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MK-1084 with MK-3475A in 1L KRAS G12C-mutant nonsquamous NSCLC

A Phase 3, Randomized, Open-label, Multicenter Clinical Study to Evaluate the Safety and Efficacy of MK-1084 in Combination With Subcutaneous Pembrolizumab and Berahyaluronidase alfa (MK-3475A) Versus MK-3475A in Combination With Pemetrexed/Platinum (Carboplatin or Cisplatin) Chemotherapy as First line Treatment of Participants With KRAS G12C-Mutant, Advanced or Metastatic Nonsquamous NSCLC (KANDLELIT-007)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250409
Enrollment
49
Registered
2025-10-03
Start date
2026-01-15
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Treatment-naive KRAS G12C-mutant advanced or metastatic nonsquamous non-small cell lung cancer

Interventions

Experimental Arm - MK-1084 oral until discontinuation criterion is met. - MK-3475A subcutaneous (SC) Q6W cycle up to 18 cycles. Comparator Arm - MK-3475A SC Q6W cycle up to 18 cycles. - Pemetrexed vi

Sponsors

Fujita Tomoko
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

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

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

Design outcomes

Primary

MeasureTime frame
Progression-free survival (PFS): PD-L1 positive participants

Secondary

MeasureTime frame
- PFS: all participants - Overall survival (OS) - Objective response (OR) - Duration of response (DOR) - safety and tolerability - Patient-reported Outcomes (PRO)

Countries

Argentina, Australia, Austria, Brazil, Canada, Chile, China, Colombia, France, Germany, Greece, Hungary, Israel, Italy, Japan, Malaysia, Mexico, Peru, Poland, Romania, South Korea, Spain, Taiwan, Turkey, Ukraine, United Kingdom, United States, Vietnam

Contacts

Public ContactMSDJRCT inquiry mailbox

MSD K.K.

msdjrct@msd.com+81-3-6272-1957

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026