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Study details
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A Study of Adagrasib Plus Pembrolizumab Plus Chemotherapy vs. Placebo Plus Pembrolizumab Plus Chemotherapy in Participants With Previously Untreated Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation (KRYSTAL-4)

Mirati Therapeutics Inc.
NCT IDNCT06875310ClinicalTrials.gov data as of Apr 2026
Phase

Phase 3

Target enrollment

630

Study length

about 7 years

Ages

18+

Locations

47 sites in AL, AR, CA +17

About this study

Researchers are testing a treatment of adagrasib, pembrolizumab, and platinum-doublet chemotherapy compared to placebo plus pembrolizumab and platinum-doublet chemotherapy in people with previously untreated non-squamous non-small cell lung cancer who have a KRAS G12C mutation. The trial will last for 2563 days.

Based on ClinicalTrials.gov records.

What participants do

  • 1.Take Adagrasib
  • 2.Take Carboplatin
  • 3.Take Cisplatin
  • +3 more
PhasePhase 3
DrugAdagrasib
Routeoral
Primary goalOverall Survival (OS)

Participation effort

Estimated from trial records. Details can vary by site.

Time + visits
Low7%
Logistics
Moderate50%

Logistics difficulty varies by site location and availability.

Trial highlights

Treatment details

Auto-extracted from trial records to preview treatments and outcomes.

Drug classes

adagrasib, carboplatin, cisplatin (Platinum chemotherapy; crosslinks DNA to stop replication), pembrolizumab (Immune checkpoint inhibitor; blocks PD-1 to boost T-cell attack on cancer), pemetrexed

Drug routes

oral (Oral Tablet), injection, intravenous, infusion, injection (Injection)

Endpoints

Primary: Overall Survival (OS), Progression Free Survival (PFS) as Assessed per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by Blinded Independent Central Review (BICR)

Secondary: Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-30) Scale/item Score, Duration of Response (DOR) as Assessed per RECIST 1.1 by BICR, Number of Deaths, Number of Participants With AEs Leading to Dose Interruption, Number of Participants With AEs Leading to Dose Reduction, Number of Participants With AEs Leading to Treatment Discontinuation, Number of Participants With Adverse Events (AEs), Number of Participants With Serious Adverse Events (SAEs)

Body systems

Oncology