Metastatic Non Small Cell Lung CancerPhase 3KRYSTAL-12NCT04685135
Phase 3 Study of MRTX849 (Adagrasib) vs Docetaxel in Patients With Advanced Non-Small Cell Lung Cancer With KRAS G12C Mutation
A Phase 3 study testing MRTX849 and Docetaxel in people with Metastatic Non Small Cell Lung Cancer and Advanced Non Small Cell Lung Cancer, run by Mirati Therapeutics Inc. at 380 sites in 24 countries.
Trial summary
This Phase 3 study will evaluate the efficacy of the investigational agent MRTX849 (adagrasib) versus docetaxel in patients who have been previously treated for metastatic NSCLC with a KRAS G12C mutation. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Non Small Cell Lung Cancer, Advanced Non Small Cell Lung Cancer
- What is being tested?
- MRTX849 and Docetaxel
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 453 participants
- Where
- 380 sitesin 24 countries
- Study dates
- 23 Feb 2021to 30 Oct 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed diagnosis of NSCLC with KRAS G12C mutation.
- Candidacy to receive treatment with docetaxel.
- Crossover Inclusion Criteria:
- Evidence of RECIST 1.1 defined disease progression on docetaxel per BICR
- ECOG performance status 0-2
Who cannot join
- Prior treatment with an agent targeting KRAS G12C (e.g., AMG 510, Sotorasib).
- Active brain metastases.
- Crossover Exclusion Criteria:
- Receipt of any other systemic anti-cancer therapy after last administration of docetaxel on the study.
Trial locations and contacts
380 sites in 24 countries.
380 sites in 24 countries
United States112 sites
Local Institution - 012-888
Arlington, Texas, 76012
Local Institution - 012-814 - B
Arlington, Virginia, 22205
Local Institution - 012-941
Athens, Georgia, 30607
Local Institution - 012-835 - A
Austell, Georgia, 30106
Local Institution - 012-892
Austin, Texas, 78745
Local Institution - 012-841 - A
Billings, Montana, 59101
Local Institution - 012-841
Billings, Montana, 59101
Local Institution - 012-846
Billings, Montana, 59102
Local Institution - 012-952
Bolivar, Missouri, 65613
Local Institution - 012-835 - B
Carrollton, Georgia, 30117
Local Institution - 012-835 - C
Cartersville, Georgia, 30121
Local Institution - 012-898
Cerritos, California, 90703
Local Institution - 012-942-B
Chanute, Kansas, 66720
Local Institution - 012-953
Charlottesville, Virginia, 22908-0674
Local Institution - 012-917
Chicago, Illinois, 60612
Local Institution - 012-972
Chicago, Illinois, 60637
Local Institution - 012-849
Cleveland, Ohio, 44106
Local Institution - 012-951-B
Denver, Colorado, 80218
Local Institution - 012-942-C
Dodge City, Kansas, 67801
Local Institution - 012-835 - D
Douglasville, Georgia, 30134
Local Institution - 012-910
Duarte, California, 91010
Local Institution - 012-975
East Brunswick, New Jersey, 08816
Local Institution - 012-975 - A
Edison, New Jersey, 08820
Local Institution - 012-942-D
El Dorado, Kansas, 67042
Local Institution - 012-814 - A
Fairfax, Virginia, 22031
Local Institution - 012-814
Fairfax, Virginia, 22031
Local Institution - 012-562-B
Fleming Island, Florida, 32003
Local Institution - 012-968
Fort Lauderdale, Florida, 33308
Local Institution - 012-856
Frederick, Maryland, 21702
Local Institution - 012-814 - C
Gainesville, Virginia, 20155
Local Institution - 012-898 D
Glendale, California, 91204
Local Institution - 012-943
Goshen, Indiana, 46526
Local Institution - 012-891
Greenville, South Carolina, 29605
Local Institution - 012-972 C
Harvey, Illinois, 60426
Local Institution - 012-910-A
Huntington Beach, California, 92648
Local Institution - 012-942-E
Independence, Kansas, 67301
Local Institution - 012-569
Indianapolis, Indiana, 46237
Local Institution - 012-910-C
Irvine, California, 92618
Local Institution - 012-999
Irving, Texas, 75063
Local Institution - 012-562-D
Jacksonville, Florida, 32204
Local Institution - 012-853
Jacksonville, Florida, 32204
Local Institution - 012-562-E
Jacksonville, Florida, 32207
Local Institution - 012-562-A
Jacksonville, Florida, 32256
Local Institution - 012-562-C
Jacksonville, Florida, 32256
Local Institution - 012-562-F
Jacksonville, Florida, 32256
Local Institution - 012-562-G
Jacksonville, Florida, 32256
Local Institution - 012-562
Jacksonville, Florida, 32256
Local Institution - 012-954 - A
Kennebunk, Maine, 04043
Local Institution - 012-836
Kettering, Ohio, 45429
Local Institution - 012-942-F
Kingman, Kansas, 67068
Local Institution - 012-951
Lafayette, Colorado, 80026
Local Institution - 012-569 - B
Lafayette, Indiana, 47905
Local Institution - 012-569 - C
Lafayette, Indiana, 47905
Local Institution - 012-814 - D
Leesburg, Virginia, 20176
Local Institution - 012-965
Lexington, Kentucky, 40503
Local Institution - 012-942-G
Liberal, Kansas, 67901
Local Institution - 012-872
Lone Tree, Colorado, 80124
Local Institution - 012-910-B
Long Beach, California, 90808
Local Institution - 012-910-F
Long Beach, California, 90813
Local Institution - 012-835
Marietta, Georgia, 30060
Local Institution - 012-942-H
McPherson, Kansas, 67460
Local Institution - 012-825
Miami Beach, Florida, 33140
Local Institution - 012-975 - B
Monroe, New Jersey, 08831
Local Institution - 012-569 - A
Mooresville, Indiana, 46158
Local Institution - 012-782
Munster, Indiana, 46321
Local Institution - 012-972 A
New Lenox, Illinois, 60451
Local Institution - 012-911 A
New Orleans, Louisiana, 70112
Local Institution - 012-911
New Orleans, Louisiana, 70112
Local Institution - 012-910-D
Newport Beach, California, 92663
Local Institution - 012-942-I
Newton, Kansas, 67114
Local Institution - 012-883
Niles, Illinois, 60714
Local Institution - 012-974-B
Novi, Michigan, 48374
Local Institution - 012-974-C
Novi, Michigan, 48374
Local Institution - 012-972 B
Orland Park, Illinois, 60462
Local Institution - 012-973
Orlando, Florida, 32806
Local Institution - 012-942-J
Parsons, Kansas, 67357
Local Institution - 012-877
Pensacola, Florida, 32503
Local Institution - 012-839
Plantation, Florida, 33322
Local Institution - 012-942-K
Pratt, Kansas, 67124
Local Institution - 012-960
Providence, Rhode Island, 02903
Local Institution - 012-960-A
Providence, Rhode Island, 02906
Local Institution - 012-967
Salem, Oregon, 97301
Local Institution - 012-942-L
Salina, Kansas, 67401
Local Institution - 012-976
Salt Lake City, Utah, 84106
Local Institution - 012-976-A
Salt Lake City, Utah, 84124
Local Institution - 012-976-B
Salt Lake City, Utah, 84124
Local Institution - 012-976-C
Salt Lake City, Utah, 84124
Local Institution - 012-976-D
Salt Lake City, Utah, 84124
Local Institution - 012-976-E
Salt Lake City, Utah, 84124
Local Institution - 012-976-F
Salt Lake City, Utah, 84124
Local Institution - 012-976-G
Salt Lake City, Utah, 84124
Local Institution - 012-976-H
Salt Lake City, Utah, 84124
Local Institution - 012-976-I
Salt Lake City, Utah, 84124
Local Institution - 012-898 C
Santa Ana, California, 92705
Local Institution - 012-858
Santa Rosa, California, 95403
Local Institution - 012-954
Scarborough, Maine, 04074
Local Institution - 012-890
Sherman, Texas, 75090
Local Institution - 012-940
Sioux Falls, South Dakota, 57105
Local Institution - 012-975 - C
Somerset, New Jersey, 08873
Local Institution - 012-975 - D
Somerville, New Jersey, 08876
Local Institution - 012-974-A
Southfield, Michigan, 48075
Local Institution - 012-974
Southfield, Michigan, 48075
Local Institution - 012-962
Syracuse, New York, 13210-2306
Local Institution - 012-577
Teaneck, New Jersey, 07666
Local Institution - 012-954 - B
Topsham, Maine, 04086
Local Institution - 012-910-E
Torrance, California, 90505
Local Institution - 012-942-M
Wellington, Kansas, 67152
Local Institution - 012-820
Westwood, Kansas, 66205
Local Institution - 012-951-A
Wheat Ridge, Colorado, 80033-6005
Local Institution - 012-942-A
Wichita, Kansas, 67208
Local Institution - 012-942
Wichita, Kansas, 67214
Local Institution - 012-942-N
Winfield, Kansas, 67156
China37 sites
Local Institution - 012-725
Beijing, Beijing Municipality, 100039
Local Institution - 012-700
Beijing, Beijing Municipality, 100142
Local Institution - 012-738
Beijing, Beijing Municipality, 100142
Local Institution - 012-724
Beijing, Beijing Municipality, 100730
Local Institution - 012-030
Changchun, Jilin, 130012
Local Institution - 012-702
Changsha, Hunan, 410006
Local Institution - 012-710
Chengdu, Sichuan, 610041
Local Institution - 012-721
Chengdu, Sichuan, 610041
Local Institution - 012-727
Chongqing, Chongqing Municipality, 400038
Local Institution - 012-726
Chongqing, Chongqing Municipality, 400042
Local Institution - 012-029
Fuzhou, Fujian, 350014
Local Institution - 012-712
Guangzhou, Guangdong, 510120
Local Institution - 012-739
Guangzhou, Guangdong, 510515
Local Institution - 012-722
Hangzhou, Zhejiang, 310003
Local Institution - 012-736
Hangzhou, Zhejiang, 310016
Local Institution - 012-034
Hangzhou, Zhejiang, 310022
Local Institution - 012-028
Harbin, Heilongjiang, 150081
Local Institution - 012-036
Jinan, Shandong, 250117
Local Institution - 012-737
Linyi, Shandong, 276001
Local Institution - 012-733
Liuzhou, Guangxi, 545006
Local Institution - 012-706
Nanchang, Jiangxi, 330006
Local Institution - 012-731
Nanchang, Jiangxi, 330006
Local Institution - 012-735
Nanjing, Jiangsu, 210006
Local Institution - 012-734
Nanjing, Jiangsu, 210008
Local Institution - 012-729
Nanjing, Jiangsu, 210029
Local Institution - 012-741
Qingdao, Shandong, 266555
Local Institution - 012-719
Shanghai, Shanghai Municipality, 200030
Local Institution - 012-024
Shanghai, Shanghai Municipality, 200032
Local Institution - 012-025
Shanghai, Shanghai Municipality, 200032
Local Institution - 012-709
Shenyang, Liaoning, 110001
Local Institution - 012-023
Wuhan, Hubei, 430022
Local Institution - 012-701
Wuhan, Hubei, 430079
Local Institution - 012-732
Xiamen, Fujian, 361003
Local Institution - 012-740
Xinxiang, Henan, 453100
Local Institution - 012-728
Xuzhou, Jiangsu, 221009
Local Institution - 012-021
Zhengzhou, Henan, 450008
Local Institution - 012-730
Zhengzhou, Henan, 450052
Spain29 sites
Local Institution - 012-613
A Coruña, 15006
Local Institution - 012-769
Alicante, 3010
Local Institution - 012-610
Badalona, 08916
Local Institution - 012-776
Barakaldo, 48903
Local Institution - 012-761
Barcelona, 08003
Local Institution - 012-614
Barcelona, 08028
Local Institution - 012-612
Barcelona, 08035
Local Institution - 012-600
Barcelona, 08036
Local Institution - 012-621
Córdoba, 14004
Local Institution - 012-764
Girona, 17007
Local Institution - 012-616
Granada, 18014
Local Institution - 012-628
Las Palmas de Gran Canaria, 35016
Local Institution - 012-775
León, 24071
Local Institution - 012-615
Lugo, 27003
Local Institution - 012-607
Madrid, 28007
Local Institution - 012-611
Madrid, 28027
Local Institution - 012-606
Madrid, 28034
Local Institution - 012-601
Madrid, 28040
Local Institution - 012-609
Madrid, 28040
Local Institution - 012-617
Madrid, 28041
Local Institution - 012-626
Majadahonda, 28222
Local Institution - 012-608
Málaga, 29009
Local Institution - 012-602
Palma de Mallorca, 07120
Local Institution - 012-611A
Pamplona, Navarre, 31008
Local Institution - 012-604
Santander, 39008
Local Institution - 012-629
Seville, 41013
Local Institution - 012-625
Valencia, 46014
Local Institution - 012-605
Valencia, 46026
Local Institution - 012-603
Zaragoza, 50009
Italy25 sites
Local Institution - 012-276
Alessandria, 15121
Local Institution - 012-292
Avellino, 83100
Local Institution - 012-274
Aviano, 33081
Local Institution - 012-275
Bari, 70124
Local Institution - 012-765
Brescia, 25123
Local Institution - 012-286
Candiolo, 10060
Local Institution - 012-284
Catania, 95122
Local Institution - 012-282
Catania, 95123
Local Institution - 012-762
Florence, 50134
Local Institution - 012-273
Genova, 16100
Local Institution - 012-285
Genova, 16132
Local Institution - 012-279
Lecce, 73100
Local Institution - 012-270
Meldola, 47014
Local Institution - 012-296
Milan, 20132
Local Institution - 012-278
Milan, 20141
Local Institution - 012-283
Milan, 20133
Local Institution - 012-271
Naples, 80131
Local Institution - 012-277
Naples, 80131
Local Institution - 012-770
Novara, 28100
Local Institution - 012-272
Parma, 43126
Local Institution - 012-281
Perugia, 06132
Local Institution - 012-766
Pesaro, 61122
Local Institution - 012-767
Ravenna, 48121
Local Institution - 012-295
Roma, 00144
Local Institution - 012-758
Verona, 37126
France23 sites
Local Institution - 012-194
Brest, 29200
Local Institution - 012-191
Bron, 69500
Local Institution - 012-193
Caen, 14033
Local Institution - 012-196
Caen, 14076
Local Institution - 012-190
Créteil, 94000
Local Institution - 012-192
Dijon, 21079
Local Institution - 012-201
Gleizé, 69400
Local Institution - 012-683
La Tronche, 38700
Local Institution - 012-665
Lille, 59037
Local Institution - 012-195
Limoges, 87042
Local Institution - 012-191-B
Lyon, Rhone, 69004
Local Institution - 012-199
Marseille, 13009
Local Institution - 012-687
Marseille, 13015
Local Institution - 012-200
Montpellier, 34090
Local Institution - 012-666
Mulhouse, 68100
Local Institution - 012-685
Nice, 06189
Local Institution - 012-191-A
Pierre-Bénite, Auvergne-Rhône-Alpes, 69495
Local Institution - 012-681
Quimper, 29107
Local Institution - 012-198
Saint-Herblain, 44805
Local Institution - 012-684
Strasbourg, 67091
Local Institution - 012-197
Strasbourg, 67200
Local Institution - 012-209
Tours, 37044
Local Institution - 012-202
Villejuif, 94805
South Korea18 sites
Local Institution - 012-111
Busan, 48108
Local Institution - 012-522
Busan, 49241
Local Institution - 012-101
Busan, 602702
Local Institution - 012-113
Cheongju-si, 28644
Local Institution - 012-110
Daegu, 41404
Local Institution - 012-523
Daegu, 42601
Local Institution - 012-100
Hwasun-gun, 58128
Local Institution - 012-103
Incheon, 21565
Local Institution - 012-102
Junggu, 400-712
Local Institution - 012-520
Seongnam-si, 13496
Local Institution - 012-112
Seongnam-si, 13620
Local Institution - 012-105
Seoul, 02841
Local Institution - 012-118
Seoul, 03722
Local Institution - 012-106
Seoul, 05080
Local Institution - 012-104
Seoul, 05505
Local Institution - 012-109
Seoul, 06591
Local Institution - 012-521
Suwon, 16247
Local Institution - 012-107
Suwon, 16499
Portugal16 sites
Local Institution - 012-644
Almada, 2805-267
Local Institution - 012-332
Braga, 4710-243
Local Institution - 012-330
Coimbra, 3000-075
Local Institution - 012-645
Coimbra, 3000-075
Local Institution - 012-333
Guimarães, 4835-044
Local Institution - 012-642
Lisbon, 1099-023
Local Institution - 012-338-A
Lisbon, 1350-352
Local Institution - 012-337
Lisbon, 1400-038
Local Institution - 012-338
Lisbon, 1998-018
Local Institution - 012-647
Loures, 2674-514
Local Institution - 012-334
Porto, 14341
Local Institution - 012-331
Porto, 4099-001
Local Institution - 012-339
Porto, 4200-072
Local Institution - 012-641
Santa Maria da Feira, 4520-211
Local Institution - 012-646
Setúbal, 2910-443
Local Institution - 012-335
Vila Nova de Gaia, 4434-502
Germany15 sites
Local Institution - 012-219
Bad Berka, 99437
Local Institution - 012-222
Bonn, 53127
Local Institution - 012-221
Cologne, 51109
Local Institution - 012-210
Essen, 45136
Local Institution - 012-214
Gauting, 82131
Local Institution - 012-671
Giessen, 35392
Local Institution - 012-659
Grohansdorf, 22927
Local Institution - 012-215
Halle, 06120
Local Institution - 012-225
Jena, 07747
Local Institution - 012-213
Kassel, 34125
Local Institution - 012-224
Löwenstein, 74245
Local Institution - 012-216
Lübeck, 23538
Local Institution - 012-220
München, 81925
Local Institution - 012-672
Offenbach, 63069
Local Institution - 012-212
Oldenburg, 26121
Romania12 sites
Local Institution - 012-347
Baia Mare, 430031
Local Institution - 012-349
Brasov, 500152
Local Institution - 012-341
Bucharest, 010991
Local Institution - 012-342
Bucharest, 022328
Local Institution - 012-344
Cluj-Napoca, 400015
Local Institution - 012-340
Cluj-Napoca, 400641
Local Institution - 012-514
Craiova, 200385
Local Institution - 012-343
Craiova, 200746
Local Institution - 012-513
Iași, 700106
Local Institution - 012-519
Ovidiu, 905900
Local Institution - 012-515
Timișoara, 300166
Local Institution - 012-345
Timișoara, 300239
Greece11 sites
Local Institution - 012-502
Athens, Attica, 11526
Local Institution - 012-236
Athens, 11527
University General Hospital of Heraklion (PAGNI)
Heraklion, 71110
Local Institution - 012-235
Larissa, 41110
Local Institution - 012-237
Nea Kifissia, 145 64
Local Institution - 012-234
Piraeus, 185 47
Local Institution - 012-239
Piraeus, 185 47
Local Institution - 012-504
Thessaloniki, 54622
Local Institution - 012-230
Thessaloniki, 57001
Local Institution - 012-500
Thessaloniki, 57010
Local Institution - 012-503
Volos, 38333
Russia11 sites
Local Institution - 012-352
Chelyabinsk, 454048
Local Institution - 012-351
Izhevsk, 426067
Local Institution - 012-362
Kislino Village, 305524
Local Institution - 012-353
Moscow, 121309
Local Institution - 012-368
Moscow, 121467
Local Institution - 012-359
Nizhny Novgorod, 603006
Local Institution - 012-356
Novosibirsk, 630099
Local Institution - 012-350
Omsk, 644013
Local Institution - 012-355
Saint Petersburg, 197022
Local Institution - 012-358
Saint Petersburg, 197376
Local Institution - 012-354
Saint Petersburg, 197758
Poland9 sites
Local Institution - 012-757
Lodz, 90-302
Local Institution - 012-321
Lublin, 20-064
Local Institution - 012-760
Lublin, 20-093
Local Institution - 012-325
Otwock, 05-400
Local Institution - 012-320
Rzeszów, 35-922
Local Institution - 012-324
Skorzewo, 60-185
Local Institution - 012-329
Torun, 87-100
Local Institution - 012-322
Warsaw, 02-781
Local Institution - 012-774
Warsaw, 04-349
Australia8 sites
Local Institution - 012-005
Bedford Park, 5042
Local Institution - 012-004
Clayton, 3168
Local Institution - 012-014
Douglas, 4814
Local Institution - 012-016
Mackay, Queensland, 4740
Local Institution - 012-013
St Leonards, 2065
Local Institution - 012-019
Tweed Heads, 2485
Local Institution - 012-017
Wollongong, 2500
Local Institution - 012-009
Woolloongabba, 4102
Belgium8 sites
Local Institution - 012-154
Brussels, 1090
Local Institution - 012-157
Edegem, 2650
Local Institution - 012-155
Ghent, 9000
Local Institution - 012-151
Gilly, 6060
Local Institution - 012-158
Hasselt, 3500
Local Institution - 012-152
Roeselare, 8800
Local Institution - 012-153
Ronse, 9600
Local Institution - 012-150
Yvoir, B-5530
Hungary7 sites
Local Institution - 012-242
Budapest, 1083
Local Institution - 012-244
Budapest, 1121
Local Institution - 012-241
Budapest, 1122
Local Institution - 012-243
Gyöngyös, 3200
Local Institution - 012-763
Gyula, 5700
Local Institution - 012-759
Székesfehérvár, 8000
Local Institution - 012-240
Törökbálint, 2045
Netherlands7 sites
Local Institution - 012-306
Amsterdam, 1081 HV
Local Institution - 012-309
Breda, 4818 CK
Local Institution - 012-300
Maastricht, 6229 HX
Local Institution - 012-630
Nijmegen, 6525 GA
Local Institution - 012-308
The Hague, 2545 AA
Local Institution - 012-307
Utrecht, 3543 AZ
Local Institution - 012-631
Utrecht, 3584 CX
Ireland6 sites
Local Institution - 012-250
Dublin, 4
Local Institution - 012-252
Dublin, 9
Local Institution - 012-259
Dublin, D08 NHY1
Local Institution - 012-257
Galway, H91 YR71
Local Institution - 012-258
Limerick, V94 F858
Local Institution - 012-255
Tallaght, Dublin, D24 NR04
Singapore5 sites
Local Institution - 012-093
Singapore, 168583
Local Institution - 012-095
Singapore, 188770
Local Institution - 012-092
Singapore, 217562
Local Institution - 012-091
Singapore, 258499
Local Institution - 012-094
Singapore, 258500
United Kingdom5 sites
Local Institution - 012-401
Birmingham, B9 5SS
Local Institution - 012-415
Edinburgh, EH4 2XU
Local Institution - 012-400
Glasgow, G12 0XH
Local Institution - 012-408
Leicester, LE1 5WW
Local Institution - 012-407
Manchester, M20 4BX
Czechia4 sites
Local Institution - 012-164
Hořovice, 268 31
Local Institution - 012-162
Olomouc, 779 00
Local Institution - 012-163
Prague, 128 08
Local Institution - 012-168
Praha 8 - Liben, 180 81
Austria3 sites
Local Institution - 012-142
Klagenfurt, 9020
Local Institution - 012-140
Salzburg, 5020
Local Institution - 012-146
Vienna, 1160
Hong Kong3 sites
Local Institution - 012-048
Central, 0
Local Institution - 012-043
Hong Kong, 0
Local Institution - 012-040
Kowloon, 0
Puerto Rico3 sites
Local Institution - 012-903
San Juan, PR, 00927
Local Institution - 012-900
San Juan, PR, 00935
Local Institution - 012-901
San Juan, 00919
Switzerland3 sites
Local Institution - 012-390
Basel, 4031
Local Institution - 012-391
Thun, 3604
Local Institution - 012-392
Winterthur, 8401
About this study
Official title: A Randomized Phase 3 Study of MRTX849 Versus Docetaxel in Patients With Previously Treated Non-Small Cell Lung Cancer With KRAS G12C Mutation
This Phase 3 study will evaluate the efficacy of the investigational agent MRTX849 (adagrasib) versus docetaxel in patients who have been previously treated for metastatic NSCLC with a KRAS G12C mutation.
- Being tested
- MRTX849, Docetaxel
- Keywords
- KRAS G12C, Non-small cell lung cancer, NSCLC, Metastatic Cancer, Docetaxel, Phase 3 Clinical Trial, Adagrasib, KRAS, KRAZATI
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MRTX849Drug
Also called adagrasib, KRAZATI
21 day cycles
DocetaxelDrug
Also called Taxotere
21 day cycles
| Study group | Role | What they receive |
|---|---|---|
| MRTX849 | Experimental | Not described Receives: Drug: MRTX849 |
| Docetaxel | Active comparator | Not described Receives: Drug: Docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) as Per Blinded Independent Central Review
Progression-free survival (PFS) is defined as the time from randomization to the date of progression or death due to any cause, whichever occurs first. 95% CI was obtained using Brookmeyer and Crowley method. Participants who are not observed to have progressed or died are censored at the date of last evaluable tumor assessment. Disease progression assessed as per RECISIST 1.1 was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
Measured: From randomization to the date of progression or death due to any cause, whichever occurs first (up to approximately 143 weeks)
Secondary outcomes (13)
Overall Survival (OS)
Overall survival is defined as the time from randomization to the date of death due to any cause.
Measured: From randomization till death due to any cause (up to approximately 143 weeks)
Objective Response Rate (ORR) as Per Blinded Independent Central Review
Objective Response Rate (ORR) is defined as the percent of participants documented to have a confirmed complete response (CR) or partial response (PR). CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis < 10 mm). All target lesions must be assessed. PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter is used in the sum for target nodes, while the longest diameter is used in the sum for all other target lesions. All target lesions must be assessed. Disease progression was defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
Measured: From randomization till death or till disease progression or initiation of follow-up anti-cancer therapy or withdrawal of consent prior to minimum efficacy follow-up (up to 143 weeks)
Duration of Response (DOR) as Per Blinded Independent Central Review
Duration of Response (DOR) in months is defined as the time from date of the first documentation of objective response (CR or PR) to the first documentation of PD or to death due to any cause in the absence of documented PD. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis < 10 mm). All target lesions must be assessed. PR was defined as greater than or equal to 30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter is used in the sum for target nodes, while the longest diameter is used in the sum for all other target lesions. All target lesions must be assessed. Disease progression was defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
Measured: First documentation of objective response (CR or PR) to the first documentation of PD or to death due to any cause (Up to approximately 22 months)
1-Year Survival Rate
Measured: Up to 49 months
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Treatment Emergent Adverse Events (TEAEs) are those that first occur or increase in severity on or after the first dose and not more than 28 days after the last dose, and prior to the initiation of subsequent systemic anti-cancer therapy. An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.
Measured: From first dose of treatment (Day 1) till 28 days after last dose (Up to approximately 110 weeks)
Number of Participants With Maximum CTCAE Grade Laboratory Abnormality in Hematology Parameters
Blood samples were collected to assess hematology parameters. Adverse events are graded on a scale from 0 to 4 based on Common Terminology Criteria for Adverse Events (CTCAE) v5.0, with Grade 0 being normal Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization.
Measured: From first dose of treatment (Day 1) till 28 days after last dose (Up to approximately 110 weeks)
Number of Participants With Maximum CTCAE Grade Laboratory Abnormality in Chemistry Parameters
Blood samples were collected to assess chemistry parameters. Adverse events are graded on a scale from 0 to 4 based on Common Terminology Criteria for Adverse Events (CTCAE) v5.0, with Grade 0 being normal Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization.
Measured: From first dose of treatment (Day 1) till 28 days after last dose (Up to approximately 110 weeks)
Plasma Concentration of Adagrasib
Blood samples were collected for assessment of plasma concentration of Adagrasib. Data for participants for which the dose was reduced after receiving starting dose of 600 mg BID, based on physician decision is presented in separate arms.
Measured: Day 1 of Cycle 1 (Pre-Dose and Peak), Cycle 2 (Pre-Dose and Peak), Cycle 3 (Pre-Dose), Cycle 5 (Pre-Dose), Cycle 7 (Pre-Dose) (Each cycle is of 21 days)
Change From Baseline in Lung Cancer Symptom Scale (LCSS) Average Total Score
The Lung Cancer Symptom Scale (LCSS) is a disease measure of quality of life which evaluates six major lung cancer symptoms and their effect on overall distress and symptom severity, impact on day-to-day activities, and overall quality of life. This patient reported outcome (PRO) questionnaire assesses the following 6 symptoms items (appetite loss, fatigue, cough, dyspnea, hemoptysis, pain) and 3 summary global items (symptom distress, activity level, overall quality of life) for patients using visual analogue scales (VAS) (100 mm horizontal line) ranging from 0 (best rating) to 100 (worst rating). The LCSS average total score is sum of items 1 to 9 divided by the total number of items ((sum of items 1 to 9)/9) ranging from 0 to 100 where high score represent worst outcome. Least Square Mean and Confidence Interval are from a repeated measures model on the response variable change from baseline in LCSS average total score.
Measured: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline in Lung Cancer Symptom Scale (LCSS) Average Symptom Burden Index Score
The Lung Cancer Symptom Scale (LCSS) is a disease measure of quality of life which evaluates six major lung cancer symptoms and their effect on overall distress and symptom severity, impact on day-to-day activities, and overall quality of life. This patient reported outcome (PRO) questionnaire for average symptom burden index score assesses the following six items (Appetite loss, fatigue, cough, shortness of breath, blood in sputum, pain) for patients using visual analogue scales (VAS) (100 mm horizontal line) ranging from 0 (best rating) to 100 (worst rating). The average symptom burden score is average of all the 6 items ranging from 0 to 100 where high score represent worst outcome. Least square mean and CI are from a repeated measures model on the response variable change from baseline in average symptom burden index score.
Measured: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline in Lung Cancer Symptom Scale (LCSS) 3-Item Global Index Score
The Lung Cancer Symptom Scale (LCSS) is a disease measure of quality of life which evaluates six major lung cancer symptoms and their effect on overall distress and symptom severity, impact on day-to-day activities, and overall quality of life. This patient reported outcome (PRO) questionnaire for average 3-item global index score assesses the following 3 items (Distress/severity of symptoms from lung cancer, impact on normal activities, quality of life) for patients using visual analogue scales (VAS) (100 mm horizontal line) ranging from 0 (best rating) to 100 (worst rating). The 3 item global index score is average of all the 3 items ranging from 0 to 100 where high score represent worst outcome. LS mean and CI are from a repeated measures model on the response variable change from baseline in 3-item global index score.
Measured: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline at End of Treatment in European Quality of Life Five Dimensions Questionnaire (EQ-5D-5L) Visual Analogue Scale Score
The Visual Analogue Score (VAS) is a component of the EQ-5D-5L and assesses the patient's self-rated health using a vertical visual analogue scale where numbered 0 (the worst health you can image) to 100 (the best health you can imageine). The smallest change considered clinically meaningful, is defined as a score difference of 7 points.
Measured: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline at End of Treatment in European Quality of Life Five Dimensions Questionnaire (EQ-5D-5L) Health Utility Index Score
The European Quality of Life 5D-5L Scale (EQ-5D-5L) assesses general health-related quality of life. Health is defined in 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. Responses are coded so that a '1' indicates no problem, and '5' indicates the most serious problem. The responses for the 5 dimensions are combined in a 5-digit number. The EQ-5D-5L health utility index (HUI) is assessed using the Crosswalk algorithm for France based on the individual responses to the 5 EQ-5D-5L domains ranging from -0.594 to 1.000. The smallest change considered clinically meaningful, is defined as a score difference of 0.08 points. Least square mean and CI are from a repeated measures model on the response variable change from baseline in health utility index.
Measured: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Dec 2020
- Study start23 Feb 2021
- Primary completion30 Dec 2023
- Study completion30 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Metastatic Non Small Cell Lung CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 453 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mirati Therapeutics Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04685135
- Sponsor's protocol ID
- CA239-0013
- Other IDs
- CA239-0013, 849-012
- Acronym
- KRYSTAL-12
- Status last verified
- Jul 2026
- First submitted
- 21 Dec 2020
- Last updated
- 11 Aug 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
- Expanded access
- Available
Publications
Barlesi F, Yao W, Duruisseaux M, Doucet L, Azkarate Martinez A, Gregorc V, Juan-Vidal O, Lu S, De Bondt C, de Marinis F, Linardou H, Kim YC, Jotte R, Felip E, Lo Russo G, Reck M, MichenzIe MF, Yang W, Meade JN, Korytowsky B, Mok TSK; KRYSTAL-12 Investigators. Plain language summary of the KRYSTAL-12 study results: adagrasib for non-small cell lung cancer with KRASG12C mutations. Future Oncol. 2026 Sep 16:1-12. doi: 10.1080/14796694.2026.2719409. Online ahead of print.
PubMed 42745627Barlesi F, Yao W, Duruisseaux M, Doucet L, Martinez AA, Gregorc V, Juan-Vidal O, Lu S, De Bondt C, de Marinis F, Linardou H, Kim YC, Jotte R, Felip E, Lo Russo G, Reck M, Michenzie MF, Yang W, Meade JN, Korytowsky B, Mok TSK; KRYSTAL-12 Investigators. Adagrasib versus docetaxel in KRASG12C-mutated non-small-cell lung cancer (KRYSTAL-12): a randomised, open-label, phase 3 trial. Lancet. 2025 Aug 9;406(10503):615-626. doi: 10.1016/S0140-6736(25)00866-9.
PubMed 40783289
Study at a glance
From the registry record, last updated by the sponsor on 11 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase 3 Study of MRTX849 Versus Docetaxel in Patients With Previously Treated Non-Small Cell Lung Cancer With KRAS G12C Mutation
- ClinicalTrials.gov ID
- NCT04685135
- Acronym / sponsor ID
- KRYSTAL-12 / CA239-0013
- Keywords
- KRAS G12C, Non-small cell lung cancer, NSCLC, Metastatic Cancer, Docetaxel, Phase 3 Clinical Trial, Adagrasib, KRAS
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 453 participants (actual)
- Lead sponsor
- Mirati Therapeutics Inc.Industry (pharma, biotech, devices)
- Study start
- 23 Feb 2021 (actual)
- Primary completion
- 30 Dec 2023 (actual)
- Study completion
- 30 Oct 2026 (estimated)
- First posted
- 28 Dec 2020 (actual)
- Results
- Posted 22 Jan 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This Phase 3 study will evaluate the efficacy of the investigational agent MRTX849 (adagrasib) versus docetaxel in patients who have been previously treated for metastatic NSCLC with a KRAS G12C mutation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MRTX849 | Experimental | Drug: MRTX849 |
| Docetaxel | Active comparator | Drug: Docetaxel |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically or cytologically confirmed diagnosis of NSCLC with KRAS G12C mutation.
- Candidacy to receive treatment with docetaxel.
- Evidence of RECIST 1.1 defined disease progression on docetaxel per BICR
- ECOG performance status 0-2
Key exclusion criteria (4 listed)
- Prior treatment with an agent targeting KRAS G12C (e.g., AMG 510, Sotorasib).
- Active brain metastases.
- Receipt of any other systemic anti-cancer therapy after last administration of docetaxel on the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MRTX849Also: adagrasib, KRAZATI21 day cycles | Drug | MRTX849 |
| DocetaxelAlso: Taxotere21 day cycles | Drug | Docetaxel |
Primary outcome
Progression-Free Survival (PFS) as Per Blinded Independent Central Review
Time frame: From randomization to the date of progression or death due to any cause, whichever occurs first (up to approximately 143 weeks)
Progression-free survival (PFS) is defined as the time from randomization to the date of progression or death due to any cause, whichever occurs first. 95% CI was obtained using Brookmeyer and Crowley method. Participants who are not observed to have progressed or died are censored at the date of last evaluable tumor assessment. Disease progression assessed as per RECISIST 1.1 was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
13 secondary outcomes
Overall Survival (OS)
Time frame: From randomization till death due to any cause (up to approximately 143 weeks)
Objective Response Rate (ORR) as Per Blinded Independent Central Review
Time frame: From randomization till death or till disease progression or initiation of follow-up anti-cancer therapy or withdrawal of consent prior to minimum efficacy follow-up (up to 143 weeks)
Duration of Response (DOR) as Per Blinded Independent Central Review
Time frame: First documentation of objective response (CR or PR) to the first documentation of PD or to death due to any cause (Up to approximately 22 months)
1-Year Survival Rate
Time frame: Up to 49 months
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: From first dose of treatment (Day 1) till 28 days after last dose (Up to approximately 110 weeks)
Number of Participants With Maximum CTCAE Grade Laboratory Abnormality in Hematology Parameters
Time frame: From first dose of treatment (Day 1) till 28 days after last dose (Up to approximately 110 weeks)
Number of Participants With Maximum CTCAE Grade Laboratory Abnormality in Chemistry Parameters
Time frame: From first dose of treatment (Day 1) till 28 days after last dose (Up to approximately 110 weeks)
Plasma Concentration of Adagrasib
Time frame: Day 1 of Cycle 1 (Pre-Dose and Peak), Cycle 2 (Pre-Dose and Peak), Cycle 3 (Pre-Dose), Cycle 5 (Pre-Dose), Cycle 7 (Pre-Dose) (Each cycle is of 21 days)
Change From Baseline in Lung Cancer Symptom Scale (LCSS) Average Total Score
Time frame: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline in Lung Cancer Symptom Scale (LCSS) Average Symptom Burden Index Score
Time frame: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline in Lung Cancer Symptom Scale (LCSS) 3-Item Global Index Score
Time frame: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline at End of Treatment in European Quality of Life Five Dimensions Questionnaire (EQ-5D-5L) Visual Analogue Scale Score
Time frame: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Change From Baseline at End of Treatment in European Quality of Life Five Dimensions Questionnaire (EQ-5D-5L) Health Utility Index Score
Time frame: Baseline (Day 1) and up to End of Treatment (Up to approximately 106 weeks)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Aug 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42745627Barlesi F, Yao W, Duruisseaux M, Doucet L, Azkarate Martinez A, Gregorc V, Juan-Vidal O, Lu S, De Bondt C, de Marinis F, Linardou H, Kim YC, Jotte R, Felip E, Lo Russo G, Reck M, MichenzIe MF, Yang W, Meade JN, Korytowsky B, Mok TSK; KRYSTAL-12 Investigators. Plain language summary of the KRYSTAL-12 study results: adagrasib for non-small cell lung cancer with KRASG12C mutations. Future Oncol. 2026 Sep 16:1-12. doi: 10.1080/14796694.2026.2719409. Online ahead of print.
- Derived from this study: PubMed 40783289Barlesi F, Yao W, Duruisseaux M, Doucet L, Martinez AA, Gregorc V, Juan-Vidal O, Lu S, De Bondt C, de Marinis F, Linardou H, Kim YC, Jotte R, Felip E, Lo Russo G, Reck M, Michenzie MF, Yang W, Meade JN, Korytowsky B, Mok TSK; KRYSTAL-12 Investigators. Adagrasib versus docetaxel in KRASG12C-mutated non-small-cell lung cancer (KRYSTAL-12): a randomised, open-label, phase 3 trial. Lancet. 2025 Aug 9;406(10503):615-626. doi: 10.1016/S0140-6736(25)00866-9.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
380 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing MRTX849 and Docetaxel in people with Metastatic Non Small Cell Lung Cancer and Advanced Non Small Cell Lung Cancer, run by Mirati Therapeutics Inc. at 380 sites in 24 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 11 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 380 sites in United States, China, Spain, Italy, France and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 22 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) as Per Blinded Independent Central Review (time frame: From randomization to the date of progression or death due to any cause, whichever occurs first (up to approximately 143 weeks)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04685135, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2026; AzTrials last refreshed its copy on 7 Nov 2026.