About this trial
The main purpose of this study is to assess if olomorasib in combination with pembrolizumab is more effective than the pembrolizumab and placebo combination in part A in participants with resected KRAS G12C-mutant NSCLC and to assess if olomorasib in combination with durvalumab is more effective than the durvalumab and placebo combination in part B in participants with unresectable KRAS G12C-mutant non-small cell lung cancer. The study may last up to 3 years for each participant.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histological or cytological confirmation of NSCLC.
Part A
Clinical Stage II-IIIB (N0, N1, N2) treated with presurgical chemoimmunotherapy, with residual tumor present at time of surgery. Patients with a pathologic complete response are not eligible.
Pathologic Stage II-IIIB (N0, N1, N2) NSCLC treated with initial upfront resection.
Disqualifiers
Have known, actionable changes in the EGFR or ALK genes.
Have another type of cancer that is progressing or required active treatment within the past 2 years before screening.
Have an active autoimmune disease that required systemic treatment in the past 2 years. Endocrine replacement therapy is allowed.
Had any immune-related side effect or allergic reaction (Grade 3 or higher) from a previous immunotherapy medicine, or any immune-related side effect greater than Grade 1 that has not resolved. This does not apply for people with hormone-related diseases who are now on stable hormone replacement therapy.
Trial design
Parallel
Treatments tested in this trial
Olomorasib
DrugAdministered orally.
Pembrolizumab
DrugAdministered intravenously (IV).
Durvalumab
DrugAdministered IV.
Placebo
DrugAdministered orally.
Treatment groups
Trial outcomes
Primary outcomes
Part A: Disease-Free Survival (DFS) by Investigator Assessment
DFS by Investigator Assessment
Part B: Progression-Free Survival (PFS) by BICR
PFS per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by blinded independent central review (BICR)
Secondary outcomes
Part A & B: Overall Survival (OS)
OS
Part A & B: Change from baseline in health-related quality of life (HRQoL), measured by European Organization for Research & Treatment of CancerQualityofLifeQuestionnaire-Core 30 (EORTC QLQ-C30)
Change from baseline in HRQoL, measured by the EORTC QLQ-C30
Part B: PFS by Investigator
PFS per RECIST v1.1 by Investigator
Part B: Objective Response Rate (ORR) per RECIST 1.1 by BICR and Investigator
ORR per RECIST 1.1 by BICR and Investigator
Sponsors and contacts
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Eli Lilly and Company
Lead sponsor
AstraZeneca
Collaborator