Trial of Two Adagrasib Dosing Regimens in NSCLC With KRAS G12C Mutation (KRYSTAL 21)

NCT ID: NCT05853575

Last Updated: 2026-02-06

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-16

Study Completion Date

2026-07-30

Brief Summary

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This study will evaluate the efficacy of two dosing regimens of adagrasib (600 mg BID versus 400 mg BID) in patients with NSCLC with KRAS G12C mutation.

Detailed Description

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CA239-0012 is a phase 2 study of adagrasib monotherapy in which patients are randomized between two dosing regimens. The study will evaluate the efficacy of two dosing regimens of adagrasib (600 mg BID without regard to food versus 400 mg BID with food) in patients with NSCLC with KRAS G12C mutation and who have received prior treatment with a platinum-based regimen and immune checkpoint inhibitor therapy.

Conditions

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Advanced Cancer Metastatic Cancer Malignant Neoplasm of Lung

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adagrasib 600mg BID

Adagrasib 600mg BID without regard to food

Group Type EXPERIMENTAL

Adagrasib

Intervention Type DRUG

KRAS G12C inhibitor

Adagrasib 400mg BID

Adagrasib 400mg BID with food

Group Type EXPERIMENTAL

Adagrasib

Intervention Type DRUG

KRAS G12C inhibitor

Interventions

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Adagrasib

KRAS G12C inhibitor

Intervention Type DRUG

Other Intervention Names

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MRTX849 Krazati

Eligibility Criteria

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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.

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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mirati Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution - 751

Belgrade, , Serbia

Site Status WITHDRAWN

Local Institution - 101

Santa Rosa, California, United States

Site Status COMPLETED

Local Institution - 104

Chicago, Illinois, United States

Site Status WITHDRAWN

Local Institution - 103

Minneapolis, Minnesota, United States

Site Status WITHDRAWN

Kansas City VA Hospital

Kansas City, Missouri, United States

Site Status RECRUITING

Veterans Affairs Medical Center (VAMC) - Durham - Oncology

Durham, North Carolina, United States

Site Status RECRUITING

VA North Texas Healthcare System/Dallas VA Medical Center

Dallas, Texas, United States

Site Status RECRUITING

Ensino e Terapia de Inovação Clinica AMO-ÉTICA / Ética Pesquisa e Ensino

Salvador, Estado de Bahia, Brazil

Site Status RECRUITING

Uniao Brasileira de Educacao E Assistencia

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Clinica de Neoplasias Litoral

Itajaí, Santa Catarina, Brazil

Site Status RECRUITING

Oncocentro Belo Horizonte

Belo Horizonte, São Paulo, Brazil

Site Status RECRUITING

A.C. Camargo Cancer Center

São Paulo, , Brazil

Site Status RECRUITING

A.C. Camargo Cancer Center

São Paulo, , Brazil

Site Status RECRUITING

Klinički bolnički centar Sestre milosrdnice

Zagreb, City of Zagreb, Croatia

Site Status RECRUITING

Local Institution - 525

Pula, Istria County, Croatia

Site Status WITHDRAWN

Specijalna Bolnica Medico - Rijeka

Rijeka, Primorje-Gorski Kotar County, Croatia

Site Status RECRUITING

CHU de Grenoble

Grenoble, Auvergne-Rhône-Alpes, France

Site Status RECRUITING

Hopital Haut-Leveque - Maladies respiratoires

Pessac, Gironde, France

Site Status RECRUITING

Institut de Cancerologie de I'Ouest - Service d'Oncologie Medicale - Service d'Oncologie Médicale

Saint-Herblain, Loire-Atlantique, France

Site Status RECRUITING

Centre Hospitalier Universitaire D' Angers Hôpital Larrey - PNEUMOLOGIE - Département de PNEUMOLOGIE

Angers, Maine-et-Loire, France

Site Status RECRUITING

CHU de Nantes - Hôpital Nord LaÃ"nnec (HGRL) - Service dOncologie medicale â€" Unite dOncologie thoracique

Nantes, Pays de la Loire Region, France

Site Status RECRUITING

Centre Hospitalier Universitaire de Poitiers - Service d'oncologie Médicale Oncologie Medicale - Cancerolo

Poitiers, Poitou-Charentes, France

Site Status RECRUITING

Centre Hospitalier Universitaire de Nice

Nice, Provence-Alpes-Côte d'Azur Region, France

Site Status RECRUITING

AP-HM Hopital Nord

Marseille, Rhône, France

Site Status RECRUITING

Centre Hosptalier De Villefranche-Sur-Saone - Oncologie Medicale - Cancerolo

Villefranche-sur-Saône, Rhône, France

Site Status RECRUITING

Centre Hôspitalier de Bretagne Sud - Hôpital du Scorff

Lorient, , France

Site Status RECRUITING

GIE Groupe hospitalier Paris Saint-Joseph/Vinci

Paris, , France

Site Status RECRUITING

Centre Hospitalier de Cornouaille

Quimper, , France

Site Status RECRUITING

Hôpital Bégin - Service d'Oncologie

Saint-Mandé, , France

Site Status RECRUITING

Local Institution - 577

Pátrai, Achaïa, Greece

Site Status COMPLETED

General Hospital of Athens "Alexandra"

Athens, Attica, Greece

Site Status RECRUITING

Local Institution - 582

Athens, Attica, Greece

Site Status WITHDRAWN

Attikon Hospital - 2nd Critical Care

Haidari - Athens, Pella, Greece

Site Status RECRUITING

St. Luke's Hospital S.A.

Panórama, , Greece

Site Status RECRUITING

Theageneio Cancer Hospital

Thessaloniki, , Greece

Site Status RECRUITING

General Hospital Of Thessaloniki Papageorgiou

Thessaloniki, , Greece

Site Status RECRUITING

Local Institution - 600

Szolnok, Jász-Nagykun-Szolnok, Hungary

Site Status WITHDRAWN

Local Institution - 603

Debrecen, , Hungary

Site Status WITHDRAWN

Shaare Zedek Medical center

Jerusalem, Jerusalem, Israel

Site Status RECRUITING

Bnai Zion Medical Center Rheumatology Unit

Haifa, Tel Aviv, Israel

Site Status RECRUITING

Assuta Medical Center

Tel Aviv, Tel Aviv, Israel

Site Status RECRUITING

Rambam Health Care Campus

Haifa, , Israel

Site Status RECRUITING

Tel Aviv Sourasky Medical Center - Oncology - Hematology/Oncology

Tel Aviv, , Israel

Site Status RECRUITING

Azienda Sanitaria Territoriale Pesaro Urbino (AST PU)

Pesaro, Pesaro E Urbino, Italy

Site Status RECRUITING

Azienda Ospedaliero-Universitaria Maggiore Della Carita

Novara, Piedmont, Italy

Site Status RECRUITING

Istituto di Candiolo, IRCCS

Candiolo, Torino, Italy

Site Status RECRUITING

IEO - Istituto Europeo di Oncologia, IRCCS

Milan, , Italy

Site Status RECRUITING

Ospedale S.Maria della Misericordia, AO di Perugia, Università degli Studi di Perugia

Perugia, , Italy

Site Status RECRUITING

Istituto Nazionale Tumori Regina Elena - IRCCS - IFO

Roma, , Italy

Site Status RECRUITING

Ehime University Hospital

Tōon, Ehime, Japan

Site Status RECRUITING

Local Institution - 403

Nishinomiya, Hyôgo [Hyogo], Japan

Site Status COMPLETED

National Cancer Center Hospital East

Kashiwa, Tiba [Chiba], Japan

Site Status RECRUITING

Local Institution - 400

Osaka, Ôsaka [Osaka], Japan

Site Status COMPLETED

Local Institution - 128

Tuxtla Gutiérrez, Chiapas, Mexico

Site Status WITHDRAWN

Local Institution - 129

Colonia Nápoles, Mexico City, Mexico

Site Status NOT_YET_RECRUITING

Local Institution - 127

Colonia Roma, Mexico City, Mexico

Site Status NOT_YET_RECRUITING

Local Institution - 125

Toluca, , Mexico

Site Status NOT_YET_RECRUITING

Local Institution - 802

Breda, North Brabant, Netherlands

Site Status WITHDRAWN

Anthoni van Leeuwenhoek Ziekenhuis, Nederlands Kanker Instit

Amsterdam, North Holland, Netherlands

Site Status RECRUITING

St. Antonius Hospital

Utrecht, , Netherlands

Site Status RECRUITING

Local Institution - 152

San Martín de Porres, Lima region, Peru

Site Status WITHDRAWN

Local Institution - 151

Surquillo, Lima region, Peru

Site Status WITHDRAWN

Local Institution - 650

Krakow, Lesser Poland Voivodeship, Poland

Site Status COMPLETED

Local Institution - 651

Gdynia, Pomeranian Voivodeship, Poland

Site Status COMPLETED

Local Institution - 653

Lublin, , Poland

Site Status COMPLETED

Medisprof - Medical Oncology

Cluj-Napoca, Cluj, Romania

Site Status RECRUITING

Ovidius Clinical Hospital

Ovidiu, Constanța County, Romania

Site Status RECRUITING

Local Institution - 727

Craiova, Dolj, Romania

Site Status WITHDRAWN

Oncolab - Medical Oncology

Craiova, Dolj, Romania

Site Status RECRUITING

Centrul de Oncologie Sf Nectarie - Medical Oncology

Craiova, Dolj, Romania

Site Status RECRUITING

Oncocenter- Oncologie Clinica - Medical Oncology

Timișoara, Timiș County, Romania

Site Status RECRUITING

Local Institution - 726

Bucharest, , Romania

Site Status WITHDRAWN

Centrul de Oncologie Euroclinic

Iași, , Romania

Site Status RECRUITING

Spitalul Clinic Judetean De Urgenta Sibiu

Sibiu, , Romania

Site Status RECRUITING

Sigmedical Services S.R.L.

Suceava, , Romania

Site Status RECRUITING

Local Institution - 750

Kamenitz, Vojvodina, Serbia

Site Status WITHDRAWN

University Clinical Center of Nis, Clinic for Pediatrics-Department for Pulmonology

Nis, Vojvodina, Serbia

Site Status RECRUITING

Local Institution - 753

Belgrade, , Serbia

Site Status WITHDRAWN

University Clinical Center of Kragujevac, Center for Internal Oncology

Kragujevac, Šumadijski Okrug, Serbia

Site Status RECRUITING

National Cancer Center

Goyang-si, Gyeonggido [Kyonggi-do], South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, Seoul Teugbyeolsi [Seoul-T'ukpyolshi], South Korea

Site Status RECRUITING

Local Institution - 328

Seoul, Seoul Teugbyeolsi [Seoul-T'ukp, South Korea

Site Status COMPLETED

Local Institution - 326

Seoul, Seoul Teugbyeolsi [Seoul-T'ukp, South Korea

Site Status COMPLETED

Complejo Hospitalario Universitario De Santiago - Oncología Médica

Santiago de Compostela, A Coruña, Spain

Site Status RECRUITING

Hospital Regional Universitario De Málaga

Málaga, Andalusia, Spain

Site Status RECRUITING

Hospital Universitario Son Espases

Palma de Mallorca, Balearic Islands, Spain

Site Status RECRUITING

Local Institution - 686

Santander, Cantabria, Spain

Site Status WITHDRAWN

Local Institution - 676

Oviedo, Principality of Asturias, Spain

Site Status COMPLETED

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitari Dexeus Grupo Quironsalud

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Vall d'Hebron - Oncología Médica

Barcelona, , Spain

Site Status RECRUITING

Local Institution - 689

Barcelona, , Spain

Site Status WITHDRAWN

Hospital General Universitario Gregorio Marañón

Madrid, , Spain

Site Status RECRUITING

Local Institution - 679

Madrid, , Spain

Site Status COMPLETED

Hospital Clínico San Carlos

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de la Macarena - Oncología Médica

Seville, , Spain

Site Status RECRUITING

Hospital Clinico Universitario De Valencia - Oncologia Médica y Hematologia

Valencia, , Spain

Site Status RECRUITING

Local Institution - 684

Valencia, , Spain

Site Status WITHDRAWN

Local Institution - 351

Kaohsiung City, Kaohsiung, Taiwan

Site Status WITHDRAWN

Chang Gung Medical Foundation - Kaohsiung Chang Gung Memorial Hospital

Kaohsuing City, Kaohsiung, Taiwan

Site Status RECRUITING

Chung Shan Medical University Hospital - Internal Medicine

Taichung, Taichung, Taiwan

Site Status RECRUITING

China Medical University Hospital - Internal Medicine

Taichung, Taichung, Taiwan

Site Status RECRUITING

China Medical University Hospital - Internal Medicine

Taichung, Taichung, Taiwan

Site Status RECRUITING

Local Institution - 355

Taichung, Taichung, Taiwan

Site Status WITHDRAWN

Local Institution - 354

Taipei City, Taipei, Taiwan

Site Status WITHDRAWN

Local Institution - 376

Muang, Chiang Mai, Thailand

Site Status COMPLETED

Local Institution - 377

Bangkok, Krung Thep Maha Nakhon [Bangko, Thailand

Site Status COMPLETED

Local Institution - 375

Khon Kaen, , Thailand

Site Status COMPLETED

Holistic Center for Cancer Study and Care

Songkhla, , Thailand

Site Status RECRUITING

Memorial Ankara Hastanesi

Ankara, Ankara/Cankaya, Turkey (Türkiye)

Site Status RECRUITING

Gülhane Eğitim ve Araştırma Hastanesi

Ankara, Etlik/Ankara, Turkey (Türkiye)

Site Status RECRUITING

Medipol Mega Hospital

Istanbul, Samsun, Turkey (Türkiye)

Site Status RECRUITING

Istanbul Oncology Hospital - Medical Oncology

Istanbul, Samsun, Turkey (Türkiye)

Site Status RECRUITING

Local Institution - 703

Istanbul, Samsun, Turkey (Türkiye)

Site Status WITHDRAWN

Dr Abdurrahman Yurtaslan Training and Research Hospital - Medical Oncology

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Ankara Liv Hospital

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Ankara City Hospital - Medical Oncology

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Trakya Univ Hastanesi Ic Hastal

Edirne, , Turkey (Türkiye)

Site Status RECRUITING

Goztepe SuleymanYalcin Sehir Hast

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Ege University Medical Faculty - Pulmonary

Izmir, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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United States Brazil Croatia France Greece Hungary Israel Italy Japan Mexico Netherlands Peru Poland Romania Serbia South Korea Spain Taiwan Thailand Turkey (Türkiye)

Central Contacts

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BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

Role: CONTACT

855-907-3286

First line of the email MUST contain NCT # and Site #.

Role: CONTACT

Facility Contacts

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January Fields-Meehan, Site 105

Role: primary

Michael Kelley, Site 100

Role: primary

919-286-6896

Lawrence Feldman, Site 106

Role: primary

312-405-8211

Aknar Freire de Carvalho Calabrich, Site 181

Role: primary

+5500000000

Carlos Henrique Barrios, Site 177

Role: primary

Giuliano Borges, Site 182

Role: primary

5547984046243

Rodrigo Guimarães, Site 178

Role: primary

+5531998266045

Helano Freitas, Site 175

Role: primary

5511945544480

Helano Freitas, Site 102

Role: primary

5511945544480

Jasmina Brozic, Site 527

Role: primary

+385993787261

Dragan Trivanovic, Site 529

Role: primary

38598335797

Denis Moro-Sibilot, Site 559

Role: primary

33476765467

Remi Veillon, Site 556

Role: primary

33557656338

Sandrine Hiret, Site 553

Role: primary

33240679978

Youssef Oulkhouir, Site 554

Role: primary

33231064676

Elvire Pons-Tostivint, Site 555

Role: primary

+33676133810

Sheik Emambux, Site 557

Role: primary

33549441496

Jacques Boutros, Site 561

Role: primary

+3300000000

PASCALE TOMASINI, Site 551

Role: primary

+33491965901

LIONEL FALCHERO, Site 560

Role: primary

+33642346915

Regine Lamy, Site 552

Role: primary

Charles Naltet, Site 562

Role: primary

33144123752

Romain Corre, Site 558

Role: primary

33899282481

Hugo PICCHI, Site 550

Role: primary

Michalis Liontos, Site 575

Role: primary

306977009490

Amanda Psyrri, Site 579

Role: primary

302105831664

Ippokratis Korantzis, Site 580

Role: primary

THEODORA TSIOUDA, Site 576

Role: primary

00306932466411

Eleni Timotheadou, Site 581

Role: primary

302313323144

Nir Peled, Site 625

Role: primary

+972587040620

Abed Agbaria, Site 629

Role: primary

Elizabeth Dudnik, Site 628

Role: primary

Sameh Daher, Site 627

Role: primary

Ofer Merimsky, Site 626

Role: primary

97236974907

rita chiari, Site 778

Role: primary

3335451118

federica biello, Site 777

Role: primary

03213733878

Vanesa Gregorc, Site 780

Role: primary

390119933250

Antonio Passaro, Site 779

Role: primary

+390257489482

Giulio Metro, Site 775

Role: primary

39755784185

Federico Cappuzzo, Site 776

Role: primary

390652665698

Naoyuki 尚之 Nogami 野上, Site 401

Role: primary

Shigeki 茂樹 Umemura 梅村, Site 402

Role: primary

Site 129

Role: primary

Site 127

Role: primary

Site 125

Role: primary

willemijn Theelen, Site 800

Role: primary

06-xxxxxxxx

E. (Lisanne) Kastelijn, Site 801

Role: primary

Anghel Adrian Udrea, Site 732

Role: primary

+40751274636

Laura Mazilu, Site 731

Role: primary

+40724877013

Dan Lungulescu, Site 729

Role: primary

+40727833775

Michael Schenker, Site 734

Role: primary

40727774974

Roxana Scheusan, Site 730

Role: primary

+40745146020

Constantin Volovat, Site 733

Role: primary

40746110096

Monica Patran, Site 725

Role: primary

40745597070

Doina Ganea, Site 728

Role: primary

+40722423653

Milan Rancic, Site 754

Role: primary

Marina Petrovic, Site 752

Role: primary

+381691328389

Youngjoo Lee, Site 327

Role: primary

82319201694

Se-Hoon 세훈 Lee 이, Site 325

Role: primary

Jorge Jose Garcia Gonzalez, Site 680

Role: primary

Alexandra Cantero González, Site 678

Role: primary

Aitor Azkarate, Site 685

Role: primary

0000000000

Margarita Majem Tarruella, Site 683

Role: primary

34935565651

ANDRES AGUILAR, Site 687

Role: primary

34935460135

Nuria Pardo Aranda, Site 681

Role: primary

0034932746085

Antonio Calles Blanco, Site 675

Role: primary

+34915868115

Carlos Aguado de la Rosa, Site 688

Role: primary

+34913307552

David Baz, Site 682

Role: primary

+600162143

Valentina Gambardella, Site 677

Role: primary

Chien-Hao 建豪 Lai 賴, Site 352

Role: primary

Gee-Chen 基晟 Chang 張, Site 353

Role: primary

Te-Chun 德椿 Hsia 夏, Site 179

Role: primary

Te-Chun 德椿 Hsia 夏, Site 350

Role: primary

Arunee Dechaphunkul, Site 378

Role: primary

+6674451469

Umut Demirci, Site 705

Role: primary

Nuri Karadurmus, Site 702

Role: primary

905366401020

Ahmet Bilici, Site 709

Role: primary

Engin Erdemoglu, Site 710

Role: primary

+9000000000

Cengiz Karacin, Site 704

Role: primary

Saadettin Kilickap, Site 701

Role: primary

905056604536

Mehmet Ali Nahit Sendur, Site 706

Role: primary

Muhammet Hacioglu, Site 700

Role: primary

+905334364678

Mahmut Gumus, Site 707

Role: primary

00905063509061

Tuncay Goksel, Site 708

Role: primary

Related Links

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Other Identifiers

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2023-503523-25

Identifier Type: OTHER

Identifier Source: secondary_id

CA239-0012

Identifier Type: OTHER

Identifier Source: secondary_id

849-021

Identifier Type: OTHER

Identifier Source: secondary_id

CA239-0012

Identifier Type: -

Identifier Source: org_study_id

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