetaxel

docetaxel concentrated solution for infusion, intravenously administered

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant has histologically confirmed locally advanced/metastatic (stage IIIB/IIIC or IV)
* Participant has a KRAS G12C mutation present in tumor tissue or plasma prior to enrollment, as determined by a Novartis designated central laboratory or by accepted local tests.
* Participants has received one prior platinum-based chemotherapy regimen and one prior immune checkpoint inhibitor therapy for locally advanced or metastatic disease
* Participant has at least 1 evaluable (measurable or non-measurable) lesion by RECIST 1.1 at the screening visit.

Exclusion Criteria

* Participants who have previously received docetaxel (except if received in neoadjuvant or adjuvant setting with no progression within 12 months after the of end of treatment), or any other KRAS G12C inhibitor.
* Participant has EGFR-sensitizing mutation and/or ALK rearrangement by local laboratory testing. Participants with other druggable alterations will be excluded if required by local guidelines.
* Participant has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
* Participant has an history of interstitial lung disease or pneumonitis grade \> 1.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Valley Medical Center Research

Renton, Washington, United States

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Novartis Investigative Site

CABA, Buenos Aires, Argentina

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Pilar, Buenos Aires, Argentina

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Auchenflower, Queensland, Australia

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South Brisbane, Queensland, Australia

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Montreal, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Beijing, Beijing Municipality, China

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Fuzhou, Fujian, China

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Guangzhou, Guangdong, China

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Guangzhou, Guangdong, China

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Harbin, Heilongjiang, China

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Changsha, Hunan, China

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Shengyang, Liaoning, China

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Jinan, Shandong, China

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Hangzhou, Zhejiang, China

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Chongqing, , China

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Turku, , Finland

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Athens, GR, Greece

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Athens, , Greece

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Heraklion Crete., , Greece

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Hong Kong, , Hong Kong

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Kowloon, , Hong Kong

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Budapest, , Hungary

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Reykjavik, , Iceland

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Jaipur, Rajasthan, India

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Delhi, , India

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Lucca, LU, Italy

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Aviano, PN, Italy

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Roma, RM, Italy

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Amman, , Jordan

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Ed Daoura, , Lebanon

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Kuching, Sarawak, Malaysia

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Kuala Lumpur, , Malaysia

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Mexico City, , Mexico

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Matosinhos Municipality, , Portugal

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Porto, , Portugal

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Cluj-Napoca, Cluj, Romania

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Ljubljana, , Slovenia

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Seongnam-si, Gyeonggi-do, South Korea

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Pamplona, Navarre, Spain

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Oviedo, Principality of Asturias, Spain

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Córdoba, , Spain

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Madrid, , Spain

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Tainan, , Taiwan

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Bangkok, , Thailand

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Adana, Adana, Turkey (Türkiye)

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Ankara, Bilkent-Cankaya, Turkey (Türkiye)

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Istanbul, Fatih, Turkey (Türkiye)

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Istanbul, Pendik, Turkey (Türkiye)

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Ankara, Yenimahalle, Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Hanoi, , Vietnam

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Countries

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Brazil Bulgaria Chile Colombia Croatia Czechia Denmark Estonia Norway Poland Serbia United Kingdom United States Argentina Australia Canada China Finland Greece Hong Kong Hungary Iceland India Italy Jordan Lebanon Malaysia Mexico Portugal Romania Slovenia South Korea Spain Taiwan Thailand Turkey (Türkiye) Vietnam

Other Identifiers

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2023-510082-10-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

CJDQ443B12301

Identifier Type: -

Identifier Source: org_study_id