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
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
1 other identifier
interventional
416
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Oct 2026
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 13, 2026
CompletedFirst Posted
Study publicly available on registry
September 22, 2026
CompletedStudy Start
First participant enrolled
October 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2030
September 24, 2026
September 1, 2026
2.5 years
September 13, 2026
September 22, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Progression-Free Survival (PFS)
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).
30 months
Secondary Outcomes (8)
Objective Response Rate (ORR)
30 months
Overall Survival (OS)
up to 60 months
Disease Control Rate (DCR)
30 months
Duration of Response (DoR)
30 months
PFS by investigator assessment
up to 30 months
- +3 more secondary outcomes
Study Arms (2)
Study Arm
EXPERIMENTALSosimerasib in combination with IN10018
Control Arm
ACTIVE COMPARATORanti-PD-1 monoclonal antibody in combination with chemotherapy
Interventions
Participants receive Sosimerasib in combination with IN10018 orally once daily (QD) in a 21-day cycle, until disease progression or unacceptable toxicity
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.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 13, 2026
First Posted
September 22, 2026
Study Start
October 1, 2026
Primary Completion (Estimated)
April 1, 2029
Study Completion (Estimated)
September 1, 2030
Last Updated
September 24, 2026
Record last verified: 2026-09