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NCT Number: NCT07833202

A Phase 3 Study of Sosimerasib in Combination With IN10018 Versus Standard Therapy for First Line Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation

This is a randomized, positive controlled, open-Label and multicenter phase III study, to evaluate the efficacy and safety of Sosimerasib in combination with IN10018 versus anti-PD-1 monoclonal antibody in combination with carboplatin and pemetrexed as the first-line treatment for the locally advanced or metastatic non-squamous non-small cell lung cancer with KRAS G12C mutation.

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Key information

Conditions

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

The Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Histologically or cytologically documented Stage IIIB or IIIC NSCLC disease not amenable for surgical resection or definitive chemoradiation or Stage IV Non-squamous NSCLC disease.
  • Has KRAS G12C mutation confirmed by central laboratory.
  • Measurable disease according to RECIST 1.1.
  • An Eastern Cooperative Group (ECOG) performance status of 0 or 1.
  • Adequate organ function.
  • Life expectancy ≥3 months in the opinion of the Investigator
  • Male and female participants of reproductive potential must agree to use effective contraception during and for 6 months after treatment

Exclusion criteria

  • Has another known driver mutation with approved first-line targeted therapy.
  • Participants with carcinomatous meningitis or spinal cord compression; or with other evidence indicating that central nervous system (CNS) metastases or leptomeningeal metastases are not yet controlled.
  • Prior treatment with KRAS G12C inhibitors, FAK inhibitors, or pan-RAS inhibitors.
  • History of prior malignancy in the past 3 years, with the exception of curatively treated malignancies.
  • Gastrointestinal (GI) tract disease causing the inability to take oral medication or affect drug absorption.
  • Has uncontrolled cardiovascular disease, active severe infection, interstitial lung disease, or autoimmune disease.
  • Any condition that, in the opinion of the Investigator, would interfere with participation or study results

Treatment and study plan

Sosimerasib in combination with IN10018

Drug

Participants receive Sosimerasib in combination with IN10018 orally once daily (QD) in a 21-day cycle, until disease progression or unacceptable toxicity

Tislelizumab + Carboplatin + Pemetrexed

Drug

Participants receive Tislelizumab Q3W IV until disease progression or up to 2 years, plus Carboplatin Q3W IV for up to 4 cycles, plus Pemetrexed Q3W IV until disease progression.

Primary outcomes

  1. Progression-Free Survival (PFS)

    Time frame: 30 months

    Defined as time from randomization until disease progression or death from any cause, whichever occurs first assessed per RECIST v1.1 by blinded independent central review (BICR).

Secondary outcomes

  1. Objective Response Rate (ORR)

    Time frame: 30 months

    Defined as complete response (PR) + partial response (PR) assessed per RECIST v1.1 by BICR

  2. Overall Survival (OS)

    Time frame: up to 60 months

    Defined as time from randomization to death by any cause

  3. Disease Control Rate (DCR)

    Time frame: 30 months

    Defined as ORR + stable disease (SD) assessed per RECIST v1.1 by BICR

  4. Duration of Response (DoR)

    Time frame: 30 months

    Defined as time from first evidence of PR or CR to disease progression or death due to any cause, whichever occurs first, assessed per RECIST v1.1 by BICR

  5. PFS by investigator assessment

    Time frame: up to 30 months

    Defined as time from randomization until disease progression or death from any cause, whichever occurs first assessed per RECIST v1.1 by investigator assessment.

  6. Number of participants with adverse event

    Time frame: 30 months

    Number of participants with treatment-related adverse events as assessed by CTCAE v6.0

  7. Patient-reported outcome (PRO) questionnaire including EORTC QLQ-C30

    Time frame: up to 30 months

    Reports of health status directly from participants

  8. Patient-reported outcome (PRO) questionnaire including EORTC QLQ-LC13.

    Time frame: up to 30 months

    Reports of health status directly from participants

Interested in participating?

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Trial opening soon.

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Sponsors and collaborators

Lead sponsor

Shanghai Jeyou Pharmaceutical Co., Ltd.

Industry

Registry information

Official study title

A Phase 3, Randomized, Positive Controlled, Open-Label and Multicenter Study of Sosimerasib in Combination With IN10018 Versus Standard Therapy for the Treatment of First Line Locally-advanced or Metastatic Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation

Important dates

Study start
2026
Primary completion
2029
Study completion
2030
First posted
Sep 22, 2026
Registry last updated
Sep 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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