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KRAS G12C Mutant Solid TumorsPhase 1/2KontRASt-01NCT04699188

Study of JDQ443 in Patients With Advanced Solid Tumors Harboring the KRAS G12C Mutation

A Phase 1/2 study testing JDQ443, TNO155 and tislelizumab in people with KRAS G12C Mutant Solid Tumors and Carcinoma, Non-Small-Cell Lung, run by Novartis Pharmaceuticals at 38 sites in 16 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a phase Ib/II open label study. The escalation part will characterize the safety and tolerability of JDQ443 single agent and JDQ443 in combination with the other study treatments (TNO155 and tislelizumab) in advanced solid tumor patients. Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
JDQ443, TNO155 and tislelizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
344 participants
Where
38 sitesin 16 countries
Study dates
24 Feb 2021to 25 Jan 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult patients with advanced (metastatic or unresectable) KRAS G12C mutant solid tumors who have received standard of care or are intolerant or ineligible to approved therapies
  • ECOG Performance Status of 0 or 1
  • At least one measurable lesion as defined by RECIST 1.1
  • Prior treatment with a KRAS G12C inhibitor may be allowed for dose escalations of combinations and a subset of groups in dose expansion

Who cannot join

  • Tumors harboring driver mutations that have approved targeted therapies, with the exception of KRAS G12C mutations
  • Symptomatic brain metastases or known leptomeningeal disease. Patients with asymptomatic treated or untreated brain metastases may be eligible
  • Clinically significant cardiac disease or risk factors at screening
  • A medical condition that results in increased photosensitivity Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

38 sites in 16 countries.

38 sites in 16 countries

Spain6 sites
  • Novartis Investigative Site

    Barcelona, 08035

  • Novartis Investigative Site

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Novartis Investigative Site

    Madrid, 28050

  • Novartis Investigative Site

    Málaga, 29010

  • Novartis Investigative Site

    Santiago Compostela, A Coruna, 15706

  • Novartis Investigative Site

    Valencia, 46010

Other trials in Spain

United States5 sites
  • Emory University School of Medicine-Winship Cancer Institute

    Atlanta, Georgia, 30322

  • Massachusetts General Hospital Cancer Center

    Boston, Massachusetts, 02114

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Uni Of TX MD Anderson Cancer Cntr

    Houston, Texas, 77030

  • Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

Other trials in United States

Japan5 sites
  • Novartis Investigative Site

    Chuo Ku, Tokyo, 1040045

  • Novartis Investigative Site

    Kashiwa, Chiba, 2778577

  • Novartis Investigative Site

    Koto Ku, Tokyo, 1358550

  • Novartis Investigative Site

    Nagoya, Aichi-ken, 4668560

  • Novartis Investigative Site

    Osaka, Osaka, 5418567

Other trials in Japan

Germany4 sites
  • Novartis Investigative Site

    Cologne, North Rhine-Westphalia, 50937

  • Novartis Investigative Site

    Dresden, Saxony, 01307

  • Novartis Investigative Site

    Essen, 45147

  • Novartis Investigative Site

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

Other trials in Germany

France3 sites
  • Novartis Investigative Site

    Lyon, 69373

  • Novartis Investigative Site

    Marseille, 13273

  • Novartis Investigative Site

    Villejuif, 94800

Other trials in France

Italy3 sites
  • Novartis Investigative Site

    Brescia, BS, 25123

  • Novartis Investigative Site

    Milan, MI, 20133

  • Novartis Investigative Site

    Milan, MI, 20162

Other trials in Italy

China2 sites
  • Novartis Investigative Site

    Beijing, 100036

  • Novartis Investigative Site

    Guangzhou, Guangdong, 510080

Other trials in China

Singapore2 sites
  • Novartis Investigative Site

    Singapore, 119074

  • Novartis Investigative Site

    Singapore, 168583

Other trials in Singapore

Australia1 site
  • Novartis Investigative Site

    Melbourne, Victoria, 3000

Other trials in Australia

Belgium1 site
  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Canada1 site
  • Novartis Investigative Site

    Montreal, Quebec, H2X 1R9

Other trials in Canada

Denmark1 site
  • Novartis Investigative Site

    Copenhagen, 2100

Other trials in Denmark

Hong Kong1 site
  • Novartis Investigative Site

    Hong Kong, 999077

Other trials in Hong Kong

Netherlands1 site
  • Novartis Investigative Site

    Amsterdam, 1066 CX

Other trials in Netherlands

South Korea1 site
  • Novartis Investigative Site

    Seoul, 03722

Other trials in South Korea

Taiwan1 site
  • Novartis Investigative Site

    Taipei, 10002

Other trials in Taiwan

About this study

Official title: A Phase Ib/II Open-label, Multi-center Dose Escalation Study of JDQ443 in Patients With Advanced Solid Tumors Harboring the KRAS G12C Mutation

This is a phase Ib/II open label study. The escalation part will characterize the safety and tolerability of JDQ443 single agent and JDQ443 in combination with the other study treatments (TNO155 and tislelizumab) in advanced solid tumor patients. After the determination of the maximum tolerated dose / recommended dose for a particular treatment arm, dose expansion will assess the anti-tumor activity and further assess the safety, tolerability, and PK/PD of each regimen at the maximum tolerated dose / recommended dose or lower dose.

Being tested
JDQ443, TNO155, tislelizumab
Keywords
KRAS, KRAS G12C, Metastatic cancer, Advanced cancer, Enzyme inhibitor, PD-1, SHP2, Targeted therapy, Non-small-cell lung cancer, colorectal cancer, Molecular mechanisms of pharmacological action
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Colorectal Neoplasms, Lung Neoplasms, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • JDQ443Drug

    KRAS G12C inhibitor

  • TNO155Drug

    SHP2 inhibitor

  • tislelizumabBiological

    Anti PD1 antibody

Study groups in NCT04699188
Study groupRoleWhat they receive
Arm AExperimentalJDQ443
Receives: Drug: JDQ443
Arm BExperimentalJDQ443 in combination with TNO155
Receives: Drug: JDQ443; Drug: TNO155
Arm CExperimentalJDQ443 in combination with tislelizumab
Receives: Drug: JDQ443; Biological: tislelizumab
Arm DExperimentalJDQ443 in combination with TNO155 and tislelizumab
Receives: Drug: JDQ443; Drug: TNO155; Biological: tislelizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Escalation: Incidence and severity of dose limiting toxicities (DLTs) during the first cycle of monotherapy or combination treatment

    A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle of treatment

    Measured: 21 days

  2. Dose Escalation: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)

    All information obtained on AE will be displayed by treatment group. Summary tables will include only AEs that started/worsened during the cycles of treatment (treatment-emergent AEs).

    Measured: 24 months

  3. Dose Escalation: Frequency of dose interruptions and reductions, by treatment

    Tolerability of study drug will be assessed by summarizing the number of and reason for dose delays and dose reductions.

    Measured: 24 months

  4. Dose Escalation: Dose intensity by treatment

    Dose intensity is defined as the ratio of actual cumulative dose received and actual duration of treatment.

    Measured: 24 months

  5. Dose Expansion: Overall response rate (ORR) per RECIST v1.1, by treatment

    Overall response rate is defined as the proportion of patients with a BOR of CR or PR according to RECIST 1.1, and will be summarized along with the corresponding 95% exact binomial confidence interval (CI). Applies to all groups except the brain metastasis group.

    Measured: 24 months

  6. Dose expansion: Overall intracranial response rate (OIRR) per mRANO-BM

    OIRR per mRANO-BM is defined as the proportion of participants with a best overall intracranial response (BOIR) of CR or PR according to mRANO-BM criteria, and will be summarized along with the corresponding 90% and 95% exact CI. Applies to brain metastasis group only.

    Measured: 24 months

  7. Dose expansion: Incidence and severity of AEs and SAEs

    All information obtained on AE will be displayed by treatment group. Summary tables will include only AEs that started/worsened during the cycles of treatment (treatment-emergent AEs). Applies to JDQ443 dose randomization group only.

    Measured: 24 months

  8. Dose expansion: frequency of dose interruptions and reductions, by treatment

    Tolerability of study drug will be assessed by summarizing the number of and reason for dose delays and dose reductions. Applies to JDQ443 dose randomization group only.

    Measured: 24 months

  9. Dose expansion: Dose intensity by treatment

    Dose intensity is defined as the ratio of actual cumulative dose received and actual duration of treatment. Applies to JDQ443 dose randomization group only

    Measured: 24 months

  10. Dose expansion: ORR per RECIST 1.1 of JDQ443 single agent in patients with non-small cell lung cancer (JDQ443 dose randomization group only)

    Overall response rate is defined as the proportion of patients with BOR of CR or PR according to RECIST 1.1, and will be summarized along with the corresponding 95% exact binomial confidence interval (CI). Applies to JDQ443 dose randomization group only

    Measured: 24 months

Secondary outcomes (17)
  1. Dose Escalation and Expansion: ORR per RECIST v1.1

    Overall response rate is defined as the proportion of patients with a BOR of CR or PR according to RECIST 1.1, and will be summarized along with the corresponding 95% exact binomial confidence interval (CI)

    Measured: 24 months

  2. Dose Escalation and Expansion: Best Overall Response (BOR) per RECIST v1.1

    BOR is defined as the best overall confirmed response recorded from the start of the treatment until disease progression/recurrence.

    Measured: 24 months

  3. Dose Escalation and Expansion: Progression-free survival (PFS) per RECIST v1.1, Overall Survival (OS)

    Per RECIST 1.1, PFS is defined as the time from the date of start of treatment to the date of the first documented progression, or death. If patient has not had an event, PFS will be censored at the date of last adequate tumor assessment. PFS will be summarized using the Kaplan-Meier method, along with 95% CI

    Measured: 24 months

  4. Dose Escalation and Expansion: Duration of Response (DOR) per RECIST v1.1

    Duration of response is defined as the time from the date of the first documented response (CR or PR), to the date of first documented progression, or death due any cause. Estimates will use Kaplan-Meier method, and median DOR and corresponding 95% CI will be presented.

    Measured: 24 months

  5. Dose Escalation and Expansion: Disease Control Rate (DCR) per RECIST v1.1

    The disease control rate is calculated as the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease. It will be summarized along with the corresponding 95% exact CI

    Measured: 24 months

  6. Dose Escalation and Expansion: Plasma or serum concentration vs time profiles (AUC) by treatment

    AUC is defined as area under the plasma or serum concentration versus time curve after a dose of JDQ443, TNO155 and tislelizumab

    Measured: Up to 24 months

  7. Dose Escalation and Expansion: Plasma concentration (Cmax) by treatment

    Cmax is defined as the maximum observed plasma or serum drug concentration after single dose administration.

    Measured: Up to 24 months

  8. Dose Escalation and Expansion: Time to achieve Cmax (Tmax) by treatment

    Tmax is defined as the time to reach maximum plasma or serum drug concentration after single dose administration.

    Measured: Up to 24 months

  9. Dose Escalation and Expansion: Antidrug antibody (ADA) incidence by treatment

    To evaluate the immunogenicity of tislelizumab when dosed in combination with JDQ443 and/or TNO155 - only applicable to Arms C and D

    Measured: Up to 24 months

  10. Dose Expansion: Dose intensity by treatment

    Measured: 24 months

  11. Dose Expansion: Frequency of dose interruptions and reductions, by treatment

    Tolerability of study drug will be assessed by summarizing the number of and reason for dose delays and dose reductions.

    Measured: 24 months

  12. Dose Expansion: Incidence and severity of dose limiting toxicities (DLTs) during the first cycle of monotherapy or combination treatment

    A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle of treatment

    Measured: 21 days

  13. Dose Expansion: Incidence and severity of AEs and SAEs by treatment

    Measured: 24 months

  14. Dose expansion: Intracranial disease control rate (IDCR) per mRANO-BM

    IDCR is the proportion of participants with a confirmed BOIR of CR or PR or SD (or non-CR/non-PD) per mRANO-BM criteria. It will be summarized along with the corresponding 90% and 95% CI. Applies to the brain metastasis group only.

    Measured: 24 months

  15. Dose expansion: Best overall intracranial response (BOIR) per mRANO-BM

    BOIR is defined as the best overall confirmed response recorded from the start of the treatment until disease progression/recurrence per mRANO-BM, or until patient comes off study, whichever comes first. BOIR will be summarized along with the corresponding 95% exact CI. Applies to the brain metastasis group only.

    Measured: 24 months

  16. Dose expansion: Intracranial progression free survival (IPFS) per mRANO-BM

    IPFS is defined as the time from the date of start of treatment to the date of the first documented progression per mRANO-BM, or death due to any cause. If a patient has not had an event, IPFS will be censored at the date of last adequate tumor assessment. IPFS will be summarized using the Kaplan-Meier method. Median IPFS and IPFS probability at pre specified time-points will be presented along with 95% CI. Applies to the brain metastasis group only.

    Measured: 24 months

  17. Dose expansion: Duration of intracranial response (DOIR) per mRANO-BM

    DOIR is defined as the time from the date of first documented intracranial response of either CR or PR to the date of the first documented intracranial progression as per mRANO-BM criteria as assessed by central review or date of death due to underlying cause of cancer. DOIR will be summarized using the KM method if data permit. Median DOIR, with corresponding 95% CI. KM estimates for DOIR proportions at specific time points, along with 95% CI will also be provided. Applies to the brain metastasis group only.

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jan 2021
  2. Study start24 Feb 2021
  3. Primary completion25 Jan 2027 (estimated)
  4. Study completion25 Jan 2027 (estimated)

Resources

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
344 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04699188
Sponsor's protocol ID
CJDQ443A12101
Other IDs
2020-004129-22
Acronym
KontRASt-01
Status last verified
Oct 2026
First submitted
5 Jan 2021
Last updated
19 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Lorthiois E, Gerspacher M, Beyer KS, Vaupel A, Leblanc C, Stringer R, Weiss A, Wilcken R, Guthy DA, Lingel A, Bomio-Confaglia C, Machauer R, Rigollier P, Ottl J, Arz D, Bernet P, Desjonqueres G, Dussauge S, Kazic-Legueux M, Lozac'h MA, Mura C, Sorge M, Todorov M, Warin N, Zink F, Voshol H, Zecri FJ, Sedrani RC, Ostermann N, Brachmann SM, Cotesta S. JDQ443, a Structurally Novel, Pyrazole-Based, Covalent Inhibitor of KRASG12C for the Treatment of Solid Tumors. J Med Chem. 2022 Dec 22;65(24):16173-16203. doi: 10.1021/acs.jmedchem.2c01438. Epub 2022 Nov 18.

    PubMed 36399068

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing JDQ443, TNO155 and tislelizumab in people with KRAS G12C Mutant Solid Tumors and Carcinoma, Non-Small-Cell Lung, run by Novartis Pharmaceuticals at 38 sites in 16 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 4 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 19 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in Spain, United States, Japan, Germany, France and 11 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Dose Escalation: Incidence and severity of dose limiting toxicities (DLTs) during the first cycle of monotherapy or combination treatment (time frame: 21 days). The study lists 10 primary outcomes in all. 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 NCT04699188, which also lists 1 linked publication.

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 19 Oct 2026.

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