Calderasib plus subcutaneous pembrolizumab for KRAS G12C non-small cell lung cancer
Official title: A Phase 3, Randomized, Open-label, Multicenter Clinical Study to Evaluate the Safety and Efficacy of MK-1084 in Combination With Subcutaneous Pembrolizumab and Berahyaluronidase Alfa (MK-3475A) Versus MK-3475A in Combination With Pemetrexed/Platinum (Carboplatin or Cisplatin) Chemotherapy as First-line Treatment of Participants With KRAS G12C-Mutant, Advanced or Metastatic Nonsquamous NSCLC (KANDLELIT-007)
Run by Merck Sharp & Dohme LLC · NCT07190248 · Data updated 2026-11-12
This trial will test whether adding the KRAS G12C drug calderasib to subcutaneous pembrolizumab helps people with advanced nonsquamous non‑small cell lung cancer live longer without the cancer growing compared with pembrolizumab plus chemotherapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 675 (estimated) |
| Sponsor | Merck Sharp & Dohme LLC Industry-sponsored |
| Drugs / interventions | pembrolizumab, chemotherapy |
| Locations | 225 sites (Birmingham, Alabama and 224 other locations) |
| Status | Recruiting |
| Started | October 8, 2025 |
| Main results expected | December 7, 2029 |
| Study ends | August 6, 2032 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07190248 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with unresectable nonsquamous NSCLC (Stage IIIB/IIIC or Stage IV) whose tumors harbor a KRAS G12C mutation and who meet other health and treatment‑history criteria are the intended participants.
✕Probably not a fit
Patients with small cell lung cancer or mixed tumors containing small cell elements, active inflammatory bowel disease requiring immunosuppression, uncontrolled cardiovascular or gastrointestinal conditions, or other disqualifying prior treatments are unlikely to be eligible or to benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase 3, randomized study comparing calderasib combined with subcutaneous pembrolizumab versus subcutaneous pembrolizumab with standard platinum‑based chemotherapy (pemetrexed plus cisplatin or carboplatin) in patients with advanced nonsquamous NSCLC. Calderasib is a targeted therapy directed at the KRAS G12C mutation, and the pembrolizumab is given in a subcutaneous formulation with hyaluronidase. The main goal is to determine whether the calderasib combination prolongs the time patients live without disease progression compared with the chemotherapy arm. The trial is conducted at multiple U.S. centers and is sponsored by Merck Sharp & Dohme LLC.
Why it matters
Potential benefit: If successful, the combination could extend progression‑free survival for patients with KRAS G12C NSCLC and might reduce or delay the need for conventional chemotherapy.
How similar studies have gone: Earlier-phase studies of KRAS G12C inhibitors and of PD‑1 immunotherapy have shown clinical activity, and combinations are promising but not yet proven in large randomized trials, so this phase 3 trial addresses that open question.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Has nonsquamous NSCLC (Stage IIIB, Stage IIIC) not eligible for curative resection or chemoradiation or Stage IV: M1a, M1b, or M1c * If human immunodeficiency virus (HIV) positive, must have well controlled HIV on antiretroviral therapy (ART) Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * Has diagnosis of small cell lung cancer or, for mixed tumors, presence of small cell elements * Has active inflammatory bowel disease requiring immunosuppressive medication or previous clear history of inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis, or chronic diarrhea) * Has uncontrolled, significant cardiovascular disease or cerebrovascular disease * Has a gastrointestinal disorder affecting absorption * Is HIV positive and has a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease * Has received prior systemic anticancer therapy for their advanced or metastatic NSCLC * Has known additional malignancy that is progressing or has required active treatment within the past 3 years * Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis * Has active autoimmune disease that has required systemic treatment in the past 2 years * History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease * Has active infection requiring systemic therapy except those specified by protocol * Has history of stem cell/solid organ transplant * Has not adequately recovered from major surgery or has ongoing surgical complications
Where it's running
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Central Alabama Research ( Site 0108)
Birmingham, Alabama, United States Recruiting -
Beverly Hills Cancer Center ( Site 0142)
Beverly Hills, California, United States Recruiting -
University of Connecticut Health Center ( Site 0130)
Farmington, Connecticut, United States Recruiting -
Stamford Hospital ( Site 0126)
Stamford, Connecticut, United States Recruiting -
The Oncology Institute of Hope and Innovation ( Site 0161)
Fort Lauderdale, Florida, United States Recruiting -
Low Country Cancer Care ( Site 0156)
Savannah, Georgia, United States Recruiting
Show 44 more locations
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Indiana University Health Arnett Cancer Center ( Site 0116)
Lafayette, Indiana, United States Recruiting -
New England Cancer Specialists ( Site 0139)
Westbrook, Maine, United States Recruiting -
Minneapolis VA Medical Center ( Site 0145)
Minneapolis, Minnesota, United States Recruiting -
John Theurer Cancer Center at Hackensack University Medical Center ( Site 0152)
Hackensack, New Jersey, United States Recruiting -
New York Oncology Hematology, P.C. ( Site 0119)
Albany, New York, United States Recruiting -
Wilmot Cancer Institute ( Site 0141)
Rochester, New York, United States Recruiting -
St. Charles Health System, Inc ( Site 0146)
Bend, Oregon, United States Recruiting -
Lancaster General Hospital - Ann B Barshinger Cancer Institute ( Site 0111)
Lancaster, Pennsylvania, United States Recruiting -
Hematology Oncology Associates of Fredericksburg ( Site 9550)
Fredericksburg, Virginia, United States Recruiting -
Bon Secours Cancer Institute at St. Francis ( Site 0148)
Midlothian, Virginia, United States Recruiting -
Blue Ridge Cancer Care ( Site 0144)
Roanoke, Virginia, United States Recruiting -
WVU Cancer Institute ( Site 0153)
Morgantown, West Virginia, United States Recruiting -
Instituto Alexander Fleming ( Site 0311)
Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina Recruiting -
Instituto de Investigaciones Clinicas Mar del Plata ( Site 0300)
Mar del Plata, Buenos Aires, Argentina Recruiting -
Hospital Italiano de Cordoba ( Site 0308)
Córdoba, Argentina Recruiting -
CEMAIC ( Site 0309)
Córdoba, Argentina Recruiting -
Genesis Care- Campbelltown ( Site 2907)
Campbelltown, New South Wales, Australia Recruiting -
Northern Beaches Hospital ( Site 2905)
Frenchs Forest, New South Wales, Australia Recruiting -
The Prince Charles Hospital ( Site 2903)
Brisbane, Queensland, Australia Recruiting -
Mater Hospital Brisbane ( Site 2906)
South Brisbane, Queensland, Australia Recruiting -
Peninsula & South Eastern Haematology and Oncology Group ( Site 2908)
Frankston, Victoria, Australia Recruiting -
Klinikum Klagenfurt am Wörthersee ( Site 1002)
Klagenfurt, Carinthia, Austria Recruiting -
Medizinische Universität Graz-Klinische Abteilung für Pulmonologie ( Site 1005)
Graz, Styria, Austria Recruiting -
Klinik Floridsdorf-Abteilung für Innere Medizin und Pneumologie ( Site 1001)
Vienna, Austria Recruiting -
Algemeen Ziekenhuis Klina ( Site 3904)
Brasschaat, Antwerpen, Belgium Recruiting -
Ziekenhuis Oost-Limburg, Campus St.-Jan ( Site 3903)
Genk, Limburg, Belgium Recruiting -
VITAZ ( Site 3902)
Sint-Niklaas, Oost-Vlaanderen, Belgium Recruiting -
Clinical Chc Montlégia ( Site 3901)
Liège, Belgium Recruiting -
CRIO - CENTRO REGIONAL INTEGRADO DE ONCOLOGIA ( Site 0412)
Fortaleza, Ceará, Brazil Recruiting -
Hospital Santa Rita de Cassia ( Site 0403)
Vitória, Espírito Santo, Brazil Recruiting -
Real Hospital Portugues ( Site 0418)
Recife, Pernambuco, Brazil Recruiting -
Centro Gaucho Integrado De Oncologia, Hematologia, Ensino E Pesquisa ( Site 0400)
Porto Alegre, Rio Grande do Sul, Brazil Recruiting -
CEPEN - Centro de Pesquisa e Ensino em Oncologia de Santa Catarina ( Site 0410)
Florianópolis, Santa Catarina, Brazil Recruiting -
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto USP ( Site 0419)
Ribeirão Preto, São Paulo, Brazil Recruiting -
Faculdade de Medicina do ABC ( Site 0411)
Santo André, São Paulo, Brazil Recruiting -
Hospital Alemao Oswaldo Cruz ( Site 0413)
São Paulo, São Paulo, Brazil Recruiting -
IBCC - Núcleo de Pesquisa e Ensino ( Site 0417)
São Paulo, Brazil Recruiting -
Cross Cancer Institute ( Site 0203)
Edmonton, Alberta, Canada Recruiting -
Sunnybrook Research Institute ( Site 0209)
Toronto, Ontario, Canada Recruiting -
Centro de Estudios Clínicos SAGA ( Site 0503)
Santiago, Region M. de Santiago, Chile Recruiting -
Fundación Arturo López Pérez ( Site 0500)
Santiago, Region M. de Santiago, Chile Recruiting -
Bradfordhill ( Site 0501)
Santiago, Region M. de Santiago, Chile Recruiting -
Anhui Provincial Cancer Hospital ( Site 2708)
Hefei, Anhui, China Recruiting -
Beijing Cancer hospital-Thoracic Cancer Department A ( Site 2700)
Beijing, Beijing Municipality, China Recruiting
+175 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Toll Free Number
- Email: Trialsites@msd.com
- Phone: 1-888-577-8839
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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First-line treatment with pembrolizumab, pemetrexed, and platinum with or without zoldonrasib for metastatic non-squamous NSCLC
This trial tests whether adding zoldonrasib to standard pembrolizumab and platinum chemotherapy helps people with untreated metastatic non-squamous NSCLC that has a RAS G12D mutation.
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ABBV-1480 plus chemotherapy vs pembrolizumab plus chemotherapy as first-line treatment for locally advanced or metastatic non-small cell lung cancer
This study tests whether ABBV-1480 with platinum-based chemotherapy can work better than pembrolizumab with chemotherapy for adults with certain stages of non-small cell lung cancer.
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Adjuvant intismeran (V940) with or without pembrolizumab plus berahyaluronidase alfa for high‑risk Stage I non‑small cell lung cancer after surgery
This trial will try intismeran (V940) alone or together with subcutaneous pembrolizumab plus berahyaluronidase alfa to help prevent recurrence in people with completely removed high‑risk Stage I non‑small cell lung cancer.
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Adjuvant calderasib with subcutaneous pembrolizumab plus berahyaluronidase alfa for completely resected KRAS G12C stage IIA–IIIB (N2) NSCLC
This trial tests whether adding the oral KRAS G12C inhibitor calderasib to subcutaneous pembrolizumab plus berahyaluronidase alfa helps prevent recurrence in people with completely resected stage IIA–IIIB (N2) KRAS G12C non‑small cell lung cancer.
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PF-08634404 plus chemotherapy versus pembrolizumab-based chemotherapy for advanced non-small cell lung cancer
This will test whether PF-08634404 combined with chemotherapy works better than pembrolizumab plus chemotherapy for adults with locally advanced or metastatic non-small cell lung cancer who have not received prior treatment for their advanced disease.
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Trastuzumab deruxtecan plus pembrolizumab versus platinum chemotherapy plus pembrolizumab for first-line HER2‑overexpressing non‑squamous NSCLC
This trial will test whether combining trastuzumab deruxtecan with pembrolizumab works better than standard platinum‑based chemotherapy plus pembrolizumab as first treatment for adults with HER2‑overexpressing, PD‑L1 low (<50%) advanced non‑squamous NSCLC.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.