Phase 1/2 Study of MRTX849 in Patients With Cancer Having a KRAS G12C Mutation KRYSTAL-1
Advanced Cancer, Metastatic Cancer, Malignant Neoplastic Disease
About this trial
This is an interventional treatment trial for Advanced Cancer focused on measuring KRAS, NSCLC, Colorectal Cancer, Colon Cancer, Metastatic Cancer, Pancreatic Cancer, Adagrasib, STK11 mutation, KRAS G12C
Eligibility Criteria
Inclusion Criteria:
- Histologically confirmed diagnosis of a solid tumor malignancy with KRAS G12C mutation
- Unresectable or metastatic disease
- Standard treatment is not available or patient declines; first-line treatment for NSCLC for certain cohorts
- Adequate organ function
Exclusion Criteria:
- History of intestinal disease or major gastric surgery or inability to swallow oral medications
- Other active cancer
Sites / Locations
- University of Alabama at Birmingham
- Alaska Oncology and HematologyRecruiting
- Mayo Clinic in ArizonaRecruiting
- Arizona Oncology AssociatesRecruiting
- Kaiser Permanente-Bellflower Medical OfficesRecruiting
- Beverly Hills Cancer CenterRecruiting
- City of HopeRecruiting
- St. Joseph Heritage HealthcareRecruiting
- University of California San Diego Moores Cancer CenterRecruiting
- Cancer & Blood Specialty ClinicRecruiting
- Valkyrie Clinical TrialsRecruiting
- Hoag Memorial Hospital PresbyterianRecruiting
- University of California, IrvineRecruiting
- California Cancer Associates for Research and ExcellenceRecruiting
- Ridley - Tree Cancer Center - Santa BarbaraRecruiting
- Kaiser PermanenteRecruiting
- Rocky Mountain Cancer CentersRecruiting
- University of Colorado HospitalRecruiting
- SCL Health - Saint Joseph Hospital Cancer Center
- St. Mary's Hospital & Regional Medical Center - ResearchRecruiting
- Yale Cancer CenterRecruiting
- Medical Oncology Hematology ConsultantsRecruiting
- SCRI - Florida Cancer Specialists- SouthRecruiting
- Mayo Clinic in FloridaRecruiting
- Mount Sinai Comprehensive Cancer CenterRecruiting
- Miami Cancer Institute Baptist HealthRecruiting
- Florida Cancer Affiliates - OcalaRecruiting
- Mid Florida Hematology and Oncology CenterRecruiting
- Woodlands Medical SpecialistsRecruiting
- BRCR Medical CenterRecruiting
- SCRI - Florida Cancer Specialists-NorthRecruiting
- SCRI - Florida Cancer Specialists- EastRecruiting
- University Cancer and Blood CenterRecruiting
- Northwest Georgia Oncology Centers, PCRecruiting
- Affiliated Oncologists - Millenium Medical CenterRecruiting
- Illinois Cancer Specialists - NilesRecruiting
- University of Iowa Hospital & ClinicsRecruiting
- University of Kansas Medical CenterRecruiting
- University of KentuckyRecruiting
- SCRI - Hematology Oncology ClinicRecruiting
- Main Health Cancer Center BiddefordRecruiting
- Maryland Oncology Hematology-ColumbiaRecruiting
- Massachusetts General HospitalRecruiting
- Dana Farber Cancer InstituteRecruiting
- Barbara Ann Karmanos Cancer InstituteRecruiting
- Henry Ford Medical CenterRecruiting
- Minnesota OncologyRecruiting
- University of MinnesotaRecruiting
- Mayo Clinic in MinnesotaRecruiting
- Metro-Minnesota Community Oncology Research ConsortiumRecruiting
- Central Care Cancer Center - BolivarRecruiting
- Goldschmidt Cancer Center- Central Region Medical CenterRecruiting
- Frontier Cancer CenterRecruiting
- Nebraska Cancer SpecialistsRecruiting
- University of Nebraska Medical CenterRecruiting
- Comprehensive Cancer Centers of NevadaRecruiting
- New York Oncology Hematology - Albany Medical CenterRecruiting
- Roswell ParkRecruiting
- Perlmutter Cancer CenterRecruiting
- Memorial Sloan Kettering Cancer CenterRecruiting
- University of North CarolinaRecruiting
- FirstHealth Outpatient Cancer CenterRecruiting
- The Christ Hospital Cancer CenterRecruiting
- University of Cincinnati Health Barrett Cancer CenterRecruiting
- Cleveland ClinicRecruiting
- OSU Medical CenterRecruiting
- SCRI - Mark H. Zangmeister Cancer CenterRecruiting
- Kettering Cancer Center
- Cancer Centers of Southwest Oklahoma - Leah M. Fitch Cancer CenterRecruiting
- St. Charles Health SystemRecruiting
- Willamette Valley Cancer Institute and Research Center - EugeneRecruiting
- Lehigh Valley HeathRecruiting
- Penn State Health Milton S. Hershey Medical CenterRecruiting
- Charleston Oncology P.A.Recruiting
- Medical University of South CarolinaRecruiting
- Tennessee Oncology/The Sarah Cannon Research InstituteRecruiting
- Texas Oncology-ArlingtonRecruiting
- USOR - Texas Oncology - Austin CentralRecruiting
- Mary Crowley Cancer ResearchRecruiting
- Texas Oncology at Presbyterian DallasRecruiting
- USOR Texas Oncology Baylor Charles A. Sammons Cancer CenterRecruiting
- Texas OncologyRecruiting
- Oncology Consultants - Texas Medical CenterRecruiting
- The University of Texas MD Anderson Cancer CenterRecruiting
- Lumi ResearchRecruiting
- Texas Oncology MidlandRecruiting
- South Texas Accelerated Research TherapeuticsRecruiting
- Texas OncologyRecruiting
- Texas OncologyRecruiting
- Texas Oncology WacoRecruiting
- Virginia Cancer SpecialistsRecruiting
- Hematology Oncology Associates of FredericksburgRecruiting
- Virginia Oncology Associates-Newport NewsRecruiting
- Virginia Cancer InstituteRecruiting
- Seattle Cancer Care AllianceRecruiting
- USOR - Compass Oncology - VancouverRecruiting
- University of Wisconsin Carbone Cancer CenterRecruiting
- PanOncology TrialsRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Phase 1 Dose Exploration
Phase 1b Expansion
Phase 2
Pilot Phase 1b Combination with Pembrolizumab
Pilot Phase 1b Combination with Cetuximab
Pilot Phase 1b Combination with Afatinib
Phase 2 Combination with Cetuximab
Pilot Phase 1b Combination with Cetuximab in NSCLC
Pilot Phase 1b Combination with Cetuximab in PDAC
Dose escalation of MRTX849 to determine maximum tolerated dose
Expansion cohort to ensure sufficient safety experience, pharmacokinetic information, and early evidence of clinical activity of MRTX849 to recommend Phase 2 regimens
Separate cohorts of patients stratified by histological diagnosis, prior treatment history or co-mutation status (e.g., STK11) for evaluation of clinical activity of MRTX849
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with pembrolizumab in patients with NSCLC
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with cetuximab in patients with CRC
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with afatinib in patients with NSCLC
Phase 2 evaluation of the clinical activity of MRTX849 in combination with cetuximab in patients with CRC
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with cetuximab in patients with NSCLC
Phase 1 evaluation of the safety, tolerability, PK and clinical activity of MRTX849 in combination with cetuximab in patients with pancreatic adenocarcinoma (PDAC)