NCT07554339

Brief Summary

Researchers are looking for new ways to treat locally advanced non-small cell lung cancer (NSCLC) that is unresected and has a gene mutation called KRAS G12C. Researchers want to learn if calderasib (MK-1084) can be given with durvalumab, an immunotherapy, to treat NSCLC after chemotherapy and radiation therapy. The goal of this trial is to learn if participants who receive calderasib and durvalumab live longer without the cancer growing or spreading compared to participants who receive placebo and durvalumab.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
310

participants targeted

Target at P25-P50 for phase_3 nonsmall-cell-lung-cancer

Timeline
136mo left

Started Jun 2026

Longer than P75 for phase_3 nonsmall-cell-lung-cancer

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 21, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 28, 2026

Completed
1 month until next milestone

Study Start

First participant enrolled

June 5, 2026

Expected
6.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 15, 2032

4.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 17, 2037

Last Updated

April 28, 2026

Status Verified

April 1, 2026

Enrollment Period

6.5 years

First QC Date

April 21, 2026

Last Update Submit

April 21, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS)

    PFS is defined as the time from randomization to the first documented disease progression or death due to any cause, whichever occurs first.

    Up to approximately 6 years

Secondary Outcomes (9)

  • Overall Survival (OS)

    Up to approximately 9 years

  • Number of Participants Who Experience an Adverse Events (AEs)

    Up to approximately 9 years

  • Number of Participants Who Discontinue Study Treatment Due to an AE

    Up to approximately 9 years

  • Objective Response Rate (ORR)

    Up to approximately 9 years

  • Duration of Response (DOR)

    Up to approximately 9 years

  • +4 more secondary outcomes

Study Arms (2)

Calderasib + Durvalumab

EXPERIMENTAL

Participants will receive calderasib and durvalumab.

Drug: CalderasibBiological: Durvalumab

Placebo + Durvalumab

ACTIVE COMPARATOR

Participants will receive placebo to calderasib and durvalumab.

Biological: DurvalumabOther: Placebo to MK-1084

Interventions

Tablet for oral administration.

Also known as: MK-1084
Calderasib + Durvalumab
DurvalumabBIOLOGICAL

Solution for intravenous (IV) infusion.

Also known as: IMFINZI®
Calderasib + DurvalumabPlacebo + Durvalumab

Placebo to MK-1084.

Placebo + Durvalumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has a histological or cytological diagnosis of locally advanced, unresected Stage II (node-positive) to III non-small cell lung cancer (NSCLC) with predominantly nonsquamous histology.
  • Has completed definitive platinum-based concurrent chemoradiotherapy (CCRT) prior to enrollment, without disease progression.
  • Has provided a tumor tissue sample for central laboratory testing of Kirsten rat sarcoma G12C (KRAS G12C) status, programmed cell death ligand 1 (PD-L1) status, and biomarker research.
  • Tumor tissue sample has a demonstrated presence of KRAS G12C mutation and an evaluable PD-L1 status result.
  • If human immunodeficiency virus (HIV)-infected, has well-controlled HIV on antiretroviral therapy (ART).
  • If hepatitis B surface antigen (HBsAg)-positive, has undetectable hepatitis B virus (HBV) viral load and has received HBV antiviral therapy.
  • If has a history of hepatitis C virus (HCV) infection, has undetectable HCV viral load.
  • Has a body weight ≥35 kg.

You may not qualify if:

  • Has a diagnosis of small cell lung cancer or mixed tumors with small cell elements.
  • Has a gastrointestinal disorder affecting absorption or is unable to swallow orally administered medication.
  • Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease.
  • Has uncontrolled, significant cardiovascular disease or cerebrovascular disease.
  • Is HIV-infected with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
  • Has received prior treatment (other than definitive CCRT) for NSCLC.
  • Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
  • Has an active autoimmune disease that has required systemic treatment in the past 2 years.
  • Has a history of, or has current, (noninfectious) pneumonitis/interstitial lung disease that required/requires steroids.
  • Has an active infection requiring systemic therapy.
  • Has a history of stem cell/solid organ transplant.
  • Has not adequately recovered from major surgery or has ongoing surgical complications.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

durvalumab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Medical Director

    Merck Sharpe & Dohme LLC

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 21, 2026

First Posted

April 28, 2026

Study Start (Estimated)

June 5, 2026

Primary Completion (Estimated)

December 15, 2032

Study Completion (Estimated)

August 17, 2037

Last Updated

April 28, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

More information