A Clinical Study of MK-1084 and Other Treatments for Participants With Non-Small Cell Lung Cancer (MK-1084-007/KANDLELIT-007)

NCT ID: NCT07190248

Last Updated: 2025-12-24

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

PHASE3

Total Enrollment

675 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-08

Study Completion Date

2032-08-06

Brief Summary

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Researchers want to learn if the study medicines MK-1084 and subcutaneous (SC) pembrolizumab can be used to treat non-small cell lung cancer (NSCLC) when given together. MK-1084 is a targeted therapy for the KRAS G12C mutation.

The goal of this study is to learn if people who receive MK-1084 with SC pembrolizumab live longer without the cancer growing or spreading than in people who receive SC pembrolizumab with chemotherapy.

Detailed Description

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Conditions

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Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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MK-1084 + Pembrolizumab (+) Berahyaluronidase alfa

Participants will receive pembrolizumab (+) berahyaluronidase alfa at a fixed dose subcutaneously on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) plus MK-1084 until discontinuation criterion is met.

Group Type EXPERIMENTAL

MK-1084

Intervention Type DRUG

Administered as an oral tablet

Pembrolizumab (+) Berahyaluronidase alfa

Intervention Type BIOLOGICAL

Administered as a SC injection

Pembrolizumab (+) Berahyaluronidase alfa + Chemotherapy

Participants will receive pembrolizumab (+) berahyaluronidase alfa at a fixed dose subcutaneously on Day 1 of each 6-week cycle for up to 18 cycles (approximately 2 years) and pemetrexed via intravenous (IV) infusion at a dose of 500 mg/m\^2 on days 1 and 22 of cycles 1 and 3 until discontinuation criterion is met PLUS investigator's choice of carboplatin via IV infusion at area under curve (AUC) 5 mg/mL/minute on days 1 and 22 of cycles 1 and 3 (up to 4 doses, approximately 6 weeks) OR cisplatin via IV infusion at a dose of 75 mg/m\^2 on days 1 and 22 of cycles 1 and 3 (up to 4 doses, approximately 6 weeks).

Group Type ACTIVE_COMPARATOR

Pembrolizumab (+) Berahyaluronidase alfa

Intervention Type BIOLOGICAL

Administered as a SC injection

Pemetrexed

Intervention Type DRUG

Administered as an IV Infusion

Cisplatin

Intervention Type DRUG

Administered as an IV Infusion

Carboplatin

Intervention Type DRUG

Administered as an IV Infusion

Interventions

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MK-1084

Administered as an oral tablet

Intervention Type DRUG

Pembrolizumab (+) Berahyaluronidase alfa

Administered as a SC injection

Intervention Type BIOLOGICAL

Pemetrexed

Administered as an IV Infusion

Intervention Type DRUG

Cisplatin

Administered as an IV Infusion

Intervention Type DRUG

Carboplatin

Administered as an IV Infusion

Intervention Type DRUG

Other Intervention Names

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MK-3475A Alimta Platinol-AQ PARAPLATIN®

Eligibility Criteria

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Inclusion Criteria

* Has nonsquamous NSCLC (Stage IIIB, Stage IIIC) not eligible for curative resection or chemoradiation or Stage IV: M1a, M1b, or M1c
* If human immunodeficiency virus (HIV) positive, must have well controlled HIV on antiretroviral therapy (ART)

Exclusion Criteria

* Has diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements
* Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis, or chronic diarrhea)
* Has uncontrolled, significant cardiovascular disease or cerebrovascular disease
* Has a gastrointestinal disorder affecting absorption
* Is HIV positive and has a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
* Has received prior systemic anticancer therapy for their advanced or metastatic NSCLC
* Has known additional malignancy that is progressing or has required active treatment within the past 3 years
* Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
* Has active autoimmune disease that has required systemic treatment in the past 2 years
* History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
* Has active infection requiring systemic therapy except those specified by protocol
* Has history of stem cell/solid organ transplant
* Has not adequately recovered from major surgery or has ongoing surgical complications
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Central Alabama Research ( Site 0108)

Birmingham, Alabama, United States

Site Status RECRUITING

Stamford Hospital ( Site 0126)

Stamford, Connecticut, United States

Site Status RECRUITING

Mount Sinai Cancer Center ( Site 0137)

Miami Beach, Florida, United States

Site Status RECRUITING

New England Cancer Specialists ( Site 0139)

Westbrook, Maine, United States

Site Status RECRUITING

New York Oncology Hematology, P.C. ( Site 0119)

Albany, New York, United States

Site Status RECRUITING

Mater Hospital Brisbane ( Site 2906)

South Brisbane, Queensland, Australia

Site Status RECRUITING

Reformatus Pulmonologiai Centrum ( Site 1503)

Törökbálint, Pest County, Hungary

Site Status RECRUITING

Yitzhak Shamir Medical Center. ( Site 1709)

Beer Ya Akov, , Israel

Site Status RECRUITING

Shaare Zedek Medical Center ( Site 1706)

Jerusalem, , Israel

Site Status RECRUITING

Meir Medical Center. ( Site 1702)

Kfar Saba, , Israel

Site Status RECRUITING

Sourasky Medical Center ( Site 1705)

Tel Aviv, , Israel

Site Status RECRUITING

National Hospital Organization Ureshino Medical Center ( Site 2817)

Ureshino, Saga-ken, Japan

Site Status RECRUITING

Osaka Metropolitan University Hospital ( Site 2826)

Osaka, , Japan

Site Status RECRUITING

Institutul Oncologic Prof. Dr. I Chiricuta ( Site 2103)

Cluj-Napoca, Cluj, Romania

Site Status RECRUITING

SC MNT Healthcare Europe SRL ( Site 2105)

Bucharest, , Romania

Site Status RECRUITING

Chonnam National University Hwasun Hospital ( Site 3502)

Jeollanam-do, Jeonranamdo, South Korea

Site Status RECRUITING

Pusan National University Yangsan Hospital ( Site 3504)

Yangsan, Kyongsangnam-do, South Korea

Site Status RECRUITING

Pusan National University Hospital ( Site 3501)

Busan, Pusan-Kwangyokshi, South Korea

Site Status RECRUITING

Chungnam National University Hospital ( Site 3503)

Daejeon, Taejon-Kwangyokshi, South Korea

Site Status RECRUITING

Kyung Hee University Medical Center ( Site 3500)

Seoul, , South Korea

Site Status RECRUITING

Korea University Guro Hospital ( Site 3505)

Seoul, , South Korea

Site Status RECRUITING

Complejo Hospitalario Universitario A Coruna ( Site 2207)

A Coruña, La Coruna, Spain

Site Status RECRUITING

Hospital Universitario Ramon y Cajal ( Site 2203)

Madrid, , Spain

Site Status RECRUITING

Chang Gung Memorial Hospital- Chiayi ( Site 3611)

Chiayi City, Chiayi, Taiwan

Site Status RECRUITING

National Cheng Kung University Hospital ( Site 3604)

Tainan, , Taiwan

Site Status RECRUITING

Municipal Enterprise "Bukovinian сlinical oncology сenter" ( Site 2504)

Chernivtsi, Chernivetska Oblast, Ukraine

Site Status RECRUITING

Communal noncommercial enterprise of Lviv regional council "Lviv oncological regional therapeutical ( Site 2507)

Lviv, Lviv Oblast, Ukraine

Site Status RECRUITING

ME RIVNE REGIONAL ANTITUMOR CENTER ( Site 2517)

Rivne, Rivne Oblast, Ukraine

Site Status RECRUITING

Shalimov Institute of Surgery and Transplantation Oncology department ( Site 2512)

Kyiv, , Ukraine

Site Status RECRUITING

Universal Clinic Oberig ( Site 2506)

Kyiv, , Ukraine

Site Status RECRUITING

Countries

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United States Australia Hungary Israel Japan Romania South Korea Spain Taiwan Ukraine

Central Contacts

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Toll Free Number

Role: CONTACT

Phone: 1-888-577-8839

Email: [email protected]

Facility Contacts

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Study Coordinator

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Related Links

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https://www.merckclinicaltrials.com/

Merck Clinical Trials Information

Other Identifiers

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U1111-1307-9569

Identifier Type: REGISTRY

Identifier Source: secondary_id

2024-514500-14-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

MK-1084-007

Identifier Type: OTHER

Identifier Source: secondary_id

KANDLELIT-007

Identifier Type: OTHER

Identifier Source: secondary_id

jRCT2031240722

Identifier Type: REGISTRY

Identifier Source: secondary_id

1084-007

Identifier Type: -

Identifier Source: org_study_id